Future Shortage in Bedside Nurses - page 5
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
Aug 30, '12Quote from DoGoodThenGoApparently there are a few MD programs that feel the same way. Who knew?
This will not become the rule, at least not any time soon.
Truth is, if people struggle with academic Bio I, II, Chem I, II, Organic Chem I, II, and Physics I and II, they are going to have a seriously hard time with the rapid fire onslaught of medical school courses and preparing for Steps.
There is a reason they suggest pre-meds take Biochemistry.
The hoop jumping doesn't stop after you get into Med School at all, either, that is, if you do get in.
Allopathic schools--> competitive is at least cGPA of 3.6 w/ sGPA of 3.5 and up, and a MCAT score > 30, with no area < 8.
At a $100,000 - 200,000 debt load for med schools, minus undergrad or any other grad school amounts, and well as lost wages and other costs, meds schools are not likely to change pre-med requirements.
Aug 30, '12I am devoid of ambition:spin: An associate degree has served me well. As others have already posted, we can't all be chiefs. I don't love bedside nursing, but I hate the alternative.
I wish all of those who pursue an advanced degree the best of luck.
I'll still be at the bedside when you get out of school, and start writing orders for me to carry out.
Aug 30, '12I'm in the same boat of having little to no ambition to go higher xD I have my BSN because, here in Ontario, most hospitals are moving towards requiring a BSN to work as a nurse (I only graduated 2 years ago). I don't even think there are diploma level nursing schools being offered anymore - they are either all university programs or program shared by a university and college, although both would lead to a degree.
I know lots of nurses around my age who are aiming for their Master's. Me? I hated hated hated school and have no desire to go back to it, at least for the next few years. Don't get me wrong. I don't hate school because I was bad at it. I graduated summa cum laude and was on the Dean's List for 3 out of my 4 years in university. I just hate the repetitive work, the endless hours of sludging through research papers, and writing essays that aren't going to see the light of day once they're graded. I much prefer being around and about, working with my hands, and interacting with people.
Still, I'm not sure if I want to stay at the bedside forever, but I can foresee being there for a while longer, just perhaps with a different focus. I've done med/onco for the last 2 years and I'm ready to try something different, maybe a surgical floor, just for the change in pace and to find a slightly different skill set. Perhaps when I'm older and slowing down, I'll look into teaching (because I've been told I'd make a good teacher and it does appeal to me).
Aug 31, '12i have a bsn and I have no clue what I want to do. Never saw myself doing anything specific or exclusively. I work in med surg and MANY leave fast for greener pastures. LD, ER and ICU especially. Bsn or not , althought most have their bsn because there aren't many asn or diploma programs around. I almost feel as if there is some contempt from other nurses towards those that work in med surg and LTC even amoung those in the same facility. I can't think of any who have gone back to school although there is a new grad who is in some program for a NP. People leave because there are smaller ratios on those other specialites and those areas excite or interest the more than the repetitiveness of med surg. Any nurse I can think of who has left, has gone on to another area in nursing that is still at the bedside even if it is a LD or post partum bed or well baby bed lol. During clinicals I did meet some nures who still worked as staff nures do to their own choice who had MSN degrees.
Aug 31, '12Quote from knoyes1ALL of those on my floor with more than 20 years of experience have done something outside of bedside, I believe. I dunno who can handle it for 20-30 years either. I notice that the whole staff is about 0-7 years in experience and then a few with over 20years. Where do those in the middle go? interesting.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.
Aug 31, '12I've noticed that some people seem to criticize others for wanting a higher degree, and/ or to leave bedside nursing. Please keep in mind that professional development is a personal choice. As I mentioned in an earlier post, more nurses would willingly stay on acute/ med surg floors if the working conditions were better. Sure, it's very noble to care for others....but not at the expense of your own health.
Aug 31, '12I think the hospitals are to blame for the mass exodus of new BSN grads going on to MSN/NP because of the poor working condtions, understaffing, and cost cutting and poor treatment of RN's and workers in general! If hospitals cleaned up their act, hired adequate staff and stopped micromanaging their employees more would stay! Also invested in a safe no lift environment with adequate lift equipment so someone is not looking over their shoulder for a back/neck injury waiting to happen! It is really their own fault they can't keep staff!
Unless things change, floor nursing will basically be a "paid" residency for the majority of nurses climbing the ladder for something better and you can't blame them for that!
Aug 31, '12Quote from anotheroneOur ICU nocs float pool averages about 15 years of experience per nurse. I can think of at least one who has been doing ICU noc nursing exclusively for 27 years. I just can't fathom doing direct patient care for that long.ALL of those on my floor with more than 20 years of experience have done something outside of bedside, I believe. I dunno who can handle it for 20-30 years either. I notice that the whole staff is about 0-7 years in experience and then a few with over 20years. Where do those in the middle go? interesting.
Aug 31, '12Quote from joanna73I don't think anyone is ever criticized for wanting to learn more, understand better or grow. The people I've seen criticized for wanting to leave bedside nursing are those who have made the following comments:I've noticed that some people seem to criticize others for wanting a higher degree, and/ or to leave bedside nursing. Please keep in mind that professional development is a personal choice. As I mentioned in an earlier post, more nurses would willingly stay on acute/ med surg floors if the working conditions were better. Sure, it's very noble to care for others....but not at the expense of your own health.
"I'm only here to get my one year of experience so I can go to anesthesia school and make lots of money." (At lunch, halfway through her orientation to the ICU)
"I didn't get a degree to wipe butts. How soon can I get an office job?" (On her first or second day in hospital-wide orientation).
"I'm the RN, I don't have to wipe butts. That's for the techs." (On her first day in the ICU)
"I'm going to be an NP, so I don't have to learn that." (About anything that involved getting her hands dirty.)
"Bedside nursing is for lazy people who lack ambition." (As she sat at the desk and did her nails, relying upon her orientee to do any and all patient care -- without guidance.)
I've noticed that too many people who seek higher degrees lack respect for those nurses who don't seek higher degrees and/or are happy at the bedside.
I enjoyed graduate school -- it was far more fun than anything else I could do with the time or the money at that point in my life. But I have the utmost respect for those nurses who, for whatever reason, have chosen to continue at the bedside without additional education. In fact lately, I have MORE respect for nurses willing to stay at the bedside despite the fact that the job is getting more and more difficult.
Aug 31, '12Quote from Esme12Of course. The knowledge I am wanting to gain is for my personal benefit as well as for my patients and as an insipration to my kids---I dont expect any hospital to pay me more because I wanted to show my children that even though I had them young and was kinda lost on the "what I wanna be when I grow up" path. The extra letters and extra schooling are because I want it, not because I want more money for it.The question is.....are you willing to add to your knowlege base at the same pay.
Aug 31, '12Quote from westieluvI hate when all new grads get lumped together. Kinda like when the more experienced nurses hate when they all get lumped together as the "grouchy mean catty lot".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.
Aug 31, '12Seems like a similar feeling about AP nurses (NPs, at least) extends to MDs, too. This is from the comments section of the NYT article referenced earlier:
"Perhaps what we're seeing here is the dumbing down of America now extending to medical school applicants. Everyone wants to be experts without having to go through the rigors. Just look at the explosion of Nurse Practitioners."