The New Face of Healthcare - page 3

by brian 17,912 Views | 37 Comments Admin

Everyone wants to be a nurse. Nursing is in high demand. The pay is good. Career stability compared to other professions is good. It's a great time for the nursing profession. What trends do you see in nursing in the... Read More


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    I predict BSN will be the minimum for hospitals and that they will supervise teams of LPN's and CNA's with maybe one other RN (ADN) and that pay will drop for all RN's. All because we were too busy chewing each others hind ends to stand up as a professional group and restrict the glut of new nurses.
    SeaH20RN, lindarn, and kf15 like this.
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    Yeah probably so. I absolutely know that the reason hospitals will demand BSNs is to drive RN and all wages DOWN, and b/c they ultimately work hand in hand w/ the ed. business. The relentless political push to privatize all education will continue, and ultimately you will see these sectors sort of blend- where the schools and hospitals and other corporations actually set the standards, and the consumers (students) simply follow their rules.
    Really, it's already like that. The icing on the cake of course is that the schools will continue to churn out students, and the hospitals will continue to refuse to hire them b/c of "inexperience." That is the main reason I refused to work for hospitals.
    lindarn likes this.
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    Quote from kf15
    Hospitals are single focused on generating maximum profit and care far too much about "customer satisfaction." Patients are "customers" who have been given the consumer power to criticize RNs and other highly qualified, hard working staff, usually for crap like failing to wait on them hand and foot. Most patients are medically ignorant and have come to see the hospital as yet another place in America where they are waited on and can expect "good service." God forbid if they are spoken to firmly and denied something that could harm them; mgmt will always take their sides, the good RNs resent this, and yet another field has become dumbed down.
    Sorry you have such a negative attitude towards patients. Most patients just want (and have every right to expect) good nursing care and good medical care when they are hospitalized. Yes, some patients are unreasonable, like people anywhere. When people are sick they have many more reasons to be unreasonable.

    As far as the highly qualified, hard working staff, I am an RN and yes the staff work hard, but quite often the patient's complaints are legitimate. Patients do have rights, a Bill of Rights actually, and they or their insurance (which they pay for usually) are paying the bill. A family member of mine who was hospitalized had to tell the nurse he was giving him the wrong number of pills (the nurse calculated incorrectly). When a family member needed more assistance than the aide could provide, I stepped in to help, gladly.

    In regard to your comment that most patients are medically ignorant, do you think that might have something to do with the lack of teaching they receive about their medical conditions in primary health care settings?
    lindarn likes this.
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    It's not about a negative view of pts, it's about being a professional in a field where most of the dictates come from insurance accountants and lawyers, and being an advocate means less (to HR) than being in compliance and "proper documentation."
    I know there are plenty of RNs who make these mistakes, and I can bet it's a result of exhaustion and pt overload. No excuse, but probable cause. The only solution is to decrease the burden on RNs but that ain't gonna happen, b/c that reduces corporate profits.
    Now you would probably think I'm a bitter RN to work around but you'd be wrong, these are my PERSONAL feelings and I keep them to myself, I do a great job and educate pts all the time.
    It is from interracting w/ pts and educating them that I see their ambivilance and lack of interest in their own health. Granted this may just reflect my socioeconomic area, but the people I deal with are more concerned w/ what's on TV and their next meal than w/ my quality teaching, even if it is their own health.
    Sounds like you found a good fit tho, helping people who wanna be helped must be great... I wouldn't know tho.
    lindarn likes this.
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    I'm afraid of the reasons that people are choosing nursing. I think people hear that it is a stable pay check and jump on board. There are tons of people who care and want to do good work. I hope that even if they initially chose nursing for money, that they learn to enjoy and care.

    The medical situation of the country may move some of our RN skills downward to lower level if we don't protect our profession and the patients' rights to high quality skilled care.

    As far as nurse/pt relationships, they can either rise or fall depending on how we treat healthcare. When healthcare becomes a product (like a McDonald's hamburger), then the customer is always right - which sets up us limit setters (who are doing way more than we ever have before) up for failed relationships. We can be firm without being labeled the B, but it's getting harder to do that.
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    Well said. Elections have consequences, so if you vote, be sure you KNOW how your candidate will move healthcare- will it be forward, or more into corporate control?
    hgrimmett likes this.
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    The trend has already started but will accelerate, by design, after 2012, when the Affordable Care Act will bring about a dramatic contraction in demand for nurses to match the multibillion dollar, government mandated cuts in healthcare spending. It has to. Nurses will likely be replaced by technicians, forcing nurses, if they can find employment at all, to work for CNA level wages. Benefits will go away, except for health insurance of course, and many hospitals will go out of business.
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    Quote from jhanes
    .... Nurses will likely be replaced by technicians, forcing nurses, if they can find employment at all, to work for CNA level wages. Benefits will go away, except for health insurance of course, and many hospitals will go out of business.
    Wow, a stunningly gross misunderstanding of both the Affordable Care Act and supply/demand. Again, as I said, everyone should KNOW what will happen, so I suggest some quality/factual research!
    Dazglue, CareGiving, and hgrimmett like this.
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    Quote from Susie2310
    I am continuing to see trends that have been discussed on allnurses, i.e. "downsizing" of experienced nurses at higher salary levels, who are being replaced by new graduates with BSN's preferentially, or by nurses with 1-3 years of experience.
    Agreed. This has been happening for some time in corporate America, and is continuing to do so.
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    Quote from lbrn22
    I don't. Grades DO matter in my opinion. It's a mark of your dedication to learning, and whether you are willing to do the work and forfeit immediate pleasure for the delayed gratification of 3.5 or above. B's are okay sometimes, our classes are difficult and life does get in the way sometimes, but C's are a sign of laziness in my book. Unless you are stretched so far that C's are the only thing you can muster. Stretched meaning, a job, a family, AND school...then I might understand the C; at least you are getting clinical experience along with the C. However, shouldn't clinical experience equate to good grades? More A's than B's...No C's...
    I am not a C student but I am a Gen Y. I disagree with you. I have seen in my nursing program (RN) people bust their rear ends and still only make a C. They have been in the library most of their free time, but still can only manage to make a C or at best a low B. I am not sure how most nursing schools are but for us an 80 is a low C, and minimum passing.

    As an LPN I know that your "grade" really does not matter. I knew students in my PN class who made straight A's and when the NCLEX came around they could not pass. Being an A vs being a C does not make you a better nurse. Being able to critical think in a emergent situation means more.

    You never know why a student makes C's. They could have a launage barrier, test anxiety, personal issues ect... I do not think anyone knows what kind of nurse they are going to be until they are on the floor.
    Last edit by gatoraims RN on Sep 6, '12
    FranEMTnurse likes this.


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