Nursing shortage, graduating nurses early
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- Опубликовано: 15 янв 2025
- The nursing shortage continues to affect the hospital and the emergency department specifically. Wait times are increasing, and it is immensely frustrating for nurses and providers alike. Also, University of Maryland is graduating 172 nurses early to get them in the workforce. What do you think of this?
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There is no nursing shortage. There are many experienced nurses that would come back to work if the nurse to patient ratio was fixed, and if compensation was better. There's a shortage of nurses willing to work in the conditions they are asked to work.
They will pay travel nurses x4 to have them, but won't pay loyal, hardworking staff. Yes, nurses are the biggest part of the budget, but without nurses, you don't have a hospital. Graduating nurses early and having all "baby nurse" staff, is dangerous. You need strong, experienced nurses guiding the new nurses for a SAFE hospital outcome.
Thank you for your comment. The graduation numbers certainly support your opinion. The "shortage" has been around since the '80s and probably before that. I've thought that if the number of administrative nurses in white coats in my hospital would put on a set of scrubs and go to the bedside, the shortage would be resolved!
@@DrWilliamMartinPhD That's not going 2 happen. Most new grads don't want 2 work on the floor. Johns Hopkins got rid of their BSN program a few yrs ago & replaced it with a DNP program. Their nurses r going str8 n2 NP. It's crazy.
ShakeMyWay,
Couldn’t have said it better myself! ICU RN 28yrs
In addition to your comments…
Corporate greed is problem
Our equipment is crap
No supplies
No CNA or ancillary staff
No housekeeping
Most importantly….. patient safety & excellent care are going out the door & moral injury has set in!! I’ve never known a profession where people cry on their way home or at work. Not to even mention our own personal physical & mental health.
It’s so bad that I would not go to the hospital for anything.
The poor new nurses are leaving! They also do not get an appropriate orientation. We are setting them up for failure.
Ultimately, patient safety & outcomes suffer!!
I grieve the loss of a career I use to love. It now feels like an abusive relationship with hospital admin. I am planning my exit as well but I will hang on as long as I can simply for that patient that looked at me with terror in her eyes begging me not to leave her. I feel horrible. I’m making one of the hardest moments in her life worse because I have to run to the patient about to code.
I don’t know how much longer I can take it. It sure wasn’t like this when I started. You could leave work knowing you were able to give the best care. Pressure ulcers, Caudi etc etc weren’t the major issues they are now.
MORE STAFFING it’s that simple! Pay your loyal staff travel $$ & you’ll gain retention and people invested in the facility. Sorry CEO if you have to give up some $$$ but we need enough good staff to get better outcomes.
I’ve seen too many deaths that we all would think just didn’t have to happen.
I could go on & on 🙄
God help our healthcare system!!!
@Kara K IT’S NOT YOU!! They system is beyond unethical. What’s sad is that it sounds like YOU would be the kind of nurse that is needed. You are right in every thing you say. I’ve watched so many new grads basically tossed to the sharks. When I started almost 3 decades ago, it was like a nurse sin to spend more time charting than on actual patient care & being tripled was NEVER heard of.
I spent time talking to docs & reading to understand my patients condition/meds etc.
And like you, I would hold that patient’s hand so no one on my watch would have to die alone.
It’s a total cluster now.
What happened to you is unfair & just wrong on so many levels.
I’m so sorry this has happened to you. It’s a true loss because you actually care & want to learn & give excellent care! Smh
I just want to say again that I believe you absolutely could handle being an ICU nurse in the proper environment & orientation & given support.
I can’t give proper care being tripled. I couldn’t imagine being new and tossed out there with no help & resources & YES admin will lie to you. The people that said that to you probably have never even taken a temp before.
It’s a real loss to lose you as a nurse♥️🙏🏽. Thank you for being a caring person!!
I've been an RN for almost 20 years. I've also never seen it like this. I work a PRN position, but most of the fulltime staff I talk to want the same thing "higher pay" and who could blame them. Hospitals bottom line is money. We were lauded as "hero's" during COVID but corporate healthcare wants to show us no appreciation when it comes to compensation. Just continue to tell us how wonderful we are and thank with pizza and doughnuts every day. Seriously, these companies know what they need to do to retain staff, they just refuse to do it because they are more concerned with their bottom line profits. Pretty sad when you think about it.
100%. The hospital is a business, no different than any other. What's changed is that physicians are now employees right along with nurses, housekeepers, etc. Definitely wasn't that way when I started.
@@DrWilliamMartinPhD Not for nothing, the economist Karl Marx makes a separation between business and the industrial arts, and how with time profits over rides the artisans instinct for qualitative output. I suspect philosophical, economic, and other liberal courses that can help citizens predict what is next to come will cut out of nursing programs to get those students on the floor and making profits.
Yep and this problem with a Centrist Populist Government that makes al hospitals Non Profit, all Doctors County Employees and Abolishes the AMA, FDA, and all other Cartels. Only with a Nation focused system that puts patients first and Jails Banksters will we succeed.
Thanks for this video. Im a sophmore looking into nursing, and I am still unsure of it. I even have a aunt who is a nurse and she keeps advising me to go even further in my education so that I dont have to deal with what nurses do. There was a lady at my church who was testifying how she had to take care of over 50 patients durring Covid, and by the grace of God she was still healthy. The crazy part is they did not pay her extra or give her any help. So I can only imagine what nurses go through on a daily basis. I am definitely weighing my options.
I can say this: for me, it worked out well. Some of it was hard work, and some of it was pure luck...being in the right place at the right time. Nursing gives the opportunity to advance, but you have to have a clear picture of exactly what you're wishing to accomplish.
@@DrWilliamMartinPhD don’t forget to add that you are a man in nursing. That’s basically a golden ticket to the top.
After 2+ decades as an acute care SLP and at 53 years of age, I went back and earned an MSN and plan to start NP school sometime in the near future. My take on the problem is that nursing schools need to focus on teaching actual nursing, not theory or papers. They need to teach how things are, not the perfect world version of it. More of a focus on practical nursing and less philosophical nursing and you will turn out staff that are more prepared. (I could go on about this but for the sake of brevity....) And the other side of the same coin is retention. When I first started as an SLP, the hospitals I worked at had nurses with 10, 20, and 30 years floor experience. The internal med floor at the teaching hospital I hired on to has young nurses with 2,3, and 4 years experience. These are the veterans. The problem isn't shortages, it's retention. Essentially, the problem is profits and greed. Still love working the floor though.
Thank you for your comment. I know you're not alone in your criticism of nursing school curriculum. Oh I have much to say about it, especially after finishing a PhD in nursing education! More to come on that. Another observation is the quality of leadership among nursing...I think as leadership quality diminishes, retention wanes.
@@DrWilliamMartinPhD Agreed. Excellent vids. Thanks for making/posting them.
I'm an RN student that is graduating with an associate's in 2 weeks. I am definitely not prepared for the life of a nurse. However, I have friends that have been working as nurses that tell me what the life is like so I at least have a general idea about it. I do wish we were given more time at the hospital. I would prefer to attend clinicals more than twice a semester. Yes we learned important topics such as critical thinking and the nursing process, but spending those hours in an online classroom does not give me confidence in my skills as a nurse. I plan on doing my best to learn once I pass the NCLEX, but I can't help but feel bad for the RN that will have to teach me things that I should have learned in this program.
Hey Luis, remember that no one expects graduate nurses to be experts. Just focus on learning, and never hesitate to say you don't know. Over time, you will link clinical experiences to things like diseases or medications, and that linking will stay in your brain forever! Best wishes
What nursing school did you attend?
@@josiektv1681 It was a very small hospital-based diploma program that didn't even offer an associates degree. One of the last of the three-year diploma programs
This is such a huge systems program I almost didn’t post a comment, makes my head hurt. Anyway Nicu nurse here and current last semester FNP student. Throwing brand new untrained nurses into the gauntlet is not the answer. Hospitals need to pay their experienced staff more period, to make their facilities financially competitive. Without this you’ll have a hospital filled with travelers who may not know the culture, hospital/state protocols, the EMR, or where anything is with brand new nurses who yes usually want to do their best but are totally unexperienced in every aspect of patient care. It’s dangerous for everyone.
Yes, and think about the burden it places on the other nurses forced to train their newly arriving colleagues!
I don’t think graduating students early is beneficial in the long run. We need to stop the bleeding. More focus needs to be on retention of the nurses we have more than anything else.
I agree. Graduating nurses early might set them up for failure in my opinion
Nailed it... nursing as a profession is doomed.
Lets hope not...I have a few more years to work!
That's what my nurse manager said over 30 yrs ago.
Thank you for you sincere attitude and honesty. I am 44 yes of age and became an LPN almost 2 years ago. I absolutely love being a nurse and want to learn as much as possible. I was recently hired at a hospital as a float nurse and I am truly excited. I did not think as an LPN that I would get hired atvs hospital but fortunately for me that has changed. If anyone had any advise or words of wisdom, I am all ears. I look forward to learning alot on this journey!
I should of read this before I sent this! First advice! Lol
Hi Harmony, thanks for commenting! Congrats on your new position. Working as a float is challenging, as you never get to feel "at home"; however, you benefit by witnessing first hand different diagnoses and patients, which will broaden your perspective. Good luck!
Very. Bad. Idea. There is a saying that states “nursing eats its young.” Throwing young nurses into this current environment is not fair to them or the patients they will have to care for.
Agree! Setting them up for failure. Thank you for your thoughts!
Hello, I am a nurse in Ghana, I want to work in USA. How do I get sponsorship to work in the USA
Great question, but I'm sorry I don't know the answer. I wish you well!
Go through the main hospitals HR or recruiter. They are sponsoring
I'm viewer #11! Agreed. It is not fair to the graduates nor the patients to graduate nursing students early. As an ICU nurse, and burned out one at that, I LOVE preceptorship but I can barely keep up with the patient load and that's with the National Guard coming in to assist us during our code red. My only advice to new grads, listen to your intuition and take care of your mental health.
I've said many times that nursing schools used to weed out many before graduation...now its the preceptors post graduation that do the weeding
99.9% of what I did as a nurse I learned AFTER graduating. Everything is SO specialized now and you don’t learn the nuts and bolts of it in nursing school. So new grads literally know nothing about their job. Then you have a lack of veteran nurses like me who have left the bedside, to even mentor these new grads or teach them their wisdom.
100% true! Thanks for commenting
Yep
I must say that this video was very informative. As a Male trying to obtain a BSN do you think universities around the US will follow the same trend with graduating students early? Also what is your thoughts on Nursing Dual Enrollment Programs that are offered to students to obtain a ADN and BSN at the same time?
Kehinde, thank you for commentiing! I hope this isn't a trend, as in my opinion it will often set young nurses up for failure by graduating them early. Regarding the ADN/BSN, it depends on your personal philosophy. The BSN doesn't necessarily create a better nurse, but it is a necessary step toward advancing a career path, should you wish to move beyond the bedside someday.
Thank you for this post. I’m redirecting my career into nursing and am sussing the situation.
Thanks Greggory! Let me know if you have specific questions
I graduate in a few months my question is as a new baby nurse aren’t we all lacking the skills that will be bestowed upon us, what will a few months difference make if they graduate those students early, we all have to be trained to be a “real nurse” anyway correct? Btw im one of 10 watching 😌
Hey, congrats on your upcoming graduation. You make a good point, and here's how I look at it: On graduation day, there is an expectation of minimum competence. And lets face it, that's minimum. If you reduce it further, how does that benefit anyone, especially the new nurse who may feel even less prepared and could lead to early career exit?
@@DrWilliamMartinPhD yea i can see your point , my nurse friends that have already made it to the other side always says they could have done it with a lot less school shenanigans that we deal with, some book work is essential but we could totally do it and be successful without the extra busy work. I dont know but i guess ill see soon. Thanks for the video im still watching 🙂
@@vetteskillz7970 I’m probably naive, (I’m just a student who’ll be graduating my RN program in May), but I have to agree with you… What’s a few months if you still pass the NCLEX just a someone who has the additional months?
If duration of clinical study is the concern, do we also take issue with accelerated BSN programs? Just curious.
SN: I think it’s sad that hospitals aren’t doing more to retain experienced nurses. At the end of the day, we all want to provide optimal patient care and I want to learn to do that from those who’ve had an extensive history doing so.
How long did you work bedside?
Hi Nina! I worked in Cardiopulmonary ICU for 6 years, and did moonlighting in the ED on some of my days off. During that time I finished my Bachelor's and Master's degrees and became an NP
Thank you so much! Very informative!
You are so welcome!
I’m a retired teacher.
Would you recommend someone age 52 get into nursing or is that too late? If it’s not, would you recommend pursuing a BSN or a Nurse Practitioner degree?
Hi Sylvia. There are opportunities in nursing at every age. The critical care environments like ICU and ED may not be for you, but there are plenty of practice areas in need of mature individuals with plenty of life experience. Remember, you need to obtain your RN either through an associate degree or Bachelors degree program, then pursue at least a master's degree or clinical doctorate to reach NP licensure.
@@DrWilliamMartinPhD ok thanks much. I have a Masters in Health Administration from Ohio State. I should have gotten the RN back then but this is great information. As the daughter of a retired nurse I sincerely appreciate what you’re doing for the field of Nursing. Best,
Go for it Sylvia! There’s plenty of room for all kinds of nurses from all walks of life. If you have the heart and calling to be a nurse we need you desperately! Good luck 🍀👍🏼
You will have to vax. Which I don’t recommend.
@@joannaburke5001 I’m already double vaccinated. No worries there.
There were 65 students n my Fundamentals class. We were lucky if we graduated 20. We did clinicals twice a week 7a-3p. We worked hard @ clinicals. I worked @ the University of Maryland. If they're hiring these nurses n2 their nurse resident program, it can do good, but I don't c how when a good chunk of their nursing staff 2day is agency. They're also bringing LPNs back n2 the system. They frowned on them & now want them n the ED, Psych, & ICU. LPNs never should have been taken away.
I remember in my diploma RN program we started with 65 and graduated 17!
I’m new here just here to support
My sincerest gratitude!
Hi Anderson Cooper.
LOL, you have no idea how many times I hear that!
Whoa, back it up. Even 25 yrs from regular beside you should be able to do VS, give meds, help to BR and assess for pain. no excuses. BTW I wanted to get PHD in medical sociology but couldn't balance single parenting with unhelpful,corrupt jobs , homeschooling, advocacy for children and equality in healthcare. I also am diploma grad but I continued to read several journals incl JAMA regularly for 20 yrs. Graduates the last 10 yrs haven't got a clue what they are doing at bedside, all want to be NP for higher pay not understanding NP is based on understanding of assessment, judgement, how to read family support and pt plans, A&P. I am not loving the current system of few questions and bam you are RN,really do think the comprehensive long form testing is better. Nursing students I dealt with in hospital came to clinical unprepared individually and without supporting lecture framework expecting me to teach them while carrying a full+ load. They then were hired as new grads still not knowing how to basic stuff, wanting handholding for 6mos "to get used to it", being unsafe to take less than stable pts and even then not catching declines. Then a little time passes and they haven't internalized protocols and Covid is prime example of need for nimble thinking and these nurses won't take Advanced Disaster Life Support, any training to improve unless it is required. I had to quit working to deal with Myasthenia Gravis, thought I could still lobby, advocate but MG is a fulltime job as practitioners glibly prescribe things that could put me in respiratory arrest. So NO, definitely NO to pushing out half baked nursing grads while MA's are now doing RN jobs in clinics and EPIC is replacing nursing judgement in hospitals.
Thank you for your thoughts Cheryl, and best wishes as you deal with MG.
Good video!
Thank you for your kind reply!
It’s dangerous!
agree!