Why Is There A Nursing Shortage? The Shocking Truth About The Future of Nursing
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- Опубликовано: 25 фев 2023
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This is The SHOCKING Truth About The NURSING Shortage. It's way worse than you could ever imagine.
In this video, we'll explore the history of the nursing shortage in the United States, starting with the post-World War II era and continuing through the present day. We'll look at the factors that have contributed to this ongoing shortage, such as an aging population, increased demand for healthcare services, and a lack of funding for nursing education programs.
We'll also examine the current state of the nursing workforce and explore projections for the next decade. With many baby boomer nurses nearing retirement age and a growing need for healthcare services, experts predict that the nursing shortage will only continue to worsen.
We'll discuss the potential impact of this shortage on patients, nurses, and the healthcare industry as a whole, as well as some of the initiatives that are being implemented to address this critical issue.
Whether you're a current or aspiring nurse, a healthcare professional, or simply someone interested in the future of healthcare, this video will provide valuable insights into the history and projections of the nursing shortage in the United States.
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If this video gets 100,000+ views I'll make a video about the highest voted comment in the reply to this pinned comment.
Awesome video as always!! From what I’ve seen, it’s not a shortage of licensed LPNs & RNs, It’s a shortage of Nurses willing to put up with unsafe ratios and unrealistic assignments. Just about everyone I work with has an exit strategy.
@Monica Just say "I haven't passed yet." Don't take it as a failure but see it as a learning opportunity. There is a lot of power in "Yet"; you are telling yourself that you will get there and that your eyes and heart are still fixed on your goal.
The Nclex is all about learning how to take tests. You already know the material. You've been taught it in nursing school and you passed. Now you just need to take test questions over and over until you can answer a question before you even finish reading it.
@Monica I have some strategies for you if you want to know about them
You got that right!!
@@Joyce_RN Try U-world and Mark Klimek
There’s never been a nursing shortage. Nurses are mistreated and burned out. They are expected to get a university education. It is no longer enough to get an associates degree education to become an RN, or an education at the trade school to become LPN’s. I am quite old and an ASN degree was enough. But, treated very poorly, while working at the bedside. It always was being short staffed, long shifts, write ups, even as early as the 70’s and 80. Increased pay will not fix short staffing. Hospitals, are trying to make money at the expense of nurses and patients. Also, the reason people are dying is because staffing has gotten to the critical level. It doesn’t pay, when a nurse makes a mistake, because of the system, and a patient dies. She/he is sent to jail, while the facility gets away scot free. The system has been broken since I was in the field.
I have been a bedside RN for 34 years. This is the first time I’ve ever seen anyone seriously discuss the shortage of nursing school educators and how it affects the nursing profession. To have more nurses we need to educate more nurses and without educators, clinical instructors and funds we aren’t going to make a dent in the demand. Nurses programs do not need to be only BSN based. LPNs are needed and should be welcomed. RNs in two year programs are also important and should be welcomed as well. Not every nurse wants to have a bachelors degree. I love my BSN and LPN family and ALL of us want better and safer staffing.
Tbh from all of my clinical experience the best thus far has been teaching received my LPNS/LVNS and CNA’s they’ve been more receptive to teaching students, been patient and have been great teachers so I totally agree with the sentiment. I don’t think it’s right that hospitals are leaving them without jobs and placing those responsibilities on RNs just to save money. I may be wrong but it’s what I’ve heard. Much love to my LVNs and CNA’s ❤
Thank you for mentioning LPNs.
I’m a new grad RN at Kaiser Permanente and it has been a horrible experience for me so far because we don’t have help. The workload is too much and I have dreaded to come to work everyday. I really love to help and care for patients but I feel like I am a robot just giving and pushing meds, not much of patient interaction and quality time with them. This is because we are short staff all the time. Kaiser needs to add more CNAs so that RNs can provide high quality care the patient needs. I am a new nurse and I feel burnt out already and I want to leave the bedside if nothing is done about this. 😞
Where in California do you work?
Is this Kaiser in Cali
Hey girl I hope you’re doing ok. It’s not so much about the hospital and I think more about the unit’s staffing and culture. Definitely don’t leave so early on. Try other units and/or different specialties first. Don’t let all that hard work be for nothing! I’m sure it will get better for you. The first year is the absolute worst.
Ahhh did your friendly nursing instructors tell you that your RN self was too good to actually perform patient care?
I feel your pain, after 27 years working as an RN, 15 of which was spent at KP and 1 year of covid frustrated me to the point of retiring early and not renewing by license. Word of advice take it as you see fit, find yourself a specialty department in nursing (i.e. GI lab, Cath Lab, Interventional Radiology, etc.) where you deal with one patient at a time, if you plan to stay in nursing for the long term. Otherwise retrain into something related, Diagnostic Imaging, Laboratory, something of that sort. Good Luck.
I hate being a nurse. I sit in my car for 30 minutes after every shift thinking about how I leave my family on holidays to go take care of someone else’s just to get ridiculed and treated like crap. My body hurts and I’m sleep deprived. We’re not respected and we work so damn hard. I’m just tired.
Go work a blue collar job and you will feel grateful and blessed. It’s about perspective
@@Dan-mo4ek what??? I’m an ER nurse. Work my job and you’ll count more blessings trust me. I toe tag kids and adults every single day. It’s not just my body. I’m mentally exhausted. You sound crazy af.
People need to talk about how shitty the general public is towards the very people who are taking care of them. I've heard numerous stories about how people come in demanding the world of nurses and begin yelling at them, degrading them and mistreating them. This is the type of society we live in and so why would anyone blame a nurse or anyone in the medical profession being like "fuck you guys, take care of yourselves". and chances are, many of these people are on all sorts of entitlement programs and their entire medical care is paid for and they still want MORE.
So true so true
I am an experienced RN who left the bedside 9 years ago to take care of my babies. I have since tried to get back into nursing and I can’t even get a call back from the hundreds of jobs I have applied to. The system is broken when experienced nurses can’t get jobs even in a “shortage”.
Wow, that’s absolutely ridiculous!
Same! I stopped trying and am happy where I am!
The irony is I stepped away from the bedside to TEACH!!
there's no shortage...that's why. If there were really a shortage, you'd get a job.
Man it must be where you live. Her in Central Ohio they’re hiring anyone with a pulse.
Not just nurses .. whoever works in the hospital we are all burned out!!
but "ESPECIALLY" the nurses.
PCT’s too, and the pay SUCKS!
Yes I left as a service assistant the excessive productivity with lack of support and staffing is crazy and not being compensated
You cannot change what you do not acknowledge. Hospital administrations simply don't want to pay their nurses for the abuse that they have to put up with from patients, families, or horrible managers. They would rather dance around those issues and pay them in pizza while reaping in the profits, but nurses are finally waking up. No one in their right mind makes a career out of this for roughly $30 an hour any more. The martyrs are retiring and taking their experience with them. The young new grads see the toxic work environments and they leave for a different career path with better working conditions, work life balance, and better benefits. The hospital industry is reaping what they have sown. The system we have here in the US is breaking down and will have to completely before we have a breakthrough and rebuild back up.
No nurses want to work full time to be be overworked and under paided! When you have pcu 1:4 with the nurse primary on 1, 1:7 Med surg, 1:5 tele, and 1:3 icu in Ohio. Not worth it. I’d rather be travel or prn and pick when I’d come in.
Bedside, ER, and nursing home nursing have the worst of the worst issues in my opinion. RN with 8 years of experience here. You couldn’t pay me enough to work either one of the specialties. They want you to do more and more with less. Something’s gotta give.
Nurses have to take shit from everyone: patients, doctors, managers, RTs, PTOT, Janitors, NAs… the list goes on
Pharmacists, Risk Managers, Financial Administrators, & sometimes their fellow LAZY NURSES 😴!
As a prior line medic in the U.S. Army and a newer nurse (started working as an lvn lpn a little over a year ago) I can tell you 90% of the bs the school taught me isn’t used and it’s basically learn as you go once you become a nurse. I was a caregiver and a cna since 2009, joined the army 2017, became a nurse 2022 and have seen our healthcare system and workers become uncaring, unappreciated, and unmotivated to a level I couldn’t imagine. I am embarrassed of what is has become and see why. From people expecting you to do everything even as 1 nurse with 1 cna with 36 patients from family members complaining and harassing the staff to physical violence, lack of supplies, higher ups not helping but actually giving you more and more work, to do much more. I work 60-140 hours a week and know I need to make sure my kids aren’t stuck in so many broken systems like I have been over my 15+ years of working in many field. Corporations rob us and employers use you and throw you away. Like is too complicated with all these things to buy and bills to pay we need a simplistic life with only necessary things to be focused on like pt care, food, supplies l, mental health, etc. but our society is too selfish and ugly to not buy that new iPhone, video game, car, and won’t just live a little more modest. My family is and will continue to do great and live a stress free life
Well said!
I went to nursing school and the instructors were bitc*s. I was a medic in the army and did very well. So they can deal with the issues that they made for themselves.
I found out I made more money at the bedside than my professors that were teaching me. Of course they don’t have enough professors to teach. The pay sucks! Love the video.
💯 As always, the money goes to the ones running the organizations and not the ones in the trenches.
I've always felt if I try for an MSN it will be in education. I don't nurse specifically for the money as I plan the majority of my income would come from my own business. But the benefits offered to become an educational nurse always the money for me.
Over the past three years I have been in the hospital 15 times and try to stay under the radar when in the rooms upstairs. I try not asking for help. One nurse said she almost forgot I was her patient and that is how I want it. Now after seeing this and other such posts I take that into consideration when deciding that I should go as I don't want to be a burden. Like right now my chest hurts but not real bad, just annoying tension. My main issue is CHF stage three.
Hospitals could sponsor local community college nursing programs to increase places, sponsor high school practical nursing programs, employ CNAs and LPNs in hospitals part-time and pay for them to attend a local RN community college program, with a payback clause for number of years worked in the hospital after graduating. Pair up LPNs and RNs on wards to decrease the patient-nurse ratio for little or no cost. Building a staff accommodation apartment block on site for remote hospitals. So many ways hospitals could get all the nurses they need, but no one seems to have the vision or interest to do so. They just want to save money and pretend it's impossible to employ anyone.
That would never happen. There’s far too risk to have nursing students not to mention not enough space. I know this because we are a facility who takes on students. What has happened over the years are the mistakes happening while these students are in rotation. They pair one nurse with too many students and that nurse is already overworked as it is so in time the load of students has lessened and some years we don’t sign any on. Also here in CA that’s why they don’t have LVN on floors they give all the load to RNs and pay less having MAs. Filtering the already hired and use them up to point of exhaustion is the name of the game. 😢
@@Lee-so4ub do they do racism?? i mean do they keep international nurse?? or layoff them?? I WANT TO WORK ABROAD but i hope they dont discriminate nor do patients discriminate with INDIAN MALE NURSES 🙏
Honestly as a registered nursing I am currently taking an IT CLASS because rhe pay is just ridiculous
I work soo much and get paid little and always working extra from no more money.... I am tired and just over it
I feel your pain. I would love to take a course on software engineering and with nursing being the way that it is, I might actually end up doing it.
@@NursesToRiches Software engineering is not so good either. There is an age bias involved in a lot of hiring processes and a lot of skill jobs are getting outsourced overseas. Just look at all the tech layoffs going on, of course software engineering is in very high demand but nursing is less likely to face automation and outsourcing.
I hear you! I’m currently enrolled in a Tech Sales bootcamp. I might take a pay cut a first but I figure I can work PRN as a nurse until I can get up to or exceed my current nursing salary. Which could take 2yrs.
I think part of the problem is also the lack of child care for people who work nights and 12h shifts. For example a single parent whom doesn't have the support of family or the other spouse couldn't consider nursing as a profession.
For real!! I don't understand why hospitals don't offer on-site child care for employees???
Yeah I think most of the people that quit during covid was over childcare issues. I love 12s but nobody else wants to work them so it's hard to find childcare if you do.
@@donnathedead7554 I don't understand why hospitals don't have on-site childcare for employees. It's a damn community effort
@@Madamchief I've worked at hospitals that had childcare - for a whole 10 hours a day. So if you work 12s like most of the staff there do you're SOL.
Yes yes yes !!!!!
The facilities don’t even want to train you on their EMR’s.
Just expected to know and function at 100.
WTFE.
It’s maddening to me.
exactly!!!! and want perfection but don't want to invest in nurses.
There’s a nursing shortage but the pay is getting lower (outside of CA). I’m a traveler in South Dakota and the Nurses got a 20 cent raise-half left for traveling!
That's appalling!
Apparently, there is a doctor's shortage too. I've been going to a practice for 2 years now for my routine work, but I've never met a doctor, only a physician's assistant. I don't even know the name of the physician she is assisting.
That's pretty sad...
I actually worked hard on my job as a Nurse, and I actually liked it. Even when understaffed I managed to get things done. Issue was the toxic work environment. Too many nurses are backstabbing B's, and when you're actually doing a good job they turn on you with jealousy and malaise. Didn't help that I'm a male nurse, so even talking to any of the other woman would land you in sexual harassment claims, this is not a joke. I remember being fired from my first job, 1 year in, because I thought a PCA was pregnant and mistakenly called her so. Never worked with this person, was a transporter, and bam HR called me the next day. I was like, "is this real life?"
Its toxic behavior mainly coming from women, didn't seen this from any other men, that has made the job horrible. Even women treating other women horribly, and I met many sweet female colleagues that didn't deserve the hate and bullying. I don't know why enter a profession that rewards unity and kindness, when deep down you don't care about any of it. It always boggles my mind meeting these type of nurses.
So after working 5 years as a Med/Surg nurse I'm just starting my NP school in the fall. Taking a brake until then with my saved finances. I can't handle the staff toxicity. I know it won't change as a NP, but less people at your level that will even try to demean you and bully you.
In my 30 years as a nurse, I have observed that nurses need to be careful about how many hours they work. I’ve seen too many burnout because they work 12 hr shifts 4 to 5 times per week. The OT pay may be great but without work-life balance you become a zombie. At 68 I still love being a nurse. Now, I’m in cardiac rehab & work four 8 hr days with no weekends or holidays.
I'm interested in nursing but I'm worried about work life balance, can new grad nurses choose the hours they work? And can they choose not to work weekends and holidays?
@@autumn399 yes! you can apply to jobs that work 8-5 for the whole week, or do three 12 hour shifts. Sometimes people do four 12 hours shifts, but usually it’s three If you work in the hospital you can choose not to work weekends but you still may work holidays. My mom works at the hospital and they rotate their holidays. For example, they’ll be off thanksgiving but have to work Christmas (and vice versa) but the next year it will be the opposite. You could work at a doctors office that’s only open on weekdays and closed during holidays.
ER holding nurse 🙋🏼♀️ Last week the hospital I work for, went on divergence and every other day they “flirt” with the idea of doing it again. It gets so tiresome because the hospital I work for, will accept everyone and will not stop until every room, every chair and every stretcher (in the hallway) is filled in the ER. Although I am thankful that as a ER holding nurse they try to cap me at 8 admissions, I have gotten 9-11 patients before. And I can attest that the Reg ER nurses can expect to get up to 20 ER patients, and if they are assigned to traumas sometimes 8-9 patients that includes traumas, ICU and admitted patients. Everyone talks about how they cant wait to leave and get a new job, nursing interns barely even complete their “training” before be given patients of their own. Sometimes ER nurses tell me they cry after their shifts, its honestly depressing. I’ve been a nurse for three years now and at times I second guess my decision, I didn’t expect nursing to be like this…
so in short its tiring right? In india doctors also have to face this so i dont have a problem with this CUZ MY FATE WAS ALREADY LIKE THIS i just hope i clear nclex and get a job and atleast be in abroad for 3 years and maximum 10 years atleast so that i could settle hopefully (I HOPE)
I guess pay is the major issue, it’s not reflecting the actual amount of work a nurse has to study and the amount of workload he does. Minimum pay should really stick with no less than 50 dollars an hour across the whole country in my opinion. Plus working above 36 hours should be paid double.
Great video and editing. You highlighted many good points.
Lately it's been very bad. We get patients that are very heavy and sick at times in a challenging population. It seems like the hospital is purposely pushing us to work with less nurses and CNAs.
Me and my peers have been very frustrated with the short staffing, verbal and physical abuse from patients, and not being able to give the best care due to constraints. Some of my coworkers are looking into leaving the bedside already.
It's sad that this is what nursing has come to.
You should do an update to this. I see healthcare organizations posting positions and not felling them for over a year or until someone else leaves the team. Keeping the “shortage” consistent.
Phenomenal job on your video production Jason ! I understand the research and the video editing are labor intensive so props to you.
Thank you for creating an updated alarming video for the nurses and the public.
Much appreciated, Eliseo! It really does take me a long time (weeks) to do the research for these videos and put them together. So, thank you for acknowledging that!
@Nurses To Riches
I'm acknowledging it because the "full time content creator" videos make it seem easier than bedside nursing but the reality is that it is A LOT of work and if your cash flow has to be on point to make a basic living.
Yeah, I work 20 hours per week at my nursing job but put in at least 50 hours per week into running our RUclips channel, website, and other social media platforms. It can take a toll on someone who is not goal oriented and motivated.
@Nurses To Riches
I can only work 8 hour shifts as a case manager so it is exhausting doing something else at night but I love the grind. There are endless relevant content that ER case management provides so that helps with storytelling plus it is not back breakingwork. I am 53 and the average nurse looking for a way to retire from nursing just like in your video.
Now I'm off to do Oncology travel case management so I can better serve my future consulting private clients with their issues. Experienced nurses should prepare to be complex care nurse consultants or Medicare Nurse Navigators.
Nurses should create their own strategy away from the volume driven care hospitals provide. To provide great care to a few clients who listen to them and are a pleasure to work with.
@@yourmedicarenursenavigator I would love to get into this! Any good travel companies? I have Oncology background!
It's honestly the hospital's that are the most to blame. It would definitely help if they hired more new grads in California most hospitals have new grad programs were they accept 24 new grads a year. 12 at the beginning of the year for US Davis that's in April and 12 at the end in November. That honestly is not going to cut it. I heard you say before it takes an average of 6 months for new grads to find a job, how is that possible when there is a shortage?
What happens is, u don't have the staff 2 train new nurses. What's happening n many facilities is, new nurses r training new nurses & they aren't staying bc they have jnadequate training. Hiring is not as simple as just putting bodies n the building. A poor training can b traumatic 4 a new nurse. It can cause them 2 quit nursing all 2gether, which happens more than u can imagine.
Nice nice!!! Love this video!!! Btw, I am definitely attending RN school this year to become a RN. My long-term goal is to get my DNP because of all of this. Very same reason, massive shortage within the nursing space… I don’t plan to do this for the rest of my life as this type of work can be very stressful and straining on the body, but my long-term goal is the eventually leave bedside and go more behind the scenes
This channel has come such a long way. What a video! Keep it up!
As always, thanks so much dude!
The video edits are extravagant and the way the information is presented is non-bias as always! :) Good work Jason!
Thanks! I appreciate that!
I could clearly see the amount of work you have put into this production. Research is great, the editing is top- notch and I loved the voice over too. This is certainly a documentary style video. With much love and support from Ghana, West Africa:)
Thank you so much for the wonderful compliment!
Great video! I did bed side for 12 years & Left due 2 burn out . Now I’m doing corrections and am so much happier
Thanks for watching! So many nurses have are getting burned out at such an alarming rate that I'm afraid hospitals will have an even greater challenge hiring nurses.
This was an outstanding video! One of your best ones yet imo. Had me engaged every second. Great motivator for me to complete my LPN-RN bridge program so I can help the shortage. Very scary the situation when you put it that way. I pray the seriousness of this will really convict those in control over staffing and influence on the factors to change this as you well presented it. Keep up the great work. This was great!
I honestly don't think the shortage will get better by 2031 because it would require hospitals and legislators to spend more money for an issue that does not have a large monetary impact on their bottom line of making more money. Getting more nurses into the profession and reducing the nurse to patient ratios would require huge investments that no CEO is willing to take because that would mean less money for the organizations shareholders. The American healthcare system is about making a profit, not improving health and mortality outcomes.
@@NursesToRiches thats a sad truth. Its how we got here in the first place. But maybe with all the nursing strikes with victories is a sign they know their limit to keep the cashcow running to an extent they have to yield than to have a dead cow maybe.
@@NursesToRiches but would they hire international nurses??? atleast?? THO I AM NOT INTERESTED TO WORK IN US due to less chances of citizenship for our country people and trust me NO ONE from our country wishes to work in US we all want UK CANADA , AUSTRALIA, NEW ZEALAND cuz of chances of getting citizenship (UK FOR NHS govt job)
Jason, I commend you for the excellent work you have done on this video, as with all your other videos. As a Year 1 RN student, I am keen to discuss how I can make the most of my nursing degree and my future career. Your videos make studying nursing seem worthwhile, yet I am anxious about the risk of burnout. I am a strong advocate of your work!
Thank you so much. Nursing can be stressful but the option to work in a low-stress specialty is always an option.
YES! another thing is that there was more politic and financial crisis in the education program than educations itself. This is critical because it is putting new generation of health care at risk for incompetency, some that we aren't even aware of , putting patients and ourselves at risk for many things. Educators need to remember that their roles in education is so important, that we are their products, think twice before showing up to classes just to read slides and dismiss students' questions.
Thank you for this video. We also need to look into how some nurses and nursing professors treat students. School and hospitals are very good at covering their mistake by supporting bad practice. Nursing is difficult but the system of nursing education make it more difficult.
💯
Wow! What a great job you did. I love this new editing style.
Thank you so much!
LPN of 15 years in primary care and outpatient specialty clinics. It used to be the area everyone wanted to be in after the bedside but it's bad here too and significantly worse since the pandemic. Pay is of course lower than hospital, but raises are pennies at best and non-existent at worst. Revolving door of nurses (and doctors), patients are increasingly hostile, the amount of managed care/pharmacy/HH phone calls have exploded, and the scope of work keeps expanding. The nurses are expected to know clinical & non-clinical roles in case of staffing shortages, manage patient complaints, and do our regular tasks with less resources, less support, and less pay.
This video quality is absolutely insane!!
Facts
Thanks Samian! Always love your feedback.
Amazing information and content. Thank you.
Glad you enjoyed it!
Good video, scary topic. For the pay, hours, and stress, nursing asks too much. One or all of those areas has to improve. I only just graduated but in my clinicals I was surprised how many *young* nurses were on their last week or even day. One said to me, "If you're gonna take the abuse, you should at least get paid for it." She said she didn't earn enough to start IVF and had a better paying job lined up. I'm trying to arrange childcare for my 3 kids, but it is more than I earn. I have a great job lined up, but I'm not sure I can make it work. I didn't know I'd need a few years experience to find part-time. If I had known, I would have waited until my kids were older to go back to school or picked a different profession. I personally know 2 nurses who never worked as a nurse after graduating, and many more than quit after becoming moms. I think better scheduling could make a big difference.
Or a daycare or.nightcare areas at the facilities we are working. And at a very.discounted rate .
pls allow male nurses to enter so that NURSING IS SAVED and people get care which they need
NURSING SHORTAGE can also be solved if you allow international nurses easily and also MALE NURSES cuz in our countries we get paid to just live homeless
the pay we get is just 0.5 times more than of what homeless people get . WE ARE POOR HERE and male nurses have even worser situation
Thank you for this video! I've been a RN for 40 years, at the bedside (currently) for 30 years and a nurse educator for 10 years. I have a master's degree in nursing education. Nursing is a "really" tough job, both physically and mentally. I regret the toll it has taken on my life, I actually believe I have been traumatized by the unrealistic demands of the job. Some areas that are concerning for me are: how nurses are educated now. My experience for the past twenty years has been that nursing students are "dropped off" on a nursing unit by their clinical instructor and one of the staff nurses are assigned to work with that student nurse. It's not like the student nurse can help the staff nurse with her work because basically they can't do "anything" except observe. It puts so much pressure on the "already overworked" nurse. From my point of view, that is an example of exploiting the bedside nurse. I'm not getting paid $80 an hour to educate the student, but the nurse educator is. I often wonder if the parents of many of those students know where their expensive tuitions are going to. Overall my biggest concern about nursing education is that the nurses are not prepared to function in their role. Once a new nurse is hired, they are assigned a preceptor nurse to teach them how to be a nurse, preceptor pay is an extra $15 a day. But, the mantra begins in school and new nurses soon figure it out, they decide to become an APRN. It sounds wonderful, nurses are praised for getting away from the work of the bedside nurse, "you're too smart for that". My concern is the impact of APRN's on the quality of care we can provide in the health care system. In order to be a doctor you much have outstanding undergrad grades to qualify for medical school. After 4 years of medical school, you then must do 3 clinical years and pass boards for a general doctor. That is a "minimum" of 11 years. An APRN has 4 years of undergrad to become a nurse, though there are overlaps in curriculum, the focus is on nursing. They then complete two years of graduate work and take their APRN boards. The math does not add up to me. Patients will be misdiagnosed or under diagnosed and treated. Just some thoughts, that eat at me everyday. My message is that we need to be careful about solutions, people want "quick fixes" but their are consequences to the quality of health care as evidenced by out current situation.
Yeah I just quit after 15 years and my quality of life improved drastically, who wants to work for corporate health care anymore, the 💩 is beyond broken.
Very informative video!
Another great video, Jason. Request for future video: nursing specialties with the highest job satisfaction/least burnout. We struggling out here! 😅
I will be one of those guys serving people through the profession of Nursing!
Yeah, the problem is immense. The programs in my area only accepts 15 students a semester; it's because there are not enough instructors and enough clinical sites.
And the worst part is that they charge you an arm and a leg for the program but don't even have enough professors to teach it.
The board of nursing in most states are a crap show as well. It’s always interesting to hear travel nurses getting endorsed while others wait weeks…like they were bribed .
I feel the shortage is more bedside nurses. Hospitals are becoming more of a business of customer service then medical patient care along with problems such as not backing their nurses when dealing with difficult patients.
enjoy the journey and have a plan
I'm a nurse from the Philippines and currently, a USRN hoping to work in the US and pursue my American dream someday. However, there is news right now that there will be a retrogression of hiring overseas workers. I'm worried right now because I have bad feelings that this can affect those nurses that want to work in the USA right now. Can you please make a video regarding this issue so that it will enlighten us and lessen our stress as foreign nurses? Thank you!
infact we foreign nurses WANT TO WORK abroad , if they allow and make it easy ONLY FOR FOREIGN NURSES then shortage may reduce in some time , its okay if you dont allow foreigners from other backgrounds but NURSING BACKGROUND FOREIGNERS should be allowed infact encouraged to come to DEVELOPED COUNTRIES and MUST BE GIVEN CITIZENSHIP also
trust me idk abt philippines but in my country ALL WANT TO WORK IN UK , CANADA, AUS, NZ just for citizenship cuz US has bad image for it FOR OUR COUNTRY PEOPLE
I did 10 years of bedside, Med/Surg, Tele, I finally left Bedside, and couldn’t be happier. I see the floor nurses and new grads running like crazy taking care of patients with Ratio 7 : 1. It’s just a law-suit waiting to happen, not to mention getting your license revoked. So, choose your assignments wisely !
That's what every nurse who leaves the bedside has to say. I'm so done with being a nurse altogether though. That's why I'm working so hard on our brand. I love working for myself and helping others find financial stability and freedom while doing so.
We as nurses can’t choose our assignments… But we can choose our employment
Amazing video brother
Thanks Herve!
Terrific video!
Thank you!
Great stuff!
Glad you enjoyed it
As a patient considering go back to school for nursing. How do we as patients also advocate for our healthcare professionals? We want safe working environments for you all as well cause that increase our patient care. What can we do?
Jason great topic! We still need to stop taking low pay. Question do you recommend I do travel nursing as a new RN? What are good places to start my career in Florida?
If you ask most nurses they will tell you NOT to travel as a new RN because you only get a few days of orientation in most places you work. This is very unsafe in my opinion and you will do most of the learning on your own. I suggest you work for a minimum of 6 months (preferably 1 year) before you take on a travel assignment.
Thank you!
Ill give my personal take: I was living in California, central valley, wanting to attend nursing school but I realized how incredibly difficult theyve made the requirements. I couldnt even attend an ADN program because it was completely on a lottery system and enrollment was entirely full. Even if I wouldve been admitted, they didnt allow part time attendance. I cant afford my bills if Im a full time student. Nor did I want to take out more student loans. Already having a BS, I couldnt attend majority of universities because they dont allow a second bachelors. I looked into master’s programs but they required a lot of prerequisite coursework that wouldve taken me at least two years to complete part time. My only option was to attend a masters program in Australia where I am now. Hopefully ill have a seem-less transition back to the US once I graduate
This is so true even back years ago when I was just starting my medical career (20plus years ago). Luckily some schools did away with the lottery system and now so point system but even way back I remember at the time my co worker said she had been on a waitlist for over 4 years! I did not want to sit around so I went the longer route Medical Assistant to LVN and now RN lol kudos to you for not giving up hope. I am sure it will be well worth it in the end.
You have to pass nclex tho in order to get back to US
Maybe if Hospital corporations would hire enough nurses and maintain an acuity based pt per nurse ratio - then you might get enough nurses to sign on. The reality is that nurses are expensive to hire and maintain - thus - the shortages will continue.
💯
@@NursesToRiches In fact: if hospitals in the US truly want to heal; they would be certain of SAFE pt to nurse ratios, they would also decrease the pill load per pt (thus employing more pharmD's) as well as employ more CNA's per RN or LPN.
It is my contention that hospital corporations are doing what they can to decrease population by creating obviously unsafe practices/policies in the name of 'saving money'.
I am from the ancient years of the 80's when nursing research (regarding pt safety) used to matter.
I thank you for your reply.
I just don’t understand what we are supposed to do? As someone in college wanting to go to a nursing program that only accepts 70 people out of their 2,000+ applicants I don’t know how I’m supposed to do it? Or how I’m supposed to get through if I do make it, I hear so many cases of bad mental health in nursing school and even when you become an RN they get mistreated and have ridiculous work loads. Will it get better within the next 4-6 years???
Hospitals can be replenished by allowing LPNs back into the fold.
Totally agree I see some hospitals near me in Charlotte, NC are doing that now!
these people are so sick that I dont think they should be in certain specialties in certain hospitals.
@@supertenor561 They were there b4 & it wasn't an issue. It became a problem when hospitals wanted Magnet status, many of which gave up the status bc they r short staff & it's expensive 2 maintain. Instead they put n techs 2 pay less money.
@@mistermilkman to me these patient's are more complex & sicker than what i remember when starting out And I'm not that old. I stand by the position that in "certain specialties" and in "certain hospitals" you may not want lpns back in the fold. I have a lot of experience. Some of the best nurses are LPNs. I have great respect for them. LPNs have helped cultivate me to where I am today BUT being a better nurse does not legally allow you to do everything that needs to be done for these complex patients. It's a risk to cover LPNs when u r overloaded yourself. Set it up to where RNs are not at risk and ivp aren't required all of the time along with signing off on lpns assessments, etc. Then it's a good deal. Otherwise it's a liability. So maybe open acute rehab up to LPNs but I promise you all that if u even go to a rehab floor, those patient's are sicker than back in the day.
@@supertenor561 If u don't think LPNs r already working with sickly patients, ur mistaken. I started out as an LPN on a High Intensity Care Unit. I had an awesome preceptor & a desire 2 learn. My exposure is what made me a good nurse. When I started traveling as an RN, I learned that not all seasoned RNs have vast experience. While I don't totally disagree with u, I must say 1s experience is limited 2 their exposure. I'm on an assignment @ an LTAC & we work closely with LVNs that r savage. Patients may b sicker, but if ur short staff they r put n jeopardy ANYWAYS. 1 RN is not going 2 save 4 patients n an ICU. Patients r dying unnecessarily bc of shortages. Bringing LPNs back n2 hospitals doesn't make it worse. Their scope of practice eliminates the nurse vs cna debacle I c @ many places. The teamwokl between nurses has potential 2 b impeccable when the rationale 4 safety is understood, not just knocking out tasks bc they r due @ a certain time. My initial comment was bringing them back as a whole. N Baltimore, some hospitals have started bringing them back n the ED, Psych, & Rehab. A new RN is not going 2 b more safe than a seasoned LPN. Some places r working them n amon teams. Whether we like it or not, nurses r looked @ as glorified CNAs.
The problem is, nursing schools are even making it harder for anyone to become a nurse even if you're an LPN wanting to get your RN. If you already working in the field of nursing, why make it hard to get higher level of nursing education to better serve the population? Yes, some of you will say, "Oh you will be working to save people's lives, so you better know what you're doing", yes I totally agree with this, however most of the things that you learned in nursing school you really do not have to apply it all in real world of nursing. The system is so rigged.
Can you make a video about negotiating strategies? Interview people who have tips on how they negotiated pay. 🙏🏽
What video editor do you use? Amazing graphics!
I use Davinci Resolve for 90% of my edits and Premiere Pro for the other 10%.
I really enjoyed this video please keep this type of content going..At my job they had gotten so bad they are sponsoring nurses from the Philippines and it has helped tremendously! We have about 20% of our staff has come from there and we are suppose to have more arriving in the next few months. Not a long term solution but it definitely helps and we are so appreciative!
Thank you so much for the comment. Kaiser has over 4,000 positions posted across the united states. So we definitely need nurses.
@@NursesToRiches PLS allow indian nurses also 🙏and pls give us citizenship also , US DOESNT GIVE IT thats why indian nurses dont target usa they want UK CANADA AUS NZ trust me this is the truth (majority want canada uk tho)
so pls developed countries accept us so that we can support our dependents and also help this shortage to get better 🙏
Hey Charles,
Could you help give the name of your hospital and its location so that more foreign nurses can apply directly to it. Thanks.
This is a Vice quality video! Good job, dude 🎉🎉
Wow, that's a huge compliment. Thanks!
I'm so sick of the toxic culture of nursing and poor leadership. Management has no idea & doesn't care about what goes on on the ground. I was a target of bullying in my previous job. My nurse manager did nothing. I left that job. My last day was 31 Jan 2024. I'm utterly burnt out. Don't know what to do next but glad I'm out of that shit hole. Feel like I'm going through a midlife crisis.
what about international nurses Jason? I'm a RN in Egypt and I'm in the process of immigrating to the US as a RN and so many countries have a lot of nurses want to work and live in the US
Salaries need to increase, pt ratios need to decrease, more programming (i.e. on-site childcare, self-care/stress reduction options), less discrimination and cliches on the units, make the education piece affordable, and offering loan payoff programs that are attainable.
Could you please talk about nurses who are interested in working abroad and in America and how to apply
Recently left this misery of a profession to get into trucking. Let the broken system crumble I say.
Liking this on all my RUclips accounts so this can be bumped in the RUclips recomendations
You're amazing!
Nurses aren’t in short supply. There are plenty of qualified individuals, but hospitals won’t hire them, leading to the false perception of. lower workforce
The James Jani of nursing 😍😍😍😍
I wish!
I’m an RN. I am exhausted. The demands for the ridiculous amount of charting and 5-7 patient’s daily and families and patients demanding this and that. Ugh! Nurses can’t take care of anyone, unless they start taking care of us.
Great great great hook !
Thanks @Nanelle! I'm always trying to improve my hooks.
The numbers speak for itself. If this video does not wake up the hospitals I don’t know what will
I think it multiple problems, new healthcare business trying to pursue profit forced this like Kaiser and providence trying to get more out there worker then what they can get, some people shouldn’t be nurses, most nurses work two jobs for pursuit of money but if you can not handle it and take day off when you are suppose to, and new job title being open in medical field like case manager, liaison, medical rep, and etc.
Another one that drains the nurses in the hospital is the increasing need for Psych NP’s. Due to increase in mental health needs of the general public. Inhospital RN realized that doing psych NP is less stressful with much better pay and quality of life.
They are burnt out and shortage of staff my daughter is a clinical instructor and I understand their ordeal😮
My hospital refused me to work part time or per diem despite them being short staff and me not being able to work full-time anymore. They are usually short but she would rather lose a nurses than allow them to still work part time or per diem. Hospital coporations sometimes don't care if they are short staff. My director told me they didn't have those positions available because of "business reasons" So I guess a well staffed department isn't good for business I guess?
Bunch of excellent costly certificates, a perfect GPA, and volunteer experience, and I can't find my first nursing job in the past two years! Where Is the shortage, I ask!
My question why is it hard to get in nursing school and end up being short staff? Is the pay not enough is the school short staff to attract more nurses?
Don't forget the entrance exam😅
Where and how did you learn to make awesome videos?
I just got a new macbook pro with the final cut pro for me to make videos.
But i am so appalled about where to start. I am new and a novice about video making and editing. I dont even know where to start.
I've been interested in video and photography since 2008 when I got my first camera. And I made a few videos for our "traveling dorks" youtube channel for a few years. But I really started getting into editing when I started this channel. And everything I learned was through watching RUclips videos and trial and error. If I saw a video on RUclips that had an editing style I found interesting, I would look up video tutorials on how to recreate that style of editing. And I'm obsessed with video editing, so that's aso another part of the equation. If you are not obsessed with this, you will grow to hate it and give up within a few months.
Then why is the pay going down?????
Good for me rates stay up
Amazing video production! I would love to see more of this kind of information, maybe some input, solutions to solve the problem we’re facing? What our government are doing? They need to step-up! Let me ask you this instead, if you are the person to decide how to solve this problem, what would you do, where would you start? 😅😊
Thanks so much for your input! I will incorporate some of my personal thoughts into future videos.
You know, US is actually pretty good with their nurse benefits and salary. Japan, Korea, Taiwan are all having some of the best health care system in the world, and as a Taiwanese, we are also facing the same problem of nurse shortage and heavy workload, on top of that, Taiwanese nurse aren't getting paid enough, not enough to catch up the cost of living in Taiwan and the world.
I do not know about the situation in Japan and Korea, but I believe it's somewhat similar, US nurse aren't getting there yet, which is why the high salary even attract a lot of Filipinos from Asia to come to US and fill up the nurse shortage.
So if you take a look from a global perspective, you'll understand it's a problem we are all facing, and if this continue, we will have it worse when we're old, if you look at how Americans nowadays don't go to date as much and not having babies as much, it will be less people to take care of us when we're old.
I think it's time that we either try to develop an AI robot or robotic medical system that can help with ease nurses' workload, or try to legalize then commercialize the euthanasia, make it an industry, other wise, I don't know how we can cope with current situation.
The modern day capitalists are very greedy, they want everything cheap, high margin, then just sit on the money they make, buy nice house, cars, women, and they do not allow that growth line on the chart drops, I think that's the biggest problem with modern capitalism, they do not allow the line to drop, you either out of business or you stay, so dropping that line will be a no no, but that puts everyone on a expensive cost of living life and exploited our social working production(such as nurse provides her service for cheap salary or high salary but also HCL, that's exploit)
I do not think any politician of any parties, of any countries, would care for things like this, they still live comfortably, when they're old and sick, they still can get a crew of high end medical team to take care of them, they do not live the life we live, but they decide what our life would be and they choose make it hard for us and every generation that comes after us.
not enough CNAs and pay
What ratios do you all have in your EDs? At 4:1, we simply do not have enough to take on our patient load at nights. Sometimes we’ll have one greeter and one triage nurse responsible for a waiting room of 30+ people, typically with multiple 80+ year old chest painers or SoBs simply because we have nobody present to take care of them. I’m a tech and make a genuinely laughable $20/hr, yet am expected to be able to conduct and read EKGs well enough to know when I have a STEMI in my hands. It’s nuts to me that I made more money as a barback in 2014 than I do as a clinical worker that literally helps save people’s lives. We need better unions PERIOD.
In our ED, if I have 4 patients, and one of them turns into an ICU patient, I hand off my other 3 to the nurses I work with. If I have a patient that has to be placed in violent restraints, that's becomes a 1:1. If my patients are all tele/medsurg I get no more than 4. If I have a step down patient, I'm maxed at 3 patients.
Outside of the ED, medsurg floors are 5:1. Tele is 4:1. Step down is 3:1. ICU 2:1 unless one of your patients is very ill, then it's 1:1.
Is the increased CEO's salaries contributing?
Potentially but it's not a datapoint that has been thoroughly studied. I'll see if I can look into it.
This is a huge problem in a few years to come.They are going to start recruiting Nurses from abroad even against their wish.That is what is going to happen.I wish they can make it easier for people in the country to get into Nursing.
But then the pay will drop, not a good idea. High supply of nurses will give employers leverage to pay lower due to increased competition to find work.
This is indeed what’s going to happen bingo 🎯if Biden gets relected.. that’s exactly what’s going to happen immigrants are coming over with nurse degrees and their money and the pay is going drop in the nurse industry.. it’s already happening in the warehouse industry…
There is a shortage it’s just location specific.. big cities are in excess and small hospitals are struggling
7:00 But the hospitals don't want that. And by that, I mean the owners, the multimillion-dollar corporations, and upper management that run the hospitals don't really want to staff hospitals with adequate numbers of nurses. Because that's more money they have to pay out, meaning less profits for the corporation. CEOs/Hospital administrators make over a million a year and those at the top of the corporation make more than that. With deliberate short staffing of nurses, the hospital does not stop filling beds. Infact, they make management keep the beds filled regardless of if there's only one to two nurses on a unit, or fully staffed with 5 to 6. They could care less if a patient dies because there's not enough staff to get to that patient, they're still going to make the same amount of money off that bed. The state's not going to do anything to the hospital when things go wrong. It's the nurses that get thrown under the bus and have to answer to the state when everything falls apart. Nurses are tired of risking their health, safety, and licenses to work in poor unsafe conditions. What other job do you work 13 to 20 hours a day with no bathroom or lunch break, minimal pay and compensation. Some hospitals are so bad, I wouldn't touch it with a ten-foot pole even if they did pay good. These organizations need restructuring. Accountability is highly lacking in upper management.
Brooo pls you gotta share your video editing tricks with me. Quality is sooo good 🔥. Soon you'll be so big my comment won't even appear on your radar 😆. What's the secret sir??
Lol, being a perfectionist is the first step. I uploaded and deleted this video 5 times before I published it because I didn't like some of the things in the edit. But every video you need to try to improve something that you thought could have been better in the previous video.
@@NursesToRiches wow that's amazing bro. Really excited for you 🔥. Taking my NCLEX tomorrow and I have hopes of joining the RUclips squad someday. Thanks for inspiring 🙌🏽
Do you expect the pay for nurses to grow along with the demand?
Absolutely, because more and more nurses are unionizing and fighting for higher pay as a collective group.
I get it y’all…I do…but can you imagine what it’s going to be like once we have “enough” nurses. They’re going to straight up abuse us more. The only true power we have is the ability to leave. . . What happens when that’s not an option.
I doubt it with the entrance exam you'll see less people become nurses