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

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

#981

Post by FesterCluck »

mulmen wrote: post #454

I did IT support in a hospital for a year. Nurses do everything. Their job is both hard and thankless . I do not doubt satisfaction is low. But this sounds like the employee satisfaction corollary to Sturgeon’s Law [1]. “90% of employed people are considering leaving their profession in the next year.” This survey would be more compelling if it compared nurses responses with the general employed population over time.…

Thank you for this, the article's conclusion felt very generic, especially after reading the sample group was 200 nurses. Not that Sturgeon's Law is scientific fact or anything, but the observation on it's face rings true. Asking the question alone influences the answer, just like Sturgeon's Law requires an "expert".

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

#982

Post by nitwit005 »

mumblemumble wrote: post #721
Aperocky wrote: post #392

Earlier quoted context omitted.

> they can 10x their profits by only serving elderly clients. I knew of certain defunct malls that decided to get rid of things that doesn't make money and only keep the high profit inventories. Soon people stopped coming and they went under..

The Invisible Hand works generally fine-ish for non-essential and commodity goods. People might be sad their favorite store went away, but, for the most part, life goes on. It seems to even be the least bad way to handle these sorts of things. It's a bit harder for me to see this as an acceptable approach to health care. Not every segment of the economy needs to be a constant drunkard's walk in search of maximum prof…

If there was a perfect way to attribute drawing people to an area, and how much they spent, I suspect some businesses would have rather different rents.

I had a friend who ran an unprofitable arcade for some time. His trash was nothing but food and drinks from other local businesses, particularly piles of bubble tea cups from a place across the street. It seemed rather likely it was worth paying him a bit to stay there.

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

#983

Post by xeromal »

narcindin wrote: post #483
eksx wrote: post #54

I work in tech with no college degree and about 9 years of programming experience. I make mid 100,000's per year. My S/O has 6 years of Emergency Department experience and a bachelors degree and she made about 65k at our local hospital. I think pay is an enormous factor in this. Her local hospital has nurses with less than 1 year of experience being preceptors to new grads.

When you say "mid 100,000's" do you mean ~150k or ~500K?

Mid 100s sounds like 150k.

If he said mid 6 figures, that would be 500k.

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

#984

Post by mrep »

jupp0r wrote: post #979
mrep wrote: post #921

Earlier quoted context omitted.

Same reason game developers get treated like shit compared to many other developers. People are willing to put up with more shit to do a job they find rewarding.

So you are saying it's stockholm syndrome?

Not at all. I'm saying people consider all aspects of a job when choosing whether to leave which includes pay, working conditions, personal satisfaction from doing the job... Healthcare people probably like the feeling of helping people in need and are willing to accept the tradeoff of worse working conditions over choosing another job which does not have as much personal satisfaction of helping people but better working conditions.

Game developers are likely the people who love video games and so are willing to put up with the worse working conditions in order to work on the games they love.

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

#985

Post by mrep »

conductr wrote: post #967
markdown wrote: post #894

Earlier quoted context omitted.

> Hospitals barely make money as it is They aren't supposed to.

Yeah. That's just like, your opinion, man. It doesn't match up to the reality of the US's "system"

57 percent were nonprofit and nearly 19 percent were controlled by a state, county or city government so most aren't [0].

[0]: https://www.beckershospitalreview.com/rankings-and-ratings/1....

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

#986

Post by bratwurst3000 »

munk-a wrote: post #485
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.

In Germany's defense, at least, Switzerland has some of the most insane wages in the world, and the cost of living there is equally high.

A friend of mine is working in bern and his salaray is 7400 franken. Minus taxes that are nothing (10% or so) and health care ( insane 120 franken.. i pay 600€ in germany) there is much left. Apartments are around 1000-2000, food etc is another 1000… blablabla point is he can safe much more money per month than more german workers make after taxes.

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

#988

Post by DontMindit »

lucasmullens wrote: post #946
DontMindit wrote: post #640

Earlier quoted context omitted.

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.…

I never said it doesint require hard work, dedication and focus. If what I did say was insulting they need to get over themselves and their egos are out of touch with reality and thats why it hurts them to read what I said.

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

#989

Post by gen220 »

briHass wrote: post #834
gen220 wrote: post #553

Earlier quoted context omitted.

Medicare is not a blank check. It's a standard check (see sibling comment on fee schedules), and each check tends to actually be quite low of an amount. The magnitude of "standard" and "low" are both demonstrated by the fact that when private insurers negotiate pricing contracts (basically, a one-off fee schedule) with hospital groups, they express prices in terms of "medicare multiples". For example, the insurer wil…

Another way to look at that is that Medicare is vastly underpaying for services, as the system is currently run. Basically, private insurers subsidize Medicare/Medicaid, and many providers either refuse to accept Medicare (as allowed by laws) or would go out of business without a sufficient private insurer base. So, private insurers aren't charities that aim to support 'lucrative' payouts either. The often-huge gulf…

The difficulty is that "cost" has a layer of abstraction that you may not be considering.

There are three acts in care. Act 1, you receive treatment and the hospital pays the nurses, doctors, and capital equipment. Act 2, the admin submits a claim and receives a quote from the insurer. Act 3, the insurer pays the admin.

One of the reasons why a certain treatment plan is negotiated at 20x Medicare is that, 50% of the time, the private insurer rejects the claim (correctly or incorrectly), and the hospital group needs to maintain payroll for an admin whose entire job is to contest the rejection and win the ultimately agreed-upon rate.

As you might guess, a large but difficult-to-quantify proportion of the quoted cost is this song and dance in Act 2. In Medicare, the distribution of Act 2's length is more predictable and smaller.

Nobody addresses this elephant in the room, because it makes private insurers and hospital groups look bad, but it's where a lot of ballooning "costs" can be explained away.

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

#990

Post by gen220 »

kansface wrote: post #845
gen220 wrote: post #553

Earlier quoted context omitted.

Medicare is not a blank check. It's a standard check (see sibling comment on fee schedules), and each check tends to actually be quite low of an amount. The magnitude of "standard" and "low" are both demonstrated by the fact that when private insurers negotiate pricing contracts (basically, a one-off fee schedule) with hospital groups, they express prices in terms of "medicare multiples". For example, the insurer wil…

Is anyone actually making money as a Medicare provider? I thought the private carriers were heavily subsidizing it?

It depends on what you mean by "making money", but yes.

Basically, the "expected value" of a private insurance payout is usually not too different from the "expected value" of a medicare payout.

The sticker price of a private insurance payout is very high. The accounting department of providers love the sticker price, because they can carry them forward as payable liabilities, but a large proportion of private insurer payouts and patient deductibles are never realized. Stark contrast to medicare.

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