why nursing is a mess. three simple facts

Nurses Professionalism

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If you are expecting an elaborate article, you won't get it here.

1. cost too much to transfer license from another state. About 220 bucks just for me to transfer my RN license since I am moving to another state. Lame. it's not like ive performed any crimes in the past few months.

2. Phd in nursing- LOL? Who would get a phd in nursing? it is not like it is as an elaborate field as chemistry, biology, or psychology. WHAT A JOKE. This is pretty much just a bullbeat way to try to OVERLEGITIMIZE the nursing profession. What are you performing double blind controlled studies on.... HOW TO GIVE A BEDBATH OR BREAK THE SEAL ON THE ASPIRIN TABLET???? Keep it simple folks.

3. Overcomplication- nurses are probably the worst at over complicating things. I remember back in undergraduate, we were taught those elaborate care plans. Do you know what care plans are? GARBAGE. You never use them and nobody cares about them. Unless you are one of those old hags with a Phd IN NURSING..... You know what else is dumb. NURSING DIAGNOSES. you know what those are? cheap copies of medical diagnoses, aka nurses trying to legitimize themselves with medicine. I remember having to come up with these stupid things. IMPAIRED NUTRITION SECONDARY TO DIFFICULTY SWALLOWING. ARE YOU KIDDING ME, NO CRAP, IF YOU CANT SWALLOW YOU CANT EAT. NO CRAP ROFL. I also remember the nursing skills manual. 10 pages on HOW TO FOLD A FREAKING WASHCLOTH AND MAKE A BED. Go home overcomplicators, go home.

I also remember having to learn indepth about diagnoses such as cardiac tamponade. WHENS THE LAST TIME YOU PAGED THE DOCTOR AT 3 AM "Hey I think this patient is in cardiac tamponade, you know when they stick the tampon in lemonaide???" ARE YOU KIDDING ME... NEVER.

I could go on and on about point 3.

Overcomplication is a simple way to try to self-legitimize. Something the PHD level nurses are professionals at. Good professionals simplify as much as they can, not do this garbage.

Specializes in OB-Gyn/Primary Care/Ambulatory Leadership.

I doubt it will happen in my lifetime.

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Most frustrating regarding licensure in other states...why have a compact license, than require obtaining a state license after a varying amount of time?

Form a compact license committee to follow nationwide, create a cohesive BON, R/T following up with disciplinary actions when needed (just that would dissolve massive confusion, increasing appropriate positive reform/recovery, programs/protocols.).

Decrease the amount of stress resulting from maintaining our licensure, attempting to remain up to date on ever changing politics within the medical community, than we all are able to move forward and do what we love...care for our patients.

The beauty of Nursing, are the multiple arenas to practice in.

To judge an ER Nurse with a med-surg mindset, just isn't fair. Each position holds it's own unique stressors.

The nurse who believes they will never make a mistake honestly scares me. Various nursing roles require different knowledge, and skill set. We all do what we have to do in the end for a common cause.

I love this site, and thank you all for your input.

Reading these threads, literally right before a shift, has enabled me to put my scrubs on, and face another often chaotic shift. Just knowing we are all in the trenches together!

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Specializes in Neurosurgery, Neurology.
If the Powers that Be continue to have their way there will be.

Based on what evidence? Are you referring to nurse practitioners or bedside RNs?

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There are a lot of things that frustrate me about nursing as a profession. But...fees? For licensure? That wouldn't even *make* my list let alone top it.

I think the bickering over education makes nursing "a mess." Not having PhD nurses.

I think care plans are as useful/useless as you make them.

What would make my list is the push to turn nursing and healthcare in general in to customer service professions. I don't work in a spa and the red button is not the waitress button.

Hospitals that expect us to fill out surveys about how much say we have in the running of the hospital and how happy we are so that they can get a certification and then give us as little real power as possible.

Nursing colleagues who will complain about the poor benefits, poor working conditions, poor treatment by administration and management but then can't see how unionizing just might give us power to address some of those issues.

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Specializes in Med-Surg, Oncology and OB/GYN.

Sad thing is, I still have those darn care plans with the Nursing Diagnoses. Those things are hours of my life I will never get back. The blood, sweat, tears, frustration and panic attacks those things caused!!!!

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Specializes in ED, Telemetry,Hospice, ICU, Supervisor.
Yes, because there are so many doctoral-prepared nurses working the bedside.

Thats why they get their Doctorate degree. To get away from bedside, all our PhD Nursing staff write policy and make up more paper work for regular staff nurses like myself.

As soon as they get away from bedside, they stop thinking about the amount of work they are pilliing onto our plates and start.

I don't blame them though, it is the nature of their job. They are not here to make life easier for bedside nurses. Their job is to make sure the hospital is covered if something bad happens, and that thee is a steady supply of people to throw under the bus when the time comes.

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Specializes in burn ICU, SICU, ER, Trauma Rapid Response.
Thats why they get their Doctorate degree. To get away from bedside,.

There are lots of nurses with doctorate degree working at the bedside. I can think of 3 in my hospital alone. All have DNPs earned online, none are APNs. We have a very generous tuition assistance program and if you want to spread it out over 4 or 5 years you can get a graduate degree for free paid for our employer.

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Specializes in ED, Telemetry,Hospice, ICU, Supervisor.

We have a tuition assistance program as well and people use it to the full benefit, as they should. The PhD RNs in my facility all moved away from bedside. My conversation with my ICU Clinical Specialist really opened up my eyes.

In my union hospital you can retire after 20 years. Keep in mind most of these PhD RNs are in their 50s or so. So the idea is you work your 20 years at bedside while the facility pays 25% of the cost of tuition. The catch is, you have to work for them for 5 years after you finish your degree, or else you pay them back. You can renew this educational benefit every 5 years. So assuming you start work as an ADN, you can have your doctorate degree paid in part by the hospital, in 15 years.

So now you are 15 years in the union system. You just have to wait 5 more years before you can retire. At 20 years you leave your union gig and work full time in the same hospital as a non-union position like our clinical specialist. Now you are collecting form union retirement at the same time they are making money from their non-union gig. With a PhD, they can usually name their price,

non-union positions where I come form usually means you negotiate your package on your own.

Its actually a very good career path. You get away from bedside which means decreased risk of back injury and torn rotator cuffs. Non-Union means your goals are in line with upper management, which means you dont ever have to concern your self with the plight of us at the front lines. You don't get calls for critical pt dying, or the narc count was off. If something does happen, you were no where near any pts so really its the bedside nurse that gets thrown under the bus.

Must be nice.

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Specializes in ICU-my whole life!!.

IBTL !!!!!

OP,

I'll pm you the real reason. Your 3 statements are wrong!

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I don't get that stuff either, it all seems like a contrived scheme to demonstrate competence and professionalism at an imaginary level. Glad that at 61 I am now officially retired. The scripting, the "patient satisfaction" crap, the entitlement mindset. Peace out to all of it.

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Specializes in Psych, Corrections, Med-Surg, Ambulatory.
There are a lot of things that frustrate me about nursing as a profession. But...fees? For licensure? That wouldn't even *make* my list let alone top it.

I think the bickering over education makes nursing "a mess." Not having PhD nurses.

I think care plans are as useful/useless as you make them.

What would make my list is the push to turn nursing and healthcare in general in to customer service professions. I don't work in a spa and the red button is not the waitress button.

Hospitals that expect us to fill out surveys about how much say we have in the running of the hospital and how happy we are so that they can get a certification and then give us as little real power as possible.

Nursing colleagues who will complain about the poor benefits, poor working conditions, poor treatment by administration and management but then can't see how unionizing just might give us power to address some of those issues.

I wish I could like this 10 times.
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It says your a NP that works nights, I'd love to hear what a typical shift is like for you.

But I won't hijack the thread.. Carry on

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