Why such high new RN turnover?

  1. My understanding is that new nurses (recent graduates) are the most likely to leave the field. If true, why is this? Is it because they underestimated the job's demands?
    Last edit by Calder on Mar 12, '12
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    About Calder

    Joined: Mar '12; Posts: 10; Likes: 28
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  3. by   silly32girl
    Good question...I have heard this as well.
  4. by   MJB2010
    Very few places willing to pay for appropriate training. Many new grads are thrown to the wolves. Nursing schools now teaching students based on passing the nclex, not actually being a nurse. A lot of people get into nursing based on what it used to be, not what it is today. Today it is long hard shifts with bare bones staff and a lot of liability. Oh and in some places, the nurses are not welcoming to newbies. Newbies need help and have lots of questions, which with todays staffing rates, drains the already stretched too far thin nurse. When orientation is too short, they need more help.

    Also as a newbie it is hard to get that first RN job in parts of hte country. So the ones that will take a new grad are often the worst of the worst kind of places to work. One of my classmates was hired at a snf, 40 patients and 3 days orientation as a new grad. She is now bartending.
  5. by   Calder
    I'm hoping to become a newbie, myself. Would working at a nursing home as a CNA for a year help get the training I need to survive being a newbie?
  6. by   Palliative Care, DNP
    Personally, I never worked a day as a CNA and do not see it as particularly beneficial. Unless of course you see your whole future as an RN as cleaning poop and repositioning patients etc. The roles are completely different and while nurses do a large amount of patient care that is something anyone can do. Now a days many places like to hire RNs who were a CNA in the facility first but that is because they know you and your work ethic etc. Networking is always important for newbies. All of this said anyone who has read these boards even a bit knows why there is such turnover. These are things like: lack of respect, high demands, staffing issues, expectations of doing more with less, heavy patient loads, and of course the all encompassing patient satisfaction scores that are all so important now a days. The expectations are enormous and becoming harder to reach by the day. My pay hasn't increased for all of this extra effort and stress though. The hospital has now become the Burger King Drive through where patients "get it their way" and now. Do not be late with that pain medicine and by all means make that ice a little colder. I digress as surely you get the picture
    Last edit by Palliative Care, DNP on Mar 12, '12 : Reason: misspelling
  7. by   RNperdiem
    As a new grad, I was overwhelmed and didn't realize that the feeling would pass with time and experience.
    I didn't know that I would feel that way in almost any setting as a new grad.
    I was convinced that the grass was greener elsewhere.
    I was hoping for a slower pace, and fewer patients, less responsibility and less paperwork.
    I was looking for a job that didn't exist.
  8. by   DemonWings
    Personally, I never worked a day as a CNA and do not see it as particularly beneficial. Unless of course you see your whole future as an RN as cleaning poop and repositioning patients etc.
    Last edit by TheCommuter on Mar 13, '12 : Reason: quotation blocks
  9. by   anotherone
    No working as a cna will not be a ton of help. You will be faster at the very basics but that is a VERY small amount of your responsibility. It might be of some help or hinderance if you stay on the same unit because you already know who is who etc. New nurses leave because it is a very stressful job. Until you are on the front lines with any amount of training, you do not know how you will be able to handle it and burn out from all the death, illness, patients, co-workers, unrealistic excpectations, staffing etc comes fast and eventually all the cons outweight the pros.
  10. by   KelRN215
    I found working as a CNA useful because it helped with time management skills though I don't think it alone gives you anything close to the skills you need to survive as a newbie. The stakes are much higher when you're the RN.

    And I agree that most facilities do not provide adequate support/training for new grads. Their orientation is about 1/2 what mine was when I went through a "new grad program" 5 years ago.
  11. by   LemonIndiscretion
    i feel like being a cna helped me tremendously in my program, allowing me to more time to learn nursing skills because i already had patient care/hygiene/body mechanics and didn't need to learn that aspect. you don't have to do it, and i'm not saying i'm better or worse than any other nursing student but i was so glad i had the experience and i think it made me more confident in talking with people and touching people than i would have been without it. i think cnas do more than just clean poop and reposition patients- but i am obviously biased.
    i think i'm getting way off track from the op's topic. there are some articles on this topic...i imagine some of these reasons in this article below are reasons why new nurses leave jobs. maybe the reasons why they leave are the same reasons why they have a hard time getting hired.
    (also i think being a cna got me used to working all shifts as well as working weekends and holidays-just throwing that one out there too. not that i know anything nursing because i am not yet an rn, i'm a senior in a bsn program, so in reality i won't know how much being a cna actually helped me or not until i've been a nurse for a while)
    medscape: medscape access[font=arial, sans-serif]"unrealistic expectations. many, although by no means all, new graduates are holding on to unrealistic expectations about the type of nursing position that they will be able to find. nurse recruiters report that they often interview new graduates who state that they are seeking only a day shift position, or one with minimal weekends. others want to work part-time, right out of school, which is generally not acceptable to the hospital that must spend money to orient, or extensively train the new graduate, depending on the clinical area. some new graduates even go into the interview requesting a position in critical care, the operating room, or other specialty area -- areas that typically hire few, if any, new graduates. demands of this nature will significantly hinder the new graduate's chances of landing a job."

  12. by   tokyoROSE
    In this area, those who work at the hospitals as CNA's get hired first as a new grad because as mom to 4 stated, they know you and your work ethic. This is my #1 mistake while in nursing school and it took me a bit (relatively speaking) to even get interviews while my classmates had jobs lined up before graduating.
  13. by   helster83
    I honestly haven't known any new graduate nurses to have unrealistic high expectations (such as asking for the day shift), I personally would never ask of such things. But I will say that hospitals do throw their nurses to the dogs, especially their newbies. Management seems to have had unrealistic expectations, mostly because they are becoming obessessed with press ganey scores, medicaid/medicare was screwing over hospitals (aka nurses) over anything and everything, budgets suck, on top of it a new nurse have a million things to learn on top of all the typical b.s. And I'm sure you all know how isolating working the night shift can be, you see family/friends less, less time for personal life. This is a breeding ground for misery, exhaustion and high turnover. At the very least, for all the work and dedication new nurses put into their trade, they should be supported by staff, rather than thrown to the dogs.

    Also, b/c I worked as a CNA in nursing school, it was extremely helpful in getting my first and second nursing positions. Hospitals love knowing you have some hands on experience in patient care.
  14. by   Jennerizer
    A lot of the hospitals here in Florida are getting rid of the patient care techs....so if you plan on being a nurse, you better make sure you're ok with doing a lot of what a typical CNA would do for the patients. I can understand why turn over is high for new grads....it is crazy out here. I've been a nurse for over 7 years & even I am getting fed up with the shortstaffing, poor pt to nurse ratios, the constant berating of HCAHP scores & how we (the nurses) need to do better.....even though the hospital chooses to keep us running with as few nurses as possible. Our poor new grads are started out on med/surg with 7 patients, no techs and no secretary. If I had started in an environment, I would have turned around & ran the other way.

    I don't think it's so much that older nurses are eating their young......rather they are too overwhelmed themselves to help very much. I am not jaded towards nursing.....nursing is a fine career. It is when administration thinks because a nurse "can"...that they "should" do everyone's job. We put in our orders, we are doing respiratory treatments, now they are telling us to make sure we clean the rooms on a daily basis.....as well as emptying the trash & laundry. Cater to not only the patients, but their families also...because 60% of the patient satisfaction surveys are filled out by family members. Remind doctors to do this or that. Call doctors with results of tests....and in turn get yelled at by these doctors for bothering them with results.

    Where is the nursing in all that? We are being turned into a jack of all trades & then blamed when something doesn't go right. Lab messes up a time or a order....well, the nurse should have caught the mistake & corrected it....or the nurse should have noticed no one from lab drew the blood at the exact time & the nurse should have made a call to remind lab to draw the blood. The doctor orders the wrong test or doesn't give a reason why a test is ordered....the nurse should figure it out or follow up with the md. MRI is ordered but the dept is taking awhile to get the patient...the nurse should call & find out why they are taking so long. Pharmacy is questioning medications, have the nurse call the MD to clarify & then call the pharmacist to follow thru on clarification. Pharmacist still doesn't agree? The nurse should keep calling until it is resolved. Why can't the doctor & pharmacist talk to one another? No one around to answer the phone, the nurse should drop everything to answer the random unit phone calls. It goes on & on & on. Put the nurse in the middle & then blame the nurse for everything that isn't perfect. That is not nursing!