What do you think is a major problem in nursing? - page 6

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   CrunchRN
    Thanks - I will try them. My insurance tripled when I moved to Texas from Arizona so I have not renewed. Luckily I am in a fairly low risk position now, but we may start doing some clinical research that is more invasive, and I want to be prepared. Thanks again for the suggestions.


    Any nurse attorneys with comments? It would be appreciated by many of us.
  2. by   KaroSnowQueen
    1. Why do they make it so hard to advance from one level of nursing to another? I am an LPN for 21 years. I have worked nearly the entire time and have lots of experience. If I want to go back and get my RN, I have to start all over, because my "credits are too old". Hello!!!! I don't think that the English language, math or human anatomy has changed much in that time frame! Testing out on individual courses is over $200 each. Good grief.

    2. Staff according to acuity, not number of patients. Somedays I get 7 patients who are all walky-talkys and no big deal. Other days I get 6 patients who are post op, chest tubes, traches, involved dressing changes, newly diagnosed as terminal, etc. These pts all need a lot of physical and mental support, as well as the families. These 6 take a LOT more time and care than the previous 7 but no changes are made.

    3. Healthcare facilities need to stop treating nurses as the "hired hands" and quit worshipping at the feet of the physicians. They say the docs are "our customers too." That makes me so sick I could scream. We have docs who are the most foul creatures and I wonder WHY anyone would go to them, docs who act like 3 yr olds, and we are supposed to "accomodate" them. If we all didn't show up to work one morning, the docs would NOT be doing the care for the pts that WE do, I can guarantee you that!

    4. Run healthcare facilities AS health care facilities and not as a big corporation worshipping the almighty dollar. If they would pay their nurses, and buy adequate supplies, and quit trying to make us do "perfect customer service" on a shoestring, while trying to cut payroll to the bone, EVERYONE would be happier.
  3. by   BETSRN
    Quote from KaroSnowQueen
    1. Why do they make it so hard to advance from one level of nursing to another? I am an LPN for 21 years. I have worked nearly the entire time and have lots of experience. If I want to go back and get my RN, I have to start all over, because my "credits are too old". Hello!!!! I don't think that the English language, math or human anatomy has changed much in that time frame! Testing out on individual courses is over $200 each. Good grief.

    2. Staff according to acuity, not number of patients. Somedays I get 7 patients who are all walky-talkys and no big deal. Other days I get 6 patients who are post op, chest tubes, traches, involved dressing changes, newly diagnosed as terminal, etc. These pts all need a lot of physical and mental support, as well as the families. These 6 take a LOT more time and care than the previous 7 but no changes are made.

    3. Healthcare facilities need to stop treating nurses as the "hired hands" and quit worshipping at the feet of the physicians. They say the docs are "our customers too." That makes me so sick I could scream. We have docs who are the most foul creatures and I wonder WHY anyone would go to them, docs who act like 3 yr olds, and we are supposed to "accomodate" them. If we all didn't show up to work one morning, the docs would NOT be doing the care for the pts that WE do, I can guarantee you that!

    4. Run healthcare facilities AS health care facilities and not as a big corporation worshipping the almighty dollar. If they would pay their nurses, and buy adequate supplies, and quit trying to make us do "perfect customer service" on a shoestring, while trying to cut payroll to the bone, EVERYONE would be happier.
    I have to agree with the poster about being sick of making the doctors the customers!! Give me a break. We are all there for the benefit of the PATIENT and to provide quality patient care. If it were not for the actual facilities and nurses, docs would not have a place to be a customer!

    Our specific docs are pretty good. Something that has helped on our floor is that we nurses do NOT act as a middle-man for any physician. We let them take responsibility for themselves with each other. None of this making calls for the doc to another doc, etc. However,as a facility we still treat the docs as customers:at least the administration does. If hospitals quit bowing to MD "tantrums" docs would not act like such jerks.
  4. by   RN34TX
    Quote from KaroSnowQueen
    1. Why do they make it so hard to advance from one level of nursing to another? I am an LPN for 21 years. I have worked nearly the entire time and have lots of experience. If I want to go back and get my RN, I have to start all over, because my "credits are too old". Hello!!!! I don't think that the English language, math or human anatomy has changed much in that time frame! Testing out on individual courses is over $200 each. Good grief.

    2. Staff according to acuity, not number of patients. Somedays I get 7 patients who are all walky-talkys and no big deal. Other days I get 6 patients who are post op, chest tubes, traches, involved dressing changes, newly diagnosed as terminal, etc. These pts all need a lot of physical and mental support, as well as the families. These 6 take a LOT more time and care than the previous 7 but no changes are made.

    3. Healthcare facilities need to stop treating nurses as the "hired hands" and quit worshipping at the feet of the physicians. They say the docs are "our customers too." That makes me so sick I could scream. We have docs who are the most foul creatures and I wonder WHY anyone would go to them, docs who act like 3 yr olds, and we are supposed to "accomodate" them. If we all didn't show up to work one morning, the docs would NOT be doing the care for the pts that WE do, I can guarantee you that!

    4. Run healthcare facilities AS health care facilities and not as a big corporation worshipping the almighty dollar. If they would pay their nurses, and buy adequate supplies, and quit trying to make us do "perfect customer service" on a shoestring, while trying to cut payroll to the bone, EVERYONE would be happier.
    Well said and my heart goes out to you as a former med/surg LPN who had those same types of patients you are referring to with the same temper tantrum throwing doctors. It's funny that they never get put into a room and have meetings about "customer service" and how they can better treat their patients and nurses.
    I too had run into one brick wall right after another in attempting to get my RN with all of the schools little "requirements" like college algebra, credits too old, 2-3 year waiting lists, etc.
    Have you looked into Excelsior? It's not for everyone but I remember that they accepted credit for any of your general ed's no matter how old they were.
    I know that there are EC grads from your state on this forum. Just a suggestion because it helped get me out of med/surg LPN work, never again.
  5. by   rcsc
    Quote from sweetyjen
    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!
    At our facility there is one major recurring issue - who has the power and who doesn't. It is pervasive from the top down. Why? It is called, "inbreeding."
    They promote from within, administration and managers support one another - staff be damned - they are supposed to do what they are told.

    What would I do about it? My own opinion is that very little can be done, without new blood. Retention is a problem, but working short doesn't seem to bother the manager or administration.

    Given a project to do, does not mean that the person would have the support needed to accomplish the goal. Most of the tie nurses are give directives, but no "power" to do it - and then get nailed because it wasn't up to parr.

    Yes we eat our young and don't seem to care about the old timers either.

    Maybe if the public knew more about what really happens in healthcare - changes could follow.

    There is no doubt about it - nursing is not nursing any more - at least not where I live. :angryfire
  6. by   blue chips
    Quote from MUNCHKINgloria72
    When people decide to sue they go after the money. It's usually the hospitals, nursing homes or rich doctors that get it first. But I have seen many CNAs being let go. Same with nurses. The only time they make newspaper headlines is if the nurse is a mercykiller and had poisoned 34 patients or so or if the CNA got drunk and ran somebody over with her car and dragged him home to her garage or something like that...
    IF YOU HATE CNA'S SO MUCH, WHY NOT TELL THE HOSPITAL TO GET RATE OF THEM SO YOU CAN DO ALL THE BATHING, TQ2, AND FEEDINGS. MAYBE WE SHOULD GET RATE OF ALL ADN TOO, AND HAVE ONLY BSN. :angryfire
    Last edit by blue chips on Mar 11, '05
  7. by   aleksmom13
    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 suppose I am one of the lucky few. I have a great nurse manager. She stays in touch with all members of her staff. She will always stand up for the them to whomever (the patient, the family, administration, etc.) if the employee is in the right. She goes to administration on her unit's behalf and makes requests that will make things better for those on her unit (nurses, techs, patients and families) and many of those requests are implemented. She comes to work everyday in a uniform and will help out when needed. I personally know that she truely cares about her employees. All of these qualities in a nurse manager really does make a difference in the success and happiness of a unit. We have the reputation of being one of the best units in the hospital. I wouldn't leave it for anything.
  8. by   imenid37
    I think we are just bombarded w/ one demand and expectation after another . It seems like every week there are more questions to ask pt's when we take their histories, more data that the physicians want before they are called, etc., etc. Morale where I work now is so low because we get 100x as mant complaints as we do compliment and we are doing a good job. The doctors are stressed out over all of their malpractice issues. The hospital admin. told them our dept. (ob) loses a lot of money because of nurses salaries among other things and they keep commenting about how many of us are working and what are we doing. Busy day? So, they ask where are the nurses? Get some help in here NOW! Maybe I can invent nurses in an aerosol can... You know spray and they appear in seconds, when you are done...wipe them away w/ a dry cloth!!! (of course it would have to be a self cleaning substance, since dr's are too important to clean up when they are done) Maybe the nurse in a can can evaporate before she/he collects her paycheck! OOPs! Did I mention being pulled to med-surg all of the time where there is never enough help and when the staff complains they are told someone else would be "glad" to have their job. So why the he!! don't they hire some of these glad people? Med-surg generates plenty of $, but according to their manager they have "enough help". Looks like another job for nurse in a can! AAAARRRRGGGGHHHH!!! :angryfire
    Last edit by imenid37 on Mar 4, '05
  9. by   ProfRN4
    Quote from imenid37
    maybe i can invent nurses in an aerosol can... you know spray and they appear in seconds, when you are done...wipe them away w/ a dry cloth!!! (of course it would have to be a self cleaning substance, since dr's are too important to clean up when they are done) maybe the nurse in a can can evaporate before she/he collects her paycheck!
    :chuckle :chuckle :chuckle :chuckle i love it!!! :chuckle :chuckle :chuckle :chuckle
  10. by   jenruth
    Your post really "put the icing on my Friday afternoon cake". I understand why you and your co-workers have low morale. I can't understand why this blatent abuse of nurses is still going on. Some places have really tried to make working conditions better for nurses, but many are still hanging on to old tactics. They're not going to wise up until the entire Nursing Dept.says, "We're just not having this anymore." Then what? Will they sit down and try to solve problems, or will they fire everyone for insubordination? Who will take up the slack? Agency nurses, new grads, and new nurses will be recruited with a sign-on bonus and other perks. Eventually, they will also burn-out. I've heard that the State of Pa. is having a tough time keeping nurses and doctors. Now I know why. Write a letter to your State Senator! Tell me his name, and I'LL WRITE TO HIM!!
  11. by   Bonnie Nurse
    Just how many hours did you work before typing that reply? I've never seen such garbled writing in my life. Perhaps a nursing problem is that some can't spell!
    Quote from jessie74
    There are do many problems in nusing today.
    So heard I go.. For one Nursing schools. I think that is should go back to the
    way it was 20 years ago. More time in hospital and less in the class room.

    Students comimg out of school have no clue!!! It si very scary.. I work in a teaching hospital and have trainner many new RN's. examples are
    NewRn"s do not think they have to wash pt or turn they help feed, or anything a cna does. I guess what i am trying to say is they need to know the basics of nursing.Whaen a new nr tells me that she has never put in a foley and was not tought that in school. Iwas shocked.
    and not knowing medication and reactions ,labs, teaching.
    Also I think CNA's need to be more accountably if they dod not tell a Rn a pt temp was 101. that if any call light is ringing to get it.They are not at risk of being sued. I went on line to see if any CNA was ever sued and the only thing i could fine was if there was abuse or if the CNA was drinking on the job.. And most of these cases they CNA could come back to work in a few days or went to another hospital to work..
    ok i will stop there
  12. by   allamericangirl
    Quote from Bonnie Nurse
    Just how many hours did you work before typing that reply? I've never seen such garbled writing in my life. Perhaps a nursing problem is that some can't spell!
    Bonnienurse:
    Well, that's one perspective. I do realize that you were a teacher at the college level before entering nursing, but I am uncomfortable with your post.

    We are not all expert typists, and most posters here probably would not post if they felt they were going to be chastised for spelling errors and typos. I am not certain, but I thought that the managers here had stated that we aren't to criticize for this sort of thing. Of course, you have every right voice your very interesting opinion.

    Personally, I think that the lack of kindness, poor inter-personal behaviors in relationships with coworkers and peers, and an abundance of bad manners in today's society, as a whole, factor the underlying problems in every professional sector. Perhaps a Dale Carnegie Course should be a requirement in all degree programs. It doesn't seem to matter how well educated or well read someone is, if manners and kindness are missing from the package. :flowersfo

    I would like to share an article that everyone here might find interesting.
    Author unknown:

    "The Pnaeomehnl Pweor of the Hmaun Mnid"
    "Aoccdrnig to rscahecerh at Cmbadrgie Uvsiertniy it deons't mteatr in waht oedrr the lreetts in a wrod are, the olny iptoramnt tnihg is taht the fsrit and lsat ltteer be at the rhgit pcale. The rset can be a taotl mses and you can sltli raed it wuiohtt a peolbrm. Tihs is bsacuee the hmaun mnid deos not raed erevy lteetr by isletf, but the wrod as a wlohe."

    Myabe the rael polberm is taht a csals in rdeiamel rndaieg is in oerdr. :innerconf
  13. by   ProfRN4
    Quote from allamericangirl
    i would like to share an article that everyone here might find interesting.
    author unknown:

    "the pnaeomehnl pweor of the hmaun mnid"
    "aoccdrnig to rscahecerh at cmbadrgie uvsiertniy it deons't mteatr in waht oedrr the lreetts in a wrod are, the olny iptoramnt tnihg is taht the fsrit and lsat ltteer be at the rhgit pcale. the rset can be a taotl mses and you can sltli raed it wuiohtt a peolbrm. tihs is bsacuee the hmaun mnid deos not raed erevy lteetr by isletf, but the wrod as a wlohe."

    myabe the rael polberm is taht a csals in rdeiamel rndaieg is in oerdr. :innerconf
    man, that is weird :uhoh21:

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