The Betrayal

Nurses Career Support

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Like many of the other new graduate nurses who post and review this board I am a new graduate nurse who is still unemployed after five months. Nursing is a second career, one that I had high hopes that would provide me with both emotional and financial rewards. As of right now it as provided me with neither. I must admit if my expectations are disappointed it's partially my fault. No not that the job market sucks and that hospitals and to a lesser extent other nursing facilities do not want to take on new graduates. My fault was not doing my research and seeing that this has been going on for a few years and likely would be occurring after I graduated. That being said, here is the hypocrisy that I find so offensive, the same hospitals that do not want to spend money on new graduate training, have no problems taking young students money, when they attend their nursing programs. Of course the hospitals will say that the nursing programs are separate entities, no rational person could buy that argument. Nursing schools and hospitals are so tightly connected they are like siamese twins. Many of the administrators have dual roles as nursing deans and professors. Of course this behavior, where the uneducated consumer is taken advantage of goes on all the time in our economy, in fact it's how our economy was formed and thrives. I just think that maybe they should stop selling nursing as a noble profession, where people genuinely care and describe it for what they have made it, a business, with ethnics no different then any other business.

Specializes in Emergency Room, Trauma ICU.

As far as I know you aren't even guaranteed a residency as a MD. You have to match with a specialty and facility and if you don't, you're out of luck. If someone knows more please fill us in.

As for the rest: there is no conspiracy between hospitals and nursing schools. Hospitals do not make money off nursing schools. They are not required to hire new grads. And honestly if you didn't research the field you were going into, that is on you. You don't hear all the liberal arts graduates complain while they're making your coffee do you?

Does anyone know how it is for doctors? They get assigned residencies--and are they guaranteed positions at the hospital after their residency? Do they have a problem with unemployment?..

In my area of the country, a resident is NOT guaranteed a faculty position after they have completed their residency. They must apply for a position and sometimes those positions do not exist due to budget issues.

A recently graduated faculty member started at our facility in July. I asked him what brought him to this area of the country and he replied that our facility was one of the few places hiring his specialty.

Doctors sometimes have to think 'outside the box' to be employed. This may mean they go into private practice, work for a corporation, or do research. Just like nurses, not every physician works for, or is associated with a hospital. They have to relocate, practice medicine in rural, underserved areas, or be creative in finding a job to pay the bills. They don't get a free pass just because their initials say MD instead of RN.

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.

From jayrn14:

here is the hypocrisy that I find so offensive, the same hospitals that do not want to spend money on new graduate training, have no problems taking young students money, when they attend their nursing programs.

As others have pointed out, your argument that nursing schools and hospitals are inextricably entwined is a fallacy. And here's another: Hospitals DO spend money on new graduate training. The problem is, training new graduates doesn't really help staffing much. They come, they are trained (on our ICU 6 months is the norm) and then they leave, well before they've contributed to the staffing problems. New grads are leaving after 1-2 years (six months to a year and a half off orientation) to go on to "bigger and better things." At the two year mark, they're barely competent. So we hire more new grads . . . . and train them for six months and then are asked to write letters of recommendation for anesthesia school. Or for a new position where "the grass is greener." Job hopping hurts new grads because it makes institutions reluctant to take a chance on more new grads.

Specializes in Nursing Professional Development.
From jayrn14:

As others have pointed out, your argument that nursing schools and hospitals are inextricably entwined is a fallacy. And here's another: Hospitals DO spend money on new graduate training. The problem is, training new graduates doesn't really help staffing much. They come, they are trained (on our ICU 6 months is the norm) and then they leave, well before they've contributed to the staffing problems. New grads are leaving after 1-2 years (six months to a year and a half off orientation) to go on to "bigger and better things." At the two year mark, they're barely competent. So we hire more new grads . . . . and train them for six months and then are asked to write letters of recommendation for anesthesia school. Or for a new position where "the grass is greener." Job hopping hurts new grads because it makes institutions reluctant to take a chance on more new grads.

I wanted to "Like" this multiple times, but can't. So I am just quoting and saying, ''How right you are, Ruby."

And those new grads don't always leave because they have been mistreated. Many of them plan to leave even before they start their first jobs. I work in Staff Development and help to orient new grads. I also work with other new hires and with nursing students. I also do a little research on nursing career planning. Finally, I hang out here a lot. One thing I see over and over is that many nurses take jobs they have no intention of keeping for more than a year or so -- and yet they expect the employer to shoulder the burden of paying for extensive orientation and even tuition reimbursement. That doesn't work for employers -- who need to see a return on that investment.

HouTx.......

This is not entirely true, especially in NJ. I attended a county college and the fee that we were required to pay to the associated hospital was between $5000-$6000 a semester, in addition to the college tuition and fees. My nursing pin has the college and the hospital.

I obtained my RN July 2011. I am doing Homecare and substitute school nursing. There is NO shortage of experienced nurses in NJ.

Also depends on who you know...

Oh yeah, and I obtained my BSN in May 2013. This area is flooded. You def. need to work your way up.

What would you have done differently? Do you think working as a cna would have given you the experience hospitals are looking for? BTW I'm sure your dream job is just around the corner! Good luck, it will pay off!

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