All these "morale Improvemment" initiatives are the same crap different day(name). TCAB, the suter group-Hardwiring" buy into, engagement etc They all come down to one thing "Support Your Local CEO" who is doing what? Collecting a big, biggie sized salary and bene's. Crying how poor the hosptial is. Begging for hand outs from the taxpaper's money( many of which are unemployed or under employed and uninsured) to support the hospital bills to keep the doors open, so they can keep collecting mega buck salaries and bene's. All the while, making no concessions themselves to correct the situation this has created by cutting their own salaries. They cutt the staff to the bare bones, telling the few that are left to smile pretty, give the "customer" what ever they want to customer satisfaction survey's to boost the ratings so the CEO can collect their performance bonus- which is also in the millions of dollars.
Any nurse who had been in practice in these hospitals for at least the past 15 yrs, KNOWS these inititives are a bag of crap and can see right through it. We know of these big administrative top execs. salaries and are getting bigger. We see the comparision of staffing rations of today compared to years ago and the increasing complexity of these patients. Is TOTALLY aware of that liability, and the horror show these contemporary staffing levels are now. We know these cheerleading efforts by administration are for the sole purpose to enhance the incomes of 1 group- and it's not the nurses. These inititives have nothing to do with improving "patient" outcomes. One cannot be in nursing for all those years and not notice the decline in the profession's performance and quality of patient care which DOES affect patient outcomes. That is another reason why the more experienced nurses are so disqusted. We have seen what it was compared to what it is today. These execs want a very young inexperienced workforce becase they have nothing to compare anything to, there for giving the finanical people free rein to continue to degrade and diminish the profession for big PERSONAL profit.
By financial people I include nurse managers in the group because they are no longer NURSE Managers. They are financial business managers with an incidental RN license to satisfy the state requirements. Their prority is not NURSING care, Their priority is the finances. How "engaged or what buy into" are they if Joe Public has missed his 10AM meds or has a Decub? Do they insure he gets his meds?, do they go into his room and look at him for themself, do they flip him over to check the healing progress of his wound? NO!! Would they even know what they are looking at? NO! What do they do if the CNA's are not flipping him, do they investigate their RN's complaint of the CNA's not flipping him NO!! It's get rid of the complainer Nurse, or 'settle this amongst yourselves', or 'you come up with a solution' and toddle off to their next "budget meeting" with the administrators.
You stand more rathe, repercussions and to loose by even reporting it to them, than if you go in an flip the patient your self, wash the patient yourself, hurry through you meds( big danger and liability there), not to metion the numerous interruptions formvisitors, CNA's who think this is funny to needle the nurse with, but don't have a clue as to how dangerous this is because to them- 'it's just putting a pill in a cup and handing it to a patient'- 'duh, how simple is that', put off your documentation til the end of the shift after report and clock out and do your documentation on your own time. Not to mention, that, all day you have not peed, and put crackers in your scrub top pocket and nibbled on those crackers and called it lunch. Been there Done that- way too many times for too many of these most recent years!!! Nurses are not allowed anymore to eat at the desk- Why do the younger nurses thing that came into being? Because us older nurses preferred or "choose" to eat at the germy odorifious desk over the cafe or breakroom? No! Because staffing was BECOMING(evolving) so bad they could leave the patient area and the work load and patient acutity was intensifiying. This is the "work ethic and sense of responsibility and accountability" of the old timer experienced nurse. What are the younger nurses told- the older nurses have "poor time management skills", Only hire nurses with"recent acute care experience" too expensive to employ. The inpatient units have adopted the philosophy: treat them and street them, re admit. How much re imbursement money does the hospital get for the first 3 days of a stay, which dwindles after that. So they make more money if they get them out quickly and re admit- this was very profitable until the CMS stepped in.
The new nurses don't know of this yet, and when they finally personnally internalize or figure this out- they move on ASAP to what they feel are greener pastures which is not bedside nursing. And why is it so bad: so some CEO and his CZARS can continue to earn the 'off the hook' inappropriate, unaffordable salaries in this economy, they have grown acustom to and feel they are "ENTITLED" to, off our backs, bladders, legs and mental health: in an industry they are UNSKILLED, UNEDUCATED in and can't function in if there was ever a life and death disaster!!
So these administrators aka criminals, weed out- by hook and crook( mostly by crook, issuing ultimadiums- take the retirement package now and go, or stay and be terminated and loose it all, ignoring labor laws, harassment, intimidation and military warfare interogation tactics), all the old timer nurses who have mental witness to this, replace with new who have no reference and pump them full of propaganda the equivilant of a high school pep rally. It all boils down to them serving their own best intrest and bottom line, not the patient's, not the staff's not the hospitals but their own. all in the name of business and "the economy" Leadership is done by example.
JMHO- from old timer nurse observations