Playfulpup

I am not sure you are at the frontline of this issue based on your comment...Challenging as you mention only leads to being escorted out the door and no hope of being hired down the road because in many areas the monopoly in healthcare will prevent any hope of return! We are not allowed to speak our minds even if it is for the good of the patient!

As an advanced practice nurse I also experienced it but with a twist...18 years in a rural community providing healthcare and replaced with new grad PAs that I had been forced to train as students and new employees who are paid higher. I received an email to my home address with a comment that I no longer had a contract and human resources did not know how to reach me other than the home email???? Management didn't look twice when I met with them to express my unbelief that they had no clue about their providers and their serious retention issues. I declined their contract offer for my same wages (I had no raise in 5 years) and asking me to work less hrs and meet productivity. I asked them why I should work for them and the reply "I can't tell you why you should or should not work...are you going to sign this contract or not?" All I wanted to hear was this manager say I was a part of the team and I would have signed even though I was not happy, in order to continue to provide care in my community. 6 months later and I continue to receive 3-4 patient calls a week begging me to work somewhere but unfortunately there is a monopoly in rural healthcare and I am trying to think outside the box but have not had a solution yet. I am discouraged in our system and know that I am not alone in my feelings as this year 7 seasoned advanced practice providers had the same fate at the hands of these managers with a board who has not questioned any of this!