Future Shortage in Bedside Nurses - page 5

by westieluv | 22,822 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


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    Didn't start at the hospital, and hope to not ever have to work at the hospital. I have my ADN and had applied and was accepted for the RN-BSN program, but I decided I didn't want to spend anymore time in school with my son being under 3. A BSN will not increase my pay at my job, so it seems a waste of money to not make any money. I HAD the NP idea in school like everyone else, but quickly realized that I have no desire to put that much into an education. I am content just doing what I do and living life.
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    After 32 years of acute care bedside nursing and seeing the way things are going with the corporate disease influencing and drowning out the core values of nursing - all I want to do is get out of nursing and go do something else until I retire- 10 years I really don't care any more what they do. Nursing has become so vile anddisgusting it sickens me.
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    On the first day of nursing school, the professor asked to see a show of hands for how many people were planning on applying to graduate school eventually. There were 27 people in the classroom, 26 raised their hands.

    I graduated in May 2010. Of those 27, there are people who have already finished some type of MSN and more than half of them are already in some kind of MSN program. (Many people were worried that the DNP requirement would creep up soon and be a bother to their licensure so they started right away down that path.) I can not think of a single nurse that I know who started and finished in a BSN program who plans to stay bedside longer than required to obtain enough experience for an MSN program.
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    The only MSN's I know - are not bedside- one with only the required not even 2 yrs said to me "I didn't get an MSN to wipe butt"
    nursynurseRN likes this.
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    Quote from kcmylorn
    The only MSN's I know - are not bedside- one with only the required not even 2 yrs said to me "I didn't get an MSN to wipe butt"
    LOL she is right!! I mean why woukd u get a masters to wipe butts?? thats probably a 75000 education!! LOL
    silenced and anotherone like this.
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    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.
    Apparently there are a few MD programs that feel the same way. Who knew?

    http://www.nytimes.com/2010/07/30/ny...pagewanted=all
    brandy1017 likes this.
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    Quote from LilacHeart
    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.
    Great post! I have been an RN for 22 years, and some of the best and most skilled nurses I have ever worked with were the career LPNs of yesteryear who put everything they had into their jobs and weren't afraid to work. I would give anything to have some of them back on the inpatient units as opposed to new grads who are already looking to escape hands on care, and I would have trusted many of them with my life. There's something to be said for learning that was obtained from working in the trenches and sticking with it for years.
    LPNnowRN, Szasz_is_Right, 11RN, and 1 other like this.
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    Quote from Indy
    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.
    You may have to look hard, but there are a few BSN programs that do not require OC.

    U of Penn's undergrad BSN IIRC does not require OC but does have a chemistry componet.

    Oddly it seems there are many RN to BSN programs that do not require OC.
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    I am one of those waiting to move on. I have worked bedside as an ADN and a BSN. It stinks! There is never enough help and the list of things I am supposed to do in order to provide "Excellence in Every Way" grows longer by the day. It is unrealistic to say the least. As soon as I complete my DNP program in 2015 the floor has lost another one
    calivianya, prettymica, anotherone, and 2 others like this.
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    IMHO the whole rush away from the bedside and or into AP progams is the logical progression of what one calls the"medicalisation of the nursing profession".

    Years ago when nurses wore whites and caps and ran around saying "yes, doctor" and performing "pillow plumping" tasks (ok, yes there was more but am keeping it simple here, *LOL*), everyone knew what they they did and those entering the profession had no illusions as to what they would be doing for a living. If any did they surely had their eyes opened by the first week of clinicals for Med-SurgI which usually involved bedmaking, bedmaking, more bedmaking, bathing patients and other nursing tasks commonly now deemed "aide's work".

    Then came the 1980's and introduction of AP nurses along with granting RNs with such training permission to step into what formerly had been the strict domain of physicans (writing of scripts and so forth), that was the beginning and ever since there seems to have been a push from certain quarters to define bedside nursing as something dirty and the *true* new role of a professional RN was the quasi-physican role of NP or some such.

    Nursing in the media is no longer portrayed by and large as the caring and selfless "handmaiden" but a highly trained/specialised "medical" professional responding to various crises.

    No one is saying nursing today is or should return to the days of old, but the sad thing is many of those seeking to enter the profession see only the "ER" side of things. They have no idea where a nurse's hands must go and do on a daily basis. Sadly what often passes for clinical experience for students these days does nothing to shed light on the subject.

    The current healthcare debate didn't do bedside nursing any huge favours either. Much of the focus and new funding is going towards increasing the number of AP nurses to fill in the voids of physican provided healthcare. When you do hear about bedside nursing from this administration it is the "nursing shortage" line and how more ADN nurses must be cranked out via community colleges both to solve that problem and to address the needs of the unemployed, laid off, and under employed.
    11RN and anotherone like this.


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