President Proposes Increased Funding for Nurse Loan Repayment & Scholarship Programs - page 4
AACN Applauds the President's FY 2010 Budget Request President Proposes to Increase Funding for Nurse Loan Repayment and Scholarship Programs from $37 Million to $125 Million WASHINGTON, DC,... Read More
May 18, '09Quote from blackbarbie23I challenge your "fact" that there aren't enough seats. I grant you that there aren't enough seats for everybody who wants one. However, there are far too many new grads being produced for the job opportunities available for them.the fact there arent enough spaces in programs ?
Producing more new grads without providing job opportunities for them will exacerbate the problem.
Aug 11, '09This belief that there are not enojugh seats is really scarey. Wow how successful this nursing propaganda is? No jobs when there is a shortage? Not enough seatsin nursing school when grads can't get jobs? This propaganda is so effective it has even allowed us to put aside our critical thinking skills in order to believe it.
Saying there is a shortage when there are few jobs available is like saying 2 plus 2 equals 5. But, if something is drilled into a human being's head long enough, read advertising=brainwashing, they tend to accept it as fact.
I was guilty too but no more. Unfortunatly I think this wil affect the profession for a long time.
Aug 11, '09Quote from chigapAn unpopular proposal and I will get slammed for this, but increase the number of men in nursing would be one way for change. Also, I just watched "Mean Girls" last night and there was alot of truth in what I saw. Much of what is wrong with nursing is the culture; it has allowed the corporations to maintain an upperhand for as long as I can remember. Nurses must accept some responsibility and take positive steps for change.
It is no secret that much of the power in corporate US is held by men. The situation in Iceland is making some people think that perhaps a better balance is needed. The current financial situation of the world shows that there are fundamental problems in the corporate/business world. Perhaps doing something very different will yield very different results.
Perhaps if nurses held those above them in the hierarchy responsible, then things would change. I, for instance, have never heard one of my colleagues say to a supervisor, "This situation is bad and I will make sure that if I go down, you go down." I've said it a few times and the response I get is usually my colleagues gazing at their feet. Anyone in management who has RN behind their name, is just as much responsible as we are as long as they have been made aware of the situation( in theory).
But guess what, they wouldn't be managers if they were very sympathetic and have you ever heard of a nurse manager/supervisor being reported to the board for making unsafe decisions? I haven't.
My point here is that this loan thing has been done before. The chicken little thing has been done before. The recession thing has happened before. One good thing about not retaining nurses is that there is no long term memory, so there need not be a long term solution. The "Watch me pull a rabbitt out of my hat" routine just gets recycled.
You stated that you have never heard of a nurse manager/supervisor being reported to the board for making unsafe decisions...just because you have not heard of one does not mean that it doesn't happen. As a nurse manager I am acutely aware of several cases and take not only my nursing license very seriously but the license and certificates of those I manage! I am sorry for the places that you have choosen to work "they wouldn't be manager if they were very sympathetic...", they sound like there was a great divide between 'you' (the nurse) and 'them' (management). I became a nursing manager specifically because I wanted to change this type of culture. And I do care as my 12 -14 hour days will testify to. As other managers I know do care as well.
While much of the power held in corporations is held by men, I have worked for MANY owners/CEO's/Regional Managers etc that are female. It is not a male/female thing. It is also not as easy as saying that nurses(mainly female) should behave as males do in more male dominated fields. Nursing is not just any profession. That being said, nursing do need to start to really come together and make their voices heard. We have talked for years about nurse to patient ratio and where has that got us? Nowhere, we are still talking! And still working with unsafe ratios that put the lives of our patients at risk not to mention the very license that we worked soooo hard to attain! And this continues even with the unions that are supposedly taking our money to ensure better working conditions for us...hah!
Increased funding for nurses is great in theory but only if we as nurses can communicate to the President and our government that this is just a start! Just the top of the iceburg of the mess that our healthcare system is in. I keep hearing how our President has the backing of nurses and physicians (which scares me as I don't know many doctors that actually know or appreciate the work that nurses do and would NOT like them to speak for me!) but also when I hear from the press that nurses back Obama's views and what we supposedly back him on, let's me know that he does not know what a nurse is or what our difficulties are. It is up to us to be clear what we do, how we are put in terrible situations everyday by way of nurse-patient ratios, more paperwork than is possible to keep up with given these ratios (and in LTC I attribute this to Medicare/Medicaid regs and their almost q 3 month changes on these regs...how many HOURS have you WASTED changing MD orders on a generic med or treatment because what was covered last month is NOT covered this month but the patient has to have this!!!!!!!!!!!) How many times have you had to fight with the pharmacy to get a medication/treatment only to be told by them that these same entities will not cover it and you are right in the middle of this life/limb saving treatment! It's ludicrous!
Anyway, I didn't start this to blast you, I really am sorry that you have had the management experienes that you have. I know exactly what you mean when you talk about the 'pull the rabbit out of the hat' routine, but I do believe that we as nurses have a chance NOW to be heard...to make a change here, in our country at this great time of change to stop this from happening a gain. I beleive that we are smart enough and through these rooms and being active in organizations, writing to our congress and yes even the media, we can be heard.
I just watch Durbin talk about how he met yesterday with some nurses to talk about healthcare reform and getheir opinions...this is just a start. But we nurses can't just wait for a congressman or senator come to us, we have to get out of our b&m sessions and proactively go to them, before this reform is passed and we are stuck with what they decide for us!
Aug 11, '09Quote from KittyKat19I'm paying for my own education. Why should I pay for someone else too.Who's going to for it if the president doesn't do this?
I'd rather pay for this with my taxes than with the lives of patients neglected because they're aren't enough nurses.
It's great to see such a commitment to nursing education!
Aug 12, '09One supposes that increased funding for nursing education is a very good thing indeed, it still does not address the main problems regarding the profession. Aside from perhaps the run up and duration of both world wars, the United States does not have a "shortage" of nurses, but rather a shortage of persons willing to put up with conditions of employment at bedside. Providing more funding to produce more nurses will increase the pool of those available, which only empowers hospitals and other clinical settings to by and large continue treating nurses as cannon fodder.
Depending upon where one lives, GNs and newly licensed RNs cannot find work, despite there being a "nursing shortage". Hospitals are either not hiring or cherry picking, with little or no changes being made in conditons nurses work under for the most part.
Hospitals have always depended upon a constant flow of "cheap" labour, that is new grads from diploma programs to replace nurses who departed for various reasons (marriage and or child rearing, injury, simply fed up and so forth), and this still went on well into the 1970's and 1980's. However as the full effects of Title IX and other federal education programs, along with lawsuits have opened vast amounts of other doors for women to work elsewhere, many have done so, this also led to the mass exdous of nurses from the floors as nurses found other positions elsewhere. The rise of out patient services and clinics has also meant nurses do not need to stay at bedside.
Many hospitals have responded by increasing compensation and benefits, however more, much more could be done.
The federal government via Medicaid and Medicare could go along way removing the nursing shortage by addressing the problem from the other side of the barn. Instead of increasing (or attempting to) nursing students, improve working conditions by such things as mandatory patient to nurse ratios, requiring hospitals and other clinical settings have adequate support equipment such as lifting devices, stream lining and making simple the masses of paper work. The federal government via it's programs also provides certian hospitals higher reimbursement rates due to their education of doctors, well what about providing the same funding for nurses?
One cannot measure a thing unless one looks for it, therefore nursing should be removed from "bed and board" and have it's own line item on billing, even allow for billing of nursing care in the units and OR.
First response from hospitals and their supporters would be that such schemes would cost dear, but we are already paying dearly in terms of medical/nursing errors leading to deaths or disease, a very unsteady supply of nurses and a constant need to replace nurses worn or burnt out.