Future Shortage in Bedside Nurses Future Shortage in Bedside Nurses - pg.3 | allnurses

Future Shortage in Bedside Nurses - page 3

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... Read More

  1. Visit  nursel56 profile page
    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).
    Yep. 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.

    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".
  2. Visit  Szasz_is_Right profile page
    #27 7
    Quote from nursel56
    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.
    THIS!!!
  3. Visit  peanutsauce profile page
    #28 5
    I 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!
  4. Visit  itsnowornever profile page
    #29 3
    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.
  5. Visit  tnmarie profile page
    #30 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.
  6. Visit  mmc51264 profile page
    #31 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.
  7. Visit  HouTx profile page
    #32 6
    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.
  8. Visit  knoyes1 profile page
    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.
  9. Visit  bardone profile page
    #34 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.
  10. Visit  Esme12 profile page
    #35 3
    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.
  11. Visit  Maritimer profile page
    #36 4
    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.
  12. Visit  LilacHeart profile page
    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.
  13. Visit  Ruby Vee profile page
    #38 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!

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