Show Me The Money

Talking about salary with coworkers has long been seen as a taboo topic in nursing. Could this be hurting us as a profession? Let's explore some of the things we know about this difficult topic. Nurses Announcements Archive

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Show Me The Money is not just a phrase for Jerry McGuire! This is a phrase that nurses should get comfortable saying. Now, maybe we should not yell it at our boss in true Cuba Gooding Jr. fashion, but we certainly still need to say it! Cuba's character in this movie, knew what he was worth and he didn't settle for a penny less. There is much for nurses to learn from this idea.

It seems there is an unspoken rule among nurses that we don't share our salaries or hourly wages with one another. I recently had a conversation with a colleague where we reminisced about all the times in our careers that we have been asked (or even told) not to share our wage information. We decided that often times it was due to an employer not wanting to have the difficult conversation as to why two nurses with similar backgrounds were making such different wages. Employers don't want to be perceived as having biases, favorites or even just simple discrepancies in wages. But our silence allows the issues to grow, nurses to be paid less than they are worth and the profession as a whole to not receive the compensatory respect it deserves.

Keeping salaries private is proven to be more harmful to performance, hiring and the economy at large, according to David Burkus in his 2016 book, "Under New Management: How Leading Organizations are Upending Business as Usual." In his book, he explains that people who are aware of the salary information of co-workers work harder and increase their performance. IIt has been proven that keeping salary information private is likely to cause us to feel that we are underpaid, per David Burkus. Many organizations have heeded the advice of this and other studies and embraced the idea of salary transparency, or publishing the wages of workers.

Let's explore 3 simple ideas about our wages that with help with these difficult conversations:

We must be in the know:

It is actually illegal for your employer or manager to tell you that you can not share your wages with a coworker. Congress enacted the National Labor Relations Act in 1935 to protect the rights of employees and employers, to encourage collective bargaining and to inhibit certain private sector labor and management practices. This is a fancy way of saying that you can tell anyone you like how much you make, even co-workers. It is important to know your rights when it comes to your wages.

Gender Pay Gap between Male and Female Nurses:

Male nurses make more than female nurses: A 2015 survey conducted by allnurses.com reported that women made up 92% of the nursing workforce while men made up the remaining 8%. However, when comparing wages, men earned approximately $5100 more per year than their female counterparts. This pay gap has been steady since 1989.

Why would there be such a long-standing gender pay gap for nurses? There are a few reasons. First, men are more likely to negotiate their salary than women. Second, men often work "off hour" assignments, which come with differentials. Finally, women tend to look for 9-5 type jobs in search of a work-life balance.

Even knowing these reasons, it is important we continue to explore these issues and discuss them openly. Wage transparency helps fight gender bias. Washington D.C has one of the lowest gender pay gaps in the country (11%) for general wages. This is largely attributable to the fact that the federal government believes in salary transparency, according to Kate Mueting, a partner at Sanford Heisler, LLP. This further supports the idea that being transparent with our wages will help to eliminate gender bias.

Know when to Hold 'EM:

According to themuse.com in an article titled, "4 Times to Negotiate Your Salary (and 3 Times Not To) there is an art to negotiating, and you must know when to show your hand. Never start negotiating before you have received a formal job offer. When you are going to negotiate, build your pitch! Remind the employer what you can bring to the job to justify your salary requirements. Finally, never walk away from an offer that you think is too low if the job is right you. Negotiate!

Just like Cuba's character, we must know what we are worth and never settle. What are your thoughts on salary transparency in nursing? Is it a good idea or a bad one? Do you share your wage information with coworkers? This is an important conversation, tell me your thoughts.

Specializes in Nephrology, Cardiology, ER, ICU.

As a provider, I bill for my services and my practice is paid for my work. We need to know what we bring to the table, moneywise in order to come up with our worth.

Healthcare is a business and we should approach it as such. Nurses need to know their worth and should discuss their wages

Specializes in Workforce Development, Education, Advancement.
As a provider, I bill for my services and my practice is paid for my work. We need to know what we bring to the table, moneywise in order to come up with our worth.

Healthcare is a business and we should approach it as such. Nurses need to know their worth and should discuss their wages

Great comments! Healthcare is a business, but it seems many nurses do not want to think about it as a business because it seems less caring somehow. Thanks for your thoughts on this topic. ~Melissa

Specializes in Family Nurse Practitioner.
I will be the devils advocate here. Because I have known, and even more importantly, noticed that in all the replies to your post, that those who agree with talking about wages with co-workers (everyone else haha) are always disgruntled. They can almost always find someone somewhere that makes more or less than they do. Thus making those others feel (or themselves) upset.

It is just plain good manners and good professionalism ( and kindness to your co-workers) to not discuss money, religion, or politics.

Thank you for writing in with another view point. I do think some of it based on our temperaments and what is of value to us. The main reason I make top dollar is due to the generosity of my colleagues who shared their wages with me so I want to not only protect my good rate but also pay it forward.

I recently informed a colleague the offer they were considering from a company I also work for was $10 an hour lower than they are paying other NPs. They were planning to accept the initial offer but countered and got the higher rate so in this instance the person was happy I was willing to discuss my wages. Its a $20,000 a year difference.

I also remember years ago when a new male RN was hired and it was discovered he started at $5.00 an hour higher than the other RNs, females, who were hired at the same time and all had similar experience. It was quite a bit of drama but the company ended up matching that rate for them all.

Specializes in Psych, Corrections, Med-Surg, Ambulatory.

Any employer who expects you not to discuss your wages is pulling shenanigans. These are the same employers who don't want you to tell patients how many other patients you are caring for. If they were proud of their nurse-patients ratios they'd have it on banners throughout the hospital. If they paid everyone fairly they'd have no issue with staff discussing it.

This is where a union contract comes in very handy.

I started a job that paid me two dollars less an hour than I'd been making, during orientation with preceptor who had not been a nurse as long, nor did she have the same experience in the field I had. She talked about money, and grad school, I said I didnt know if I would because my friends with grad degrees didnt make all that much more than I was making, and I didnt mean at that specific job, anyway, she went to HR and complained and I was terminated, although they gave me thousands in severence. I've never talked money with anybody since.

I will be the devils advocate here. Because I have known, and even more importantly, noticed that in all the replies to your post, that those who agree with talking about wages with co-workers (everyone else haha) are always disgruntled. They can almost always find someone somewhere that makes more or less than they do. Thus making those others feel (or themselves) upset.

It is just plain good manners and good professionalism ( and kindness to your co-workers) to not discuss money, religion, or politics.

I am not disgruntled and am very open about my salary with my coworkers.

I am fortunate in that my employer values diversity so polite discussions about religion, politics, and even culture are not out of the norm.

Secrecy in the workplace breeds distrust, animosity, and encourages discrimination.

If a coworker makes substantially more or less than their peers everyone should ask why and question it. Something either went really well or really wrong, either way everyone would benefit from learning from it.

Specializes in Family Nurse Practitioner.
I started a job that paid me two dollars less an hour than I'd been making, during orientation with preceptor who had not been a nurse as long, nor did she have the same experience in the field I had. She talked about money, and grad school, I said I didnt know if I would because my friends with grad degrees didnt make all that much more than I was making, and I didnt mean at that specific job, anyway, she went to HR and complained and I was terminated, although they gave me thousands in severence. I've never talked money with anybody since.

That is horrible and I'm not sure even legal. What a shame and while I totally understand your hesitancy, that is exactly what they aiming for. :(

Specializes in Critical Care and ED.
@Rocknurse,BSN,RN - At least if they stick to one rate, it is a bit more fair across the board for us and out colleagues. Thoughts? ~Melissa

Sorry for the late reply...I've been off line for a week or so. I have to disagree with this mainly because I think that if I apply for an ICU position with my BSN, CCRN and CDN, and with my extensive experience and skills in hemodynamic monitoring, hypothermia protocol, CRRT and recovery of post-op open heart patients, I should expect more than a nurse who's only had 1 year critical care experience, no CCRN and has never used CRRT or hypothermia protocol. I bring a wealth of experience to the table and I should be compensated for that, not to mention the extra certifications that I did on my own time and money. All nurses are not equal. When I walk into an interview I expect to be offered top dollar and I will negotiate for it.

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