Future Shortage in Bedside Nurses - page 3
by westieluv 22,294 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
- 15Aug 30, '12 by joanna73 GuideIf working conditions improve, more nurses would continue bedside nursing. I enjoy bedside nursing and direct patient care. What I don't enjoy is overtime, missing breaks, and a general lack of staff, which is unsafe. Unless things improve, I don't see myself staying at the bedside. Many nurses leave the bedside for these exact reasons. We didn't create the system.
- 6Aug 30, '12 by Good Morning, GilYes, there are some non-ideal things about working at the bedside, but I do enjoy working in critical care. What I don't find enjoyable is how drained I feel on my days off from lack of sleep, and this is due to working night shift. I have tried everything, and no matter how exhausted I am, I cannot sleep at night on my days off and oftentimes can't sleep for more than 3-4 hours at a time, only to wake up tired, but not tired enough to sleep. Have tried every kind of sleep schedule. Only been doing this for 2 years, and my sleep has only become more haphazard the longer I have been working. I do have a solution to this problem, which is to remove just 1 shift per pay period, which would make a world of difference, but can't afford to do that quite yet.
I think many people stay at the bedside because the pay is better than in non-acute nursing areas (without an advanced degree), not because they desire to be there (from what I have heard people saying). I used to think I wanted to be a family NP, but since I already have a previous non-nursing bachelor's degree, I probably won't go back to school for a while, though I'm sure that I will go back to school at some point. If nursing were my first degree, though, and didn't plan on starting a family in the near future (I'm in my upper 20's) I'd be filling out NP school apps without hesitation.
- 4Aug 30, '12 by tenjunaI want to be a nurse so that I can make a difference in people's lives...I cannot do that behind a desk.
besides, I am changing careers because I sat behind a desk for 23+ years. no way in beelzebub I want to do that again.
- 4Aug 30, '12 by DespareuxI like bed-side nursing and I am also interested in what NP's do. Now if only I could combine my RN responsibilities with NP responsibilities--that would be the perfect career for me. I've daydreamed about opening up a wellness clinic where basic care is provided, along with education for the patient and their families that promotes wellness continuum.
- 2Aug 30, '12 by BrandonLPNQuote from classicdame.wanting and getting are two different things. There are not enough management jobs for everyone.
"management" doesn't always have to mean a desk job or an administrative role. It could mean a BSN who leads a nursing team in the delivery of care for an assigned group of patients (think team nursing). This is still a bedside role, but one that really utilizes the higher education of a BSN.
- 3Aug 30, '12 by RNRACI dont know...I have my BSN. I got my BSN because where I live its the easiest way to get a job. But to be honest, I dont really think I want to go back to grad school any time in the forseeable future. I've always loved the bedside part of nursing. I dont know what will happen in 20 years from now...but right now I see myself loving bedside nursing forever And I think lots of people in my graduating class feel that way.
- 14Aug 30, '12 by nursel56 GuideQuote from amoLuciaYep. And this is why I take issue with those who say the lack of jobs for new grads is a temporary part of the boom and bust cycle that happens with every job. The bean counters aren't dreading the day when they will have to beg all the new grads to please come to work for them because there are no nurses. They will be training specialized techs to do those tasks and have RNs managing them. Which I guess lends support to the push for ever more advanced degrees to do basic patient care, but is not a good sign for the job outlook for all the new nurses and students in the "pipeline" at present.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).
The movers and shakers in nursing are pushing for everyone to have a post-graduate degree, I believe not because it is clinically indicated or generated by those who hire RNs, but because they believe it lends a prestige to the field and will finally cause other allied specialties to view nurses as professionals on par with physicians, pharmacists, etc.
The problem is that they are fighting a losing battle as the corporate mind-set is to homogenize everything we do and say and devalue clinical judgement in favor of "customer service".
- 7Aug 30, '12 by Szasz_is_RightQuote from nursel56THIS!!!The movers and shakers in nursing are pushing for everyone to have a post-graduate degree, I believe not because it is clinically indicated or generated by those who hire RNs, but because they believe it lends a prestige to the field and will finally cause other allied specialties to view nurses as professionals on par with physicians, pharmacists, etc.
- 5Aug 30, '12 by peanutsauceI am a BSN new grad. It is true that many BSN's want to use bedside nursing as a stepping stone to management, or advanced practice. However, in my experience, there are just as many who entered nursing school to take care of people at the bedside as a nurse. Personally, I see myself staying at the bedside. I love teaching, and can potentially see myself in a clinical educational role at some point far down the road (something akin to a diabetes educator, unit educator, or precepting new grads).
I don't think there is anything wrong with taking on a different role after gaining experience and finding your niche and strengths... I do agree that there is something fundamentally weird about people entering nursing school who scoff at bedside nursing!
- 2Aug 30, '12 by itsnoworneverI have my BSN and I have every desire to get my MSN and move on up to my DNP...at least that's the plan for now...but the reasons I want to do it are totally different than what you are talking about. I have done my "management" time in the military and am darn sick and tired of managing people. I am a floor nurse all the way. That's why I got into this. My reasons for wanting the advanced education? Here goes:
(1) I have two young children, 9 and 8, and I want them to actually SEE me achieve higher education. They saw the struggle for the BSN and I did it, and I want them to see the rest of it, I want to be an inspiration to them.
(2) I have a strong desire to teach. My ultimate goal is to go back to my school and teach there. I'm already talking to the deans and instructors to see what I have to do to work as a substitute there.
(3) my mother never placed much stock in me finishing my nursing degree, getting a job or being good at it, so it's kinda of "you know what" to her for me to continue with my education (I dont talk to her, I dont like her, wouldn't care if she dropped off the face of the earth)
(4) I want future nurses to see that you CAN get advanced degrees and STILL work well on the floor, adding to your knowledge base will only HELP the patient.