Nursing is not always recession-proof

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Contrary to popular belief, nursing is certainly NOT recession-proof.

During the recession of the early 1990s, some nurses would remain unemployed for 6 months or longer as they looked for jobs. This severe nursing glut continued well into the middle 1990s.

During recessions, patients avoid having elective surgeries because they are fearful of taking the time off work that is needed for full recovery, which results in low hospital census. When hospital census is low, less nurses are needed to keep the floor running.

More people become unemployed during these rough times and, as a result, lose their health insurance. Uninsured people are definitely not inclined to seek healthcare unless it is an absolute emergency. In addition, medical bills incurred by uninsured patients tend to go unpaid, which means less money for healthcare facilities.

Although it is an accurate statement that nursing jobs can never be outsourced, always remember that nurses can be "insourced" by recruiting foreign nurses to work at US hospitals. These nurses are less likely to whine about working evenings, nights, weekends, and holidays because they are earning more money in America than they ever would in their country of origin.

A massive plethora of part-time nurses accept full-time positions during recessions to keep their households afloat when a breadwinner spouse loses his/her job without notice. Plenty of retired nurses are reactivating their nursing licenses and returning to the nursing workforce due to the high costs of food and fuel, and the effects of rapidly dwindling retirement funds.

This is just some food for thought. While this phenomenon might not apply to your region, it is certainly happening in many places across the nation.

Specializes in Government.

I remember well the early 90's...in my area, a time of nurse layoffs and facility closings. I didn't lose a job but was reduced to .8 FTE. New grads could not buy a job in my area.

What was even more clear (and sharp in my memory) was the turn-on-a-dime of the hospital admin attitude. 15 seconds after there was even a small glut, the mantra became: "you are lucky you have a job!".

Specializes in ICU, Telemetry.

I know last Monday when the stock market tanked, the ER was full of chestpain/palp/anxiety -- one of the lawyers in town lost 300,000 dollars, and had a MI and got shipped up the road. Maybe the ER will be busier as folks lose their insurance and start using the ER as their PHP -- and we'll always have our frequent fliers....

Specializes in ER/Trauma.

No job is immune to market pressures.

The key is to understand developing trends and adapt as the need arises.

The Market will always tend towards conservation of labor. Just take for example farming:

“In 1800, it took nearly 95 of every 100 Americans to feed the country. In 1900, it took 40. Today, it takes just 3.…The workers no longer needed on farms have been put to use providing new homes, furniture, clothing, computers, pharmaceuticals, appliances, medical assistance, movies, financial advice, video games, gourmet meals, and an almost dizzying array of other goods and services."

Or to use a simpler example:

You do not worry about how to spend the hours you save when you buy a washing machine. Make-work confusion can arise only in an exchange economy. If you receive a washing machine as a gift, the benefit is yours; you have more free time and the same income. If you get downsized, the benefit goes to other people; you have more free time, but your income temporarily falls. In both cases, though, society conserves valuable labor.

Many economists advocate government assistance to cushion the displaced workers’ transition to new jobs and to retain public support for a dynamic economy. Other economists disagree. But almost all economists grant that stopping those transitions has a grave cost.

cheers,

Specializes in MPCU.

Yeah, life is hard. Then you get to rest.

I'm in OH, in NS. I'm doing a clinical in Med-Surg, and we aren't able to get to where each student has two patients (our instructor says students would normally have three at this point during all other times of teaching). Other students at different hospitals are having the same problem. The nurses are affected, saying it has a lot to do with people not having funds/insurance, and census is low at all hospitals. One day a nurse was sent home because the nurses would have had something like two patients if divided up with her there. The nurses all appear pretty shocked by this apparent new phenomenon. They say this winter it will pick up. With the climate of the economy, I have to say I quietly disagree.

I can't imagine this same hospital needing to hire nurses, especially new grads. It's also scary to me when I imagine all the people not having access to medical care. I would think the ERs would be hit hard eventually, with poor outcomes due to the wait for treatment.

Specializes in Case mgmt., rehab, (CRRN), LTC & psych.
I would think the ERs would be hit hard eventually, with poor outcomes due to the wait for treatment.
I agree. I think we'll be seeing a snowball effect.

More lost jobs in society will equate to more uninsured and underinsured people. More uninsured people in society will equate to more people avoiding preventative healthcare because they cannot afford it without medical coverage. More avoidance of preventative healthcare will result in more visits to hospital emergency departments because these uninsured people wait until their conditions are emergent before seeing anyone about it.

At least ERs will remain busy. I think NICUs will stay busy, because many uninsured pregnant women will avoid receiving prenatal care and, as a result, give birth to unhealthy offspring.

Wow, this thread certainly frightens me. I'm about to return to school to keep working on my pre-reqs and as it is I'm having second thoughts. Now I read this... One of the reasons I wanted to pursue nursing is for job stability (for my family) as I was always told "you'll always have a job as a nurse". Going to nursing school might mean that I'll be out of a job for a while but I figured it was ok since I'd probably have no problem getting a job once I was done. Now I'm not so sure and I can't afford to be out of a job for very long. My family is pretty reliant on my income and, more importantly, my health benefits. I didn't pursue teaching because of how hard it is to get a job in this area but at least I wouldn't be putting my current job on the line while I pursued it. But if landing a nursing job is just as tough, then I guess I have some thinking to do...

:confused:

Commuter, thanks for your insiteful post.... I myself am willing to be flexible to keep myself supported and avoid losing the house in these harder times.......

Specializes in Addictions, Corrections, QA/Education.
I am a NICU nurse and sadly the worse the economy gets, the busier we are.

That is really sad...

Same here except I am in corrections.

Specializes in Community Health, Med-Surg, Home Health.

Of course, TheCommuter is right on time with this thread. Interesting enough is I was chatting with one of our agency nurses yesterday and she told me she was really resentful that she saw a patient come in with a $1000 Gucci purse she was using for a diaper bag demand for her WIC form to be filled out immediately. I work at a city hospital, where we are supposed to service the community whether they can pay or not. The agency nurse is watching this girl chat on her Blackberry telephone, and meanwhile, this agency nurse has no insurance coverage of her own, but has to service this patient and many others just like this who blatently drain the system.

I have noticed that there are more blue collar professionals and health care workers that work for agencies that do not offer insurance coming to our clinics now for fee scaling (most times, the scale can be as low as $20-including the labs and diagnostic tests). This is nothing to sneeze at. I am grateful for my chaotic job these days because I strongly believe that the search for another with the same benefits I have would be close to impossible right now.

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