I’m not talking about being mean, on our open hearts you can track the progress they make, how long it takes them to come off the vent, how fast they progress, how soon they walk and so on, by the Nurses that care for them, Nice is not better.
Yes something is missing, I overheard a conversation of a couple medserg RN's, newer nurse asking mature nurse if the BON audits her Edu hours, would she have time to do them then, she didn't think it was a big deal.
Yes I know Hospitals are now a service industry, a few years ago our Hospital got rid of all the LVN's, good nurses lots of experience they mentored a lot of new RN's (some felt offended to be oriented by a LVN). So they hired a bunch of new grad RN's so could say all patient care was by RN's and patient care suffered.
WE used to have a critical mass of those that CARED and now we have just the opposite, nothing is a big deal. There used to be a positive peer pressure to be on top of your game, now they call it bullying, most just don't care, they don’t get "NOT on MY Shift", But our hospital mostly only hires new grads. But there are some that take off running and rise to the top.
We have this one newer RN, I call her Momma, she's nice , firm, and in control, you can tell which patients she takes care of, you don't mess with Momma.
Patient care is more than being nice.