Howling at the Moon
Warm and Fuzzy No More: It's Time For Nurses To Use their clout
by Mark Jorgensen RN of Omaha, Neb.
it has been refreshing for a change to read some readers opinions that were not from 21 year old new grads, or those eternally "warm and fuzzy" types. We've read enough "save the world and pamper your patient" opinions to choke a moose. It's high time nurses address the real isssues with real clout.
We can maintin the desire to be quality nurses concurrent with taking a hrad stand regarding income, staffing and working conditions. First, however, nurses need to be brave and accept some of the physiological reasons why we make peanuts in relation to our education. An honest understanding of actual barriers to what nurses want is essential if real gains are to be made.
I have not seen anyone courageously address one of the major problems we face as nurses: our own physiological persona as a group. there are exceptions to the rule in nursing, just not enough. Choosing not to address this facetof our proffessional lives will ensure that our dilemma will continue until foreign nurses, or a new type of nurse, replace us.
It's time nurses care for themselves just as MDs, pilots, electricians and other proffessionsals do. Thats not selfish, it's common sense. This is ecspecially important for single income nursing households.
I won't go over much of the available data as to why we are in the predicament we're in, but a cursory review reveals that nurses in the workplace are overly passive, tend to not work well together, have a difficult time agreeing on a course of action and, at times, seem capable of standing up for themselves only in the break room and not the board-room.
The "let's save the world" warm and fuzzy nurses who refuse to stand up for themselves are part of the problem, not part of the solution. They can save the world and get paid what they are worth if they would join the fight and assist the rest of us to make our careers more fulfilling. Nursing will never improve unless a unified and forceful voice in your facility emerges. Until that time, we're howling at the moon.
Don't kid yourself for a second: Hospital and other facility CEOs are fully aware psychologically of why and how they can manipulate nurses to maintain their profit margin. thei lip service does not pay your bills, nor improve your career satisfaction. The occasional pizza or dooughnuts are appreciated but do not substitue for better working conditions or higher pay. It's time nurses see beyond these distractions.
While we struggle, CEOs are buying new beach houses in Costa Rica from the bonuses they recieve for keeping the largest expense in check. They know how far nurses are willing to go to make their point before they retreat. They are experts at making nurses feel guilty by implying they do not have the resources to improve the nursing world, when in fact they could find a way- even if it means increasing the cost of some services.
Do you think Delta pilots are loosing sleep because their pay raises may sligtly increase airfare? I am generally not a union supporter, but this is why unions can be important for nurses. Generally speaking, nurses need someone to organize and focus on the goals necessary to improve our career satisfaction. Nurses themselves do not get it done.
The warm and fuzzy crowd says, "It's not right for nurses to unionize or strike", even though MDs are joinging unions like lemmings. If your facility's nurses can stick together and bypass unions, all the better. But let's be serious and use real world examples.
How far do you think and employer could push a steam-fitters, electricians, teamsters or rail union? Not far and not for long. Are you sensing a trend here? These job fields are primarily male-dominanted. Groups of men simply will not accept no for an answer for long. Nurses are 95% female. generally speaking, nurses have accepted no for an answer for all my 20-plus years in the field. This is partly related to the idea that for a sizable number of nurses, it's "just a job", "extra income" to augment the husbands salary, or a job one may leave for a pregancy and return later.
Too mnay nurses are content to allow burnout to complete its cycle, or simply leave the field rather than to fight for job satisfaction. What a waste of our time and money for our education!
Another reality check is that a person who has enough of an IQ to complete a quality course in nursing is likely capable of being successfull in other fields. How many engineers are forced to regularly work rotating shifts, forced overtime, forced to work holidays, and on ad infinitum?
A self made millionaire acquaintance, who is familiar with what it takes to be a good and educated nurse, has said that nurses rightfully should make about $75,000 a year given the stress, exposure to disease, cost of education, working conditions, hours and serious responsibilitys of the career. He lists numerous bussiness executives who make six figures with a mere fraction of the responsibility of a floor nurse!
Only a handfull of career fields affect our fellow humans as intimately as a nurse. A brief lapse of focus may not only result in someones death, but also termination of your emans of making a living via license revocation. Civil penalties in court also can follow. yes, one lapse can cost you tremendous time and expense you expended to complete your education. Bet you can't name too many other occupations where this potential exists.
Obviously, nursing is a serious bussiness; we are just not reimbursed congruent with this fact.
If you are a nursebecause your subconcious "needs" positive reinforcement from nurturing, or you are seriously codependant and nursing is another outlet, you would benefit all nurses by doing some serious self inventory and growing beyond thos frailities. If you went into nursing to make ends meet and help people, try thinking of a nursing world where you were reimbursed congruent with the job's demands.
Dance around the issues as you prefer, but these are the realities of our situation. There are not many real leaders in nursing, and those few are getting tired of dragging dead horses to the trough.
So decide: Are you part of the problem, or part of the solution? Now is the time to act during a nursing shortage to maximize the volume of your voices, as well as hearing acuity of your CEO or administrator. Get activated yourself, and energize those comatose nurses around you as well.
And remember to "get it in writing", Speak now or forever hold your peace.
Mark Jorgensen of Omaha, Neb is a former Marine Corps sergent who served during the vietnam war, He has spent years serving as a nursing director and assistant director of nursing in large facilites. Since graduating (RN) in 1984, he has owned two bussinesses. the most recent as a workers compensation case management firm.
What do you think?
