My mom is a nurse and although she doesn't live in the US she also suffers from the same poor conditions. She has to work on the databases herself, staff shortage is a big problem (sometimes getting to 4 nurses in her "sector"). She gets underpaid even though she works 8 but usually 12 hours shifts sometimes in consecutive days (she usually gets paid 400 dollars per month if I estimated correctly). It's quite miserable but at least she a number of vacation days which she can choose when to "validate" them.
Report: 90% of nurses considering leaving the profession in the next year
901–910 of 1001 posts
Re: Report: 90% of nurses considering leaving the profession in the next year
#902Earlier 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…
In relation to #5 we had to drop pay by ~6-7% due to medicare cuts in 2021. Me and my MDs salaries are paid directly from medicare ( and other insurance companies who peg their compensation to the medicare rates ) so we have no choice but to drop salaries or close up shop. With the inflation numbers this year I have no idea what we are going to do, since we are already 6-7% in the hole from the 2021 cuts and now infl…
> we have no choice but to drop salaries or close up shop
there's bound to be at least a third option and the fact that you ignored it is part of the problem.
Re: Report: 90% of nurses considering leaving the profession in the next year
#903I'd like to know what "considering leaving" means in this study. I consider leaving my profession every time a React hook misbehaves and locks up my browser, but I'm not actually going to leave. 90% seems way too high to be people who are actively wanting to leave.
FWIW, comparing a misbehaving react hook with the challenges of being a nurse today feels weirdly entitled. Get closer to the reality of their job and you might start to understand why 90% want to leave (90% is a conservative number IMO).
If you’d cut your pay down to 25% of what you make, work 12h a day with a single 30min lunch break (that gets interrupted regularly), including several weekends and nights every month, without guaranteed vacations for holiday season/new year’s eve, work in a team that’s 50% understaff but still needs to deliver no matter what, without any carrer path forward, you’d leave your current SWE job right away. And in comparison, you’d still not be be even to close to what they do (i.e: cleaning up body fluids).
Re: Report: 90% of nurses considering leaving the profession in the next year
#904Earlier quoted context omitted.
Please, don’t spread ageism. Yes, brains perform worse in many kinds of ways when they age. But that’s highly variable. And there are narcissists and sociopaths in every age group.
The kinds of ways matter. A primary way the majority of brains start to show age is in trust and risk assessment. [1] [2] I agree, someone with a compromised ability to evaluate risk is probably more than capable at doing most desk jobs. However, the last thing we need is politicians who's aging brains have been compromised in evaluating future risks. Putting someone most likely to send scammers gift cards in charge…
High testosterone correlates with aggression, and young people have way higher T than elderly. Should we ban people in the highest T quartile from becoming politicians? Of course not. It's a complex and highly individual problem which can't be solved by filtering via just one variable, like age, gender, level of brain deterioration, or some hormonal level.
Here are some problems that _don't_ prevent people of any age from becoming a congressman or woman:
- Alcohol abuse
- Narcissism and/or sociopathy
- High debt
- Cult membership
- Most importantly: Personal financial interest in specific policy changes
Why not start with these? Banning elderly because they on average tend to be more gullible seems like a weird way of addressing governmental issues.
On a different level, I find the idea of banning people from governmental positions based on a specific trait deeply undemocratic, and a slippery slope. Principiis obsta.
Re: Report: 90% of nurses considering leaving the profession in the next year
#905Is this a shock? - Demanding work: 12 hour shifts, irregular schedules, night shifts, physically exhausting, limited breaks (including bathroom/water!) - High responsibility with unsafe conditions. You're literally responsible for people's lives. Poor staffing ratios stretch you thin and make you more likely to make mistakes. And if you make a mistake, you're at huge risk for litigation... and now criminal consequenc…
The traveling nurse phenomenon is exemplary bureaucratic absurdity. To paraphrase a conversation with a nurse friend:
Nurse: It's really hard for us to hold on to our good nurses, we can't afford support staff so they get stressed out and leave for traveling gigs.
Me: Why can't you afford support staff?
Nurse: The traveling nurses cost 3x more. We have to hire traveling nurses to replace the ones that left for traveling gigs.
Me: ...
Nurse: I know...
Me: Can't we just... pretend they are all traveling nurses?
Nurse: I know...
I'm not a big fan of defrauding your employer, but sort of hope that some of these "traveling nurses" are somehow swapping gigs secretly and subletting their temporary housing to college students.
Re: Report: 90% of nurses considering leaving the profession in the next year
#906Earlier 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 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…
Funny you should mention unions. They seem like the only vehicle (imperfect as it may be) the first group has to keep the second group in check.
Re: Report: 90% of nurses considering leaving the profession in the next year
#907Earlier quoted context omitted.
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…
I can only hope you feel the same way about a 2nd Amendment written when a single fire musket that took 10-30 seconds to reload was the peak of "arms". 5th Amendment "Papers" could use a bit of rethinking too.
There are a lot of first actions that need to be reexamined in the 21st century.
Re: Report: 90% of nurses considering leaving the profession in the next year
#908Earlier quoted context omitted.
> Patients in COVID have become downright mean. Add this to the problems nurses have management and doctors (who are often rude and arrogant) and it's a poor culture. So...this is also the biggest reason (besides lack of pay or basic human dignity) that restaurants and retailers are having a lot more trouble finding employees. Rude (and sometimes violent) customers were already an issue, but they've become absolute a…
Those unruly passengers are frontline help desk that had to deal with a elementary teacher that had to deal with kids that had to deal with parents that had to deal with unruly passengers. Everyone is on edge because scarcity is making a comeback, and we are all paying that stress forward.
I like that view. Most things are shit nowadays and everybody is sick of it. You get pissed on, and then you piss on somebody else because why wouldn't you? Nobody is caring for you, why will you spend the little amount of mhntal resources you have left to care for someone else?
It's toxic but it's the direction the world is moving to as long as the people in power keep choking their underlings and taking away every piece of joy they ever had.
Re: Report: 90% of nurses considering leaving the profession in the next year
#909Report: Anything saying 90% of something is probably a fake report.
Re: Report: 90% of nurses considering leaving the profession in the next year
#910I'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…
Poor UX for medical systems is something that has always baffled me. I used to work for one of the major CT system manufacturers (although on the firmware end of things). I never understood why a hospital would willingly pay a seven figures price tag for a medical imaging system that comes with an early 90s GUI.
Ultimately, it is not the radiologists or technologists who make this decision. From a purely technical point of view, modern systems hardly differ from each other, at least as far as diagnosis is concerned. The fact that a better UX means new users need less training and the time between scan and diagnosis is reduced are hardly taken into account when making a purchase decision.