Who "Owns" the "nursing shortage?"

Nurses General Nursing

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I remember talking with a DON at my first "job." She instructed me to solve a problem; first identify who owns the problem. They will be charged with it's ultimate solution/ resolution.

Here we are in 2002. The chicken little "The sky is falling," mantra of the day is that there are not and will not be enough nurses and other selected health"care" "workers" to provide the necessary "service" to those in need of it.

People clamor crisis with the best intentions of addressing the "problem." There are committees formed to address the "problem." Yet the "problem" remains; or does it?

Who owns the problem?

A working nurse who is short staffed not provided with enough of the avaliable nurses to safely "practice?" No, they do not own the problem. It affects them but they do not own it!

Educators clamor that there will not be enough educators to teach. A seprate issue, nurse educators; in a league all by themselves I mighn't add. They claim to have some ownership but in all praticality, they do not own the problem either. They are affected by it but do not own it!

Ownership of "the nursing shortage" belongs to those who hire nurses; solely and wholely! They do not do what is necessary to attract and retain nurses.

All of the good hearted educators and nursing organizations in the world can only make the actual solution of the problem a little easier for the "employers" of nurses. They can have an impact on the problem but not solve it!

As an individual nurse you can impact the"solution of the problem" by where you work and under what conditions you will work. You certainly will not solve the problem!

Trillions are spent on health care in the US alone! Where does the money go? Who hires nurses?

The problem is clearly owned by employers. They simply continually fail to do the right things to and for the employees.

The word is out! Nurses are treated poorly and paid poorly. Why should the owners be suprised there are no people willing to do what they ask? Why should people go through the experience of achieving a nursing education for the lack of reward offered by employers?

I've grown weary reading of the woes of employers and the entities working to address "the nursing shortage." They can not be working toward my best interest. They do not own the problem. They simply make it easier for employers to continue doing business as usual especially regarding poor treatment and pay of nurses.

Please tell me how I'm wrong and individual nurses can solve the problem. Please tell me how educators can solve the problem. Please show me anyone else who can solve the problem - if , in fact, - one exists.

Please don't let me keep believing that the only "solution to the nursing shortage" is held by employers. They have proven over time they are not willing to do what is necessary to solve the problem.

Specializes in ICU, CM, Geriatrics, Management.
... hatchet men...

Or women.

Specializes in ICU, CM, Geriatrics, Management.
... Plus, if we get shorted enough, eventually the wisdom if TPTB will determine that the matrix is TOO generous since we seem to "handle it" short so well, then it must not in fact BE short.

... The nurse who was willing to "handle it" is following a recipe for burnout and ultimately increasing the nursing shortage. But mgt that keeps adding straw after straw to determine exactly when the camel's back *does* break owns more of it.

Agree.

Specializes in ICU, CM, Geriatrics, Management.
... hospital administrators, nursing administrators, nurses and the consumers...

Best answer so far.

Nobody wants to think about lying in a hospital or nursing home bed, crapping on themselves and needing someone to clean them up. Basketball and football, on the other hand, are the here and now - and they're fun, and you can bet on the outcomes. Not a whole lot of action out there for folks wanting to place bets on which overworked RN will make a med error first. Which overworked CNA will say "to h*** with this job, I'd rather work at McDonalds" first? Which LPN will bring home the gold in the putting up with management's crap triathalon? Let's not forget the full-moon ER-LDRP-NICU relay event!!

Athletes and entertainment personalities are well-compensated because people will pay outrageous amounts of money to watch the game on pay-per-view, or to attend the game in-person. They will gladly fork over $12 apiece for movie tickets and pay $60 for a playstation video game that has a professional basketball player's likeness built into the programming. Nobody wants to pay ANYTHING for health care. (PAY??? You want me to pay??? I shouldn't have to pay for health care - it's my RIGHT!!! I have rights!!! ---- sound familiar to anyone?) They just want to show up at a hospital - be magically cured within minutes - so they can go back home and practice the same bad health habits that ruined their health in the first place. And God help us when they find out that they DO have to pay - just like everyone else - OMG!! They want catering, a maid, a masseusse, unlimited medications of their own choosing, every test known to man at no extra charge and no discomfort to themselves, priority over every other person in the free world even if they have a splinter and the person next to them is in VFib - "I was here FIRST!"

I could go on, but you all know this already...we all see it every day of our professional lives.

Well now it is almost 05. I am a student in my last year and I have been saying what Norbert is saying to anyone who will listen. I am a state officer in the National Student Nurse Assiociation. At the last big meeting in Nashville we heard how many nurses each state needed. I am sorry, but stats show that there are plenty of working age nurses. Only they are not working as nurses. They have other jobs that pay more and treat them better.

This actually is more true than people like to think. I personally know 7 nurses out of 1 unit I used to work in, (I know others, but I'm going for a sampling effect here) who are no longer working as nurses. I know several more from that same unit who, even though they are still working as nurses, they are no longer working at the bedside, and let's face it - that's where the shortage is. Every one of the nurses I am thinking of is under age 35. It did not take them long at all to get sick of the crap. There very well may have been others as I have since lost touch with my friends from this unit - this was as of the last time I had contact with them. I feel it will likely not be long before I join them (I am still under 30). I probably will not leave nursing completely, but I don't know how much longer being a bedside nurse will be worth it.

For the most part, I really like what I do, but not enough to be treated like a peon, or an animal, or a slave. I deserve respect and compensation commensurate with my education and experience. I will either get it where I am or I will find a place where I will get it. I am not about all this "calling" crap. Nursing is a career - that's why it is a major, just like finance and architecture. If it brings greater fulfillment to some - TERRIFIC - but those who choose to beat the rest of us over the head with their values because they felt a "higher call"....well, it makes me want to peek at their caller ID, if you know what I mean.

Ok - I'm getting off my soapbox before I get myself flamed :)

Specializes in Geriatrics/Oncology/Psych/College Health.

Hard to believe it's been two years since this post. What a difference not working FT at the hospital anymore. To actually have job satisfaction and adequate staffing is such a joy!

Specializes in cardiac/education.

What do you mean by that? Did you drop to part time, leave the hospital setting, or both?

I am curious because I am wondering if nursing would take such a hard toll on you physically and mentally if you did not do it full time. Can you advise me on that? Thanks!!

Hard to believe it's been two years since this post. What a difference not working FT at the hospital anymore. To actually have job satisfaction and adequate staffing is such a joy!
Specializes in Geriatrics/Oncology/Psych/College Health.

Happy to explain :). I work in a clinic setting full time now. It's WONDERFUL. It's so great, I also work at the hospital every other weekend and it's like a vacation knowing I don't have to be there fulltime. (I don't *have* to be there the times that I am, but I'm tucking $ away for a house and also want to keep my clinical skills up.)

Working at the hospital only on a PRN basis is a cake walk. A couple of other nurses at my clinic do it also. It makes us love our clinic job all the more :).

I did a little survey and found that over 3/4 my graduating class of nurses is not actively working in nursing... by their choice. This did not surprise me. Of those remaining less than 1/2 work in a hospital fulltime..the rest do part time, prn or clinic type jobs to stay sane. I survive by working part time as well.

Over the years I have watched as many of my excellent coworkers leave the field; due to injury or illness,(much of this work related) stress related to work, total frustration/burnout or are run off by vindictive managers who dislike their vocal nature. The dysfunction in this field becomes overwhelming to many nurses and I understand that. 9 out of 10 nurses in my parts will agree in private about the problems in nursing, yet will NOT speak up to management.

So yes nurses DO IMO share much of the responsibility for the 'shortage' because as a group we have 'taken the crap' of overwork and abuse and 'saved the day' instead of demanding fair treatment, fair staffing, respect, etc. While I am a person who speaks up, the majority of nurses I work around will NOT, prefering to gripe in private and do nothing to change things for the better..

So...the plight of nursing has evolved over the generations with management being allowed to do whatever they want within the law....when if we would stick together and demand a voice, demand better treatment, we would likely get it. It follows there then would be less of a 'shortage' because the job would be tolerable and young people would come into the field and stay.

So in my simple mind the solution to the shortage begins with nurses, and if the 9 out of 10 would step up to the plate to be seen and heard, be proactive and show solidarity, we would know our power.

Facilities see this physical shortage of nurses as easily solved: by overseas recruitment and use of warm bodies to fill staffing holes. They are not being forced to look any deeper at the problem. It is up to nurses to improve the profession of nursing; nobody else really cares. And as long as we keep looking for someone else to 'fix' it, nothing will change.

If only nurses could stick together as a cohesive group to support each other

Sadly, it'll never happen.

Sadly, it'll never happen.

Actually, it has happened in some cases:

http://sfgate.com/cgi-bin/article.cgi?f=/c/a/2003/12/17/BAGV23P1CL1.DTL

Quote from one of the striking nurses:

"We're very pleased with the fact that we stood strong."

;)

Actually, it has happened in some cases:

http://sfgate.com/cgi-bin/article.cgi?f=/c/a/2003/12/17/BAGV23P1CL1.DTL

Quote from one of the striking nurses:

"We're very pleased with the fact that we stood strong."

;)

I don't live very far from that hospital, and am familiar with that article. Granted, the nurses have made progress by having their benefits and compensation increased (comparable to the area), but the working conditions haven't changed, and they are still short of nurses. The point that I attempted to make in my previous post was that on a large scale, nurses have not, and do not stick together .

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