The Older Nurse in the Workplace

Nurses General Nursing

Published

http://www.medscape.com/viewarticle/521375?src=mp

excerpts from article:

between 2010 and 2020, over 40% of the rn workforce will be over 50 years of age, and many rns are expected to retire and withdraw from the workforce.

studies suggest there may be some important differences between older and younger rns. letvak (2002) reported older nurses are more likely to work in outpatient, community, and other non-acute care settings, and buchan (1999) found the same in countries outside of the united states.

there also is evidence that older nurses favor working 8 instead of 12-hour shifts (hoffman & scott, 2003). however, results are mixed with respect to whether older rns compared to younger rns are more satisfied with both their jobs and nursing as a career (division of nursing, 2000; hoffman & scott, 2003).

selected demographic and work characteristics of working older and younger rns included in the sample are shown in table 1 .

older rns represent approximately 31% of rns surveyed. as a group, they are more likely to have an associate degree as the highest nursing degree and less likely than younger rns to have a baccalaureate degree. as a group, older rns reported less earnings compared to younger rns.

among rns not working, 60% were retired, 13% were not working for health reasons, 7% indicated they were burned out, and 4% cited family care responsibilities. about one-third of older rns plan to leave their current nursing position in the next 3 years; however, older rns are more likely than younger rns to say they will remain in their current position. moreover, of those older rns planning to leave their current nursing position, nearly half (47%) intend to retire, 29% intend to take another position in nursing, 15% to change professions, and 15% to take time out for family or personal reasons.

in a recent survey of student nurses, older students were as interested in acute care nursing positions as their younger counterparts (norman, buerhaus, donelan, mccloskey, & dittus, 2005). thus, it may be that older new nursing graduates may choose to be employed in hospitals whereas older practicing rns choose other care delivery settings where demands are less intense.

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
i just had my 51st birthday and have been a working rn for 30 years.

i don't want to go back to 8 hour shifts....hate working 5-6 days in a row. i have to work full time, or close to it. don't want to work icu...i like my patients awake, even if they are confused.

could i get some advice from some of the other wonderful older nurses?

i'm 50 -- i'll be 51 in a couple of months and have been a working rn for over 28 years. i'm still working in the icu 3 12s a week. i'd suggest ccu -- most of the patients are awake, and you only have 1 or 2. you may still run your a$$ off some shifts, but there will be some shifts where you won't and can sit watching your patient (or their monitor) part of the shift. another alternative might be acute care dialysis. the dialysis nurses in our institution say it's the easiest job they've ever had. they only run one patient at a time, and most of the time they're sitting.

ruby

Specializes in LTC, assisted living, med-surg, psych.

I've got to hand it to anyone who can do Med/Surg nursing after about 45.:uhoh3: My body pretty much gave out on me---my knees hurt, my feet hurt, my back hurt, my shoulders hurt, even places I didn't even know I had hurt. Then there were the stress-related illnesses, including chest pain, cellulitis, cholecystitis, kidney and bladder infections, and a couple bouts of pneumonia.

Funny how all of that went away after I got out of acute care and into a job that uses ALL of my critical thinking and creativity.........I haven't been sick a day since I quit the hospital right before Christmas. Not only that, my energy level is better than it's been in years, and I no longer feel like I'm old and decrepit, even though I'm many pounds overweight and certainly, at age 47, no spring chicken. This is the job I intend to retire from, at what age I don't know, but it won't be for many years! I joke with the residents at my assisted living community that I'll probably work there until I'm ready to move in as a resident myself.;) To which they say, "Yeah.......and we'll just bang on your door every morning and tell you to get up and come to work!":lol2:

ahh....statistics....don't ya just love'em. I am one of the oldest nurses on my shift now. Have no plans for retirement, altho I hope to eventually finish my MSN and teach when my legs finally give out. If not....look out!! I will be the "senior";) RN flying up and down the hall on my rascal scooter!!

Specializes in Nephrology, Cardiology, ER, ICU.

I'm almost 48, been a nurse since 1992. Up until three weeks ago worked 12 hour shifts in a very busy level one trauma center (did well and loved it too). However, in order to have more options as I age, I went back to school and got my APN and now I work 8 hour shifts (suposedly) which translates to anywhere from 10-15 hours/day and I'm still tired - lol. However, I am being very fairly compensated and I can set the pace more.

As we age, we need options. In my age-group, few of us can retire at 55 or even 65.

Specializes in Psych, Med/Surg, Home Health, Oncology.

Hi All,

As you can see, I'm 61. I've been working for a bit more then 40 yrs and have a Nursing Diploma and a couple of classes that I took yrs ago toward a BSN.

I have worked Med/Surg/Hem/Onc for about 30 yrs. Our floor is extremely busy. I have been on nite shift, also, for almost 30 yrs.

I work 8 hr. shifts and had Bil Hip Replacements about 16 yrs ago.

During this time I also worked a second job of Home Health; I did quit that second job about 2 yrs ago, because it was getting to be a bit much.

I plan to continue working at this Hospital ( I have been here 36 yrs.) until my DH & I move South. Then the plan is that I hope to find either a job in Home Health or Hospice.

I loved Nursing when I first started & still love what I do.

I don't always love the state that nursing is in, but I do love nursing

Mary Ann

Tulip, how did you prepare yourself for a return to nursing after 15 years of not nursing? :pumpiron:

04/04/1950's

Specializes in Medical/Surgical/Maternal and Child.

I graduated nursing school in 1993 at the age of 46, worked in med/surg for 4 years, prenatal/postartum for two and case management for 7 years. I still miss bedside nursing but my hip thanks me for getting a 9-5 job with w/e and holidays off....:)

hi all- i am getting licensed really soon (scheduled to take nclex next month) and i'm 49. finishing nursing school (bsn) at my age is a bit scarey. i do bring to the table: prior work experience and other degrees, calm maturity, and alot of life experience. i am not timid (is anyone at our age?) and i have the wisdom of my age. of course...i'd trade all of that for a 20 year old body again! :jester: i am adjusting to 12 hour shifts and there are days when every bone in my body hurts... so i loved reading all of your alternative careers and ideas for places to go & what options are out there for when you are my age (ltc, comm health, etc.). i am in nicu right now and loving it but if i can't imagine doing the hospital thing for more than a few years. does anyone know of career options if i pursue a masters in mental health? i really enjoyed my psych rotation in a mental health facility, but i don't know much about mental health career options, or the demand or pay (relative to acute care). my particular interest is adolescents. so...if any of you know about mental health options- not for me personally, or my menopausal cohorts, lol, but with regard to career options- i'd appreciate hearing!

Specializes in Psychiatry, Case Management, also OR/OB.

Hello everyone on this thread-- this is so interesting! I graduated with a Diploma in 1968, worked OB, then went to surgery. After 20 or so years there... I wanted to do something new. I didn't feel that I was being challenged enough.soooooooooo... I went into Psychiatry, did a little CD, ETOH,then switched to geri-psych...somewhere between deciding my body had abandoned me for a younger prettier model. I got a idear!!!!!.... I 'll go enroll in this new Bsn Program " Its a great new concept" BSN completion.

Heck, I'd gotten a few hours under my BELT,,, maybe. got my Bsn in 18 months. in the year 2000... grad work and got the Master's in 2004, I have a variety of skill sets (as the new buzz words say). I had lots of stamina when I was youger, double shifts. hey sign me up. I am, however 58 y/o and a realist. My many years of lifting heavy equipment in the OR, walking mile upon mile. have taken a toll on my parts. I have developed RA (mostly genes) & degen disc disease at 3 levels (ouch). And sooooo,,,, I am the smiling case manager flying around on my Rascal,,, but I love my job. I think my years of experience + my degree enable me to continue working in a field that I love so very much.{{{{{{{{{{ hugs}}}}}}}} to all my nursing colleagues elsewhere and at All Nurses.

That Kansas Gal in Case Magmnt.

Question for the older, experienced nurses:

I'm pursuing a career in nursing and have a few interviews coming up within the next few weeks and am trying to prepare for them.

Having been in the nursing field for an extensive period you all would know best what qualities are essential for the work you do. What questions would you ask of a nursing candidate?

I guess I'm looking for some direction and also to hear something that I probably haven't even considered asking myself. I really would appreciate any feedback you can give me :)

Specializes in Psychiatry, Case Management, also OR/OB.

Expect to hear questions about "strengths and weaknesses" in some format or another. When I was hiring people, I would give scenarios, and ask the candidate how they would handle it. I often asked people what they were most proud of in their work life (that would apply though, to a more seasoned employee). How do you handle conflict with co-workers is always a good one to ask, too. Qualities needed -> critical thinker, flexible, able to prioritize is crucial. Be an effective communicator and a good listener. You cannot educate patients and families about health and wellness if you cannot communicate it. I also feel it is important to be able to problem solve clinical issues as you are moving thru the issue, if you know what I mean (think on your feet!). There are many more, that I'm sure others can add. Good luck with your career.

Morghan, MSN, ARNP

I appreciate the response, thank you!!

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