Do We Need More Nurses?

Published

I decided I wanted to become a nurse seven years ago. It was the only thing that gave my life direction. I was a high school dropout and a selfish, unmotivated twenty-year-old, and the minute someone said, "I think you'd make a great nurse" that all changed. The same person also told me that there was a dire need for nurses, especially in the rural area where they worked. It took me a long time to pull myself up by my bootstraps, raise my GPA and earn my prerequisites. I never lost sight of my goal, though. I finished one undergraduate degree in public health and worked for two years before entering a BSN program. By now, times have changed. With the financial crisis, many folks returned to school to become an R.N. because they were also told there was a need, or they needed a financially stable second career. Every time I go to a coffee shop to study there's always another nursing student from some other nursing school studying there as well. The way schools are turning out new nurses is frightening. With a few months left until I graduate, I'm terrified. Did I make a huge [twenty-thousand dollar] mistake? Yes, this is still an incredibly fulfilling path for me. But, am I needed? It seems now there is also a trend for new grads to go directly on to NP school...I'd originally hoped to continue on to become an FNP, but even that seems like a saturated field now. Not even hopefully that I'll find a job a an RN after graduation, and even if I do, it seems that new nurses are now a dime a dozen...if I wanted to make a difference in the world, I'm beginning to think I should've gone a different route. Ugh.

I also think there are quite a few people who go into the field and hit their first job...then realize that this is not for them and go some other way.

Happened with 4 or 5 people I graduated with, so I've heard.

Ps, I won't lie. Some days, when the proverbial poo hits the fan, I wonder why I didn't become an accountant or something.

Then something happens that reminds me why I love this profession.

Sorry if I came across as whiney, etc. Like I said, it took me a heck of a long time to even get to nursing school, and I've been aware for a while that there's not a lot of jobs out there for new nurses--I just didn't realize until I started overhearing EVERYONE in the coffee shop studying Med/Surg that it dawned on me that not only are there too many new nurses, but nursing might not even be a *needed* profession (like teachers are needed, for example). I want to do public health nursing, and I hope to work in rural health, so part of my desire is to help folks who couldn't have access to care otherwise. Yes, I definitely still want to be a nurse. But it seems to me I could've done something else that would have helped them more, like sticking with public health or going into law.

I think you would find a need in rural healthcare, but you would have to be competitive to get the prior nursing experience. As well as build relevant work experience prior to graduation.

The market is glutted but that doesn't mean stellar tenacious nurses won't find their way.

Sorry if I came across as whiney, etc. Like I said, it took me a heck of a long time to even get to nursing school, and I've been aware for a while that there's not a lot of jobs out there for new nurses--I just didn't realize until I started overhearing EVERYONE in the coffee shop studying Med/Surg that it dawned on me that not only are there too many new nurses, but nursing might not even be a *needed* profession (like teachers are needed, for example). I want to do public health nursing, and I hope to work in rural health, so part of my desire is to help folks who couldn't have access to care otherwise. Yes, I definitely still want to be a nurse. But it seems to me I could've done something else that would have helped them more, like sticking with public health or going into law.

In the states where the pay is higher, mostly due to very strong teachers unions, it is very, very difficult to get a full time public school job. To have to substitute for 5+ years, if they ever even get a job is common. It is also very political. It's nothing to have the superintendent's newly graduated niece get the job over an experienced teacher.

I was a teacher before becoming a nurse.

This is actually the reason for the dearth of nurses at my hospital. We hire new grads, who proceed go to NP school either straight after graduation, or within 2-3 years.

Sent from my iPhone using allnurses

This. I honestly think the Nurse Practitioner arena is in a much more precarious situation. Everyone and their mother wants to be an NP. We literally have a handful of ICU nurses with over 5 years experience and that's sad.

Most of my unit is in a BSN to MSN or ADN to MSN pathway for NP.

Specializes in Family Nurse Practitioner.
This. I honestly think the Nurse Practitioner arena is in a much more precarious situation. Everyone and their mother wants to be an NP. We literally have a handful of ICU nurses with over 5 years experience and that's sad.

Most of my unit is in a BSN to MSN or ADN to MSN pathway for NP.

At a large inner city hospital where I worked it used to be a great place for learning from seasoned RNs but in recent years everyone is new, applying for grad school and it isn't unusual for the charge RNs to have graduated with their BSN 6 months ago. :(

The "shortage" all depends on where you work and what you'll deal with to have a job. There is no shortage of day shift nurses in high paying areas. There probably isn't even a shortage of night shift nurses in high paying areas. But in areas like south Georgia, where I decided to relocate to start my career, most of the graduating students have jobs as soon as they want them. It is not difficult to get offers in a variety of areas. The pay is low but so is the cost of living. I was perfectly willing to take a night shift job.

So yeah, if you are willing to make your own way and find available opportunities, there is still plenty of need for nurses. If they're not needed in your area, find a place where they still are. If I ever do go the route of higher education past BSN, it'll be for nursing education so that I can either be an instructor in a hospital's education department or at a college. Those jobs don't pay as well as patient-care jobs, so I have a good shot of finding a job that'll keep me happy. Choose wisely, and you will, too.

I think it depends on the situation - both location and specialty.

I work in the OR. Having 2-3 years in this specialty - I would have NO problem getting a job practically anywhere. I could write my own offer in some places (in places like my hospital if I wasn't already employed there). The OR is a specialty people get into (maybe not so easily accomplished getting in) and generally don't really leave like some of the others. I work with nurses who've done the same thing longer than I've been alive (not just 1-2 either...).

I've seen several (5-10) really lucrative travel offers in the past 6 months alone. Lots of recruiting events with nice sign on bonuses too (in other places). We have a big neeed for nurses in our hospital's OR... Many of our hospital's nursing units have openings but their staffing is nothing like the OR's staffing (not the level of despair). Besides. While you CAN pull nurses and float them from a (better staffed) primarily medical unit to a surgical unit or between different ICUs, you can't float nurses from a med-surg unit or an ICU to the OR. You just can't do it (likewise, we wouldn't be floated to those units either).

I think you have to be willing to try things other than your first preference, and potentially to move. I have moved twice since starting in nursing. I've ate my words about what I'd end up doing...

When I interviewed for peds jobs (as a true new grad), I was "this close" to a job I thought was my dream job. But I had "so very very very much" competition. EVERYBODY and their brother wants to go hang out with the cute and cuddly kids and their adorable selves. Not as many people want to go work where I started (adult neurology/neurosurgery, telemetry, medical/surgical and stepdown acuity mix). Therefore it's easier to get a job in a med/surg, stepdown, ICU overflow dumping ground (we got otherwise ICU-acuity patients who happened to be extubated). Was is fun, per se? Not at all. Did I learn a heck of a lot? Yes. Absolutely. I learned why I had to trust my gut, when I had to stand up to providers, when I should be concerned and when I should be panicking inside. I have excellent assessment skills (really good instructors and preceptors in school plus awesome preceptors on orientation). But you had to have strong assessment skills working neuro stepdown with patients who are anything but stable. I learned quickly how to prioritize needs of patients.

I guess my point is that you will probably find a job in nursing. Will it be what you'd prefer? Possibly not - especially not that first job. Will it be valuable? Probably. It might take a few tries before you find what you love. If I had gotten my "dream" job as a new grad I wouldn't have the amazing coworkers and providers I work with every day. I might not have learned the amazing and incredible things I have learned. I guess - don't get discouraged but keep trying.

Specializes in CRNA, Finally retired.

BSN plus a BS in public health? I don't think you'll have much of a problem in the public health arena. I think a year of med-surg should be mandatory for everyone but I know that isn't realistic in this market.

Specializes in Peds/outpatient FP,derm,allergy/private duty.
....The market is glutted but that doesn't mean stellar tenacious nurses won't find their way.

This is so true!

Wanna_be-- the market overall for nurses has changed-- but the way I have always viewed it is that the number of new grads hired will never be 0-- so the trick is to do those things within your control to make sure you're one of them.

I would forget about the coffee shop people entirely as a basis for comparison and take inventory of what you have going for you. You sound articulate, motivated and shown you can achieve a goal as you finished a degree prior to switching to nursing.

If you should decide to switch to another career, having your RN can be very helpful in a variety of fields. Managers and HR aren't just looking for nurses, they are looking for outstanding employees.

I was a teacher before becoming a nurse.

Holy ****, are you a glutton for punishment?

+ Join the Discussion