Why I'm leaving nursing

I have decided to leave the profession I once loved dearly, due to the infamous nurse "burnout" no appreciation, frustration at the profession. Any nurses who feel the same as me please comment. Nurses General Nursing Article

I've taken the very hard decision in my life to leave nursing. I'm writing this as anonymous as I want only to be heard. I qualified as a nurse 6 years ago. I enjoyed the course and could not wait to qualify.

I remember thinking "when I qualify I will make a big difference and help people the best way I can". I became a nurse as Ive always loved helping others and enjoy being around people and making a positive difference to their lives.

I used to go into work so happy at the thought of seeing my patients and seeing their progression (I worked in a stroke unit). Id have my fob watch pinned on to my uniform with pride like a solider with a medal. To me at that time there was no greater joy than seeing my patients walk out the door, when a few months previously they were unsure if they would ever walk again.

Fast forward 6 years and I shamefully hate to admit that I loathe what nursing has become.

It seems to me that nursing is all "ticking boxes and notes" and being a "skivvy" for management. I love my patients and i know that I am (was) a fantastic nurse and I still take great pride in the fact that at the end of my shift my patients ask me "when are you next back on shift" to me. I still have all the thank-you cards (from patients).

This is not a rant or a dig at a profession that I worked so hard for. This is why I'm leaving the profession..... No appreciation or gratitude at all..... Obviously the odd patients who may be upset but mainly from fellow Nurses, management, other healthcare professionals etc.

I'm going to share some of my experiences so that people have an idea of why I've taken the decision to leave.

In my first job as an acute stroke nurse, it was routine that we were pulled out of our ward to cover shortages on other wards (very stressful in itself). I would go into my shift only to be pulled out and asked to cover gyne, a&e etc. One day while covering Gyne, I went into a side room to administer Fragmin. After injecting the patient, she grabbed my arm and stuck the needle back into my hand. I went to the nurse in charge to inform her and was promptly sent to a&e..... Because the patient was HIV positive (something I was not told or aware of as I was NOT a regular member of staff.... It also was NOT on the nursing handover sheet).

I was put on very strong medication for about two weeks which made me feel extremely ill, but what angered me most was that this patient was supposed to be have a 1-1 nurse due to violent outbursts another factor I was NOT made aware of. But hey, the management didn't care they just needed someone to cover.

A few months later I was nurse in charge of a night shift. We were a nurse down and only had two nurses and one HCA. We had very confused patients, and the ward was divided into 3 bays and two side rooms. Nurse one was in bay 1 doing observations, nurse two (me) was in bay 3 doing my IVs, the HCA was in a side room tending to a patient so that left one bay and one side-room unattended.

I called the bed manager for assistance and was told "sorry I'm on my break" and that she would call back.... She had been made aware we were short at the beginning of the shift also. That night, an elderly man escaped out of bay two and was found wondering the roads, thankfully unharmed but extremely confused. I cried on that night shift due to the shortages and the stress we were all under. We also had no break and worked through the full 12 hours.... All while bed management was calling us to transfer patients to discharge lounge as a&e was "pilling up" and they needed beds. The next morning I was called into the matrons office and asked "why did YOU let this happen"and was told how irresponsible I was.

A few months after I handed in my notice (after being signed off for a week with severe exhaustion and stress) I started a fantastic job as a palliative care nurse. The ward manger who was responsible for doing the rota gave her friends who worked on the unit the pick of the shifts, and worked the rota around them. I did flag this up with senior management but nothing was done about it. When I went to speak to her in person to voice my concerns I was told "if you don't like how I do my rota you can leave.... You're not irreplaceable" a few months later 5 nurses including myself handed in our leave.

This is just the tip of iceberg of some of my experiences of being a nurse. The guilt that I have felt over the past few months of making the decision to leave the profession that I once loved are still there. Ive decided to leave for my own piece of mind. I do not hate the profession but I hate how we are treated. A month ago I was put on a course of antibiotics due to a recurrent UTI was was caused by me not getting the time to drink while on shift or going to the loo. The job has affected my health emotionally as well as physically.

These are some of the things I've wanted to say in my job in the past month at work but didn't; these are not the reasons I'm leaving the profession but it has contributed to how I feel;

To the family members that shouted at me for not getting the bedpan to their mother on time "I did not "neglect" your mother". The lady in the bay next door with a history dementia and falls was trying to climb out of bed, plus we were two staff down.

To my patient with MND, I understand your frustrations at your illness. I understand that your angry and hurting. But please understand that Ive worked through my lunch break to help hoist you into a chair while being kind and smiling at you, and don't need to be a called a "wicked witch" for not being able to hoist you back into bed 5 minutes after you asked to be sat in the chair as I had pain relief to administer.

To the lovely cleaning lady last week, I was not aware that you were not allowed to mop urine off the floor. But thank-you for giving me the mop and cleaning products I needed to do so during my drug round. I understand that it's not your fault and that health and safety precautions are needed.... Again enforced by management.

My advise to the NHS and other organisations is this: Listen to the concerns of your staff, make them feel valued and appreciated. Stand up for your staff because the patient is not "always right". Also, paid sickness in my opinion is what's ruining the health service, as this is turn leaves staff shortages. Yes, people are genuinely sick. There are many who aren't.

Full pay for staying in bed? Why not eh? When I worked as a clinical lead (matron post) for a private hospital you would be surprised at the low level of sick leave... Probably as it was unpaid?

I really went into nursing to make a change. I'm not complaining about the pay as I would gladly take a job in a coffee shop as I know that I would get a simple thank-you at the end.

I'm 28 years old and I work two nurses jobs at times. I take verbal abuse on a daily basis, I work sometimes 7 hours a week of unpaid overtime if a nurse calls in sick and we need to wait for cover. I rarely get my full lunch break. Ive stuck it out for 6 years and now my time is done. Ive looked after and loved each and every one of my patients, but now it's time to look after myself.

Yours sincerely "Burnout Nurse"

How sad nursing OUR nursing is! So many of these posts hit the nail on the head, and/BUT all we want to do is take care of the PATIENT. ??? IS THERE HOPE AN ANSWER???

This response to the culture shock of real life is a direct result of the self-esteem and safe space atmosphere we have created. Lord help us all.

Congratulations of your future goals and plans. I left bedside Nursing a while ago. I worked in the Emergency Room for 11 years and gained a lot of experience which I have put to great use as I am a college health Nurse at this time. It is true Nurses eat their own. Like the management team you have talked about. I only speak in passing to my director and at meetings. I do not go to her or anyone in management for any problems I am having. I do not care to listen to what I call BS from them. So I deal with it, staying within my scope of practice. I plan to retire in 2 years from my present job and continue working as a Nurse. Like you, I have taken additional training and classes to branch out and continue doing patient. Good luck to you. Wishing you the Best!

I am a health care administrator. I subscribed to this site to help me understand nurses and their challenges. Let me say for a percentage of my colleagues, we too are looking at ways out.

We see the financials; we talk with the families; we negotiate with the surveyors; we are ultimately responsible for what goes on in the building , apparently , except for the happiness and well being of staff beyond the per-staff bandaids that are applied at less than $10 - $25 per person during your annual celebratory week.

No matter how many thank you's I have given or how many sympathetic conversations I have had with care staff, to know the bottom line revenue that is earned and not disbursed to increase wages, minimize benefit costs or just provide a free meal has become so disheartening that I too will not be able to fight much longer.

I get the calling, I get the compassion, but I have 172 employees to take care of 100 sick, frail and elderly but there has only been one Mother Theresa.

There are always clinical nurse educator positions available to nurses who want to use their knowledge but are burned out or physically not able to care for a patient. These positions are partnering with pharma companies to provide educational support to patients, caregivers in-home, call centers and educating Healthcare Providers.

Best to you !

Hi! I read your post and I just had to comment - First, {{HUGS}} and congratulations on making the decision to take care of yourself! Anything that costs you your peace of mind and health is simply not worth it. My path to nursing ended after just 2 clinicals in my first MONTH of nursing school. All the stress and crappy treatment you described, I saw it right away. I could see the uphill battle ahead - the nurse who TRULY cares and TRULY wants to do the right thing and is a TRUE advocate for her PT vs. management - lawsuits - politics - cover your ass mentality - laziness - short staff - budgets - quantity vs quality - all that mess! No thanks - my intuition said get out and I did. So good for you. You will do well in whatever endeavor you choose next. You have heart, pride, ethics and tenacity. Any stage would be happy to have you. Best of luck!!

I am laughing so hard right now, but sooooo proud of you. Many people are too scared to say "this is not going to work for me." You made a decision about what's acceptable and what's not and then acted on it. Kudos to you. I wish I was a fly on the wall, and I certainly hope that you found a career that is fulfilling and suited just for you.:)

Specializes in Critical Care.

I have been a high functioning ICU nurse for over 30 years. Now I am being told in oh so many ways if I don't get my BSN I am essentially worthless, second class, definitely not deserving of the extra bonuses paid out to the brand spanking new BSN's being churned out of the local 4 year programs. Apparently spending that extra 1+ year writing papers makes one a better nurse, and "there are studies that prove this!" (done by nurses in their 4th year...hmmmm) My expertise, loyalty and experience mean nothing to my organization, so yes, I am counting the months, weeks and days until I can retire and do something more fulfilling with my life. My chickens appreciate me more than my manager does!

Specializes in OR 35 years; crosstrained ER/ICU/PACU.
Don't blame the profession. Put the blame where the blame lies - government. Our profession is being governed by a group of flat out buffoons who have no idea what they are talking about and yet they are dictating process to the profession. In addition, the onus for reducing the costs of healthcare are being placed at the feet of those who are not fully responsible and for those who ARE responsible, there are few, if any, consequences.

I too have felt that frustration and yet the reward I get from nursing did not stop. I still want to do the best I can for all of the patients I impact, whether its direct care, management of others, impact on the community or a specific population. What we do matters. I won't walk away from that.

I've been saying this for years now, with 39 years in Nursing! Between the government, & insurance companies, I resent the hold they have on us, & the way they can dictate how we care for our patients! Who can stay in the hospital, for how long; what meds they can have. I've actually had to look at a patient's insurance company & status while they're in surgery, to see which fracture fixation device/type we can use; and done this many times!! It's sad that we have to use the one with the lowest cost, rather than the one with the best end-result. We need to have the Insurance CEO's be the ones who end up with the less-than-optimum implants, & see how they like it.

We need to let the public know what's going on! Maybe they can exert some pressure on the insurance companies to make a change! Think of the fiasco with the CEO & Epipen costs!! No CEO deserves that kind of salary, while those of us in the trenches scramble to do our jobs! Adjust the ridiculously inflated charges & costs, so Hospitals can actually hire enough Nurses to provide safe & efficient care for all of our patients!! I love being a nurse; I have worked my butt off for all these years, giving the best care possible. It shouldn't be this difficult!!!

Specializes in PICU, Pediatrics, Trauma.
I am a health care administrator. I subscribed to this site to help me understand nurses and their challenges. Let me say for a percentage of my colleagues, we too are looking at ways out.

We see the financials; we talk with the families; we negotiate with the surveyors; we are ultimately responsible for what goes on in the building , apparently , except for the happiness and well being of staff beyond the per-staff bandaids that are applied at less than $10 - $25 per person during your annual celebratory week.

No matter how many thank you's I have given or how many sympathetic conversations I have had with care staff, to know the bottom line revenue that is earned and not disbursed to increase wages, minimize benefit costs or just provide a free meal has become so disheartening that I too will not be able to fight much longer.

I get the calling, I get the compassion, but I have 172 employees to take care of 100 sick, frail and elderly but there has only been one Mother Theresa.

Thank you. I appreciate that your tried.

Thanks for everyone's comments and I'll say this and say it again, nurses are amazing :-)

yes, I did know and was fully aware of the pressures of nursing while training, I LOVED my training.

Ive never tried to degrade the profession or say that i "know everything".

To the nurse who's been a nurse for 40 years, I really applaud you and I hope that i can find a career that I feel as happy in.

I recently searched the UK register, and 15% of nurses (this year alone) have left the register (something im not planning to do)

So many of my friends have moved abroad to austraila, America as they could not stand nursing in the UK.

I haven't always felt like this, but there is a definite shift in what nursing has become here.... It is pretty dreadful.

The UK are going abroad to italy, Portugal, the phillipeans to recruit nurses.... So I know that "it's not me" so to speak.

Ive tried and tried and held out hoping things would improve but they dont

Please tell me this was a joke. Unions do not "give a stronger voice regarding complaints". The healthcare industry in the U.S. has become a highly for profit industry, legally not a socialized, single payer system but regulated by Medicare/Medicaid which are government programs that all the private insurance companies follow as well. Nurses in the U.S. are massively overworked, many nurses cannot find jobs because hospitals & other facilities would rather double a nurse's work load than hire another nurse, Medicare has now based reimbursement on "patient satisfaction scores" from surveys so hospital administration is adamant about having nurses play the role of customer service specialist first and life saver second (life saver won't get the hospital more money), the state boards of nursing have gone overboard in their punishment of nurses for minor errors & other mistakes (charting errors, med errors where nobody was injured, defaulting on school loans, mental health disorders) and nurses are terrified to make a mistake, hospital administration would just as soon throw a nurse under the bus than defend them in a lawsuit to save their own a**, nurses are not respected or treated like the professionals they are, nurses are being laid off in places due to administration wanting to save their own salaries/bonuses. The list is endless. So many nurses are leaving & learning how to do something else because it is not worth the aggravation & stress on a daily basis. I have been a nurse for 25 years, have seen healthcare change drastically in the last 10 years (not for the better) and would never recommend nursing to any young person or older person looking to change careers. Hospitals & other facilities don't give a rat's a** about the nurses that work there, even though they are the backbone of the facility. Administration cares about their own salaries/bonuses & will make whatever cuts necessary to ensure their own income. The second MBA's entered the scene & started replacing clinical administration, that was the beginning of the end.

AMEN!!! I've been a nurse for 22 years and although I'm not giving it up completely (yet), I am taking a break from it. My last 2 positions were more or less just "jobs" and not true passions. Best of luck to you and everyone else who dedicates themselves to this profession. God bless.

Dearest Burnt Out Nurse - I empathise with you and how you are feeling. I think we have all had similar experiences one way or another. I too am totally fed up with the way nurses are treated, we now have to do 17 extra annual competencies which take more than an hour each to complete. We do not have time at work to complete them, we are expected to do it on our off time. (17 x2 =74 hrs of off time for which we do not get paid) Plus working 40 hrs a week. It is ridiculous. I am desperate to get our of nursing, the only thing that keeps me is my fear of doing anything else. I go to work and I am depressed, I would almost do anything not to go. I wish I had some words for you - only that there are many of us that understand. Such a pity we can't seem to change the system.