AustravellerRN

Australia much better for pay and conditions. NZ better for autonomy

The hospital administrators need to taking responsibility as well. We have been seeing a gradual deskilling of newer nurses onboarding with facilities choosing to disregard value added by experienced nurses. This is increasingly demonstrated by administrators continuing to push skill mix to the left while abdicating much responsibility for the same. I am tired of this erroneous new orientation for newer nurses - 'nursing paint by numbers' with little value attributed to becoming an experienced nurse when your nursing judgement was fully 'cooked'. When administrators debase the value of experienced nurses, drive them out with a variety of tactics and see no issue with a fast unit based tick box skill orientation for newer nurses - then what do they expect will happen? There is too much nursing going on with rigid adherence to generalised pathways and protocols and not a lot of planned individualized care, not too much critical/lateral/creative thinking and the demotion of bedside nurses to the bottom all while having the most medico-legal responsibility next to the physician. I do believe we will see more and more of these issues