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"

Dear Miss Giver, I left nursing after working as an ICU nurse for 27 years, Back to school to be a Physician. Best decision i made. We have a greater knowledge of the effects of Shiftwork on our body. There is a serious disruption of Melatonin and Cortisol which regulate the Circadian Rhythm. You may need a leave, rejuvenate and come back with a clear mind where opportunity has a place to land.

I have been a CNA for 22 years, and have recently returned to floor duty. Back in 2003 I was working on a med/surg unit at a hospital on Chicago's West Side on the 3-11 shift. It was the proverbial "night from hell", because we had a mix of all kinds of patients, including several psych patients. There were only 2 CNAs on the floor, myself and another lady. We had a full house and that held 60 patients and me and the other CNA had 30 patients apiece. I was working my ass off in my section, answering lights, assisting patients with whatever they needed, getting vitals, admitting/transferring and discharging pts left and right. My partner had disappeared off the unit somewhere when I needed her to help me with one of my people, yet I went out of my way to help her with hers. Then the RN I was working with was steadily ******** at me for what I felt were petty reasons, when I knew I was doing my job. When I would ask her to help me with a patient, she all but cursed me out and told me go f**k myself. At that moment my mind was going to pieces and I could hear voices telling me "kill her! KILL HER!!!" at the same time the voices were saying "I want to go home I want to go home I want to go home RIGHT NOW!!!" that nurse kept on with her constant haranguing, and I felt myself losing it quickly, and so help me God, had she tapped me on my shoulder, I would have choked the crap outta her. Instead, I burst into tears screaming, "I CANT TAKE IT NO MORE!!! I WANNA GO HOME NOW!!!" I was hysterically crying and the charge nurse merely said, "she's burned out. She can go home." Still weeping, I managed to put my coat and heavy boots on, and left. That was in February 2003. I had been going to a therapist, and somehow thru my meltdown I called her and told her I needed to see her ASAP because I was losing my mind. And I had lost it.

So yes, I am a living witness to what burnout can do. During that time, I went to therapy sessions, was hospitalized several times for suicidal ideation, and have been on meds since then. I just hope and pray that I will be mentally stable to keep this new job at this facility. My prayers go out to those in the nursing profession who have or is still suffering from burnout. Don't be afraid or ashamed to get help if the pressure is too much. Blessings to all of you.

I'm sorry to hear you're leaving nursing. I wish I could say things will get better. Unfortunately for all of us in healthcare it's a hard road that we walk when we choose our professions. It sounds like you've had some bad employers. There are better places to work. Probably not perfect jobs, but there's something out there that's definitely better than what you've had previously. They're out there. You just have to keep looking.

Something tells me you'll be back. So, consider your departure a 'sabbatical.'

Sending good vibes your way and enjoy your journey! I've been there and done that!

Specializes in NICU,Visiting Nurse, LTC Assessment..

I applaud your courage! I wish I would have left much earlier and stood up to my family, & changed my career earlier. Nursing Management cannot control the bullying -- in fact, if people LEAVE, they can keep paying newbies less. So follow the money > They DO NOT WANT to make the profession better for nurses. They want cheap labor. PS: We were talking about how "Nurses eat their young" in the 1980's! Nothing has changed since then = follow the money! They love when bullies run you out and the bullies are too dumb to see they are not going to be paid their worth over the long-term.

Specializes in NICU,Visiting Nurse, LTC Assessment..

Try considering moving to a hospital with a union for nursing. I wish I would have taken that advice early in my career.

Trust me, a hospital with a union does not mean squat! It changes not one thing here in California.

I don't know where you work, but the network hospitals in my area have presidents, VP's and chief officers with several million dollar salaries and nearly half million dollar bonuses. Why do they need that much money? Answer: they don't. There's one solution for ya.

Specializes in Step Down, Cath Lab, Health Coach, Education.

I truly admire you and I feel your pain. As another OP said, you are appreciated. Not by management anyways but by your fellow nurses and patients. I have found nursing jobs outside of the hospital offer better quality of life. Yes, hospitals are a business and not a pretty one. I wish you the best of luck. I know you will do great.

You have left the bedside, not nursing. Nursing has other avenues besides bedside. You can do home health, hospice, insurance, telephone triage, doctor's office.

A home health nurse makes the same amount of money, but the pressure and amount of work is the same. They hound you over the phone to hurry, hurry, hurry, and every patient you see needs 2 to 3 hours of charting at admission, then periodic reports.

I am sorry you are leaving nursing. Many areas of nusing are as you say, but many areas are not. I work as an RN in the specialty of psychiatric addiction nursing and absolutely love it. When I 1st started working here we did have some long time nurses who were of the mentality of 'nurses eat their young', but myself and other newer nurses banned together and made a pact that this was unacceptable for nursing and took a stand against it. We got management on our side and eventually the older nurses who would not work as a team were ousted. I have now been promoted to Clinical Nurse Leader and couldnt be happier. We continue to strengthen our Nurse/MA/Tech team with staff who want a positive team environment. It takes nurses who want to move into leadership positions to make changes in the status quo.

Specializes in NICU,Visiting Nurse, LTC Assessment..

Well then it is worse than I thought. I cannot recommend anyone become a nurse unless they can also be a bully and want to be in a gang, because that is the only way to make it through. I have also worked other places and it is no better for women; in retail I was sexually harassed & NO PLACE was I paid what I was worth. I finally retired 3 years ago because I hadn't had a raise in 12 years, subcontract, and was working at a LOSS = DONE. Luckily I could retire early and try to forget it -- but here I am like a Stockholm Syndrome Sufferer.

I so agree, I started my career as a CNA and then became a RN, worked my way to be a DON over the past fifteen years. I work in a LTC facility and the eating of the young begins with the Health department. I have become literally sick when they arrive and I find myself defending good, devoted, caring, overworked( not because we cant or won't hire, we live in an area with limited resources) staff from this harassing, bullying group of people. Staff are subjected to a barrage of questions, accused of abuse, and are picked to pieces if one little and I mean little thing is wrong. Is a half of centimeter toenail length (too long) really deserve a state department worker to question the ethics of that staff nurse that didn't get around to trimming them yet? I think not. A resident has a two centimeter bruise on their arm that is on high doses of Coumadin and we have to depend that my staff isn't beating on them, pathetic!!! If a CNA, because she is so nervous being watched and forgets to do ROM correctly while she is sweating and shaking in fear, deserve to be harassed on WHY she doesn't know what she is doing? I have watched this state employees make my aids and charge nurses break down and cry. The government and their unrealistic expectations of nursing is the cause of a lot of what staff nurses feel is management issues. Management is being directed by the outrageous expectations of the health department, a bunch of people sitting behind computers that claim they just want to make sure residents are cared for. They create the need for more paperwork positions which pulls our limited resources to work behind a desk instead of with our residents providing direct care. I totally understand where this young lady is coming from regarding wanting to leave nursing. I am also there myself and I am looking for employment elsewhere.