Most Pressing Issues in Nursing Today

PocketSize, BSN, RN · Mar 10, 2018

The biggest problem in nursing is the focus on patient satisfaction and lack of personal responsibility. We are so scared of bad HCAP scores that we don't hold patient's accountable for their actions. Diabetics eating donuts you say? Must mean that nurse didn't educate them properly not that they are a noncompliant trainwreck....

THIS.

JKL33 · Mar 10, 2018

The biggest problem in nursing today--indeed, in all of healthcare--is: THE OPIOID CRISIS!!! And, by that, I mean very damned little to do with the actual opioid crisis, but rather the knee jerk stupidity that has been both a cause of and response to said crisis, and by that I mean a long and pitiful history of healthcare regulation by people who know next to nothing about healthcare.

When I admit a patient with a stroke at 0340, one of the questions I must ask is: what can you tell us about yourself that will make your care more individualized? And with whatever cognition that patient has, he or she is thinking, "Oh, my God, I'm in the hospital! Am I going to die?" And so I chart, "Likes chocolate pudding." Because, you know, actually getting to know someone and learning what they need takes more time than the suits can afford.

Seems like you about summed it up, Mike.

missmollie, ADN, BSN, RN · Mar 10, 2018

What exactly is interesting. You tried to call me out for cheating on homework when I am trying to have a substantive conversation about advancing nursing as a profession. What exactly do you think I am trying to gain? The interesting part about you is with a doctorate and 40 years of experience you should at least be able to come up with one issue that you would like to see solved. But you'd rather troll my post and say that I have some nefarious agenda.

No one is trolling you, and you are not posting anything substantial within the bedside nurse's experience. It's almost like...dare I say it....You've never been a bedside nurse.

Do some research.

google.com -> type in google scholar -> type in topic -> read peer reviewed articles for free.

In the absolute stretch that you are a MSN educated nurse, you've obviously never been at bedside. Take a step down, grasshopper. You can't know what you haven't experienced.

Kooky Korky, BSN, RN · Mar 12, 2018

Look at your original post from our point of view. Brand new poster with no credentials besides username posts the following:
In Post Modern America, what is the most pressing issue we face as nurses? After deciding on an issue, can you come up with a solution or at least a foundation to begin tackling the issue? Excited to hear your responses!
Those of us who have been here a while- esp. those of us who are educators, see the hallmarks of a student trying to get someone to do their homework for them. We see this ALL. The. Time.
It smacks of homework- or at least a discussion posting topic. I'm still not convinced it is not. How about a link to the podcast?

Sometimes, MMJ, you might see wrongly and conclude wrongly. This being so cock sure, without proof, in an accusatory manner, is one of the biggest problems in Nursing. The cure? Express your doubts nicely. Ask for the link nicely and first.

allstressedout1 · Mar 13, 2018

I watched girls going back to get BSN. One would do everyone math online, one would do another class and so on. It bothered me.

sallyrnrrt, ADN, RN · Mar 13, 2018

In my humble opinion, it is today's model in nursing education, woefully lacking in clinical experiences.....

I understand the change, do not really agree with it, but that is probably reflected on my hospital based diploma program...

That being said, I can not do enough to help new nurses, come along, it's a two way street, I get as much as I receive.

Kratoswife · Mar 15, 2018

Racial discrimination.

Staff to patient ratio.

Knotanoonurse · Mar 16, 2018

Adequate patient care is the most pressing issue and removing management intervention is the solution.

How to solve it? Put someone like a CNS as an embedded staff member. Have this person be a nurse of several years experience. I cannot tell you how many MSN and DNP who have very little bedside experience or none at all. There are some cases the bedside isn't a great advantage, butbif you are helping people to become bedside nurses, stay there long term and succeed in that role, you need a good foundation (5-10 years). Also, offer face to face education for staff as part of their work time at no charge.

Finally get rid of the rampant narcissism and lateral violence. So sick of people who are a walking billboard for themselves being promoted over those with a solid track record of successes.

Kooky Korky, BSN, RN · Mar 17, 2018

Homework detected.

If that is offensive to you, please don't engage. but do ask yourself what if it isn't homework? And so what if it is?

I do not understand this bashing of students and how very sure some people are that something is homework, absent any proof at all.

Issues plaguing nursing today: staffing, staffing, and staffing;

running Nursing like a business, without due consideration of the changing needs of patients and how time-consuming patient care can actually be;

Nurses who are martyrs and cowards letting themselves be maltreated on the job and not standing up in unison to get maltreatment fixed;

Nurses who can't or won't engage in calm discussion;

NP's without any bedside/direct care experience;

schools turning out minimally skilled nurses;

Kooky Korky, BSN, RN · Mar 17, 2018

Are you talking about the Aiken study where they measured educational background and patient load simultaneously without a corollary study? The one that didn't break down whether the BSN nurses were entry-BSNs or previous ADNs?
And your hospital system is in the Top 5 for what exactly?

The Admins have old buddy frat bros in high places.

Mini2544, ASN, RN · Mar 18, 2018

The biggest problem in nursing is the focus on patient satisfaction and lack of personal responsibility. We are so scared of bad HCAP scores that we don't hold patient's accountable for their actions. Diabetics eating donuts you say? Must mean that nurse didn't educate them properly not that they are a noncompliant trainwreck....

YES. YES. YES

Tomascz, ASN, RN · Apr 1, 2018

So do you think a true capitalist system is the way to go?

I think you ought to stick to nursing or at least study some post autistic economics. Definition and accuracy of terms is every bit as important in economics as it is in medicine. Both have the power to end or extend human life.