Future Shortage in Bedside Nurses - page 4

by westieluv

21,784 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
    Quote from subee
    If bedside nurses had to take organic chemistry there wouldn't be any bedside nurses....
    Some of us will do what it takes to stay at bedside nursing, even if it means getting a BSN or taking organic chemistry.
    silenced, tokebi, and Maritimer like this.
  2. 0
    I have an ADN, but will get my BSN because here in the Raleigh area, the hospitals are all drifting toward the magnet thing and you pretty much have to have a BSN to get in. I am working in a rehab facility associated with both a hospital and a LTC. I do not want my MSN (already have a masters in teaching) and I don't want to manage, supervise or be a NP. I AM interested in becoming certified in gerontology and/or rehab. I realize that being new, I am not burned out yet, but hope to stay at the bedside.
  3. 5
    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.
    This situation is due to the fact there there weren't any 'bedside' jobs for MSNs - but this is changing. In my neck of the woods, hospitals are changing their staffing/care models to include MSN roles because they have FINALLY realized how beneficial this is to patient care. There is a lot of evidence that advanced practice nurses, whether you call them ClinSpecs or Clinical Leaders or something else, can really make a difference in patient care.

    This trend began in specialty units, but is rapidly catching on in other areas. The AP nurse is being used to support hands-on education, provide real-time clinical expertise/support for staff, conduct bedside research to improve nursing practice, work with physicians to improve outcomes, support project implementations, etc. This also gives the nurse manager sufficient time to focus on the fiscal and administrative operations... better outcomes for everyone.
    silenced, tokebi, joanna73, and 2 others like this.
  4. 12
    There is a nursing shortage at the bedside because nurses get tired of being treated like crap. They get treated unfairly by patients, families,supervisors, and co workers.
    Who is going to stay in that environment.
    I recently was literally cursed out by a nursing shift supervisor for no good reason. If I had cursed her out I would have been fired.
    There were even wittnesses. She still has a job and is allowed to be part of my evaluation. I am stuck in this profession as this is all I have ever done for over 20 years.
    I need the pay check.
    11RN, prettymica, silenced, and 9 others like this.
  5. 3
    I'm changing careers and applying to direct-entry NP programs and ABSN-to-NP programs this fall. As an NP, I'd be *thrilled* to work as a bedside nurse!! I really enjoy the work I've done as a CNA and can't imagine being an NP who doesn't like bedside nursing.

    The reason I'm going for an NP is because I'd like to have the autonomy/authority to diagnose and manage patient care in addition to providing it. I guess I don't see those things as mutually exclusive. It's pretty weird that folks would want to enter the nursing profession in order to avoid working with patients, IMHO.

    I do hope that being an NP won't push me out of bedside nursing. I'd think that my training would make me much more valuable on the floor than behind a desk.
    prettymica, symplicated, and tigerlogic like this.
  6. 2
    Quote from itsnowornever
    I 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.
    The question is.....are you willing to add to your knowlege base at the same pay.
    Not_A_Hat_Person and amoLucia like this.
  7. 3
    Quote from subee
    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.
    Bio chem is required for some BSNs. I had to take organic chem; couldn't have passed the required biochem course without it.
    prettymica, silenced, and amoLucia like this.
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    In the quest to become "magnet", hospitals have tossed out the nurses who truly felt called to bedside nursing and remain there: The Career LPN. The LPN who loved her job, didn't mind "the mess", and thrived on giving bedside care has been told she's not "enough" and relegated to working in LTC, HHC or prisons (not that there is a thing wrong with any of these, but the hospital option is pretty much gone now - but the hospitals will have the need!).

    LPNs need to be brought back into the hospital systems.
  9. 2
    Quote from rita359
    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.
    I've noticed the same thing. People start in our unit with the idea that they're going to apply to anesthesia school "next fall." Since our orientation is six months, someone who applies to anesthesia school is probably starting the application process while they're still on orientation and leaving the unit before they've been there a year. The ones that stay longer are the ones who got passed up by anesthesia schools -- and they'll try again next year. It's the rare nurse who is at the bedside because she or he wants to be at the bedside.

    With all the new grads taking bedside positions only until they "get something better," I suspect that when I'm old and demented, the only nurses taking care of me will be the ones with no experience who are waiting for that magical "something better." What a sad state of affairs!
    Szasz_is_Right and amoLucia like this.
  10. 5
    I am one of those nurses who have gotten higher degrees so I can get away from bedside nurseing. I havent sucessfully been able to leave bedside nursing yet. I have six years floor nursing experience under my belt with that I have about a year home health nursing experience and 3 years LVN on the floor too. I got my BSN and now doing my MSN with an ultimate goal to ba a NP. Now a days floor nursing is getting harder and harder. I work at a county facility and as a floor nurse, i do my own lab draws, transport my own patients to radiology, OR, CT or where ever on a moments notice, do all the nursing things and including ADLs becasue the nursing assitatn has 24 patietns of her own. SO that is why when I work a 12 hour shift i am exhasuted. I do feel a great sense of accomplishment at the end of the day especially if i helped saved someone life. This is just a bit too hard to work though forever. I feel too stresed and angry and that cannot be healthy.so I can see why bedside nursing will be short. Once all the older bedside nurses retire there will only be very little nurses who will stick it out in this hard enviorment.
    prettymica, Lovely_RN, brandy1017, and 2 others like this.


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