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"

Well said...I have 11 years and was on a mission. Nursing was natural to me so what an awesome way to make a living....so wrong .....If you want to be in this field and be happy don't expect to provide the care organizations tell you they want you to provide. Its all bullcrap. The world is all about the dollar and how to get more. Healthcare is no different and if your heart is truly in this your going to be disappointed. Nursing educators need to change the information given to prospective students. Then again universities are businesses and they want to make money..If a true nurse at heart who wants to make a difference in lives,if she hears this ..there goes addmission rates and oh yeah lost money....The world moves so fast and people want more more more well not all..there is no time for care and compassion. Keep them alive, pretend as if you don't see problems that need addressed and never go above and beyond.

If you didn't chart it...it did not happen. That rule works in varies ways.

In a managed care CM role, the problems are there just a bit different. I searched high low finally found a position. Great pay Monday thru FridAy 8am-5pm never work weekends or holidays it's a sin in this setting. During the interview I mAde sure that I would be able to educate,guide, and help patients live healitbier happier lives. Oh yes., I was 93rd you are going to close the care gaps help the families and make life better. Ease the companies are paid on a case basis. The more cases you sign up the more money they make. The state contracts appear to be in favor of helping members,allowing them to be healthier, and oh saving the state tax payers dollars. However you don't have ti,e to make all the different calls to doctors office and spend time on calls with patients. You spend a nice amount the first time come up with a wonderful POC interventions, goals you know the deal. Then you call once every few weeks or month to check in make some notes. Most time is spent making cold calls to try and sign up new members,your calls have time limits and you must include all the info to meet NCH not sure that's right standards to avoid fines...I am sorry to say I admire you and think your making a good decision. Hold onto your license just in case but I feel you. I am at the point I don't know what to do. Love to all my nursing sisters and brothers though. Nurses eating their young and this applies in New specIalities......makes things even worse.

Case management especially managed care companies

Well, get out or go back for an advanced degree in nursing.

I love my job now, I work with a great supportive team, BUT that does not erase the 20 years I spent miserable and unhappy in part due to my husband that would not pay for me to go school to change careers, nor let me quit my job. Still married but it is hard to forgive the last 20 years. AT least I love my newish job.

Specializes in Wellness and Coaching for Women in their Third Act.

Good to know you have found something that brings you joy. Let go of past resentments and focus on your new path. As Abraham-Hicks says, your job is to feel good and if that is how you feel now, you are on the right path. Congratulations!

Nursing is going backwards. If housekeeping can't clean bodily fluids then why have them at all. That is absurd. I really feel it is because most nurses are women. I RARELY play the woman card but I cannot see a majority of men putting up with this abuse.

I admire your decision to leave. I'm on the brink of leaving nursing myself. I'm going to first try other areas before my exit. However, I feel I am running out of patience and self-control. But if something non-nursing comes my way before I am able to find my nursing niche, and if it's something I think is for me and I will enjoy, I'm OUT!!! I refuse to let my job or nursing tear my life apart. I'm sick of being abused and having no rights or support and being told that comes with the territory or I signed up for this. That's not OK with me and I refuse to accept "the culture."

Specializes in ICU.

About two months ago I was in the exact same place. I had the same bitter feelings. I was depressed, exhausted, burnt out and hopeless. I worked for a big private hospital, in a busy ICU. Acuity was high and it got higher over the last few years. The workload would have been manageable but the management gave us little support, constant new expectations, nonsense rules and regulations that made our work much harder than it ever had to be. Just as an example; we couldn't keep spare supplies in patient rooms, even in the locked cabinets that were installed for that reason just 2 years ago. Can't keep even saline flushes, nor could we carry it in our pockets; if we were seen with them we would be reprimanded. You were watched, criticized, talked to only if something was off, always looking for mistakes. We haven't had a staff meeting in years, no one listened to or care about our needs. The cherry on top was when they changed the charge nurse arrangement and decided to have designated charge nurses instead of rotation of the more experienced ones, which was the long standing tradition. Without first talking to the staff, one day these people who have done charge in some cases for 15 plus years just received an email, in which they were told that they are no longer going to have this role. Instead, they chose their favorites, who were more willing to kiss up to managers and more willing to throw anyone under the bus to be a favorite. One of them was a younger nurse who just started there less than a year ago. One of the nurses who had been doing charge asked the manager why she wasn't chosen. The answer was: "because you are *****-faced", whatever that was supposed to mean. She was supportive to other nurses and well liked by her peers, she had no attitude issues that I could recall. BUT even if she did... This tone is so out of line, I couldn't believe it when I heard the story. I encouraged her to report it to HR and to speak to a union rep, she just said she has children to feed and needs her job. That was the last straw for me, I needed to leave. The morale was so low, people were unhappy, scared, whispering in groups, tired, disgruntled, everyone kept talking about wanting to leave. I had enough. I was so depressed working there, I seriously considered leaving nursing all together. I heard similar stories from my friends working in different hospitals. I saw no way out. Then I decided to give it one more try and I applied and got hired to a smaller rural hospital, where the pace is much slower, people are relaxed and happy, workload is manageable, and what I do is appreciated and respected. I have time to be with my patients, I can pamper them and see the person in them, like a nurse should. I enjoy nursing now. I noticed that the overall company attitude is different, not just the pace. I've only been there about a month, so things can change, but right now I am so happy I made the leap. Unfortunately, I don't think that this is the way out for most of us. This job was unique and most nursing jobs are located in big hospitals. But... there is some hope out there. Don't stay in a place where you are unhappy. Yes it's a tough decision and change IS stressful... but not nearly as stressful as staying in a place where you are abused and disrespected. CHANGE.

Specializes in PICU, Pediatrics, Trauma.
About two months ago I was in the exact same place. I had the same bitter feelings. I was depressed, exhausted, burnt out and hopeless. I worked for a big private hospital, in a busy ICU. Acuity was high and it got higher over the last few years. The workload would have been manageable but the management gave us little support, constant new expectations, nonsense rules and regulations that made our work much harder than it ever had to be. Just as an example; we couldn't keep spare supplies in patient rooms, even in the locked cabinets that were installed for that reason just 2 years ago. Can't keep even saline flushes, nor could we carry it in our pockets; if we were seen with them we would be reprimanded. You were watched, criticized, talked to only if something was off, always looking for mistakes. We haven't had a staff meeting in years, no one listened to or care about our needs. The cherry on top was when they changed the charge nurse arrangement and decided to have designated charge nurses instead of rotation of the more experienced ones, which was the long standing tradition. Without first talking to the staff, one day these people who have done charge in some cases for 15 plus years just received an email, in which they were told that they are no longer going to have this role. Instead, they chose their favorites, who were more willing to kiss up to managers and more willing to throw anyone under the bus to be a favorite. One of them was a younger nurse who just started there less than a year ago. One of the nurses who had been doing charge asked the manager why she wasn't chosen. The answer was: "because you are *****-faced", whatever that was supposed to mean. She was supportive to other nurses and well liked by her peers, she had no attitude issues that I could recall. BUT even if she did... This tone is so out of line, I couldn't believe it when I heard the story. I encouraged her to report it to HR and to speak to a union rep, she just said she has children to feed and needs her job. That was the last straw for me, I needed to leave. The morale was so low, people were unhappy, scared, whispering in groups, tired, disgruntled, everyone kept talking about wanting to leave. I had enough. I was so depressed working there, I seriously considered leaving nursing all together. I heard similar stories from my friends working in different hospitals. I saw no way out. Then I decided to give it one more try and I applied and got hired to a smaller rural hospital, where the pace is much slower, people are relaxed and happy, workload is manageable, and what I do is appreciated and respected. I have time to be with my patients, I can pamper them and see the person in them, like a nurse should. I enjoy nursing now. I noticed that the overall company attitude is different, not just the pace. I've only been there about a month, so things can change, but right now I am so happy I made the leap. Unfortunately, I don't think that this is the way out for most of us. This job was unique and most nursing jobs are located in big hospitals. But... there is some hope out there. Don't stay in a place where you are unhappy. Yes it's a tough decision and change IS stressful... but not nearly as stressful as staying in a place where you are abused and disrespected. CHANGE.

I've worked in several units that had very similar issues like the ones you stated in your "old" position. It is very disheartening. Congratulations on landing what sounds to be, a great new place to work. That is how it used to be. ICU nurses don't mind complex, high acuity patients. Many thrive on those, but it simply cannot be done safely when the "corporate" bottom line comes first. I'm so tired of hearing these stories....People...our patients...deserve so much better and sadly they have no clue how all this works and we nurses are not in the position to explain this to them. All they and their families see is the lack of care and time given to them, and they often blame it on the nurse....the same person who would only love to be able to care for them better.

Specializes in critical care.

jeeez, try 30 years!!!! and yes! I am absolutely sick of all the politics, bullying and backstabbing. I have another 6.5 years until I retire......

I've loved this profession so much that i dont know what else to do other than to be a nurse.

I have also felt that nursing has changed overtime, and like you, I was terribly exhausted, disappointed and saddened by the fact that people around (esp. the management and even other healthcare workers) make me feel that "well, you are JUST a nurse". Nurses in the Middle East have been treated very lowly. I am one of them.

I have mustered a lot of strength to leave the only work I have known. It was very painful decision as I remember how I poured out my heart into nursing as a student eager to qualify and be part of a team that saves lives, how I battled to get through a full day at school after countless sleepless nights, how I learned to play deaf due to daily verbal abuse, how I cried with the family of their loss and grief.... After a decade of practice, I bade a bittersweet goodbye to nursing.

Specializes in ICU.

Sad to hear your story. What do you do now?

I admire you for making the wise decision to leave - while you can. I've waited 17 years to leave and now find myself perhaps too old to re-train and in an area of the US with few job opportunities. I cried after every shift my first 6 months of nursing. I wish I had left then.