Quote from tonyluvnelly
Is the turn around rate bad in nursing? Are RN's treated badly? or is it the workload that can become heavy? just curious.
P.S. Thank you for all your replies!
The turnover rate can
be high.... I guess it depends on the particular environment one is in.
However, being as objective about it as I can, I don't think anyone ever intends
to treat their nursing staff badly. It just works out that way sometimes.
I consider it a vicious circle: the stockholders of health care corporations expect (rightfully so) a decent return on their investment, so they lean on the corporate board to keep up profitability. The board in turn leans on the facility chief to keep costs down, and s/he in turn leans on the department managers to do likewise.
So.... consider the average income/expense per pt per day. The biggest expense any business has is staffing. So, in order to meet profit goals, that is the quickest and, in the short run, easiest place to save some $$$$. The squeeze is on from all levels! And, none of them is intensionally being "mean" or wanting to shortchange pts, but all are trying to protect their own jobs.... and it is a little tough to see the hardships of your staff when you are stuck in financial meetings, JAHCO compliance audits, and department expense spreadsheets!
What happens then? Hiring slows down (it is cheaper to pay 2 employees overtime than it is to hire/train a new staff member), workload increases, overtime hours per week rise per employee - leading to burn out, job dissatisfaction, and rapid turnover. Add to the mix that more people are leaving bedside nursing than schools can possibly turn out to replace them.... you see what I'm getting at.