Could THIS Be the Cause of the Nursing Shortage?

Nurses General Nursing

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"...you haven't even been a nurse long enough to even have an opinion."

"...she has nothing to contribute to the nursing profession until she acquires some more experience."

"The nurse was created to assist the physicians with her or her duties, like wiping butts, emptying urinals, giving baths, giving pills."

"...Diploma nurses are the only true nurses. The rest just don't stack up."

"...you are glorified butt wipers, that's what you are...."

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These statements are just a sampling of what I collected from the short week I have been visiting this site. Reposting these statements is not meant to bring up old issues or further attack the individuals who said them. What it is meant to do is alarm you. These statements were said BY nurses TO nurses. As you can guess, these statements are hurtful, both to the person it was directed at, and the nursing profession itself.

Could this be why nursing school enrollment is down?

I am convinced that the nursing shortage has more to do with the lack of new nurses than with old ones leaving the bedside. Every profession has some amount of atrition, but when the average age of a staff nurse is in his/her mid 40's, it makes you wonder.

These kind of statements and attitudes cannot go on. While we may disagree on if a Bachelor's degree should be the point of entry or if NP's should really be allowed to practice without so many years as a staff nurse, we can't continue to foster this type of resentment towards our own. We have to encourage younger nurses and make the profession attractive to others.

We are not the only profession that has problems. Most people enter the nursing field and know full well that they will have to deal with crappy conditions, like a sudden influx of patients, or bodily fluids, mean and nasty patients, death and dying, emergencies. But those aspects of nursing are a GIVEN. What is NOT to be expected is the kind of attitude that is displayed above. It is this attitude that drives people to either leave the profession completely, or never begin it. I'd like to focus on those who never begin it. Those potential nurses that we lose because we constantly berate new nurses and make them feel inferior. Those nurses we lose because RNs are viewed as unskilled paper pushers and order givers. Those nurses we lose because we consider BSN prepared nurses "glorified butt wipers." Tell me what person would want to persue this career if this is what we think of it ourselves?

Most high school students want to go to college, but how many really want to go to college to be a "glorified butt wiper?" I know I didn't.

If we want to solve a piece of the nursing shortage, I think making our profession attractive to young people, standardizing nursing requirements, and showing a little bit of dignity for our own profession may be a start. Then, once we have ample staff in the hospitals, schools and community again, we can start to work on things like pay....

Reading all these posts reveals one thing about the people in this profession. It is truely a thinking group! I have also been concerned about the low enrollment into nursing schools. Speaking with friends of my children who are currently in college I would say that the money is the biggest factor to not choose nursing. The kids just want bigggg bucks! I have a son in engineering and he earned $18 an hour as a coop student still in college. Interestingly enough, his university last year did survey their teaching costs and the result was that the 2 most expensive courses to teach were engineering and nursing. As a result the university raised the cost of those two programs by placing semester surcharges on them. I don't think the new GNs will be getting the starting rate that the new engineers will get, even though their educations cost the same. The young people who are in nursing seem to be there because the are really going to love the work. Those I know have been working as aides first and just really admire the nurses they work under and seem to really want this. But alot of high school students have really not had an experience any where and they look up salaries on the internet and pick one with a high earning potential and just go for it.

Specializes in Pediatric Rehabilitation.

SuzyK,

My respect for you has grown greatly since the "rn vs lpn" thread wink.gif. You really hit the nail on the head with your above post. Keep on typin' girl. Though I'm a little intimidated by your intelligence and spunk, seeing that you're a LITTLE younger than me, I really enjoy reading your posts.

Lead us to the promised land, sister suzy!

Originally posted by Susy K:

I agree with all of you about the altruistic side of nursing. Hell, I think EVERY healthcare professional that chooses that route has some element of altruism. Big bucks or not, it takes some human compassion to do that job from day to day. I also agree with Tiara though. How "warm and fuzzy" can it be when you are working under conditions that don't allow you to do that? I've been happy lately when all my patients have been assessed and all my babies aren't blue. There's no interaction there. There's no connection. When I'm with a labor patient and we've bonded and I'm coaching her, etc, and that I'm told that I have to stay 4-8 hours more than my original 12 hour shift, a part of me grows to silently resent my patient, and I don't like that. When I finally get a relief nurse and I give report, and she nails me for forgetting to sign out some pain medications, I feel like crap. The little reward that I did feel from the small connection that I made with my patient was just lost.

Altruism or not, it does not put wood on the fire. In fact, I would feel better volunteering my time with children or the elderly, and get my human connection that way. But, nursing is my job. I need it to survive at this point. I need an income, I need a paycheck.

I see it as all one big vicious cycle. As Brownie stated above, nurses are people too, with feelings, resentments, baggage, and families. Just because we are in a caring field does not mean we shouldn't care about ourselves or each other. While we relish on the moments we spend with our patients - as I look in awe and wonder of a birth, as I see my patient smile because I just helped her breastfeed her newborn for the first time, as I see a new dad cry; these are all very rewarding to me. I couldn't ask for greater rewards. But these feelings only last so long. When it comes down to it, when the bills are due, when the public is growing distrustful of nurses, when I'm afraid I'm going to make a mistake because I'm working 16 hour shifts, when my own personal life suffers, then something has to change, and the altruism just doesn't cut it anymore.

I don't think we need to sell the idea of nursing to people using the human interaction concept. Most people get that. But there is no reason why human compassion and altruism can't go hand in hand with a professionally rewarding and respectful career as well.

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