Hacker News Board Hacker News, browsed like a classic message board
Live data from Hacker News

Report: 90% of nurses considering leaving the profession in the next year

healthcareitnews.com

Post reply on HN
Print view View original

851–860 of 1001 posts

Re: Report: 90% of nurses considering leaving the profession in the next year

#851

Post by cleandreams »

mfer wrote: post #46

I've spent a fair amount of time talking with nurses about the problems. I'm related to a bunch of people who are nurses across disciplines (ER, ICU, med/surg, etc). It's been enlightening hearing them talk about the problems... 1. Many new nurses make the same or more and long time nurses. It's frustrating when the nurse in charge with the most experience is making less than new nurses. Some hospitals are even tryin…

>IT systems that they have to use were designed by people who have not talked with the workers who use them. They may have been designed with laws and compliance in mind. Nurses aren't the people who choose or pay for these systems. But, they use them a lot (maybe the most) and it's obvious they weren't taken into account when designing the UX. It's maddening for them. This one is big for product designers. Often we listen to the people who pay for it and miss out on the people who actually have to use it.

This!! I had a friend who retired early because she was literally being worked to death. A big part of that is the hours she spent after hours trying to deal with the new IT system.

Re: Report: 90% of nurses considering leaving the profession in the next year

#852

Post by freddie_mercury »

killjoywashere wrote: post #810
safdahfslh23s wrote: post #468

Earlier quoted context omitted.

My partner is a physician in an ICU and a lot of her colleagues have talked about leaving the field as well. Their complaints are #2 & #3 along with: 5. Pay cuts - Most of the critical doctor specialties (ER, ICU, primary) that were the backbone of the pandemic got "raises" that were less than inflation (hers was 1.5%) while profitable elective specialties got big raises. The root cause is the billing system where el…

Thank the hero of Medicare, Lyndon Johnson. When CMS actually needed to start pricing things, he directed them to his old buddy, the famous heart surgeon, Michael DeBakey. DeBakey sent a couple fellows of his to DC to write up the price list for CMS. Shockingly, surgical procedures got a lot of money and office visits got approximately nothing. This has propogated for 60 years now with increasing precision as the rat…

Why are you so quick to assign blame to the first actors? This expectation that the first people to do something need to make it perfect in every way is completely toxic and one reason for the total paralysis of America.

The majority of the blame here lies with the thousands of politicians, bureaucrats, and administrators who haven't reformed the system in *sixty years*. Not the people who were doing their best with much less information than their successors have had.

Re: Report: 90% of nurses considering leaving the profession in the next year

#853

Post by xkbarkar »

tsol wrote: post #786
tmcw wrote: post #773

Similarly via a quick Google search: - "Almost HALF Of San Francisco Residents Considering Leaving City" (according to survey of 500) - "One in three New Yorkers Considering Leaving The State" - "Over Half Of Young Lawyers Considering Quitting by 2027, IBA Report." Look for X people considering Y, and you'll find them. Considering is cheap. The awful experience of nurses, absolutely, true. But this, like so many othe…

I don't mean to by cynical, but this is kind of my feeling. Throughout the pandemic I saw story and story about nurses getting overworked and being underappreciated. There was lots of talk of a nurse exodus.. and yet it's never happened. Even now it's just talk of a possible exodus. Maybe there are just no similar fields to switch into with comparable pay, but it seems as though nurses are sticking it out in the gran…

[flagged]

Re: Report: 90% of nurses considering leaving the profession in the next year

#854

Post by dennis_jeeves1 »

scaramanga wrote: post #831
triska wrote: post #587

Earlier quoted context omitted.

I think this is due to Pournelle's Iron Law of Bureaucracy : https://www.jerrypournelle.com/reports/jerryp/iron.html "In any bureaucratic organization there will be two kinds of people: First, there will be those who are devoted to the goals of the organization. Examples are dedicated classroom teachers in an educational bureaucracy, many of the engineers and launch technicians and scientists at NASA, even some agric…

Anyone who has visited planet earth and spent time here is well aware of that. The task is to prevent these people from taking and holding power. Note that the strict formulation of this law (ie. "in _every_ case..") is profoundly anti-democratic in that it assumes no democracy can ever exist or function. Of course, I hope your household provides a good counter example (if not, then you should seek outside support).…

>The task is to prevent these people from taking and holding power.

And for that I completely blame the 'right' thinking, honest, hardworking nerd types - even when given the reins to power they will often not take it, because it is uninteresting work, compared the cool gadget/problem they are working on.

Re: Report: 90% of nurses considering leaving the profession in the next year

#855

Post by cleandreams »

notch656a wrote: post #593
ayngg wrote: post #577

Earlier quoted context omitted.

I actually think that this is just one example of many across a ton of disciplines where people like Nurses basically are forced to deal with costs and responsibilities offloaded onto them from above the responsibility chain. Resources are eaten up at the top of the chain to their benefit and costs are offloaded down the chain until it reaches people like Nurses at the end of the line who have to deal with it because…

I don't disagree nurses DESERVE to be paid more (I'm not sure if the economics bear out but they're certainly as WORTHY as many other professions), but wouldn't the fact that these nurses continue to work in nursing despite considering leaving bolster the argument even further that they are receiving adequate compensation? Staying when you want to leave indicates there's enough compensation to 'make it worth it' at l…

America is full of terrible jobs now. Just terrible. There has been a degradation of job quality with outsourcing, amazon, you name it. This may be why nurses don't leave.

Re: Report: 90% of nurses considering leaving the profession in the next year

#856

Post by failuser »

brimble wrote: post #155
jimmar wrote: post #43

A family member just quit her nursing job because she refused to learn yet another system. She was great with patients but could not stand the computer systems she had to use.

I feel like quitting receiving healthcare when a provider switches their records systems or adds a new one and I have to input all the same shit yet again (what the fuck is even the point of digital medical records? They can't keep even the most basic info straight anyway!), so I can only imagine what that's like for the people who have to work with it daily.

Someone got paid the big buck to develop that system. Priorites, you know.

Re: Report: 90% of nurses considering leaving the profession in the next year

#858

Post by 1983nurse »

cleandreams wrote: post #851
mfer wrote: post #46

I've spent a fair amount of time talking with nurses about the problems. I'm related to a bunch of people who are nurses across disciplines (ER, ICU, med/surg, etc). It's been enlightening hearing them talk about the problems... 1. Many new nurses make the same or more and long time nurses. It's frustrating when the nurse in charge with the most experience is making less than new nurses. Some hospitals are even tryin…

>IT systems that they have to use were designed by people who have not talked with the workers who use them. They may have been designed with laws and compliance in mind. Nurses aren't the people who choose or pay for these systems. But, they use them a lot (maybe the most) and it's obvious they weren't taken into account when designing the UX. It's maddening for them. This one is big for product designers. Often we…

Totally and completely agree! I spent hours when hospital I worked for 30 years, made our GI lab use the program for documentation and billing from the OR. It was abysmal. I tried and did the best I could with Cerner, but you can’t fit square peg in round hole- no one designing ever asked those that had the 30+ yrs of knowledge that could have developed a unit or specialty specific program. It just wasn’t THAT hard, but management wanted it to work with what they already paid for!

Re: Report: 90% of nurses considering leaving the profession in the next year

#859

Post by FSU1983nurse »

cleandreams wrote: post #851
mfer wrote: post #46

I've spent a fair amount of time talking with nurses about the problems. I'm related to a bunch of people who are nurses across disciplines (ER, ICU, med/surg, etc). It's been enlightening hearing them talk about the problems... 1. Many new nurses make the same or more and long time nurses. It's frustrating when the nurse in charge with the most experience is making less than new nurses. Some hospitals are even tryin…

>IT systems that they have to use were designed by people who have not talked with the workers who use them. They may have been designed with laws and compliance in mind. Nurses aren't the people who choose or pay for these systems. But, they use them a lot (maybe the most) and it's obvious they weren't taken into account when designing the UX. It's maddening for them. This one is big for product designers. Often we…

No post body was provided.

Re: Report: 90% of nurses considering leaving the profession in the next year

#860

Post by RayVR »

black_puppydog wrote: post #325
germinalphrase wrote: post #55

I have a close relation that works for one of the oldest pediatric hospitals in the country. It was recently revealed that they will be shuttering almost all pediatric services in the next year because they can 10x their profits by only serving elderly clients. The entire purpose of this organization was to provide pediatric healthcare, and it wasn’t losing money… Sometimes, it feels like we’re min-maxing ourselves t…

Yeah if they're only after profits, why not become a hedge fund?

Being a hedge fund that makes money is significantly more difficult than you think
Post reply on HN