What do you think is a major problem in nursing? - page 4

If you had to pick one thing that you thought was a major problem in nursing what would it be and what would you do about it? Just curious! :)... Read More

  1. by   BETSRN
    Quote from MUNCHKINgloria72
    CNAs and QMAs are legally liable for their actions or lack of them. But ultimately the person in charge, in this case the nurse, is responsible. That is what BEING IN CHARGE means. Ultimately the DON is responsible for what happens in her facility.
    They are NOT legally liable at all......... Tha's part of the problem some people encounter.
  2. by   GLORIAmunchkin72
    LADY, nobody said anything about being "legally licensed". CNAs and QMAs are legally LIABLE. That means get can get sued and taken to jail. That's what liability is.
    Quote from BETSRN
    CNA's and medical assistants are NOT legally licensed. They hold only specific certificates. That's the potential problem with unlicensed assistive personnel. They are working under the RN's license.
  3. by   KrisRNwannabe
    AllamericanGirl!!!!!!!!!!!!!!!!!!! I totally agree. Do these schools honestly think people are going to sit on waitlist for 8 years?? I also put blame on the states for not getting involved and trying to remedy the situation. I also agree with what you said about the pre-reqs. history, phlisophy?? come on. history has nothing to do with being a good nurse and well...phliosphy? my head doesn't really work that way. this is probably why my aunt thinks nurses from hospital programs are great cuz they don't worry about stuff that doesn't matter. i think these hospital programs need to open back up. it is obvious that mainstream colleges can't keep up with the demand.

    kris
  4. by   LPN1974
    Quote from RN34TX
    I understand what you are saying but the TX board of nursing or the 4 other states I've worked in do not consider CNA's to be licensed healthcare practitioners independently responsible for the care thay provide or fail to provide and that is what I'd like to see happen.
    If anyone can come up with a case where a CNA was sued for their neglegence or malpractice I'd be very interested in hearing it.
    I work in DDS, for my state.
    Just to give you a little background, we have what are called LSTs....essentially the same as CNAs, just a different title.
    These LSTs provide care for all ADLs.
    At my facility they are not supervised by the nurses, however the nurses can give advice and they are expected to follow the nurse's advice, but they are supervised by their own supervisors.
    But we have had instances where some of these LSTs were investigated for abuse and neglect and I have seen a few of them carted off to jail.
    So yes, it can happen, I've seen it.
  5. by   Compton
    [QUOTE=KrisRNwannabe] I also agree with what you said about the pre-reqs. history, phlisophy?? come on. history has nothing to do with being a good nurse and well...phliosphy? my head doesn't really work that way./QUOTE]

    This is interesting. I see your point about nursing not requiring certain areas of study but if you are talking about college (not graduate school or such I assume) then I totally understand a university requiring those courses. When Teens enter college, they are young and sometimes they don't always make the choice they want (for whatever reason). Having a nice education as a base in many subjects not only helps them to learn about other areas of studies that might interest them but also gives them time to grow a little.

    Last thing I want is for someone to come out of school and jump right into nursing and then lose interest after 2 years but not know what to do about it. These nursing schools you speak of sound great for college grades or older people who are more at ease with what they want. You know?

    Does that make sense?

    The demand does seem to be an issue. That should be fixed for the sake of training an ever needed field of knowledgable workers.
  6. by   madwife2002
    The major problem in nursing is the nurses.
    We get taken advantage of by
    1. The patient :stone
    2. Their Relatives :chuckle
    3. Management :angryfire
    4. Other health care professionals
    5. Our good will
    We have a problem saying NO, we work under awful conditions, ie too few staff, not enough resourses.
    It tends to be female dominated society (UK) so we do lots of moaning and complaining but shy away from rocking the boat.
  7. by   nicurn88
    I believe one of the biggest problems in nursing today is poor nursing management. I believe that a nurse manager must create an environment of respect, shared responsibility and open communication, as well as, demonstrate trust and support for the staff. The manager must also encourage education among the staff. Our manager is harshly critical and lacks empathy and sensitivity. She also lacks the clinical experience and education that should be required for a midlevel management position. Our staff turnover rate is very high and overall morale is quite low. We do however, work as a team, despite the fact that we have very ineffective management and leadership in our unit. There are alot of changes going on with our hospital in the near future. We want our unit to be the BEST! Any managers out there that may want to reply, please feel free. I really needed to vent a little. Thanks.
  8. by   BETSRN
    Quote from nicurn88
    I believe one of the biggest problems in nursing today is poor nursing management. I believe that a nurse manager must create an environment of respect, shared responsibility and open communication, as well as, demonstrate trust and support for the staff. The manager must also encourage education among the staff. Our manager is harshly critical and lacks empathy and sensitivity. She also lacks the clinical experience and education that should be required for a midlevel management position. Our staff turnover rate is very high and overall morale is quite low. We do however, work as a team, despite the fact that we have very ineffective management and leadership in our unit. There are alot of changes going on with our hospital in the near future. We want our unit to be the BEST! Any managers out there that may want to reply, please feel free. I really needed to vent a little. Thanks.
    I second your statement. We have similar managers. It is such a shame that there are any managers like this.
  9. by   angel337
    Quote from Karen
    I hear a lot of "no respect" My opinion on nursing's biggest problem is we don't respect ourselves and demand respect from others. People don't know what nurses do? Nurses need to tell them. Don't like what is in the media? Write letters, give interviews. No body is going to do it for us, we have to do it ourselves. Once you take responsibility (as in it is my responsibility to make nursing better) the feelings of powerlessness start to dissipate.

    After being in nursing 20 years including teaching for 12 I still nurses being mean to students and new nurses. That's really sad. Take a minute during your next shift to say something kind to a nurse or give them a hand. Explain everything you are doing to patients and families so they have a better understanding.

    NURSE POWER!
    you took the words right out of my mouth. i feel respect from my coworkers first and foremost because i demand it and secondly i work with great docs and nurses. i teach patients about what we do and you would be surprised at how patients react when you tell them the level of your education and responsibilty. most patients know that it is the nurses who really "take care" of them. considering they see nurses 75% more than they see the doc, it isn't hard to figure out. female dominated professions has always struggled for "respect". teachers feel the same way. but i must say that nursing has come a long way and the more people get involved with their nursing organizations and BON, the more we will get recognized and heard in the public eye.
  10. by   RN34TX
    Quote from MUNCHKINgloria72
    LADY, nobody said anything about being "legally licensed". CNAs and QMAs are legally LIABLE. That means get can get sued and taken to jail. That's what liability is.
    I understand and have been enlightened on issues relating to this matter. The million dollar question then is-----Why do the majority (not all) of CNA's that I have worked with over the years not seem to care about liability and clock out whether their work is done or not? I wish I could do that.
    Overall, who is getting sued or put in jail when "things happen?"
    I think that there is a reason that nurses are concerned about this and CNA's are not. I never see CNA's having discussions about this, online chat forums or at work, but I see plenty of nurses who are scared of getting sued or worse when things go wrong.
  11. by   BETSRN
    Quote from MUNCHKINgloria72
    LADY, nobody said anything about being "legally licensed". CNAs and QMAs are legally LIABLE. That means get can get sued and taken to jail. That's what liability is.
    I am NOT sure that CNA's or medical assistants ARE legally liable. They are unlicenswed assistive pesonnel.

    When do you see CNA's geting hauled into court?
  12. by   GLORIAmunchkin72
    Trust me: THEY ARE. You don't see too many of them hauled into court for the same reasons you don't see too many nurses in handcuffs even though they make their share of mistakes.
    All persons are accountable for their own actions. "Legal action can be brought against the facility, supervisory personel, and or INDIVIDUAL who does not perform per the Standard of Care"
    Quote from BETSRN
    I am NOT sure that CNA's or medical assistants ARE legally liable. They are unlicenswed assistive pesonnel.

    When do you see CNA's geting hauled into court?
  13. by   aileenve
    The major problem.. other workers in the hospital are not accountable! CNA's, transport, dietary aides, housekeepers! AND even some LPN's..when the job is not done, what do we hear? "Where is the charge nurse?" When I am in charge, I tell the staff "You are accountable for your job." This is unfortunate, that everything falls back to the RN's and others are not accountable...they believe thats why we receive our "big salary"

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