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

941–950 of 1001 posts

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

#941

Post by dntrkv »

jewayne wrote: post #738
eftychis wrote: post #615

Earlier quoted context omitted.

What I read here instead is that the American people is fine with deteriorating healthcare, and will not regulate the industry, nor burst into a walkout of their own. I find it cheaper to fly back to Europe and pay out of pocket (uninsured) for anything non-trivial along with my flight ticket than pay for California services. Only two things I miss: a) nicely decorated clinics and nurses taking my vitals and informat…

Honestly, unless they're not in the midst of fighting a serious illness, most Americans just want to be sure that they have access to better healthcare than the people below them in the socioeconomic ladder. They're fine with healthcare deteriorating, as long as it deteriorates at least as much for the guy below them. Now, if a serious illness comes along, some people do wake up and realize it's not a f*cking game. B…

That’s such bullshit.

People here just have inherently less trust in the government providing good services. It has nothing to do with people below them on the socioeconomic ladder. People prefer the devil they know. That’s it.

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

#943

Post by BeFlatXIII »

Shuang1 wrote: post #451
mikemac wrote: post #306

Earlier quoted context omitted.

Agree with all of this, and just to add one thing: liability. Look at the RaDonda Vaught case or the Michelle Heughins case; terrifying to be looking at jail time for a med error. Many nurses are watching these cases more closely and deciding that since staffing isn't getting any better and they won't be protected, it's not worth the risk.

That case goes far beyond med error and I don't understand why people keep bringing it up as an example. She pulled the wrong med, and then injected it and walked out of the room rather than observing for effects. Also the med she pulled had warnings on all sides of the bottle and on the top saying very clearly that it's fatal to administer without ventilation. This went beyond a mistake to negligence.

People like you are part of the problem. "It was covered in all kinds of scary warning labels"—just like every other medication in that drawer. Medical professionals are totally blind to alerts given off by their EMRs because everything has a password-protected warning so that the audit logs can say "yes, this physician/nurse read and understood the warning"

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

#944

Post by bumby »

mcv wrote: post #912
bumby wrote: post #652

Earlier quoted context omitted.

> The fix is one that Hospital admins don't want. Pay your nurses more and hire more As someone who worked in hospitals to help redesign their processes, this one piqued my interest. For every project I worked on (and I mean literally every one), the team lead wanted to jump to the solution that they just need the ability to hire more people. In the rare instances where they were able to convince hospital admins to d…

> If the system causes nurses to spend disproportionate amounts of time on admin work and not on direct patient care, it may be better to look at your admin processes rather than just hire more nurses. I get the impression that the same is often true for teachers, academics and cops: too much focus on administration, which takes the focus away from the reasons they chose these jobs in the first place. Streamline the…

I would say streamlining is definitely preferential to do first and sometimes hiring staff afterwards. If the latter is done first it can quickly result in administrative bloat. I often wonder if that's part of the issue with higher education and contributes to some of the increased costs in recent decades.

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

#945

Post by vlunkr »

superzadeh wrote: post #903
vlunkr wrote: post #387

I'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 mon…

I thought it was pretty clear that I was joking about that part. My point is everyone has struggles with their job and may think about leaving sometimes.

For me, the question "have you considered leaving your career in the past year?" Is not specific enough to have a reasonable answer, so I'd like to know what the questions were more specifically.

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

#946

Post by lucasmullens »

DontMindit wrote: post #640
notch656a wrote: post #531

Earlier quoted context omitted.

How long did it take you to break 100k? Be sure to include those pre-employed years when you didn't even know what 'if' statement meant. A nurse can hit that in 6 years easy through BSN+NP, and that's starting at literally NOTHING. (Alternatively there's a like path for PAs to practice in a mid-level practitioner role that is comparable to NP in those same 6 years)

Anyone can become a nurse. It doesint take exceptional talent or brains. Programming does though. A nurse can't beat a programmer for salary, they're in different leagues

I couldn't become a nurse. It requires hard word, dedication, and focus. I can pull off being a programmer because it provides flexibility.

Saying someone's profession doesn't require "talent or brains" is just insulting. Saying something is "unskilled labor" is one thing, but if you're having a heart attack in a hospital bed, you're going to be lucky there's a person there with some talent at dealing with that (i.e. a nurse).

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

#947

Post by jjice »

cogman10 wrote: post #416
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…

The one I think you are missing is that nurses are and have been overworked for a WHILE now. (that's what I get from /r/nursing) Hospitals have made sure they hire JUST ENOUGH nurses to cover shifts and no more. With covid hitting, this blew out the number of nurses needed resulting in a lot of "I know you've already worked 60 hours, but can you do another 20? we are short!". Rather than hiring permanent people or up…

I always thought it was insane how nurses, a health profession, are forced into so many unhealthy habits, like working long hours with little sleep and with difficult access to healthy meals while they are working.

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

#948

Post by jjice »

pbuzbee wrote: post #573

Is 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…

> Low pay given the responsibility and working conditions

The pay to responsibility ratio for nurses is absurdly low. So unfortunate given the difficulty of the profession. I guess we'll see if anything changes over the next handful of years.

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

#949

Post by u801e »

jjice wrote: post #947
cogman10 wrote: post #416

Earlier quoted context omitted.

The one I think you are missing is that nurses are and have been overworked for a WHILE now. (that's what I get from /r/nursing) Hospitals have made sure they hire JUST ENOUGH nurses to cover shifts and no more. With covid hitting, this blew out the number of nurses needed resulting in a lot of "I know you've already worked 60 hours, but can you do another 20? we are short!". Rather than hiring permanent people or up…

I always thought it was insane how nurses, a health profession, are forced into so many unhealthy habits, like working long hours with little sleep and with difficult access to healthy meals while they are working.

This is a problem in other health professions like medicine (at least during the training phase), and pharmacy.

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

#950

Post by missedthecue »

cogman10 wrote: post #494
bratwurst3000 wrote: post #480

Earlier quoted context omitted.

here in germany nurses make 15€ And in switzerland nearly the double. I can understand their frustration and those who can leave or get new jobs.

Something that should always be considered is US healthcare is an expensive nightmare. Public healthcare is a HUGE benefit that I think a lot of outside of US people underestimate. (And no, nurses don't get free healthcare from their hospitals. They have the same terrible insurance everyone else gets). For example, I have to pay $9000 a year BEFORE my insurance starts covering healthcare costs. (at $5000 my insurance…

I wonder if "free government healthcare" would increase your tax liability by more or less than $9000
Post reply on HN