Is there REALLY a nursing shortage? - page 20

This is an interesting article guys/gals... Here's the letter I wrote to the President, Vice-President, U.S. Congress Rep. and Senator: "I'm an R.N. and I recently started working as an agency... Read More

  1. by   Iam46yearsold
    There is no nursing shortage.
  2. by   dexter99
    I agree there is NO NURSING SHORTAGE! In my hospital nurses are being floated left and right due to overstaffing. Its exhausting! Nurses are also forced to transfer to another area (medsurg to step down and so on...) Its also harder to find another hospital job in my area... I called agencies but there are no current openings! This is really scary! I think by the time the so called baby boomers do retire there will be enough nurses to cover for them... Now I feel nurses are abused ,overworked and taken for granted!
  3. by   LolaVenice
    Marie! Good for you! Thanks for writing that letter!

    I lost a job at a very prominent hospital when I was a medical transcriber because they decided to outsource overseas! It was cheaper AND the government gave them a tax break for doing so!
  4. by   futrarmyCRNA
    Not where I live. You can not get PRN work at 3 other hospitals and there is no agency or travellers.
  5. by   arabella205
    I am starting to doubt that. It took me several months to even get interviews.
  6. by   rngolfer53
    The answer to the question likely depends on what area of nursing, shift, etc. For instance, where I work, in hospice, there is always a problem finding staffing for continuous care cases on nights and weekends.

    I'm sure some parts of the country have plenty of applicants for every job, while other areas can't fill their openings.

    Since there is, however poorly justified, a seeming plethora of different levels of training/certification in staffing in hospitals, doctors offices, etc, a shortage of nurses can be mitigated by substitution--at least in the minds of many.
  7. by   rngolfer53
    Quote from jjjoy
    While I understand that the government has the power to make or break certain livelihoods and that we as citizens can't just sit back and expect government representatives to make choices that will be best for us an individuals or as a society, I don't understand the great faith that many of those same people seem to have in "free market" either. Companies where increasing profitability is the bottom line also make choices that make or break livelihoods and we as consumers and employees only have so much power to influence their choices, especially for services like health care where choosing to go without isn't often a reasonable option.

    A privately run company is just as likely to push for utilizing med aides as is a government-funded agency as everyone tries to keep costs down. I certainly don't think the government can solve every problem or should have unilateral power over things like administering health care. But I also don't think solely leaving it to the powers of free market will necessarily lead to better outcomes across the board.

    I don't think it's ever as simple as choosing between "free market" or "government-involvement."
    The difference is that there are usually choices of which private company you use, while there is only one government, and no alternatives.

    At this time, government, thru Medicare, is rather the de facto price setter, since private payers can hang their hat on the "the government said this is a fair price" argument.
  8. by   mika23
    Yes there is especially in New Zealand, I talked to a one of the
    nurse in the Wairaki region and they informed me that they had to
    close one of their wards because they were lacking nurses their.

    They have tried to encourage more students to take up nursing courses
    or for immigrants who are RN to try to take up the Competency Assessment Program so that they can practice nursing there.

    They have informed me of the benefits of practicing nursing in New Zealand.
    Kindly check on one of the link for more information: www.immigratenz.co.nz/visa

    I will try to research more on New Zealand.
  9. by   jjjoy
    Quote from rngolfer53
    The difference is that there are usually choices of which private company you use, while there is only one government, and no alternatives.

    At this time, government, thru Medicare, is rather the de facto price setter, since private payers can hang their hat on the "the government said this is a fair price" argument.
    I agree that there are problems with government setting the prices, etc. However, there are ALSO problems with leaving it all to the free market to set prices and offer services. For example, if certain health care services don't offer much in the way of profit, there's not much incentive for for-profit organizations to offer such services. Eventually, if the demand is high enough, someone somewhere will find a way to provide that service profitably but that might take years and meanwhile consumers may not have access to the health services they need.

    Take individual health insurance as a example. I've been hearing recently about more affordable individual health insurance policies costing under $200/mo and covering standard primary care as well. But for years, if you were looking for an individual health insurance policy, and you carefully shopped around for a good deal, it could easily cost over $400/mo and still involve high deductibles.

    We know that increased demand for services can influence the private sector to change and offer new services. Increased demand can also influence the public sector to change as well. For example, my local DMV now offers appointments so that you don't have to wait in line for certain services. Yes, the DMV is known for long waits and inefficiency. But I also get long waits and inefficiency when I call my cell phone or cable company. Sure, I can switch providers, but I've discovered that I still face the same problem with the other companies.

    Again, I'm not saying there aren't problems with government involvement. It's just that there are also problems with leaving health care provision completely to the free market.
  10. by   longforseaair
    I have felt for some time that there has been no nursing shortage in our area. Recently, one of the bigger hospitals laid off a number of nurses and replaced them with new grads. Another hospital has a hiring freeze and it is a rumor that my hospital has a hiring freeze. And the existing staff nurses feel tremendous pressure and competition and one-up-man-ship. Directors have been laid off and areas combined. The word is that after two rounds of ancillary staff lay offs, they are trying their best to prevent nursing lay offs. But we have a nurse tech who sleeps a couple of hours each night???? And a nurse who takes hour breaks??? Those of us who try to remain professional are quite puzzled by seeming favoritism. Some are forced to work every weekend and others say they'll quit if they don't get their desired schedule. The new grads who earn less seem to have a lot of clout over scheduling, etc. Some staff were scheduled to work ALL the holidays and others didn't have to work one holiday. All previous staffing policies are gone and we do what is required to staff the floor. Even seniority seems to have dissolved. And if we ask why things are out of balance with the schedule or perks, we get silence or are told that our director must staff the floor the best they see fit. And I love our director and have always had a good working relationship with them in the past, but things are becoming very confusing and blurred. We even have one nurse who verbally, sexually harasses patients and I am afraid to report it for my job's sake. I figure that if the patient's wish to complain I hope they do. I will pretend I don't hear it so I don't get fired.
  11. by   213jingle2bells
    Maybe a Nurse shortage in smaller communities,but in the city the demand is high.
  12. by   kafene
    Quote from suzanne4
    First, I have worked agency for twenty five hyears and have never had a probelm finding work.
    Second, there are no more H1-B visas, the last one was issued in February for an application that was submitted last September. The quota is full for this year, and they don't expect it to open to nurses for next year. The only way that a nurse can come to the US is with a green card, which gives her rights to residency. The hospitals cannot pay cheaper rates to a nurse with a green card. A hospital has the right to fill its staff however it deems necessary. The reason for agency nurses are to fill the gap until a hospital gets their staffing back up, not to give you a higher income. The hospitals are not cutting thier costs, they are filling the positions that they are budgeted for. This has been going on for years. Especially if you are an ICU or Specialty RN that works agency. And for me also with the OR. Even if a hospital hires new nurses, there orieintation is minimum of three months, someone has to work during that time. if it is OR, it can be six months or more. There are always going to be nurses quitting.......and the hospital cannot just decide to bring over a foreign nurse and have them begin work tomorrow, it takes about 18 months in many places for the nurse finally to be in the US working. So these nurses were hired way before you even considered going "agency", as much as 18 months ago. :uhoh21:
    Thanks for the explanation... I'm still in school so I don't have a lot of ideas regarding issues like this... if it's even an issue at all
  13. by   kafene
    Quote from longforseaair
    .... We even have one nurse who verbally, sexually harasses patients and I am afraid to report it for my job's sake. I figure that if the patient's wish to complain I hope they do. I will pretend I don't hear it so I don't get fired.
    Sexually harrassing a patient SUUUCKS!! I feel bad for you. I don't even know what to say. I wish I could just tell you to report the bastard and everything will work out, but I don't know your hospital. My mom, many years ago, went through restructuring at her hospital. Lay-offs, rumors of selling off the hospital.. but at the end, time took care of everything. Everyone's still there and she's getting ready to retire. This happened years back, but time will take care of most issues. Best of luck to you and hope everything works out!

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