The solution to nursing problems - page 9

I posted this before and it seems to have been lost. I think we can corrent all of the major problems in nursing by simply having all of us take the same day off. Let's say February 11th, 2003,... Read More

  1. by   Youda
    Anne, please allow me to be a charter member of NONOS! I think you should start it immediately. And I want to be a member. I'm already going around muttering under my breath no no no no, so I'm sure with all those nos, that I am worthy of membership. (Tongue in cheek here, but a lot serious, too.)
  2. by   abrenrn
    Youda - definitely. I think I would open the group to any nurse who walks around saying, "no, no" frequently.

    Let's see if others are interested also. While I may sound tongue in cheek with my suggestion, I'm serious about it as well.

    The idea for a name came from the posting wondering if someone could get a research grant to find out how many nurses are on sabbatical.
  3. by   Youda
    Start a new thread and ask. And, there must be some funds under the new legislation. It provides funding for Public Service Announcements, why not a study?
  4. by   -jt
    <The idea for a name came from the posting wondering if someone could get a research grant to find out how many nurses are on sabbatical.>

    By sabbatical, do you mean how many nurses are not working in nursing right now? After hearing testimony from ANA leaders, RN members & healthcare unions, Congress commissioned that research - charging the General Accounting Office in DC with the task.

    The results were released to Congress by that agency in May 2001 and made public in a report by the Dept of Health and Human Resources -- 500,000 licensed RNs nationwide (18% of the nations nursing workforce) are "on sabbatical" not only from hospital jobs but also from the nursing profession.

    Many saying they would return if the working conditions & compensations were improved.

    In addition, the current nursing shortage was proved to be NOT a shortage of nurses, but only a shortage of nurses who are willing to work under the conditions found in the bedside job today. Conclusions of the research clearly spelled out the details that we all know too well.

    Recommedations to Congress for soultions were suggested & basically declared that hospital administrators must wake up & look internally to see the answers for why RNs are avoiding their institution..... & repair those problems..... because there ARE enough of us out there already.

    Discussion on this research report was posted here - search under "Maldistribution". You can also read about it on the ANA website & obtain the link to the entire official report there:
    Last edit by -jt on Oct 23, '02
  5. by   teamrn

    I was one of your original contacts, and I spread the word, and talked it up as far as I could. As I couldn't drive for a time, the work I did was all 'behind the scenes', and I know the change of approach to which you referred. I also agree with Youda, about the distance thing (major barrier); but I wonder about the committment of nurses in DC, Maryland, Delaware, VA area. Because of a lack of representation from RNs in these states, I'm now even wondering if marches on individual state capitals would be anymore successful.

    I had one heck of a time organizing nurses in my state; we had a few committed, and the rest were complainers, so the efforts here fizzled.

    I was unable to go because of illness , but would have gone, because in my mind, it was the right thing to do; regardless of the politics.

    I still follow the media, write letters to editors, phone legisltators, talk to anyone who'll listen (within reason!), follow candidates, and have had non-form/personal letters returned from HHS, politicians. We can't change this overnight-as it took hundreds of years to come to where we are today-but we can each make our own contribution

    Last edit by teamrn on Oct 22, '02
  6. by   Bermuda
    Mgt. can not force you to stay but they will say YOU WILL be staying until we get relief here..otherwise true it is abandonment... there has been more than once where there has been many call offs and no shows and we were told to stay until relief was able to get there...anytime from 2-4 it has to be ALL and I for one do not feel that all nurses are really ready for that huge step...really...yet there has to be something that could be done to wake them up to the reality of the situation...
  7. by   abrenrn
    I appreciate all the information I get here. I thought a lot of RNs had given up, I know some who have. Reasons have been varied but usually boil down to - lack of recognition from patients, physicians or employers as to just how much we do and know. One nurse told me she left a CCU after she got tired of hearing patients say how brilliant the surgeon was and, gee, she was such a nice nurse. That, and a new plan by the hospital to, basically, screw the nurses.

    I'm tired of trying to tell people what nurses can do, do all the time. They don't know, they won't believe me. Say, you know that press coverage about the doctor that ordered a med that killed a patient. How come they don't mention the nurse.

    The response I get is, "what does the nurse have to do with it." Duh. They may not have mentioned in the paper but damn straight the nurse lost her license. In the meantime I hear nurses say, "Well we don't want people to know we can make mistakes." Great. They don't think we do anything.

    The general public is getting the idea that they need nurses. They stll don't know why. Also, who's a nurse? The person in scrubs in the hospital, the "doctor's nurse" who's really an MA? I've brought that up with a couple of people who say, "well, why confuse the patient." Because this is what confuses patients!!!

    How do we get it out? I have written "A Modest Proposal for a Solution to the Nursing Shortage" that I'm still making prettier. In an attempt at satire, I say the easiest solution is to eliminate Nursing, replace it with another profession called Wellness Engineering Professionals (WEPs). Same duties, different status. I end by saying Jonathan's Swift's original modest proposal - that the poverty and starvation in Ireland could be fixed by butchering and eating 1 year old children (incredibly good satire - read if you haven't) might work even better. After 20 years or so, nurses will be sold for the meals they can provide. Hospitals will realize that we'll taste better if we are treated well, even doctors will see the value in at least pretending to pay attention to us - our economic value will soar. So, it's a sacrifice but if we already eat our young, why not change the order of eating?

    Think it's worth trying in a "regular" magazine? AJN turned it down, well written but just too confrontational they said, not the right tone.

    Feedback would be appreciated. Above is but a brief summary.
  8. by   betts

    How many of the 'Healthcare' respondents to this thread got any answer to the dozens of letters sent out? I posted everything I received and still haven't received any replies from the networks contacted. I was successful with getting the Governor to act on affordable housing for nurses here with lower mortgage rates but not with the "Commitment To Excellence" I suggested.
    The problem with writing government officials is that they're not the one's reading them but rather aids or assistants whom read,respond(read link above) and determine what's a priority.
    The idea's set forth here are admirable but mostly unattainable simply because there is no UNITY among nurses.
    Instead of a March again,how about every nurse, healthcare worker in the US place a sign in there front yard simply stating 'NURSES UNITE (UNITED,UNITY) NOW'! That's sure to get media and public attention and it's a start that doesn't coflict with all the obivious problems associated with a Walk.
    Think about it.
    Last edit by betts on Oct 25, '02
  9. by   Youda
    Unfortunately, betts, your experience is all too common (not to minimize how terrible this was for you). Admins frequently blame the nurse for their own stupidity and incompetence. Someone want to start a thread about experiences with being blamed by admin when admin does the stupid thing? I have a few stories . . .
  10. by   -jt
    <<State nursing associations may be working for nurses but they expect nurses to research them and find out. The AMA, for example, begins trying to recruit members in medical school.
    2- Many ANA leaders are in education, research and management, often disconnected from the clinical practitioners, causing many problems: in short, they do not know what lies behind the nursing shortage - they got away from bedside nursing as fast as they could.>>

    My state nurses assoc has an affiliation with the states student nurse assoc. Many nursing school programs in my state REQUIRE their students to participate in the state nurses assoc lobby day events & other workshops as part of their course work. The state nurses assoc peer assistance program goes to nursing schools throughout the state to educate students on nurse addictions & the help that is available thru our organization. Student nurses are invited to state nurses assoc events, are encouraged to be members at a student discount, etc etc etc. I dont know about your state, but my state assoc does go to the students - many of the educators are members too - especially now that staff RNs are being recruited to teach clinicals & the majority of our state assoc is staff RNs - students in my state graduate already knowing about the state nurses assoc & many are already members by then.

    As far as the ANA, there are STAFF RNs in leadership positions on the ANA Board of Directors, the ANA PAC, and most other committees there. And there are other RNs in leadership positions who remember what it is to provide direct care to the pts. The leadership is ELECTED by the members - and the majority of the members are STAFF RNs. I disagree with your statement because I am in there & I see both great Staff RNs & great pro-staff RNs in leadership positions in that organization these past few years & they are making a difference.

    All these nurses posting here seem to have so much interest in taking action, its amazing. If everybody put that energy & effort into backing their professional assoc & making the voice for nurses stronger in their state & this country, just think what could happen.

    You have your professional organizations right there waiting for your help in getting our message out & getting the changes we need, but youre all sitting here getting frustrated because you want to get involved in doing something pro-active & cant figure out how. The answer is right in front of you but

    "here we go round in circles............"
    Last edit by -jt on Oct 24, '02
  11. by   abrenrn
    As I've said, my professional organizations seem to miss most of the issues that drive me from nursing: not a single entity seems aware that nurses are professionals with licenses that we are responsible for (unless it's a hospital with a "No forced overtime" statement, but hey nurse, you're abandoning your patient.

    Nobody even knows why they need nurses.

    I'm tired of being expected to always be diplomatic - with everyone. Look at the thread re Oct Nursing - that's what the profession wants us to be.

    I've talked. I'm done. No point here. I am on permanent sabbatical. Maybe there is a profession or job that wants intelligence, self direction, personal accountability. I haven't found it in nursing yet.
  12. by   abrenrn
    Another thing

    Gosh, I missed all those mailings, facts, etc. Sure hasn't been in my mail box, my office. I'm licensed in two states, shouldn't be hard to find.

    Oh, that's my fault - I'm a nurse, what isn't? - I'm supposed to hunt them down, even if I don't know they are there.

    No problems with organized nursing whatsoever. Don't know what's wrong with me.

    Disgruntled enough.

    Hey, know what a PT, fellow nurses, hospital administrators,... told me? I'm supposed to help nurses aids and I have a problem cause I thought it was the other way around.

    Y'all have fun helping nursing aides while you try to find support from your professional journals, organizations, etc. Hey, dare to care - just care, don't bother thinking, learning, knowing.
  13. by   Youda
    Anne has a very valid point. There is a huge difference between working in a unionize area vs. a right-to-work area.