Future Shortage in Bedside Nurses - page 2

by westieluv

21,808 Views | 117 Comments

I have been an RN for 22 years. In recent years, we all know that the trend has been for acute inpatient facilities to try to hire BSN nurses as much as possible. However, another trend that I am seeing, both here on these forums... Read More


  1. 3
    I had my first RN to BSN class today, and out of the 15 students in the class at least 11 stated they wanted to become psych NPs, FNPs, or earn a MSN degree. I was in shock! Most everyone stated something along the lines: "I've always wanted to be a mid-level practitioner".
    I enjoy the acute care setting, as stressful as it may be, and hope to be a bedside nurse for many, many years to come.
    SoFloRN, lindarn, and nursel56 like this.
  2. 13
    I'm a BSN/RN. I actually like bedside nursing. However, after over 10 years in acute care, I am really, really done with it. It's not the job itself that burned me out, but the ridiculous expectations and diminishing support. I felt like the floors where disorganized, chaotic. I would have too much on my plate to do a good job and often it felt borderline on unsafe. That is why I don't want to work at the bedside. It does not matter how high the acuity goes...you will NOT get extra help on med/surg floors. You always seem to be "working short," and there are always new and ridiculous new tasks to do. If the workload was realistic, and I had someone to delegate to...someone to help, well, maybe I would go back. I never wanted to be a manager. However, I always wanted to make a difference in helping achieve positive outcomes. Med/surg feels like a battle ground these days. High stress. I want to help people, but not at the extreme expense of my own health.All jobs have stress, but bedside nursing can really wear on you. High fives to all of you who are still there, working hard and taking good care of your patients.
    prettymica, silenced, Hoozdo, and 10 others like this.
  3. 7
    ADN here, 60K/year income range, I work ICU and have no desire to go back to school. However, I do sort of feel like I am in a race against time to get my house paid off before my body quits on me. I like bedside better than I like the idea of taking organic chemistry.
  4. 8
    I believe there's soon to be a glut of MSN nurses out there, but not enough positions to be filled at the level of higher practice that they all wish to achieve. So a lot of unhappy and disappointed Master's nurses will then be in need of some type of employment.

    And then you'll hear their complaint that they 'have to settle and go back to the bedside' while they keep searching. (Much like a lot of current grads bemoan that they 'have to settle and apply to LTC'.) But guess what? All those bedside positions are being filled by newly created positions for UAPs and other specialty staff (as discussed in the current post on AN now about 'de-skilling' in nursing).

    Then what??? A rush to doctoral programs?
  5. 2
    Quote from 33762FL
    I graduated with a diploma/AS in 2011 but had a previous unrelated college degree. I've been in med-surg since I graduated and I have no plans of changing that any time in the near future. I may want to go into a specialty (but still direct patient care) like endoscopy in the future, but would still want to work med-surg per diem. I'm working on my BSN and will finish in 6 months, but I have no desire to go into management. I am only getting the BSN because it will give me more options of what facilities will hire me as a bedside nurse or for a specialty in addition to med-surg.
    I don't mean to hijack the thread but I am curious.........

    What do you mean....diploma/ASN? I have seen this like this recently, a diploma grad has not gone to college and an ASN grad has an Associate degree which is still a college degree.
    lindarn and JZ_RN like this.
  6. 0
    Quote from amoLucia
    I believe there's soon to be a glut of MSN nurses out there, but not enough positions to be filled at the level of higher practice that they all wish to achieve. So a lot of unhappy and disappointed Master's nurses will then be in need of some type of employment.

    And then you'll hear their complaint that they 'have to settle and go back to the bedside' while they keep searching. (Much like a lot of current grads bemoan that they 'have to settle and apply to LTC'.) But guess what? All those bedside positions are being filled by newly created positions for UAPs and other specialty staff (as discussed in the current post on AN now about 'de-skilling' in nursing).

    Then what??? A rush to doctoral programs?
    Yup.......
  7. 3
    Quote from westieluv
    That's what I've noticed too, that everyone seems to be going back to school for their MSN. I can't think of a single nurse with their MSN who works on the floor either. I mean, yes, floor nursing is stressful, grueling work a lot of the time, but someone has to do it, and with the baby boomers just now getting into their sixties and seventies, the need is going to be greater than ever as they continue to age and have the normal health problems that go along with it.

    I didn't mean to imply that all BSN nurses want to move on, and I'm glad that you are happy being a floor nurse. It's just that the majority of new, young nurses that I know seem to have no intention whatsoever to make a career of doing bedside care, and it makes me wonder what this, combined with the ever increasing stipulations of Medicare will mean for the future of nursing care. Presumably, wages would go up due to an increased need, but with lower compensation and more expensive regulations, can wages go up enough to meet the need?
    They all want that $100,000 a year paycheck but when the market gets saturated the salaries will drop.
    susu24, lindarn, and Szasz_is_Right like this.
  8. 5
    If bedside nurses had to take organic chemistry there wouldn't be any bedside nurses. You don't need organic chem for BSN. If working conditions were better, BSN's would stay at the bedside. All these new grads who want to go for advanced degrees don't know enough to see the unexpected coming up to slap them in the face. Young dreams have a habit of getting put on the back burner when it comes to raising kids, borrowing money, etc.
    11RN, calivianya, Not_A_Hat_Person, and 2 others like this.
  9. 15
    Until the work conditions and nurse/patient ratios improve, nurses will continue to leave bedside nursing.
    calivianya, prettymica, silenced, and 12 others like this.
  10. 6
    As I observe all the new nurses coming into my hospital I don't see a lot of them staying at the bedside. A lot of student nurses are planning bsn only as stepping stone for another specialty such as np. It is sad to say that after I retire and need health care a lot of the nurses who would be caring for me would only be there, not for the love of it, but because they hadn't yet moved on.
    anotherone, Ruby Vee, Lovely_RN, and 3 others like this.


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