What is the major reason nurses leave? - page 6

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   MagicAvalon
    TwoTrees2 is pretty right on with that list.

    I've got 5-6 years left and looking for another line of work to do when I retire from nursing.

    CNA does NOT represnt the nurse, it supports the hospital because without the hospital they can't generate $$$$. Do you know how much the Ann DeMoro makes, the head of CNA about 200K a year, the union reps about 98K.
  2. by   brendamyheart
    If I were to leave it would be do to management not giving a darn in what we do. I am a unit manager and so frustrated. When I relate a problem to DON or administrator I am told to fix it. The problem is ,that I have tried to fix it, that is why I am coming to you!! To me ,were I work the above management does not own ownership/leadership. Just their to do a minimal job. If things go wrong the unit manager gets the blame. Pass the buck that is what it is all about! I fix, chase problems! However I have a job to do other than this. I am frustrated I help with the problems and have a hard time to finish my job which is PPS assessments. If I do not get this done, we do not get paid. The other reason would be not having enough time to do proper patient care. The other reason would be too many bosses contradicting what goes on. For me would be all above except pay!!
  3. by   Hellllllo Nurse
    Quote from ZASHAGALKA
    Simply put, nurses are paid below the reservation wage (the level at which too many would have reservations about the job at that wage) because we buy into the concept that we are 'called' and being called has a value of its own.....

    .....Eventually, it will HAVE to dawn on TPTB that creating environments that retain such nurses is cheaper than endlessly replacing them.

    ....That is the value of having to pay full price for a commodity; you also have to respect it. Or more to the point, the bottom line is really the bottom line, or, as they say, money talks.

    ~faith,
    Timothy.
    I have to disagree.

    This past summer, I took a very lucrative travel contract. The unit was supposedly beyond desperate.
    I was paid $54.00 per hour, and would get approx 10 hrs overtime a week @ $81./ per hr. I received a very nice, upscale furnished apt. Housewares, linens, untilities, phone and cable were paid by my agency. My contract specified that I was to get one week off paid in the middle of the contract. The agency was to provide me with a plane ticket, at no cost to me, to fly home for that week. I received $400. for travel expenses to drive the few hundred miles to job location. Completion bonus for 13 weeks was $2000.
    I was told I could extend my contract at this facility indefinitely.

    My contract and compensation were the subject of conversation among the recruiters at my agency. Who knows how much $$$ they would be getting? I had the feeling they were all lighting cigars, and slapping each other on the back.

    To top it off, the facility is in city where I had already done several contracts. I am familiar with the area, and most of my family lives only 1.5hrs away.

    I could not believe my good fortune. I had thought wages this high were a nursing urban legend.
    When I added up how much I would make over the contract, I was giddy. Cha-ching!

    When I got there, I found a miserable, crumbling, filthy hell-hole of a unit where pt care means nothing, falsifying documentation all day long is the routine. I had never seen such a miserable, hateful bunch of who-gives-a-damn coworkers or malicious mgmt in my life.
    I saw cockroaches crawling on supplies. I was expected to sign off on tx, assessments, and enviromental controls which I knew had not been done. When I brought my concerns to a manager. I was laughed at and told I needed to "play ball." When I continued to object, I was basically told "You'll never work in this town again." I broke the contract and left after a week.
    I called a nurse I know whom I like, but to put it nicely, I will say she is not a very moral or ethical person. She took over the contract.
    Yes, I did report the things I'd seen.

    For what I was getting in total compensation, this facility could have paid for four reg staff RNs, a clean up crew, some pest control, and even some hand soap (which they didn't have).

    That was last summer. This week, I got a call from the manager who had basically told me "you'll never work in this town again" asking me to come work for the company again at another unit. I was incedulous. I asked her "what about the situation last time?" She said that it was all "water under the bridge" and that I could come back and work for her anytime.
    Needless to say, I declined.
    I called the colleague I had referred and asked her if anything had changed. She laughed and said "just the staff."

    These awful people never learn. They don't give a damn and don't care to learn. Obviously, they are spending ungodly amounts of money on travelers, and staff turnover. They could spend a lot less and provide an environment where safe, legal, ethical care could be provided, if they just gave a damn, or had even a small amount of respect for pts and nurses. But they don't.

    (For legal reasons, I will not respond to PMs asking for the name or location of this facility).
    Last edit by Hellllllo Nurse on Nov 23, '06
  4. by   moonbean
    Quote from santhony44
    There is a term for this, that I just can't quite call to mind. It refers to being held responsible for a lot of things while at the same time being fairly well powerless to change things that need to change.
    Perhaps "scapegoat" or "whipping boy/girl" ???
  5. by   Simplepleasures
    Quote from kayRN21
    I called my supervisor and told her I could not lift by Doctor's order. They put me on 3 month leave of abcesnse and fired me. I have not worked in 18 months. What a way to end a 31 year nursing career. I am poor but happy. God has released me from nursing and I place my trust in him. Social Security turned me down three times and I have an advacate to be with me at the hearing. I have chronic pain after the surgery and I am still on pain meds. I will never go back to patient care. All the long 12 hour shifts and the lifting took its toll. I pray to God I get social security disability. Nursing was a love hate relationship and I can relate to all that responded to this link.
    Boy can I ever relate to you, I have DDD, DJD, and fired ( but not for a disability reason) All those years in LTC dungeons,took its toll . I guess weve been chewed up and spit out, only to find out we now have to FIGHT to get our Social Security Disability benefits. BUT, I agree that it is worth it to at last be out of the dungeons of LTC. Miss my sweet little old folks and my some of my fellow nurses, cant say the same for management!
  6. by   P_RN
    Quote from kayRN21
    I left nursing because I herniated two disc in my neck......<snipped> I had had an MRI the week before. I could not say when I hurt my neck so worman's comp was out of the question.

    I would like to point out that management might just tell you that W/C is out because you cannot pinpoint an exact event/injury. Management is "NOT THE BOSS OF W/C"

    I don't know how it is in TX, but here you don't have to prove an exact moment in time. Management may also tell you that you have only 48 hours (Like I was told) to get checked. Again here that is UNTRUE. It was 3 months! My lawyer -who I did pay a LOT of money- told me that's how they play the game, so their premiums don't increase.

    I don't know if your 18 months out of work is too long, but you may have a case for wrongful dismissal or ADA violation. My lawyer gave me a free 1 hour consultand it turned out well for me. Apply for Social Security disability and call them every couple of weeks to see where your application stands. See if your retirement system has a medical disability clause. Don't roll over anyone.....we need them to realize what toil this work is taking on our bodies.
  7. by   P_RN
    Claim Lifecycle Information

    Here you go it's 30 days in TX ......to notify your employer.....

    You have the responsibility to send a completed claim form (DWC-41) to the Division of Workers' Compensation (DWC) within one year of the date you were injured or within one year of the date you first knew that your illness might be work related
  8. by   Unity
    You ask why nurses leave the profession, but the possible answers you offered and those you are receiving are about leaving the bedside in the hospital, not the profession.

    There are many more opportunities in nursing other than hospitals. Look around. Ask others about them on this website. You can still use your nursing knowledge in a variety of settings. Nurses (we) are problem-solvers, good decision makers and critical thinkers. The world needs people with our skill-set. Go for it!
    If you don't like being in the hospital explore other options. You can get rewards from being a nurse in a variety of settings. Nursing is so much more.

    On the other hand, there are many hospitals in which nurses love to work. Why do nurses still like to be at the bedside in their particular units? What keeps them there?
    What does the ideal work environment look like in a hospital? How can we create it?

    Evaluate your purpose in nursing and in life. Do they match?
  9. by   marybethm
    Very thoughtful post. I think that's a great place to start---what are units who are keeping their nurses doing? I will bet dollars to doughnuts that it has to do with two things. Their coworkers and management. Do they all get along? Are they supported by management? It's like war--the young men who fight say they are fighting for America but I believe they are fighting for their brothers in arms. They don't even know it but the Army knows it.
    I am still good friends with nurses I have worked with on certain units from 25, 30 years ago...units where we all got along and even though we worked harder than I ever have before or since, we had fun and supported one another. If you don't have that, you don't have anything and you're not going to retain anyone, unless it's those working for a pension, tuition payment, nurse manager position or to meet some MD and marry him. I still remember one job, years ago, in an ER where the head nurse talked baby talk to her favorites, and acted like she was the queen and everyone was there to carry out her wishes. It was the unhappiest ER I was ever in and unbelievable that someone like that could be in charge. I lasted about two weeks.

    Sure, some nurses have specific goals, and work to achieve them. But many of us are just getting from day to day, getting married, raising a family, paying bills and just want a good place to work while life happens. We're open to different units, different areas, different jobs. The basics are important, though: decent pay, decent benefits. Then there are the intangibles like decent coworkers, being treated like an adult and respect from management? That's where you find nurses staying.

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