The death of nursing

Nurses Activism

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I have been an ICU nurse the majority of my 30 years in nursing. I started out and am still a diploma RN. I learned "old school" but have kept up with technology and have always felt that at the bedside one did not know if I had a degree or not.

My employer has been actively at war with nursing for the past few years. Making cuts in the name of lack of medicare reimbursement. I have watched the nursing numbers dwindle, have seen ancillary staff done away with. We are now facing cuts in our hours to save the hospital on having to pay benefits. I am sad, very sad that nursing is dying.

I have always been the type of nurse that has frequently, on an almost daily basis been sincerely thanked by my patients or their families, have frequently had a patient say "you have taken such good care of me." Have frequently gotten a smile out of the sickest or most nervous patients with my "humor."

But now I am afraid. I am afraid that nursing is dying and I am afraid I will lose my job and won't get another because I lack a BSN and I am in my 50's. I am sad that I devoted so many years to a heartless hospital system that does not appreciate my years of service and the fact that I am not a bump on a log.

I am mainly sad because nursing is dying and all those "nurses" with advanced degrees are not acting as nurses and being proactive in trying to save nursing. Instead they are siding with management big wigs, ceo's with big salaries and allowing nursing to die. You are the ones that never stayed too long at the bedside and realizes there was a real, live person who was depending on you to give excellent patient care, to be an ear, to give hope to the hopeless, to crack a whip on those that were giving up, to hold the hand of the dying. I would have to think if you had stayed just a little while at the bedside you would realize the value of a nurse, the value of me and would not contribute to the death of nursing.

Specializes in Outpatient/Clinic, ClinDoc.

It seems this is happening more often these days. I'm all for higher education, and I think that eventually a 4 year degree should be required as entry level, but making RN's with a zillion years of experience go back to school is just not necessary. Grandfather those nurses in! I've been a nurse for 25+ years and I *did* do a BSN last year, but I had the time and the inclination to do it. No one forced me, I just wanted it and figured I might be able to use it someday. I didn't find it difficult, but honestly it's not anything that made me a better nurse. I know how to write APA papers now and I can identify paintings from the Rococo period. :)

It's the same thing that's happening with the LPN's out here - they are great nurses and suddenly they aren't?

That said, for those that are being *forced* to go back to school - know that you CAN do it if needed no matter your age. Look through the forums here - there are programs for every learning style that are not overly expensive and long. My degree ended up costing just over $1K when I factored in the tax credit - that's pretty low, but I've seen several schools under 10K. Hopefully these 'go back or else' employers are offering some reimbursement?

Specializes in Critical Care.

It appears this trend is happening across the country now. You have to decide for yourself if you can afford to go back to school and if you can't or don't want to I suggest you start saving your money in case you lose your job. The Roth IRA is the best emergency fund vehicle you can put $5500 away a year and $6500 if over 50! That money can be both for retirement and an emergency fund. The best thing about it is there is no tax or penalty if you have to withdraw your contributions! If you have a 401K or 403b you can only take out money without penalty if you are 59 1/2 or if you stop working for your employer at 55 years or later then you can take that money out without penalty, but still have to pay ordinary income tax on it. If you convert your 401k/403b to an IRA you lose that ability to take the money out without penalty till you are 59 1/2 years old.

Another way to save for retirement and health emergency is to choose a high deductible health insurance. Stick with $4 generics available at Walmart etc and if you can afford it pay for your health costs out of your paycheck not the HSA. Save the HSA and let it grow, but keep your receipts. If an emergency happens you can withdraw the money, provided you have receipts for medical expenses. Correct me if I'm wrong I read that you can even use the HSA for past years health bills as long as you had a high deductible health plan at that time and keep the receipts. This is the best retirement and health emergency option you can get! It is totally tax free you don't even pay social security or medicare taxes on the HSA money. In addition if you have vision or dental work you can set aside $2500 in a special FSA just for that purpose, but that must be used or you lose it.

It is getting to the point that even if you have chronic health problems you might be better off with a high deductible account due to the high cost of health insurance and crappy benefits hospitals are giving. At least if you can make it work you can save money for yourself for now and the future! Worst case scenario you withdraw the HSA for regular expenses and will face a 20% penalty! If they find out! It's up to you to keep a record of expenses in case you are audited by the IRS.

You need to save for your own retirement/emergency fund before saving for your children's education! They can always get loans, but no one will give you a loan if you can no longer work!

Specializes in Chemo.

Bitter apple's, nursing is always in a constant war between management and using for better patient care. nurses always want what's best for patient care, management want to save money at any cost. The nursing profession has to be proactive in what ever state you practice in, nursing needs to push for patient ratios and standards, so I going to say it. Unions, yes unions, unions are not always all about the money, it's about patient care too, the union I am with (CNA) spend most of time on patient care issues and safety on the unit. It is the difference of the hospital making you take care more patients then it is safe, verse set ratios by law. And yes making the hospital pay you what your worth is important too. After all they are making money your skills and your degree. It depends on how strongly you feel, do them leading the way, do you want nurses to lead the way.

I find myself perpetually amazed at the number of comments on various threads like this one which show not even the slightest interest in broad statistics and instead act like individual circumstances must reflect some sort of national trend. Its like saying, "I have cancer, therefore the whole world must be dying."

Dis anyone here look up the numbers about RN job outlook from the Bureau of Labor Statistics? Or the historical numbers on employment from the ANA here: http://nursingworld.org/NursingbytheNumbersFactSheet

unfortunately your right. im sorry too, and I feel the same. I have applied to a school for RN to MSN. I am 46, almost 47. its going to take 3 years. I don't care. when I get accepted, I believe it will open the door (as I will be actively seeking my BSN) to newer opportunities. GRaduated in 1987 as a diploma RN from a prestigious nursing school. if you want to do it too, YOU CAN. its NOT too late!! someone i know, her mom went to nursing school at 53. i don't even know her and i think she is amazing! i hope to GOD i can finish all the way to my masters. because then i will find something else to do like teaching virtually. you still have awhile to work, unless you win the lottery or run into some other luck. think about it. its going to get worse with obummercare.

Specializes in Geriatrics, Home Health.
I find myself perpetually amazed at the number of comments on various threads like this one which show not even the slightest interest in broad statistics and instead act like individual circumstances must reflect some sort of national trend. Its like saying, "I have cancer, therefore the whole world must be dying."

Dis anyone here look up the numbers about RN job outlook from the Bureau of Labor Statistics? Or the historical numbers on employment from the ANA here: http://nursingworld.org/NursingbytheNumbersFactSheet

The ANA's numbers stop in 2008, when the economy collapsed. The January 2014 American Journal of Nursing paints a very different picture of the nursing job scene.

Nursing has always been pitched as a recession-proof profession with a chronic labor shortage, a vocation in which there's always a job waiting for any nurse who wants one. A decade ago, when hospital vacancies hovered in the two-digit percentages, that was certainly the case.

Then came the recession in 2008, when health care spending dropped to its lowest rate in nearly 50 years. Seemingly overnight, the nursing shortage morphed to a nursing surplus and job vacancies dwindled to nothing. Layoffs and hiring freezes became the status quo. Particularly hard hit were new graduates, who found that it was taking months, if not longer, to secure a position.

With the economy recovering, and the worst of the tough times presumably past, the outlook for nursing jobs is bright, according to many experts. The Bureau of Labor Statistics projects that registered nursing will be the top occupation in terms of job growth through the year 2020. An estimated 26% increase in nursing jobs is predicted between 2010 and 2020.

But that news isn't very comforting to the many nurses who are struggling to find a nursing job. The market remains tight, according to media stories from around the country. New graduates and experienced nurses weighing in on nursing forums report frustration. For example, CNNMoney recently ran a series of profiles of new graduates currently seeking employment, aptly titled “I Can't Find a Nursing Job!” One of the profiled RNs, who previously worked for seven years as an LPN, still can't find work as an RN. Another new graduate, after looking unsuccessfully all over the United States for a nursing position, created a petition on the White House Web site asking President Obama to help new nurses out.

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
I find myself perpetually amazed at the number of comments on various threads like this one which show not even the slightest interest in broad statistics and instead act like individual circumstances must reflect some sort of national trend. Its like saying, "I have cancer, therefore the whole world must be dying."

Dis anyone here look up the numbers about RN job outlook from the Bureau of Labor Statistics? Or the historical numbers on employment from the ANA here: http://nursingworld.org/NursingbytheNumbersFactSheet

As a new member and just applying to nursing school...what statistics would you like. The ANA is historically biased and if you noticed those were from 2008 before the markets crashed, those who were "supposed" to retire couldn't and the nursing "shortage" figured on inflated needs based on a mandatory staffing ratio that never passed or even made it to congress due to the economic crisis. It is compicated by the fact that everyone who got laid of, couldn't find a job, ir graduated and couldn't find a job came to nursing....now there is a surplus. There are parts of the country that have as highas a 47% unemploymet of new grads and an average job search of 18 months.

There is a plethora of new grads out there and many facilities are hiring BSN new grads only. Hospital are turning their back on the seasoned nurses because we cost too much.

Here are some statistics for you the job density for my rea right now......A great web site.....not many needs in my state.

[TABLE=class: cms_table]

[TR]

[TH=align: left]City and Area[/TH]

[TH=align: right]Median Salary[/TH]

[TH=align: right]Employees[/TH]

[TH=align: right]Job Density[/TH]

[/TR]

[TR]

[TD]Barnstable Town[/TD]

[TD=align: right]$75,000[/TD]

[TD=align: right]2,580[/TD]

[TD=align: right]+36%[/TD]

[/TR]

[TR]

[TD]Boston[/TD]

[TD=align: right]$93,000[/TD]

[TD=align: right]48,240[/TD]

[TD=align: right]+35%[/TD]

[/TR]

[TR]

[TD]Brockton[/TD]

[TD=align: right]$79,000[/TD]

[TD=align: right]2,320[/TD]

[TD=align: right]+36%[/TD]

[/TR]

[TR]

[TD]Framingham[/TD]

[TD=align: right]$76,000[/TD]

[TD=align: right]2,990[/TD]

[TD=align: right]-7%[/TD]

[/TR]

[TR]

[TD]Haverhill[/TD]

[TD=align: right]$67,000[/TD]

[TD=align: right]1,580[/TD]

[TD=align: right]+3%[/TD]

[/TR]

[TR]

[TD]Lawrence[/TD]

[TD=align: right]$79,000[/TD]

[TD=align: right]1,920[/TD]

[TD=align: right]+76%[/TD]

[/TR]

[TR]

[TD]Leominster[/TD]

[TD=align: right]$79,000[/TD]

[TD=align: right]1,300[/TD]

[TD=align: right]+47%[/TD]

[/TR]

[TR]

[TD]Lowell[/TD]

[TD=align: right]$71,000[/TD]

[TD=align: right]2,360[/TD]

[TD=align: right]+2%[/TD]

[/TR]

[TR]

[TD]New Bedford[/TD]

[TD=align: right]$73,000[/TD]

[TD=align: right]1,560[/TD]

[TD=align: right]+31%[/TD]

[/TR]

[TR]

[TD]Peabody[/TD]

[TD=align: right]$68,000[/TD]

[TD=align: right]2,320[/TD]

[TD=align: right]+19%[/TD]

[/TR]

[TR]

[TD]Springfield[/TD]

[TD=align: right]$71,000[/TD]

[TD=align: right]6,610[/TD]

[TD=align: right]+10%[/TD]

[/TR]

[TR]

[TD]Taunton[/TD]

[TD=align: right]$78,000[/TD]

[TD=align: right]760[/TD]

[TD=align: right]-4%[/TD]

[/TR]

[TR]

[TD]Worcester[/TD]

[TD=align: right]$83,000[/TD]

[TD=align: right]7,510[/TD]

[TD=align: right]+49%[/TD]

[/TR]

[/TABLE]

job hunt.com Nurses Schools, Salaries, and Job Data

Here is the job density for your area....I don't see a ton of needs

North Carolina

[TABLE]

[TR]

[TH=align: left]City and Area[/TH]

[TH=align: right]Median Salary[/TH]

[TH=align: right]Employees[/TH]

[TH=align: right]Job Density[/TH]

[/TR]

[TR]

[TD]Asheville[/TD]

[TD=align: right]$61,000[/TD]

[TD=align: right]5,430[/TD]

[TD=align: right]+55%[/TD]

[/TR]

[TR]

[TD]Burlington[/TD]

[TD=align: right]$58,000[/TD]

[TD=align: right]1,150[/TD]

[TD=align: right]+12%[/TD]

[/TR]

[TR]

[TD]Charlotte[/TD]

[TD=align: right]$61,000[/TD]

[TD=align: right]17,940[/TD]

[TD=align: right]+2%[/TD]

[/TR]

[TR]

[TD]Durham[/TD]

[TD=align: right]$63,000[/TD]

[TD=align: right]11,070[/TD]

[TD=align: right]+99%[/TD]

[/TR]

[TR]

[TD]Fayetteville[/TD]

[TD=align: right]$63,000[/TD]

[TD=align: right]2,420[/TD]

[TD=align: right]-1%[/TD]

[/TR]

[TR]

[TD]Goldsboro[/TD]

[TD=align: right]$60,000[/TD]

[TD=align: right]1,310[/TD]

[TD=align: right]+84%[/TD]

[/TR]

[TR]

[TD]Greensboro[/TD]

[TD=align: right]$60,000[/TD]

[TD=align: right]7,100[/TD]

[TD=align: right]-2%[/TD]

[/TR]

[TR]

[TD]Hickory[/TD]

[TD=align: right]$58,000[/TD]

[TD=align: right]2,970[/TD]

[TD=align: right]+3%[/TD]

[/TR]

[TR]

[TD]Jacksonville[/TD]

[TD=align: right]$62,000[/TD]

[TD=align: right]700[/TD]

[TD=align: right]-7%[/TD]

[/TR]

[TR]

[TD]Raleigh[/TD]

[TD=align: right]$62,000[/TD]

[TD=align: right]9,040[/TD]

[TD=align: right]-14%[/TD]

[/TR]

[TR]

[TD]Rocky Mount[/TD]

[TD=align: right]$57,000[/TD]

[TD=align: right]1,100[/TD]

[TD=align: right]+5%[/TD]

[/TR]

[TR]

[TD]Wilmington[/TD]

[TD=align: right]$59,000[/TD]

[TD=align: right]2,810[/TD]

[TD=align: right]+6%[/TD]

[/TR]

[TR]

[TD]Winston Salem[/TD]

[TD=align: right]$60,000[/TD]

[TD=align: right]8,120[/TD]

[TD=align: right]+93%[/TD]

[/TR]

[/TABLE]

I find myself perpetually amazed at the number of comments on various threads like this one which show not even the slightest interest in broad statistics and instead act like individual circumstances must reflect some sort of national trend. Its like saying, "I have cancer, therefore the whole world must be dying."

Dis anyone here look up the numbers about RN job outlook from the Bureau of Labor Statistics? Or the historical numbers on employment from the ANA here: http://nursingworld.org/NursingbytheNumbersFactSheet

I was taught in my college statistics class (4 units) that broad statistics do not apply to individuals/individual situations.

Specializes in ICU.

I can understand what you are saying and experience should count for something but I have to respectfully disagree that nursing is dying. I see the kind of thing that you are talking about happening in absolutely every profession out there. This is not exclusive to nursing. The fact of the matter is the older and more experienced you are, the more you cost to employ. In this day and age, hospitals area business. They are about making money. A new grad will not cost as much to employ. My mom will be 60 later on this year. She has been at her job for over 20 years. They have been trying to force her out of her job for several years now. The people at her job make her miserable because she costs too much to employ. They want someone fresh out of college with no experience. No experience or very little means, cheap. No one can trade your vast knowledge for money. But this happens in every profession.

Also medicare reimburses very little. My sister is a physical therapist. She sees mostly medicare patients. They don't even reimburse enough right now to meet her hourly rate, much less the physical therapist assistant. So the hospital is losing money on every medicare patient she sees. And guess what? They are going to be getting even less this year because of obamacare. Once the government dictates how much everyone will be reimbursed it's going to dwindle to nothing. Then guess what? Probably when I graduate, I will get a job making close to min. wage. No joke. They will be getting rid of nurses the way it is now and hiring new ones willing to work for measly pay because that is the only way they will stay in business.

Is nursing going to die? No. Nurses will always be here, just the whole way of nursing is going to go away. Guess who we have to thank? Obama. All of the people that proclaimed he was the next Kennedy had no idea what they were talking about and have sunk the health care system in America as we know it.

Specializes in CEN, CFRN, PHRN, RCIS, EMT-P.
I can understand what you are saying and experience should count for something but I have to respectfully disagree that nursing is dying. I see the kind of thing that you are talking about happening in absolutely every profession out there. This is not exclusive to nursing. The fact of the matter is the older and more experienced you are the more you cost to employ. In this day and age, hospitals area business. They are about making money. A new grad will not cost as much to employ. My mom will be 60 later on this year. She has been at her job for over 20 years. They have been trying to force her out of her job for several years now. The people at her job make her miserable because she costs too much to employ. They want someone fresh out of college with no experience. No experience or very little means, cheap. No one can trade your vast knowledge for money. But this happens in every profession. Also medicare reimburses very little. My sister is a physical therapist. She sees mostly medicare patients. They don't even reimburse enough right now to meet her hourly rate, much less the physical therapist assistant. So the hospital is losing money on every medicare patient she sees. And guess what? They are going to be getting even less this year because of obamacare. Once the government dictates how much everyone will be reimbursed it's going to dwindle to nothing. Then guess what? Probably when I graduate, I will get a job making close to min. wage. No joke. They will be getting rid of nurses the way it is now and hiring new ones willing to work for measly pay because that is the only way they will stay in business. Is nursing going to die? No. Nurses will always be here, just the whole way of nursing is going to go away. Guess who we have to thank? Obama. All of the people that proclaimed he was the next Kennedy had no idea what they were talking about and have sunk the health care system in America as we know it.[/quote']

I liked your post until you made it political, lay of Fox News friend ;)

Obamacare is not the same as medicare. Some states have expanded medicare, but it's not like everyone is going to have it. Most people will have private insurance plans, just like they do now. Obama is not making the sky fall.

Worst case scenario: it bombs and we repeal it. I'd like to give it a shot before giving up. It seems to be working in MA.

Double post: sorry, this website isn't playing nice with my computer.

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