How to retain nurses?

Nurses General Nursing

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"How can we retain nurses?" This question was queried at my last staff meeting by the director. We currently are using 17 or more travel nurses in our approximately 150 bed hospital with at least 20 or more openings for full time, part time and seasonal nurses posted. I heard that one nurse said something to the effect that no one in admin listens to us so why ask? Hospital positions were always the "sought after" positions for new grads. Now they leave after 1 year to find something more tolerable.

When things go right, when we get complimentary letters and "good" patient satisfaction scores we are told, "good job", "keep up the good work", but when one patient or family member complains, when there is one fall, one problem there is a verbal or written (or God forbid a final written) warning that stays on your record for a year and a required essay as to how you're going to fix the problem.

And yet here we are day in and day out dealing with abuse, criticism and complaints from patients and family members, and a workload that is frequently impossible to complete in a safe or sane manner. The other day admin bought everyone pizza because the day was so bad. Really!? Is that what you think will fix the problem?

I've had it. We are NOT appreciated. If we were, YOU would back us up instead of pandering to the ones who complain. YOU would hire enough staff so we weren't completely fried.

Sorry for this rant. I just had to vent. And, yes, I am looking for another job after many years of bedside nursing.

Specializes in Psych (25 years), Medical (15 years).
On 2/16/2019 at 7:54 PM, old&improved said:

"How can we retain nurses?"

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I work on a busy, high acuity, med-surg, 1:6 ratio floor. Some days, it's doable if I use every second I have.

The ratio would be better on some days if they didn't pull our nurses to other floors. Our floor does leave you alone on your days off, I'm not unsatisfied with my pay, my coworkers will all jump in and help a nurse who has been slammed. There are some things though, that they allow to happen to us and we are just expected to deal with it.

I can be on top of everything, all day. I get a discharge, get report on a patient I think is going to be my next admission and begin to prepare for it. Only to have the ER sneak a patient up, no report, with blood that was ordered 2 hours prior and they never got it. Recently, they sent me a patient up who was 'stable.' She arrives, gets up to pee and proceeds to have a heart attack. I had her for in my care for 6 minutes. I'm sorry, but if the slightest exertion can trigger a coronary event, don't they know that? Then comes the 'call' and all the charting associated. And someone else has just dodged a bullet and my day has gone to ***.

Holding other people accountable for their *** practice would go a long way, in my book. Same with calling in and floating our people... Your floor is ***, you treat your nurses like ***, they call in, you take our nurses, then our days are *** right along with yours. Why don't they ever get pay cuts, demotions, whatever?

Last but not least.... patient complaints. I can get a wonderful write up from one room and get complained about from the room next door. I had a family recently that thought they were going to say jump and I was going to say, "how high?" It did not turn out that way. The sister was writing everything down and I was spelling it out for her, so she'd have it all perfect. I have a disability, I can't wait until they have to decide who they are going to pay more; me or the family.

Specializes in ER, Trauma.

The beatings shall continue until morals improves!

Seriously, if your management doesn't know how to retain nurses, the first change must be to change management from the top down!

On 2/16/2019 at 8:39 PM, JKL33 said:

See I think you should've slowly raised your hand, then uber-seriously and meekly replied,

"....more pizza, maybe...?"

:nurse: ? ?

Tip: Always carry a resignation letter in your bag, just leave the date blank so you can fill it in quickly if need be, like in case you just get fed up some day and pull a stunt like that ^ ?

More pizza, yes, with each diner getting his or her favorite crust and toppings of choice. Surely that is the answer.

Love the "carry a resignation letter with you".

Answer to staff retention - KISS = ITSS. Keep it simple, sweetie, it's the staffing, sugar.

And pay and mandatory OT and harsh handling of honest errors and not being able to take a dinner or potty break, and having to arrive an hour early to get a parking spot and still make it to work on time, and all of the many things like these that come up. And not disciplining uppity aides - letting them run the show, while dissing the licensed nurses who are supposedly in charge.

On 2/17/2019 at 1:41 PM, mtnNurse. said:

Yes, painfully obvious! Especially being given too many patients and expected to do the impossible!

Oh, they’ll have an answer for that: we need to focus on our time management skills...eye roll.

Specializes in NICU/Mother-Baby/Peds/Mgmt.
On 2/17/2019 at 2:50 PM, morelostthanfound said:

^^^Love it-truth!!!^^^ Or, "um, how can we retain nurses and keep our year-end bonuses as well as all of the perks and bennies for our top heavy senior management team?

THIS. That's what they care about. I once worked for a big pediatric hospital where in an interview with the CEO pre-retirement he said his goal was to retire at 50. One or two years prior his BONUS was $250K, yet the hospital tried every tactic to make nurses afraid to vote for a union. It worked too. We did end up with a 50¢/hour raise, but a neighboring hospital unionized and got a couple dollars.

Specializes in Geriatrics, Dialysis.
On 2/17/2019 at 1:50 PM, morelostthanfound said:

^^^Love it-truth!!!^^^ Or, "um, how can we retain nurses and keep our year-end bonuses as well as all of the perks and bennies for our top heavy senior management team?

No doubt. The top heavy employment model has bothered me for years. I work days at a medium size SNF, total beds around 90. We have on days 4 nurses when fully staffed though it's not uncommon to work with 3. There are during that same day a DON an ADON 3 unit managers and an MDS nurse. Management outnumbers nurses and not by a small margin. This is of course Monday through Friday 9-5, outside of those hours the nurses are on their own and seem to manage just fine. How about this for a novel idea? Maybe eliminate some of the superfluous management and invest that money in a couple of floor nurse positions.

Health care and nursing care are now corporate owned. Corporations do NOT give a rat's patooti about safe patient care. They care about their profit margin. The answer is fight for legislation for safe staffing ratios.

Vote for the legislators that have the same ideals.

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