I too take issue with the reference of 'low performers' especially since that derrogatory phrase was not defined in the article. I have an issue with this on many levels. Just who or what group is this phrase flung at? Are they implying that low performers are of a certain age? What make one a 'low performer'? Where is the metric for "low performer" or is this subject to the whim of individual manager and their chosen "in group"/inner circle? Who are they comparing the standards of a 'low performer" by? Just what is the attributes of the 'high performer'?
Next, I have to ask- Who and How many nurses, and to what staffing ratio do they think they are going to need when the TRUE effects of this 'recession' 'ecomonic downturn' or what ever minimalistic phrase those in their IVORY towers( not just nursing but manangement also) are finally realized into the "Oh My God " moment? The "Oh My God" moment when the true reality of the now existant poor health status devastation of $45.1 million unemployed people in this country( let me spell some of it out- no health insurance, there for a negligence of their personal health issues, no money for the once needed medications of BP, IDDM, COPD, etc, no money for healthy food but shopping at the dollar stores and walmart for cheap, affordable, poor nutritional value foods because theat is all they can afford) AND the aging population of us baby boomers( we are supposed to be living longer due to the pre recession advances in modern medicine so they say, but now with the recession, I don't know)) AND the complexity and acuity of thier illnesses ( this should need no explaination to practicing RN's at the beside- a patient doesn't only come in to the hospital with uncontrolled HTn, they are coming in wioth uncontrolled HTN, IDDM, renal falure to any degree and a good percent of them with substance abuse included in the cor-morbid line up). Wouldn't anyone here just like to shake that ivory tower at it's base until they all fall to the ground? I know I would!!
They throw alot of 'looking good' for the glossy magazine stats out there but they don't seem to get the "BIG PICTURE", they are not "CONCEPTUALIZING the BIG PICTURE. They are missing a big peice of the big picture- the core, How many nurses do they think they can chop the staffing ratios down to, to take care of a complex acutity level load of patients that will equal well over $45.1 million. Seems to me they better start doing something to hold on to all the "performers" they got. As my own side bar: I attended a seminar in cardiology- more specifically, plaque and CAD. It was said in a current. now a days study, the vessel walls begin to crack and form plaque build up at 'age 12' I repeat, age 12 !! And they want to cleanse the nursing profession of who they consider"low performers' and by whose and what standards??
I'd say just to throw this out there- these IVORY tower people are a bunch of Turkeys- basted, roasted and stuffed!!
JMHO and 2 cents.