What is the major reason nurses leave? - page 3

What do you think is the major reason nurses leave the profession out of these? 1.) Nurse to pt ratio without accounting for pt acuity 2.) Scheduling of staff 3.) Nurses treatment of one... Read More

  1. by   alien-warrior
    You don't have to want to leave your job in the UK at the moment, the NHS is making Nurses redundant, (layng them off).

    But for the original question, I think 3 of the many reasons are:
    1. Too much work and too little pay.

    2. Work overload.

    3. Too much time having to be spent filling in paperwork and not enough time to be a nurse.
  2. by   dawn1rhino
    I have left. I worked Med Surg for 17 months and the inability to CARE for the patient coupled with non-existant management / team leader (I worked night shift) with no improvement in sight --- I just had it and am now unemployed wondering what to do - thinking of hospice / home health, maybe. I do miss the patients
    The advise I got to work med / surg for 1-2 years directly out of school has helped me see what I don't want to do - but I am unsure as to what I can do with the degree (I have found very little resource other than hospital / home health)
    The patient loads and the acuity of the pt is dangerous especially with no management present. I felt like a spinning pill dispenser - no time for caring or educate, just a list of tasks to check off
    And the money was about the same as the bartending that I had done previously (but in a fun environment)
    I feel eaten by the circumstances of the health"care" industry
    What to do now?...
  3. by   rambisisking
    I have just decided to leave nursing. Just 2 days ago in fact, my family and I sat down and made that decision together after I had been in bed for 3 weeks with mono and strep. I"ll be 53 years old in a few weeks and I have "MONO".

    I am the nurse that was "called",for almost 33 years I am the nurse that put my patients before myself always. I am that nurse that Never cared what I was paid as long as I could give comfort and continue to give more. I am that person because that is the only thing that I know how to be and the only thing that I can be. That doesn't make me anything but true to me. It doesn't make me better than any other nurse alive or dead. I have been that in every area that I have worked in for my nursing life. In 1980 I quit a job for another at a 3 dollar pay cut, pretty much everyone I knew thought I should be committed. It was however the right thing for me to do for me. Anyone of "Us" nurses who felt that we were called to nursing in this way went above and beyond what most people thought was reasonable. But let there be no doubt about it, We do it all for ourselves.

    We do it because it is what we do and If we didn't do it that way "WE" would not be fulfilled. That does not make us selfish and that does not make us Angels, it also makes us no different that any nurse who is in it for the money.
    You see Timothy, there are various kinds of payment and to many of us the money never could equal the emmence fullfillment of being the person that you are meant to be and having the ability to carry that out.

    I have given to patients to their families to their friends more than I could ever tally, but again make no mistake about this, In balance on a scale, what I have given is monsterously out weighed by what I recieved in return.

    I started out in med surg then went to nicu, then to mental health, then nursing homes and now private duty peds special needs kids. I am the person who worked 12 hours to complete an 8 hour shift in the nursing home, because during the 8 hours of work there were actual human beings that needed my attention so I gave that and stayed to finish chores and paperwork. I am the nurse that was in the office every morning fighting for patients rights, I am the nurse who spent days in the hospital when my patients were admitted and their parents were unable to be there. My mouth was rarely shut when it came to matters of patient care and saftey, respect of staff and patients, I was a pain in the (&%^ to administration sometimes. However, I have lasting friendships with many family members and friends of former patients, my son has people that are his addopted "aunts and uncles" from these friendships. I can't imagine what my life would have been without these circumstances because this is what I do and what fullfills me. It has been for me and it has been a blessing to me to have the ability to do it.

    I just simply can't anymore! I believe I am tapped out.

    I'm not burdened by my work, I don't give a rats $&*( about the money, I don't have a problem with co-workers or administration.
    It's a 1 to 1 ratio in private duty, and there is no politics in my job.
    I just ran out of gas, my tires are flat and my block cracked, I'm done.

    I hope some of you who are contemplating leaving nursing really search your soul and if you really feel that you can make a difference and if you feel you have the strength to fight and loose and fight again, I hope you try. If you really feel that what you get is not enough, no matter if that is pay or another kind of payment then maybe it's time to go.
    Just remember there are many things worth fighting for and it isn't always dollars and cents.
    I hope nursing can elevate a bit I do pray for that. I hope you all find what feeds you, it's the only way that you can really give unselfishly. This has been a fun ride.....see ya.
  4. by   Diploma'82
    I agree with gitterbug...post #12; alien-warrior...post #27; and Rambisisking...Post #29.
    I have diabetes and depression both have gotten out of hand thanks to the help of my manager. I need to take care of ME so I can better care for others. Put in a transfer request and the next day was told that I resigned.
  5. by   Trini0226
    I left nursing 20+ years ago for many of the same reasons. I got tired of trying to "buck the system". I thought that I would return when things got better but I see that many of the reasons for leaving havent changed. I'm presently back in school to see if I can make a difference from the other side. I'm getting my BS and masters in health care administration. I sure hope that this will help, because something has to change.

    Still a nurse at heart
  6. by   gentle
    Quote from Diploma'82
    I agree with gitterbug...post #12; alien-warrior...post #27; and Rambisisking...Post #29.
    I have diabetes and depression both have gotten out of hand thanks to the help of my manager. I need to take care of ME so I can better care for others. Put in a transfer request and the next day was told that I resigned.
    Hmm, Diploma82,

    it seems that you bring up another unfortunate reason for leaving the "profession or calling": "lies".

    I wish you well in finding a position elsewhere that is more worthy for you. Your last manager was and still is a poop-head.

    (I keep reviewing this post. I am really angry at the way you were treated. I would knock the dust off my shoes--and whatever else I conveniently stepped in--on their doorstep and never return.)
  7. by   RunningWithScissors
    we buy into the concept that we are 'called' and being called has a value of its own.
    If I wanted a calling I would have become a nun.

    My hospital was founded by sisters 100 years ago, and is still run by them. Sometimes I think our organization is still living in the last century.
  8. by   8ntth
    I just retired a month ago after working 32 years in 3 different units in the same hospital. The main reason I quit as soon as I reached 62 was because of the never ending required hours, changing. Most of us worked 3-12's per week. That was changed to 3-12's plus 4, then 3-12's plus 1-8 every other week, then 2-12's plus 2-8's. It made planning impossible. I've been a "day" person for 11 years and yet one year I was assigned to work 3-11 New Years Eve. Oh and that's no longer a paid holiday.
    All that messing with the schedule told us "management" had fun pulling our strings.
    (I'll be going back per diem--my terms!!!)
  9. by   jrbl77
    i agree with all that i read, i know that earlier this year i considered leaving nursing because of all the pressure- work faster and harder than you can even imagine. what you do is never good enough or fast enough. i agree that often you don't have time to go to the bathroom or eat. pts and families expect more and more each day and often have little respect for a nurse's knowledge. i have changed jobs in nursing and hope to have at least 10 more good years to put in. many people i talk to don't understand that old nurses- 29 yrs experience can;t retire like a teacher would with a great pension and full healthcare benefits.
  10. by   bugalug_nurse
    My major gripe is the staff to patient ratios. I'm currently working medical wing in a private hospital with 35 beds in our ward. It is not unusual for our ward to be split into two - one RN and one EEN assigned to each half (and a PCA if you work the AM shift). That's at least 17 patients! The upside is that the nurses there all support each other cause we all know we're in it together. Needless to say, I'm looking around at other hospitals - one I know of has a ratio of 4 patients to 1 nurse......what a dream come true, lol!
  11. by   worldtraveler
    I entered Nursing after working as A Merchant Seaman in the US Merchant Marine on Large Seagoing Ships so it was quite a radical career change. I have never worked so hard(in nursing that is) in my life for the "Money". In my case, Now, I only do Home Health Visits(one pt at a time) as I could never return to Stafffing in a Hospital for any money(maybe private duty one on one OK). I say the Staffing to Patient(acuity) levels are terrible. Floating which hasn't been mentioned is another major reason for Nurses leaving, at least in my area. Safety; personal with lasting back injuries and the increased possibility of contracting Aids, Hepatitis, TB ect. My last staffing Job at the VA I left had me working 2nd shift; I had 20-25 Geriatric patients each evening, all with Dementia, Alzheimers', or Stroke. I had two Nursing assistants to assist me, but they were lazy and wouldn't work. Reported them to management, then they worked even less. I read where some Nurses here had only 6-8 patients. Man, thats a Cakewalk! Try 20-25 Daily ; that's why I left. What is the answer to the problem? Well one large Hospital(jackson memorial) in my City, Miami, has went Union 4 years ago and the Union has helped immensely as far as staffing levels, Safety and Pay raises. I think it(unionized nurses) is the Future of Nursing. Something has to change-all these posts and hardly a Positive so that's proof a drastic change is needed. Left to Hospital Management, they(hospital CEOs)simply will not address the problem! I would NOT recommend, at this time, the Profession to anyone else either,,,,

    BYW, Nursing schools need to drastically change the curriculm--I spent countless hours on those Care Plans only to find out in real life on the floor they count for little. For the sake of brevity this is but one change needed!
  12. by   mom4sure
    I stayed in nursing for 30 years. I left with bad knees that need replacing, a torn shoulder rotator cuff and not even a thank you from admin where I was a loyal hard working nurse who stayed at the bedside all those years. I stayed because I wanted to stay at the core of nursing. I was told that I was not ambitious enough, that I should have at least aspired to be in management.
    I fully understand why the younger nurses don't feel the commitment that us old worn out nurses felt. The "new and improved "administrative team has literally sucked all the satisfaction out of nursing with all the production rules and the dog eat dog attitude of climbing the ladder and being top dog.

    If I had it to do again, I think I would choose to be in the business world where you expect to have to "watch your back". At least the main ploy is not involved in making life and death decisions.
  13. by   jrbl77
    another reason is too many chiefs and not enough indians. there are too many administrators telling staff nurses how to do their jobs when they themselves haven't gotta a clue. when joint commision is on the way it gets even worse. every dept in the hospital tells nursing how to do their job.