Most Pressing Issues in Nursing Today - page 6

Was listening to a podcast that said "Within your area of expertise, find a problem and begin to solve it. When you begin doing that, you will begin to find happiness and purpose." In Post Modern... Read More

  1. by   pmcgrady
    Quote from TriciaJ
    Are you talking about the Aiken study where they measured educational background and patient load simultaneously without a corollary study? The one that didn't break down whether the BSN nurses were entry-BSNs or previous ADNs?

    And your hospital system is in the Top 5 for what exactly?
    I'm sure if you looked at the state where I work you could figure it out
  2. by   LadysSolo
    Probably works at the "house of God" in Cleveland, which (as a fellow Ohioan) I don't think is as wonderful as the worshipers seem to think it is.
  3. by   Oldmahubbard
    The pressing issues of nursing today are staffing, or lack thereof, and educational preparation.

    Get rid of the nursing theory at all levels and give us some meat.
  4. by   pmcgrady
    Quote from Oldmahubbard
    The pressing issues of nursing today are staffing, or lack thereof, and educational preparation.

    Get rid of the nursing theory at all levels and give us some meat.
    My coworker and I were talking about that with regard to NP programs. Less theory, more gross anatomy and pharm
  5. by   TriciaJ
    Quote from LadysSolo
    Probably works at the "house of God" in Cleveland, which (as a fellow Ohioan) I don't think is as wonderful as the worshipers seem to think it is.
    I don't put much credence into any kind of ranking system, any external designations such as "Magnet" or even various awards. Too much tendency for naked emperors. "Autonomy" means whatever anyone says it is. Nurses might actually have autonomy in a given hospital, or they have lots of staff committees that look good on paper and management still calls the shots from the inner sanctum.

    OP, if you love your job and place of employment, that's great. But your experience might be very different from the multitudes who post here.
  6. by   Jessy_RN
    Quote from pmcgrady
    This is the American dream. You worked your way out of poverty. The country song think about getting married right out of high school and divorced is a personal choice though unfortunately. Studies show the having BSN prepared students leads to better outcomes. Which is why my hospital system (in the top 5 in the country) requires a BSN within 5 years of employment
    The studies are all full of poo! How many of those BSN's were ADN's or Diploma prepared nurses for a long time before going back for their BSN. All of a sudden the "studies" claim it's because of degree and fail to point out that EXPERIENCE is what truly matters. I have yet to see studies of students who were not nurses prior to obtaining a higher degree. Stop drinking the Koolaid.
  7. by   dbabz
    Quote from nursesunny
    The biggest problem in nursing is the focus on patient satisfaction and lack of personal responsibility. We are so scared of bad HCAP scores that we don't hold patient's accountable for their actions. Diabetics eating donuts you say? Must mean that nurse didn't educate them properly not that they are a noncompliant trainwreck....
    I was going to ask about this. Just graduated; not yet employed. During my clinical rotations, there was a huge emphasis on keeping the patient "happy." This was the case even when safety was compromised (in my opinion.) I had a patient who was a hoarder and his room became an obstacle course. I asked how we would get the crash cart in if he coded and was given a blank stare. I also suspect that patient satisfaction ratings are behind the whole "pain is subjective" movement. So if a patient is relaxed, watching TV, drinking a soda and talking on the phone and rates his/her pain as a 10, it's a 10. No questions asked. Is this a departure from past protocol or has it always been this way?
  8. by   ExpNurse_RN_MA
    Really??? There are very few posts that drive me to actually take the time to respond, but this one struck such a chord that I just cannot shake it off. It's clear from the number and types of responses, starting at the very beginning and continuing on through 5 pages worth, that the single "most pressing issue in nursing today" is exactly the same as it has been for the last 45+ years that I have been a Registered Nurse: the inability for nurses to get along with each other, as evidenced by the ongoing competition amongst nurses to always be "right", the continued lack of compassion and consideration for colleagues, the persistent bullying of younger and/or weaker colleagues, and the rampant defensiveness and dishonesty should anyone dare to challenge motives that are clearly self serving and intended to fit a personal agenda, regardless of whether it's a need for a graduate level research topic or just a plain old desire to stir up trouble. The original post asked a question, for whatever reason, the asker obviously doesn't want to hear an honest answer, but rather wants to continue to bait the audience. The audience takes the bait, as I acknowledge I myself did, and the bickering continues. And in the end, it's all just like arguing with a teenager: you both get dirty and the teenager loves it.
    Last edit by ExpNurse_RN_MA on Mar 7 : Reason: corrected typo
  9. by   NsugaBuga
    The patients.
  10. by   TriciaJ
    Quote from dbabz
    I was going to ask about this. Just graduated; not yet employed. During my clinical rotations, there was a huge emphasis on keeping the patient "happy." This was the case even when safety was compromised (in my opinion.) I had a patient who was a hoarder and his room became an obstacle course. I asked how we would get the crash cart in if he coded and was given a blank stare. I also suspect that patient satisfaction ratings are behind the whole "pain is subjective" movement. So if a patient is relaxed, watching TV, drinking a soda and talking on the phone and rates his/her pain as a 10, it's a 10. No questions asked. Is this a departure from past protocol or has it always been this way?
    It's a big departure and now we have an opioid crisis. There was a tendency to under treat pain because we were all worried about causing addiction. The "studies" showed that people tended to be undermedicated and we now know that untreated pain does slow down healing. So there was a push to make sure pain was adequately treated. Unfortunately, this coincided with the "make the patient happy at all costs" corporate movement. So yes, you can be laughing on your phone and still get a pill for your 10/10 pain, just like you can get a turkey sandwich and a coke for your abdominal pain and nausea.
  11. by   JBMmom
    Quote from Oldmahubbard
    The pressing issues of nursing today are staffing, or lack thereof, and educational preparation.

    Get rid of the nursing theory at all levels and give us some meat.
    I think this is a huge issue! I just started an NP program and my first class has literally been a joke. Wrote a five page paper, got 100% less than 8 hours later, not a single comment. 15/16 students did the assignment, average grade 187.5/200, so all 15 got 200 and 1 got zero. I have a 100% in the class, as do most, with some fellow students that can barely follow directions (group work has been a nightmare). The professor has never posted a single individualized comment, I believe he has a list of questions he asks for the weekly discussions, but never follows up. This is what I paid $2000+ for? I ripped the course on the evaluation, but the fact is they took my money for absolutely nothing of value. In the end, I will have a degree and I hope I will be judged upon the quality of my work and character, but I thought that this school was decent and based on this first class I'm almost regretting my decision to enroll if they think this is how they prepare NPs. And it just adds to the stigma that on-line degrees are a joke, and when some of us are geographically limited to on-line programs, it hurts the profession as a whole.
  12. by   pmcgrady
    Quote from ExpNurse_RN_MA
    Really??? There are very few posts that drive me to actually take the time to respond, but this one struck such a chord that I just cannot shake it off. It's clear from the number and types of responses, starting at the very beginning and continuing on through 5 pages worth, that the single "most pressing issue in nursing today" is exactly the same as it has been for the last 45+ years that I have been a Registered Nurse: the inability for nurses to get along with each other, as evidenced by the ongoing competition amongst nurses to always be "right", the continued lack of compassion and consideration for colleagues, the persistent bullying of younger and/or weaker colleagues, and the rampant defensiveness and dishonesty should anyone dare to challenge motives that are clearly self serving and intended to fit a personal agenda, regardless of whether it's a need for a graduate level research topic or just a plain old desire to stir up trouble. The original post asked a question, for whatever reason, the asker obviously doesn't want to hear an honest answer, but rather wants to continue to bait the audience. The audience takes the bait, as I acknowledge I myself did, and the bickering continues. And in the end, it's all just like arguing with a teenager: you both get dirty and the teenager loves it.
    omg you guys got me. Im baiting you guys into a debate and I stole my graduate research topic on something I didn't know...my topic, which isn't broad at all and totally deserving of a graduate level paper, is that nursing is understaffed because of corporate America. Nobel peace prize material.
  13. by   OldDude
    Quote from pmcgrady
    omg you guys got me. Im baiting you guys into a debate and I stole my graduate research topic on something I didn't know...my topic, which isn't broad at all and totally deserving of a graduate level paper, is that nursing is understaffed because of corporate America. Nobel peace prize material.
    So now that the cat is out of the bag I submit there isn't anything else to talk about so how about we let this thread reach it's omega. However, recognizing you are a "last word" individual I invite your last word so we can put this thread out of its misery. Amen

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