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RNat55 ADN, RN

Content by RNat55

  1. RNat55

    Supporting New Nurses in Their First Year

    Greats tips that new nurses like me can benefit from if those acting as preceptors take them to heart! Thank you for sharing.
  2. I started nursing school in my early 50s. I was excited because I felt it would provide an opportunity to contribute meaningfully to a country where I recently relocated. I became a registered nurse at 55 and started my job hunt. I was so sure it was not going to be that difficult to land my first nursing job, after all, I have heard so much about this nursing shortage. But as I attended interviews, I could see how age was becoming a factor but not in a way I could prove. In one interview I attended, the 2 young interviewers who appeared in their 20s obviously showed they were lost as to how to commence my interview (I guess my grey hair may have thrown her off since I was coming for a nurse residency program?). After fumbling with the papers on the table, she then asked me, about twice, if I was saying I didn’t have any experience, to which I answered in the affirmative and stated I just graduated nursing school. Okay, tell me about yourself, was the first question. I did and mentioned I had home health experience. Tell me more about the home health experience. Next, what do you think will be most challenging for you? I stated the fact that I will be working with more patients at the same time compared to home health where I worked with one. But my clinical rotations and practicum gave me some experience which I hope to build on. She now told me that the position is very fast-paced- are you sure you can do it? Sure, I can. That was the end of her questioning. I was so sure I got the job due to the questions asked and my responses. No, I didn’t! Sure, there is a law against age discrimination. The Age Discrimination in Employment Act (ADEA) was passed in 1967 and amended in 1986 to prohibit discrimination against individuals 40 years old or older. This includes hiring or retirement process. The Equal Employment Opportunity Commission (EEOC) enforces violations through their attorneys. 23 Years After the Act, Has This Been Achieved? No. In Employment Age discrimination is not just in the hiring process but does affect those already in employment. In a Health and Retirement Study, which followed a nationally representative sample of about 20,000 people from the time they turn 50 through the rest of their lives, 56% of older workers were laid off-laid off or made to leave jobs in a circumstance that appeared involuntary rather than voluntary (Wilkie, 2019). Wilkie, (2019) quoted Patrick Button, assistant professor of economics at Tulane University and a researcher with the National Bureau of Economic Research Disability Research Center who stated that In the Hiring Process Victoria Lipnic, Acting Chair, U.S. Equal Employment Opportunity Commission cited a 2015 study, the largest field study of age discrimination in hiring was conducted with over 40,000 applications for over 13,000 jobs in 12 cities across 11 states. Evidence of age discrimination was found against both men and women, with older applicants, those aged 64 to 66 years old, who were more frequently denied job interviews than middle-age applicants age 49 to 51. Also, older women who were middle age had more discrimination than older men ( Lipnic, 2018). It is more difficult to prove discrimination when it is associated with age. A 2017 AARP survey reported that a majority of workers ages 45 and older had witnessed or experienced age discrimination in the workforce but Patricia Barnes, an attorney and author of Overcoming Age Discrimination in Employment (self-published, 2016), explains that "The overwhelming majority of age-discrimination cases today are based on circumstantial evidence"(Wilkie, 2019). Why Is This a Problem? Lipnic (2018) stated that the last 25 years has seen the most dramatic changes in the age of the labor force as the number of workers age 55 and older doubled. There is an over 25% projection of the workforce for women age 55 and older by 2024. Also, workers age 65 and older are keeping their jobs or re-entering the workforce in higher numbers. The Bureau of Labor Statistics (BLS) estimates that the oldest segment of the workforce that would grow the fastest through 2024 are those ages 65 to 74, and 75 and older. This is estimated to grow by 75% by 2050, while a minimal increase of 2% is estimated for those ages 25 to 54 in the same period ( Lipnic, 2018). Why Are There Few Reported Cases? I was not motivated to report my own case of what I felt was age discrimination because the burden of proof was on me and I didn’t have hardcore evidence. In a 2009 case, the supreme court ruled that “a plaintiff must prove that age was the "but-for" cause of the employer's adverse decision” (Jack GROSS, Petitioner, v. FBL FINANCIAL SERVICES, INC. ). This places a much higher burden of proof on workers who allege this form of discrimination. As Barnes stated an “overwhelming majority of age-discrimination cases today are based on circumstantial evidence." I also felt the employers were entitled to conduct their business the way they felt appropriate and if this is how they felt, I wouldn’t want to work in such an organization, anyways. This may explain why most choose not to report. What Nurses Can Do Are You a Hiring Manager? Then be an agent of change in this regard. Hire nurses based on their abilities and knowledge. Are You in Management? Promote an organizational culture where older nurses understand that though they are more vulnerable, there are more advantages to retaining them. Reduction in workload: Less physically demanding tasks such as mentoring new nurses or teaching clinical skills, could be assigned to older nurses (Uthaman, Chua, & Yuh Ang, 2016). Flexible scheduling would help with health-related reasons, fatigue or the desire to have more time for themselves. Uthaman, Chua, and Yuh Ang (2016) suggest job sharing, where two nurses could perform part-time work normally done by one nurse working full time. Shorter or part-time shifts could also be allowed near retirement or for those who wished to return after retirement. Provide professional development opportunities especially in the area of technological advances. This opportunity should not just be for new nurses. It would establish self-worth and confidence in older nurses when they keep learning how to face technological challenges. Provide adequate compensation for years of experience, knowledge, and responsibility instead of hiring younger nurses who do not have as much experience for managerial positions just for the purpose of keeping costs low. Be supportive and fair by suggesting the introduction of devices to help safe patient handling, adequate lighting, non-slip floor surfaces, and decentralization to reduce walking distances (Uthaman, Chua, & Yuh Ang, 2016). This would show older nurses that they are valued and cared for, and would encourage them to remain with the organization. As nurses, we can choose to stop age discrimination where we work especially when we are in a position to do so. Remember, with each passing day, we are all growing older. In what way can you contribute to reducing age discrimination at your workplace?
  3. I am in my final semester for my BSN. I qualified as an RN in September 2019 and I have been job searching. Due to my recent job interview experiences, I am beginning to wonder if I can secure a graduate nurse position at the age of 55. My very last interview with an HCA hospital took about two months and included over 140 character assessment questions, on-demand video interviews, face to face interviews with the nurse manager, then the nursing director and finally, the management. I got a phone offer from the recruiter who stated she would email the formal offer. Three days after, she called and informed me they made a mistake as they thought they had more openings. I should feel free to reapply or apply for a different position and could contact her for help. I was shocked and dumbfounded! I keep feeling my age is the issue. Please, does anyone have any suggestions as to where I could consider applying for a graduate nurse position at this age? My ultimate aim is to become a nurse educator. For now, I have an interest in also becoming a nurse writer. Thank you for your assistance.
  4. RNat55

    Who wants to hire a graduate nurse at 55?

    Thanks! I call myself RN at 55 because I am proud of my accomplishment at this age and not because I feel it's a problem. Determination and focus got me here. It just happens that the 55 might be a contributory factor in making it harder getting that first job. I take your counsel, "apply for all the things!" I know I will soon get something suited for me.
  5. RNat55

    Who wants to hire a graduate nurse at 55?

    Thank you for sharing your thoughts. It's true that how one presents one's self can be a contributory factor but I have tried to present myself in a positive light. My former preceptor in that unit (during my practicum) told me they had asked her about me after the interview and she was excited that I might be coming to the floor and she might get to train me again. So what happened...? I look at the "too fast-paced" as a pointer to my age-like you might have done well during your short practicum but you may not have the stamina for a full- time employment here? Again, just my thoughts... Also, yes, ONLY the HIRING MANAGER knows the real reason why I was not chosen. All anyone can do is speculate and that is why it is so frustrating when they don't tell you what the actual reason is. When I went for an earlier hiring event for a medical-surgical position, I was told they were not considering me and to go interview with their other locations...okay? If they are not considering me here, why would other locations do? But again, if their reason is illegal, they wouldn't say it, instead, they might find other reasons to give, so? But, I also self reflect after an interview to give myself perspective and to prepare better for the next. I KNOW I am closer to getting my first job-perfected suited for me. Thanks.
  6. RNat55

    Who wants to hire a graduate nurse at 55?

    UPDATE I attended the interview yesterday at the SPCU where I did my practicum and for a night shift. The interview went well in my opinion and my former preceptor told me she was contacted and she "gave a good word" and was looking forward to possibly training me again! HR called today to inform me that I was not under consideration. Why? They feel I will be a better fit in the medical-surgical unit where there is lower acuity. There is always something why... I should feel free to attend their hiring event coming up next week. Really? Honestly, I am not sure if anything will change interviewing with MSU. There will be a reason why they can't hire me also? What next? I have ruled out home health as a graduate nurse. Even if I wait to complete my BSN in April, my age won't be affected.. .still an RN at 55.
  7. RNat55

    Who wants to hire a graduate nurse at 55?

    Unfortunately, most, if not all clinic jobs need hospital experience. I attended a hiring event for hospice and that was the response - go get 1-year hospital experience and come back if you are still interested.
  8. RNat55

    Who wants to hire a graduate nurse at 55?

    I am very serious. Just stating my ultimate aim here to see if anyone felt I should just pursue these other interests and forget the hospital floor if age is an issue. Thanks for your thoughts.
  9. RNat55

    Who wants to hire a graduate nurse at 55?

    I agree and know that it's very expensive training new nurses but it appears you misunderstood me here. I do not state this during an interview. I only stated this here because I was only providing additional information about my other interests so I can get some other directions. For example, whether I should just pursue these other interests or stick to pursuing hospital employment. Thank you for your thoughts. I have an interview scheduled for this week in a unit I did my practicum, so I am hopeful.
  10. RNat55

    Who wants to hire a graduate nurse at 55?

    Thank you!
  11. RNat55

    Who wants to hire a graduate nurse at 55?

    Yes, this is what I thought of this week! Be willing to work nights and go back to where I did my practicum. At least they saw how I worked despite my age! I contacted the nurse manager and she asked me to apply online and she will set up an interview this week. I will see...don't want to raise my hopes too high. Thanks for your thoughts.
  12. I started my first career in Nigeria as a state prosecutor. Coming to the United States, I decided to return to school to obtain a BSN. When I told my husband, he said, “Wow, that’s a huge change, moving from the liberal arts to science!” As the program commenced, I began comparing the legal and nursing professions. Prosecuting Process As a state prosecutor, I perused police case files brought to my office, the department of public prosecution (DPP), to ascertain if there was a prima facie case to charge the suspect with the commission of an offense. Prima facie means the presence of sufficient evidence from the suspect’s actions that will likely secure a conviction at trial provided there is no contradicting evidence. Prosecutors, like nurses, also follow a process. This process begins with determining the offense the suspect may have committed, followed by planning how to proceed with the case. Nursing Process The nursing process that guides the registered nurse in providing customized care and prioritizing problem areas is similar to this prosecuting process. Assessment The nursing assessment consists of a physical examination and obtaining data from the patient’s health history, which is analyzed to help formulate customized care. Perusing police case files is similar to patient assessment. Perusing means examining the file to obtain the suspect’s criminal history as well as actions that fulfill the components of the alleged offense. The components of the offense refer to acts of the suspect that make up the alleged offense. For example, in Nigeria, someone can be charged with burglary if the state prosecutor has evidence that the suspect forcefully broke into a home and took property without the express or implied consent of the owner. These are the components of the offense: forcefully breaking in, and taking property without some form of consent from the owner. Ingredients can be compared to signs and symptoms, while health history is similar to criminal history. Nursing Diagnosis This is the nurse’s clinical judgment about the client’s response to actual or potential health conditions or needs. The nursing diagnosis is comparable to when the prosecutor determines the offense the suspect may have committed. The North American Nursing Diagnosis Association International (NANDA-I ) guides the nurses in doing this while in Nigeria, the Criminal Procedure Act guides the prosecutor. Planning Planning is the next step after diagnosis. Here, the nurse sets out goals (both short and long term) which are measurable and achievable for the patient based on the nursing diagnosis. The nurse outlines interventions to determine how the goals would be achieved and NANDA-I is also helpful here. For the prosecutor, after identifying the offense, a decision is made as to the court that has jurisdiction. A plan is made on how the case will be prosecuted and this includes determining how many counts to charge, the evidence needed, the number of witnesses to call, interviewing these witnesses and obtaining any needed exhibits. The Nigerian Evidence Act is helpful here. For both professions, this stage leads to the implementation stage. Implementation The nurse carries out the interventions that were planned and decides if delegation is required. The nurse’s ability to delegate appears to be the main difference from the prosecuting process. For a Prosecutor, there is no delegation but another prosecutor could be assigned the case due to reasons of ill –health or other reasons. The prosecutor in the implementation stage would file the case in court and commence trial by calling witnesses and presenting evidence as planned. At the conclusion, the defense presents their own witnesses and the prosecutor must be prepared to cross-examine them. An evaluation would then be next. Evaluation Evaluation is needed in both processes to identify areas that require adjustments. The nurse assesses the patient’s response to the interventions provided, to determine if the plan should be maintained or adjusted. While the prosecutor weighs each witness testimony and determines its effect on the case. Does it help or weaken the case? Is there a need to call additional witnesses, bring in more evidence, or even withdraw or substitute this charge? Conclusion Documentation plays a crucial part in both professions. In the nursing process, this is done in the patient’s chart and provides continuity of care because other healthcare professionals involved in patient care are able to assess what has been done. In the prosecuting process, documentation is made in the case file and includes the evidence that substantiates the alleged offense, the witnesses to be called, testimonies in court and court remarks. The goal is to make it easier for anyone looking through the case file to obtain basic information to continue the case. The absence of documentation in both processes shows that what ought to have been done was not done. It is interesting how one can find a connection between professions that appear unrelated at first. If you have found some similarities between your first career and nursing, I would love to hear about it. Leave your comments below.
  13. RNat55

    Who wants to hire a graduate nurse at 55?

    I appreciate the thought! Thank you. Hopefully, I will soon come across someone that thinks this way and also has the power! Thank you so much! I wish I did...hmmm, that's tempting You are so kind.
  14. RNat55

    Who wants to hire a graduate nurse at 55?

    This is an update. I did attend the hospice hiring event today. The interview went well but unfortunately, they need at least 1-year hospital experience. I guess the bus doesn't stop here. Moving on...:) I am hopefully waiting to hear from the dialysis clinic RN position. I will keep you all posted. I appreciate everyone that took the time to share their thoughts and advice. When I posted this, I never imagined I would get this kind of massive response. Thanks for all your concerns. It is keeping me motivated!
  15. RNat55

    Who wants to hire a graduate nurse at 55?

    This is sounding more and more interesting! Thanks for sharing and I hope you are in a better place now.
  16. RNat55

    Who wants to hire a graduate nurse at 55?

    Thanks. I have not seen any openings for school nurses yet. I am applying now for a position at a dialysis clinic and indeed the hours are brutal.
  17. RNat55

    Who wants to hire a graduate nurse at 55?

    Do they employ new grads? And offer training?
  18. RNat55

    Who wants to hire a graduate nurse at 55?

    Most home healths appear to want experience and yes, I don't want to work solo as a new grad either. I have not tried corrections though.
  19. RNat55

    Who wants to hire a graduate nurse at 55?

    I thought of this but never to this extent. Hmmm! You may be right...so what now? Hmmm...Thanks for your insights.
  20. RNat55

    Who wants to hire a graduate nurse at 55?

    I love this! Thanks.
  21. RNat55

    Who wants to hire a graduate nurse at 55?

    I have started searching for home health and hospice graduate nurse positions but both appear to require some experience. Most appear not to be hiring graduate nurses. It is frustrating but I will keep searching. Thanks.
  22. RNat55

    Who wants to hire a graduate nurse at 55?

    Thanks! I will check it out.
  23. RNat55

    Who wants to hire a graduate nurse at 55?

    I do mention this because I know that though I may have experience in law, I am new to nursing and always ready to learn. Thanks,
  24. RNat55

    Who wants to hire a graduate nurse at 55?

    Hmmm? I can see how this can happen. Any suggestions on how one can present oneself as a nearly blank slate? Interesting... Thanks for your thoughts.
  25. RNat55

    Who wants to hire a graduate nurse at 55?

    Most don't ask for age but my resume will definitely give an idea (I have a master's degree in law, plus I started going grey in high school, so...? Thanks for your thoughts.
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