With me and other nurses I know it is mainly about unsafe ratios, and the fact that the State holds you to one standard, your education teaches you another, then your facility tends to take that and manipulate both into what fits them..leaving you going WHAT?!?!?!
I work in assisted living right now, and with one floor nurse for 160 patients didn't seem all that bad when you don't do direct care and med pass...then like Blondie said...we started getting more and more complex patients...pretty soon one nurse wasn't enough. Then as that one nurse, there was so much going on it left little time to do any real 'nursing'...more like patch, go, try to chart before getting your next case over the walkie!
I don't have time to spend looking at a probelm and really getting down to some implementations to make a difference...and that really bites! Yet my employer says I must...and we nurses keep telling them..then HIRE some nurses and quit this one nurse per shift policy..then one will have time to do all this and really make a difference..but no go!
SO between unsafe ratios, management saying one thing and expecting you to do the other or both with no time, and being a professional with little or no respect for what you do from others...hmmmm I don't know, it really does get you thinking of "why did I do this again?!?!" on occasion (especially after a rough hard day).
It was like I said on another post. I took stock of my career, which I am very proud of...however when asked what my 5 year outlook was...I couldn't picture me still running around like a hamster on the wheel getting no where like I am now. I don't know if that simply will be a matter of getting out of my current facility, or out of nursing all together. The stress level is unhealthy, and although I thought I picked a career for life, I certainly didn't want it to TAKE my life..LOL!
We just hired a nurse that has over 40 years expereience, she loves her job as a nurse, but admitted that she really wants to leave now because of the reasons I mentioned. She said "better I ween myself off this career by going part time then none before I actually have a stroke from the stress...40 years..I think I gave it my all!" What a great gal..and I so see her point!
Now if you ask if I will be a nurse 40 years down the line...well since I am in my thirties..no..LOL! But 30 years..I would still say NO! 20 years..NO 10 years maybe...but only if things improve and I can find a place I am satisfied that my work is doing something for myself and others