Is there REALLY a Nursing Shortage?

23 posts · started Mar 5, 2007

lorianncw Mar 5, 2007, 3:21 AM
Is there REALLY a nursing shortage?
http://www.americanreformation.org/policy/Immigration/H1BVisas/Nursingshortage.htm

This article makes a great point. When we have 600,000 certified, well trained American nurses that choose not to do nursing and 150,000 nursing applicant a year being turned down, we do NOT have a shortage.

The real shortage that exists is the amount hospital administrators are willing to pay in nursing salaries. If they increased nursing salaries, a number of American nurses would return to their profession. This would start to improve current nursing working conditions by reducing the patient workload. And as the working conditions improved along with the increases salary, more nurses would return....creating a positive cycle.

But hospitals have figured out that instead of raising nursing wages, they can just import foreign nurses who will be thrilled to make the current salary (or even less). And as long as foreign nurses are available, American nursing wages will remain stagnant despite increased costs of living.

Anyone agree?

I've heard US Truck Drivers have been in a similar situation. Their wages have been stagnant and too low for years. Although there is still a large number of newbies entering the field, the retention rate for experience drivers is low. Even though there are plenty of trained US truck drivers who have chosen to work elsewhere, the government is classifying the problem as a "shortage". Solution?....import Mexican truck drivers for $2/hr.

To find out if your Congressmen or Presidential Candidates support "guestworkers" or "large-scale importation of foreign workers" check out NumbersUSA:
http://www.numbersusa.com/index
justatraveler Mar 5, 2007, 4:11 AM
lorianncw wrote:Is there REALLY a nursing shortage?
H-1B Visas - Hire Americans - Richard Armstrong

This article makes a great point. When we have 600,000 certified, well trained American nurses that choose not to do nursing and 150,000 nursing applicant a year being turned down, we do NOT have a shortage.

The real shortage that exists is the amount hospital administrators are willing to pay in nursing salaries. If they increased nursing salaries, a number of American nurses would return to their profession. This would start to improve current nursing working conditions by reducing the patient workload. And as the working conditions improved along with the increases salary, more nurses would return....creating a positive cycle.

But hospitals have figured out that instead of raising nursing wages, they can just import foreign nurses who will be thrilled to make the current salary (or even less). And as long as foreign nurses are available, American nursing wages will remain stagnant despite increased costs of living.

Anyone agree?

I've heard US Truck Drivers have been in a similar situation. Their wages have been stagnant and too low for years. Although there is still a large number of newbies entering the field, the retention rate for experience drivers is low. Even though there are plenty of trained US truck drivers who have chosen to work elsewhere, the government is classifying the problem as a "shortage". Solution?....import Mexican truck drivers for $2/hr.

To find out if your Congressmen or Presidential Candidates support "guestworkers" or "large-scale importation of foreign workers" check out NumbersUSA:
NumbersUSA


There IS a nursing shortage. What difference does it make WHY there is a nursing shortage? If the power is off in my house does it make a difference if it's weather related, I didn't pay my bill, or a truck hit a pole. I still have no power. I also think the stats are skewed. Many nurses go on to become NP's CRNA's or mother hood. Yes they keep their RN license but they are not working at the bedside. Let's compare apples to apples. Many women and men have an RN license they might not be using at the bedside for numerous reasons.

As for money. I don't work in hospitals anymore. Haven't for 7 years and no amount of money could get me to go back. Money isn't every thing. I worked on a M/S floor with aides and a 4:1 ratio on days. I still wouldn't go back.

The crux of the matter is the job itself. Do you hear your IT friends complain about getting blood on their shoes, horrible smells, working nights, Xmas, etc. Do you hear your fashion designers c/o about being vomitted on?

No matter the amount of money a nurse gets she will still have to put up with rude patients and families. The patients dying and the fear of losing her/his livihood in the blink of an eye.

If a programer flubs up a program do they lose everything. NO.

Nursing is a unique profession. It has unique problems and solutions. I'll get flamed too but I see many new nurses who don't want to work. The work ethic is getting less and less. Even older nurses have fallen into this category to. IMHO.

Nursing is both physical, mental, and emotionally draining and I believe many students are not experiencing this. They don't realize how much true labor is involved in nursing care.

Again it makes no difference WHY we have a nursing shortage. The fact is we do.
lorianncw Mar 5, 2007, 4:09 PM
Maybe I should clarify. I agree there is a shortage of nurses currently working. But, when there are 600,000 certified nurses and 150,000 nursing applicants/per year being turned down, there is NOT a shortage of potentially available American nurses.
justatraveler wrote:There IS a nursing shortage. What difference does it make WHY there is a nursing shortage? If the power is off in my house does it make a difference if it's weather related, I didn't pay my bill, or a truck hit a pole. .

It matters because if the WHY is corrected or at least improved, the resulting shortage would also be improved! If the power is off in your house, wouldn't it be wiser in the long run to FIX the whether related damage or pay the bill, rather than running throughout the house lighting candles for the next 10 years. That is my point. Instead of attempting to fix the problems, they are putting on Band-Aids by hiring foreign workers *AND* they are suppressing the salaries for American nurses who are still working.

There are some nurses that LOVE what they do and other that HATE it. In some cases it may be personality fit related but in other cases it's work conditions/load related. For example, the nurses I knew in MA as a whole were A LOT happier than those I know in GA.

Coincidentally, the state of MA ranks 2nd in the country for the highest #of RN's per 100,000 people. There is also a very strong union there that fights for improved working conditions and higher salaries. There are RN's in MA making 80-110K for a 40 hr week.
http://www.massnurses.org/News/2006/10/globe-poll.htm

As opposed to GA, a state which is in a severe health care crisis, it has one of the lowest number of RNs per 100,000, and does not have a strong union, and has MUCH lower RN salaries.

Wouldn't you agree that these factors are contributing to the RN work satisfaction and supply disparity between these two states?

While its true there may be some who would never return to nursing for any amount of money, its also true that the majority of Americans are living in debt. The prospect of better pay in nursing than what they could make elsewhere would cause some to return.

This follows the simple laws of supply and demand..........
justatraveler Mar 5, 2007, 5:19 PM
lorianncw wrote:Maybe I should clarify. I agree there is a shortage of nurses currently working. But, when there are 600,000 certified nurses and 150,000 nursing applicants/per year being turned down, there is NOT a shortage of potentially available American nurses.



It matters because if the WHY is corrected or at least improved, the resulting shortage would also be improved! If the power is off in your house, wouldn't it be wiser in the long run to FIX the whether related damage or pay the bill, rather than running throughout the house lighting candles for the next 10 years. That is my point. Instead of attempting to fix the problems, they are putting on Band-Aids by hiring foreign workers *AND* they are suppressing the salaries for American nurses who are still working.

There are some nurses that LOVE what they do and other that HATE it. In some cases it may be personality fit related but in other cases it's work conditions/load related. For example, the nurses I knew in MA as a whole were A LOT happier than those I know in GA.

Coincidentally, the state of MA ranks 2nd in the country for the highest #of RN's per 100,000 people. There is also a very strong union there that fights for improved working conditions and higher salaries. There are RN's in MA making 80-110K for a 40 hr week.
Boston Globe Wants to Know if Nurses Deserve the Money they Earn - Weigh In and Tell them Why

As opposed to GA, a state which is in a severe health care crisis, it has one of the lowest number of RNs per 100,000, and does not have a strong union, and has MUCH lower RN salaries.

Wouldn't you agree that these factors are contributing to the RN work satisfaction and supply disparity between these two states?

While its true there may be some who would never return to nursing for any amount of money, its also true that the majority of Americans are living in debt. The prospect of better pay in nursing than what they could make elsewhere would cause some to return.

This follows the simple laws of supply and demand..........

I was just reading on MSN about an executive making 6 figures leaving his job to become an actor. Not an easy profession to break into.

My contention is that the stats don't tell us WHY these nurses aren't practicing at the bedside. As I pointed out previously NP's must continue to hold an RN license. They are working in nursing just not at the bedside.

Wild horses couldn't drag me into MA. Do you know what the housing costs are there? Do you know what taxes are like there. Do you know what it costs to park in Boston etc. Those nurses aren't making any more money vs the cost of living. Do you know that MA requires verification of every nursing license you have ever held? I hold/held 8 would cost me more to verify them than it would to pay for the license.

The unions tout what they can do for nurse. Let's look at their track record because I can't look into the future. They've about destroyed the auto industry in this country. Shoe manufacturers, pulp and paper, mining, etc.

Did you know that TEXAS is considered with it's COLA ( Cost of Living Assessment) the highest paid nursing state in the union. Many Texas nurses can't find work in their own state. They don't have a shortage. And they make in the $20. Not incentives $$$$ to bring them back into the fold. Ha they haven't left.

Nursing is an ultristic profession. Ya have to wanna. And that's just it. Many nurses don't wanna. And it won't make any difference what you pay them. You couldn't pay me to work in the coal mines. You couldn't pay me to work in a nuclear plant. Not every one can be bought. And I sometimes wonder if buying people off gives you the best employees.

Stopunions - Home

Again the stats you cite don't tell the whole picture. They don't ask why the nurse left. I didn't leave the hospital because I was paid poorly. And NO amount of money would get me back at the bedside there. Money may be a quick easy fix but it's not the be all end all. Many nurses leave to raise a family. Some feel their children are more important than a job.

Most of the states with hi incomes also have high costs of living. It really does equal out. And if the economy of a town or state knows it can get money from hi income people it certainly will.

Also, if nurses don't think there jobs can be outsourced they should think again. Many people in this country are going overseas for health care i.e. cabg, plastics, ortho procedures, etc and getting primo care and facilities in those countries.

How much money do you think insurances and the government should pay for healthcare. Is there an a unending source of revenue.

Get rid of the paper pushers, the endless stupid policies and procedures that have no basis in fact. Streamline service. Get rid of the numerous idle employees in a hospital. And then give the nurses a raise. Let them run the hospital. Give them the power. Not unions, executives, consultants etc.

Why does anyone go to a hospital. Not for doctoring, soft beds, great food. Those things you get outside a hospital. The MAIN reason for hospitalization is because you can't take care of yourself and your family can't or doesn't know how to. NURSING CARE is the PRIMARY reason for hospitalization. Therefore, nurses should be in charge of the hospital NO ONE ELSE. When you give someone the power and control over their environment and they take it and do a good job with it then you have found the solution to that problem

As long as nurses feel powerless over their own JOBS and their voices are taken away either by Management or Unions you will continue to have a nursing shortage.

The union can't produce Nurses any more than you or I can. That's a fallacy. And they don't want to many nurses in the hosptial either. They would lose their power. What would they take to the bargaining table then????? They would have a bunch of nurses who have great staffing every day. The union would have nothing to work with. Think about it.

I made 90K last year. And I'm not beholding to any Union, I didn't work in MA. I worked in PA, TN, and AZ none of which are high paying states. Look at the Cost of Living in MA. You can't buy a shack there for less than $300,000. MA HAS to pay those wages.

Sorry to say but GA also probably has a lower socio-economic population. Why aren't all those nurses running to MA. Probably several of them don't like snow. :houra:

California pays well but I could have a travel job there tomorrow and many nurses from AZ go there for 2 weeks, work and then go back to AZ for 2 weeks and don't work. I bet they list themselves as part-time workers in these studies. When in fact they are making full time pay in Cali. Cali has "great" union representation and they are still crying for nurses. They are the highest paid too. I had a fridge magnet that showed a shack and said at the bottom "$999,999.00 Fixer Upper" Do you know people rent out rooms in their homes in Cali in order to make their mortgages and they charge $600 or more a month.

More money paid to nurses will be paid out in higher costs of living.
Aaron C. Mar 5, 2007, 6:23 PM
There is a shortage of nurses WILLING to perform the job of a nurse in a hospital setting.

That means, to me, that there is a nursing shortage.

The answer to the problem lies in the government increasing teaching salaries and putting an emphasis on education.

HOWEVER...

The REAL issue is PAY.

If you hire more teachers and pay them more money, you're going to have MORE NURSES with degrees, and you already have the nurses, they just aren't willing to do the work for the pay rate.

Producing more nurses via the education system will solve the problem of having the warm bodies to take the job.

IT WILL NOT increase the quality of care, in fact I believe it will suffer.
It will also NOT do anything but hurt the current salary level of nurses, which is already too low.

There's a reason I'm not working in the hospital right now.

It's because there's no way I'm getting paid enough to deal with communicable disease, bacteria, blood, urine, feces, vomit, etc. all while shorthanded, AND legally liable for my every single action down to what I had for breakfast, what kind of utensil I ate with, and what I had to freaking drink. (YES, that is an outlandish exaggeration of charting, but I think you get the point). Add to that irritable family members, and arrogant, unreasonable doctors, and you have a shortage of nurses willing to do the job...and you have me on a laptop at home (currently)

That's just my opinion, and I definitely can't speak for everyone.

I do think that most of us go into the profession with a passion to care for people and a positive attitude about doing our jobs and helping people, but other than the satisfaction of being there for someone going through a traumatic time and helping them recover both physically and emotionally, there isn't much left in the area of reward.

Sure, if you are a travel nurse getting paid 35 an hour plus housing and a travel allowance and working your hours at the destination of your choice, it might be VERY APPEALING.

Don't get me wrong, there are a lot of good nursing jobs. There are a ton of great jobs out there, that you can look forward to going to, where you get paid well, have a great peer group that works together very will, with supportive admistration, etc. etc, BUT IT'S NOT THOSE JOBS GOING UNFILLED!

I should note that I'm an LPN, and not an RN, and I've only been licensed since August of '03 but I can assure you that my experience with nurses, their salaries, and their experiences goes WELL BEYOND THAT. I'm not saying I'm an expert by any means, but I'd say I'm pretty close with my mother being a nurse, and owning a travel nursing company, and my work with her company before I went to nursing school, and my work with this website since I started school. You could almost say it's consumed me.

Sorry for getting on a rant here, but it bothers me how nurses get treated and how disrespected they are in terms of what they do and what pay they get, and the misguided stereotypes that go with them regarding both men and women.
justatraveler Mar 5, 2007, 7:16 PM
Aaron C. wrote:There is a shortage of nurses WILLING to perform the job of a nurse in a hospital setting.

That means, to me, that there is a nursing shortage.

The answer to the problem lies in the government increasing teaching salaries and putting an emphasis on education.

HOWEVER...

The REAL issue is PAY.

If you hire more teachers and pay them more money, you're going to have MORE NURSES with degrees, and you already have the nurses, they just aren't willing to do the work for the pay rate.

Producing more nurses via the education system will solve the problem of having the warm bodies to take the job.

IT WILL NOT increase the quality of care, in fact I believe it will suffer.
It will also NOT do anything but hurt the current salary level of nurses, which is already too low.

There's a reason I'm not working in the hospital right now.

It's because there's no way I'm getting paid enough to deal with communicable disease, bacteria, blood, urine, feces, vomit, etc. all while shorthanded, AND legally liable for my every single action down to what I had for breakfast, what kind of utensil I ate with, and what I had to freaking drink. (YES, that is an outlandish exaggeration of charting, but I think you get the point). Add to that irritable family members, and arrogant, unreasonable doctors, and you have a shortage of nurses willing to do the job...and you have me on a laptop at home (currently)

That's just my opinion, and I definitely can't speak for everyone.

I do think that most of us go into the profession with a passion to care for people and a positive attitude about doing our jobs and helping people, but other than the satisfaction of being there for someone going through a traumatic time and helping them recover both physically and emotionally, there isn't much left in the area of reward.

Sure, if you are a travel nurse getting paid 35 an hour plus housing and a travel allowance and working your hours at the destination of your choice, it might be VERY APPEALING.

Don't get me wrong, there are a lot of good nursing jobs. There are a ton of great jobs out there, that you can look forward to going to, where you get paid well, have a great peer group that works together very will, with supportive admistration, etc. etc, BUT IT'S NOT THOSE JOBS GOING UNFILLED!

I should note that I'm an LPN, and not an RN, and I've only been licensed since August of '03 but I can assure you that my experience with nurses, their salaries, and their experiences goes WELL BEYOND THAT. I'm not saying I'm an expert by any means, but I'd say I'm pretty close with my mother being a nurse, and owning a travel nursing company, and my work with her company before I went to nursing school, and my work with this website since I started school. You could almost say it's consumed me.

Sorry for getting on a rant here, but it bothers me how nurses get treated and how disrespected they are in terms of what they do and what pay they get, and the misguided stereotypes that go with them regarding both men and women.

Aaron, MONEY is not gonna stop people from peeing on your new shoes, MONEY is not gonna stop people from swearing at you because they are NPO and you can't give them a drink, MONEY is not gonna make families be nice to you. Money is not gonna fix the nursing shortage in the long run. Only nurses who want to do this job can fix it.

Nurses have to want to do this job. Money might attract some intelligent people into the work fore. We already have them and from what I've seen the intelligent one's either won't work , literally, at the bedside or don't. So the group you will attract with money IMHO might not be the best nurses.

Let's face it. Our jobs are many times without appreciation from top to bottom .From management to the patient. Students need a work ethic drilled into them. They will have to work on their birthday, Xmas, Thanksgiving, Sundays. Nights. 12 hours or more in 24. etc.

Those are the reasons many get out of the profession. That's why I try to advocate an apprenticeship. CNA,LPN,RN. By the time you've been an CNA and an LPN for a year each you know then weather or not you can hack it.

There are just certain things many people won't do for love nor money. Nursing is one of them.
lorianncw Mar 5, 2007, 10:21 PM
Aaron C. wrote:The REAL issue is PAY.

If you hire more teachers and pay them more money, you're going to have MORE NURSES with degrees, and you already have the nurses, they just aren't willing to do the work for the pay rate.

Producing more nurses via the education system will solve the problem of having the warm bodies to take the job.

IT WILL NOT increase the quality of care, in fact I believe it will suffer.
It will also NOT do anything but hurt the current salary level of nurses, which is already too low.

I agree that we need to pay teachers more so that we can educate more nurses.

But why do think more American nurses will decrease the quality of patient care? One of nurse's biggest complaints is that hospitals are short-staffed, resulting in nursing caseloads too large for the delivery of safe care. By increasing the staff, nurses will have a lighter case load, a much less exhausting shift, and a lower chance of making any patient errors.

As for the effect on nurse's salaries, I think our country has to somehow increase the number of working nurses. They way their doing it right now is by importing foreign nurses. I think THAT is FAR MORE DANGEROUS to American nurse's salaries than increasing the number of American nurses.

These foreign nurses use to make $2/hr in their country. To come here and make $35-40K annually is like a 900% raise. What’s even better is that sum of money is worth even more when they bring it back to their home country. Plus, these people are so poor and are making so much money here, they are willing to keep quite and take as much abuse as hospitals hand them. Furthermore, there are several foreign countries that are building nursing schools for the sole purpose of sending their graduates to the USA. As the supply of foreign nurses increases and our country becomes increasingly open to hiring illegal immigrants and foreign workers, I'm concerned that nursing salaries will not only be stagnant, but decline for both Americans and foreigners. After all, even making only $30K will seem like a lot to a foreigner from a third world country, so hospitals may be able to get away with this. And if nursing salaries decline, there will be more or a "shortage of American nurses" and a greater need to import foreigners. Its a cycle.........

I'd much rather see more fellow American nurses who's family's cost and standard of living is similar to mine and who would demand a similar amount of pay. Plus, as more Americans are employed and make more, its good for our economy.

Hypothetically, lets say they make efforts to improve working conditions and give nurses a 30% raise. The number of American nurses would start to increase and the work conditions/patient loads would improve. Even if the hospitals then started to lower the salaries, they would only be able to lower them so far before they started to experience problems with a "shortage" again.

But, if US hospitals start to have a large supply of foreign nurses, they will be able to decrease salaries a heck of a lot more before they experience a nursing shortage. And as American nurses quit....they can just replace them with more foreigners who are satisfied with making less than Americans.
justatraveler Mar 6, 2007, 1:33 AM
lorianncw wrote:I agree that we need to pay teachers more so that we can educate more nurses.

But why do think more American nurses will decrease the quality of patient care? One of nurse's biggest complaints is that hospitals are short-staffed, resulting in nursing caseloads too large for the delivery of safe care. By increasing the staff, nurses will have a lighter case load, a much less exhausting shift, and a lower chance of making any patient errors.

As for the effect on nurse's salaries, I think our country has to somehow increase the number of working nurses. They way their doing it right now is by importing foreign nurses. I think THAT is FAR MORE DANGEROUS to American nurse's salaries than increasing the number of American nurses.

These foreign nurses use to make $2/hr in their country. To come here and make $35-40K annually is like a 900% raise. What’s even better is that sum of money is worth even more when they bring it back to their home country. Plus, these people are so poor and are making so much money here, they are willing to keep quite and take as much abuse as hospitals hand them. Furthermore, there are several foreign countries that are building nursing schools for the sole purpose of sending their graduates to the USA. As the supply of foreign nurses increases and our country becomes increasingly open to hiring illegal immigrants and foreign workers, I'm concerned that nursing salaries will not only be stagnant, but decline for both Americans and foreigners. After all, even making only $30K will seem like a lot to a foreigner from a third world country, so hospitals may be able to get away with this. And if nursing salaries decline, there will be more or a "shortage of American nurses" and a greater need to import foreigners. Its a cycle.........

I'd much rather see more fellow American nurses who's family's cost and standard of living is similar to mine and who would demand a similar amount of pay. Plus, as more Americans are employed and make more, its good for our economy.

Hypothetically, lets say they make efforts to improve working conditions and give nurses a 30% raise. The number of American nurses would start to increase and the work conditions/patient loads would improve. Even if the hospitals then started to lower the salaries, they would only be able to lower them so far before they started to experience problems with a "shortage" again.

But, if US hospitals start to have a large supply of foreign nurses, they will be able to decrease salaries a heck of a lot more before they experience a nursing shortage. And as American nurses quit....they can just replace them with more foreigners who are satisfied with making less than Americans.


I hear you. But like I said I left the hospital with a 4:1 ratio and an aide. NO AMOUNT OF MONEY COULD GET ME BACK THERE. I dont't think it is all about money. It's about not working nights, it's about no being puked on, or pooped on etc. You are never gonna change that part of nursing. And the other bi**hing nurses all the time. Whining about how much work they had to do instead of just doing it.

On 60 minutes last night they reporting that SS will be totally bankrupt soon. I don't remember the year. Of course I don't believe it. They say that we have fewer workers to fund SS but the workers we do have don't make $4/hr like I did years ago. What they need to do is take the cap off of SS and make every one pay on every dollar they make. Or 10% or something like that.

I'd just hate so see nursing price itself right out of the market.

If our salaries go too high that's just more incentive to hire foreign nurses. It's a vicious cycle. Damned if you do damned if you don't.

Wish we had the answers but I don't think we do.
smarty77 Mar 6, 2007, 2:09 AM
Of course, if patients die or have poor service from nurses that cannot speak English well (we have that at my hospital-they paid quarter of million for bunch of nurses from India, paid for their housing here, from what I hear they are making good salaries, too), there will be a backlash.
Let's face, our health system is screwed. Whether we have socialized medicine or private, it is a vast machine/bureacracy where the right hand does not know what the left hand is doing.
By the way, I am not too unhappy with my salary, but the staffing is so dangerous and unsafe that it has become unbearable. I don't really mind poop, etc. I love caring for people. I hate working with nsg. assists. who don't care, and who add to my workload. I hate that people come into the hospital expecting me to fulfill their every wish and need, and don't seem to realize how overwhelmed we all are. It really angers me and demoralizes me.
I hate that nurses are portrayed as idiots on tv and that the news media panders to physicians to this day and calls anybody in scrubs a "nurse". I hate that nurses stand by and let others dictate/force feed these stereotypes to the public. As long as the public and pols do not understand our role other than as the hard working angel of mercy (no brains need apply), we will be screwed.
justatraveler Mar 6, 2007, 2:34 AM
smarty77 wrote:Of course, if patients die or have poor service from nurses that cannot speak English well (we have that at my hospital-they paid quarter of million for bunch of nurses from India, paid for their housing here, from what I hear they are making good salaries, too), there will be a backlash.
Let's face, our health system is screwed. Whether we have socialized medicine or private, it is a vast machine/bureacracy where the right hand does not know what the left hand is doing.
By the way, I am not too unhappy with my salary, but the staffing is so dangerous and unsafe that it has become unbearable. I don't really mind poop, etc. I love caring for people. I hate working with nsg. assists. who don't care, and who add to my workload. I hate that people come into the hospital expecting me to fulfill their every wish and need, and don't seem to realize how overwhelmed we all are. It really angers me and demoralizes me.
I hate that nurses are portrayed as idiots on tv and that the news media panders to physicians to this day and calls anybody in scrubs a "nurse". I hate that nurses stand by and let others dictate/force feed these stereotypes to the public. As long as the public and pols do not understand our role other than as the hard working angel of mercy (no brains need apply), we will be screwed.

Yep and that's why NO AMOUNT OF MONEY will get many people to do the job.


Your "I love caring for people" says it all.

BTW I hold/have held 8 nursing license so we can subtract 7 from whatever figure there is for licensed nurses in this country not working in nursing. I can only do one job at a time. LOL
justatraveler Mar 6, 2007, 2:38 AM
smarty77 wrote:Of course, if patients die or have poor service from nurses that cannot speak English well (we have that at my hospital-they paid quarter of million for bunch of nurses from India, paid for their housing here, from what I hear they are making good salaries, too), there will be a backlash.
Let's face, our health system is screwed. Whether we have socialized medicine or private, it is a vast machine/bureacracy where the right hand does not know what the left hand is doing.
By the way, I am not too unhappy with my salary, but the staffing is so dangerous and unsafe that it has become unbearable. I don't really mind poop, etc. I love caring for people. I hate working with nsg. assists. who don't care, and who add to my workload. I hate that people come into the hospital expecting me to fulfill their every wish and need, and don't seem to realize how overwhelmed we all are. It really angers me and demoralizes me.
I hate that nurses are portrayed as idiots on tv and that the news media panders to physicians to this day and calls anybody in scrubs a "nurse". I hate that nurses stand by and let others dictate/force feed these stereotypes to the public. As long as the public and pols do not understand our role other than as the hard working angel of mercy (no brains need apply), we will be screwed.
Hmmm skipppin right along here... hmmmmmmmmmmm Have to have 5 characters. Hope I have them all now...
lorianncw Mar 7, 2007, 4:56 PM
justatraveler wrote:Wild horses couldn't drag me into MA. Do you know what the housing costs are there? Do you know what taxes are like there. Do you know what it costs to park in Boston etc. Those nurses aren't making any more money vs the cost of living. Do you know that MA requires verification of every nursing license you have ever held? I hold/held 8 would cost me more to verify them than it would to pay for the license.

The unions tout what they can do for nurse. Let's look at their track record because I can't look into the future. They've about destroyed the auto industry in this country. Shoe manufacturers, pulp and paper, mining, etc.

More money paid to nurses will be paid out in higher costs of living.

I lived in MA for 6 years. You make an excellent point that the cost of living is higher there. But the nursing wages in MA are still proportionally higher than many other expensive parts of the country. The nursing wages in MA are also higher than many other MA career paths. Just because a city is expensive doesn't mean that every job is equally and proportionately paid more. In fact, because Boston is such a highly desirable place to live and there are so many college graduates, many jobs (not part of a union) pay LESS then what they do in cheaper parts of the country.

Many RN's make more than the NPs ! They also make more than MANY business executives. I new a number of people working in big accounting and finance firms. The average starting salary for a college graduate is about 30-40K, but most are working a 65-90 hours per week with no pay for overtime. After about 10 years of experience and earning an MBA, they're making 100K....but they're still working 60 hrs/week. Yes, there are a very select few who make it big and earn over $200K, but this is not the case for most.

So.... when you compare nursing to many other career fields in MA, nursing starts to look REAL attractive given the salary, work hours, and education costs required. This is why the nursing shortage in MA is so much less severe than other states.....and as a secondary result....its also why the nurses there are more happy.

I never met anyone in MA that complained about their union. Everyone I met LOVED unions because of the high pay and benefits.

I'm not personally familiar with Texas. However, based on the info I've read, TX has a large nursing shortage and their state is ranked in the bottom 10 for # of RNs per 100,000 people. But, maybe that info is incorrect..........
lorianncw Mar 7, 2007, 5:29 PM
justatraveler wrote:I'd just hate so see nursing price itself right out of the market.

If our salaries go too high that's just more incentive to hire foreign nurses. It's a vicious cycle. Damned if you do damned if you don't.

Wish we had the answers but I don't think we do.

If the United States government obeyed our constitution and foreign visa laws.....that would not be possible. There is a national cap limiting the number of foreigners US hospitals and buisnesses can hire LEGALLY. Any expansion of that cap must be passed by our Congress.

The problem is that we are witnessing a US executive branch of government that is increasingly pushing for MORE visas, MORE guest workers, and MORE illegal workers. They do not care about patient safety, nor do they care about the American middle class. They are in bed with corporate elites who will see billions added to their bottom line by displacing Americans with cheap, foreign workers. They are acheiving this goal by taking one small step at a time. If this continues, nursing wages will not only remain stagnant....they will decline....
By importing foreign workers, Americans are opening the door to high vulnerability.

This is my whole point....I think Americans need to wake up, educate themselves about what's going on, where we are headed, and do their best to fight it before its too late.............

Have you heard the saying "War on the Middle Class".....this is the big picture I'm addressing......
HeyFraydo Mar 7, 2007, 7:27 PM
There is a Shortage and it's not going away and it's going to get worse.

To get more Nurses we need more open spaces in Nursing schools to meet the demand along with more Nursing Instuctors, Grants , Recruitment etc.

To keep more Nurses we need better pay and better working conditions, better training, more efficient systems of patient management, better Nurse to patient ratios.

To see how bad the problem is ...despite the influx of foreign nurses the US Travel Nurse/Allied Industry is growing and there are no shortage of Travel Nurse Positions even in my field of Mental Health.

I heard a while back there was legislation if passed would open the flood doors to even more foreign nurses which I hope did not happen because this is a lose/lose situation.It's a temporary band aid that does nothing to fix the root causes and it takes away from those countries where the Nurses are coming from who have their own shortage problems and health care crisis.

CJ Travel Nurse Toolbox
justatraveler Mar 8, 2007, 1:27 AM
lorianncw wrote:I lived in MA for 6 years. You make an excellent point that the cost of living is higher there. But the nursing wages in MA are still proportionally higher than many other expensive parts of the country. The nursing wages in MA are also higher than many other MA career paths. Just because a city is expensive doesn't mean that every job is equally and proportionately paid more. In fact, because Boston is such a highly desirable place to live and there are so many college graduates, many jobs (not part of a union) pay LESS then what they do in cheaper parts of the country.

Many RN's make more than the NPs ! They also make more than MANY business executives. I new a number of people working in big accounting and finance firms. The average starting salary for a college graduate is about 30-40K, but most are working a 65-90 hours per week with no pay for overtime. After about 10 years of experience and earning an MBA, they're making 100K....but they're still working 60 hrs/week. Yes, there are a very select few who make it big and earn over $200K, but this is not the case for most.

So.... when you compare nursing to many other career fields in MA, nursing starts to look REAL attractive given the salary, work hours, and education costs required. This is why the nursing shortage in MA is so much less severe than other states.....and as a secondary result....its also why the nurses there are more happy.

I never met anyone in MA that complained about their union. Everyone I met LOVED unions because of the high pay and benefits.

I'm not personally familiar with Texas. However, based on the info I've read, TX has a large nursing shortage and their state is ranked in the bottom 10 for # of RNs per 100,000 people. But, maybe that info is incorrect..........


I poked around and Mass Gen has over 101 OPEN nursing positions. You couldn't get me to work in Boston. I live in Maine and in the summer the Mass people flock to Maine. Many own vacation spots there. I haven't even driven through Boston since they start that debacle of a BIG DIG.

Also I pulled up a salary comparison chart. In the $55k range MA was at 53% and GA was at 45%. Not really much difference in %'s there.

Texas does not have a nursing shortage. Many Texas nurses can't find work and have to leave and become travelers.

I've never seen the lure of MASS.. Again I don't think it's money per se that will keep nurses. So people won't do a job for any amount of money.
There are even some nursing jobs I won't do for any amount of money. I don't like the rush of ER, I'm afraid of taking care of babies, I walked to the delivery table with my second son so I have no sympathy for screaming moms, so no amount of money would get me into those areas of nursing.

Again I think the stats are skewed. I am "licensed" in 8 states. Am I being counted 8 times. I think alot of nurses take a break from nursing etc. I think some might be going to NP school etc.

I've seen too many things have money thrown at them and it didn't make things better. BTW the BIG DIG is prime example.
ROE_Wedge Mar 8, 2007, 12:51 PM
Personally going into Nursing school myself i know what im getting into hour related wise. Working my birthday, holidays, etc or 12 hours plus doesnt really bother me that much considering that were pretty damn lucky to just have that happen to us. Other places in the world do not have it so lucky We get very selfish in America and always think "me me me me". I know it sucks and if you really dont like it then they dont need you there but some of you almost depress me with the attitude you take towards it. I agree with the first post and the nursing shortage being "temp fixed" by adding in foreign workers is very wrong in my book.

but i do see some good points being made from both sides.. life is just the attitude you throw towards it in the end
lorianncw Mar 8, 2007, 4:57 PM
As I already stated ABOVE....I am not personally familiar with Texas and that info I cited could be wrong !

But you claim there's no nursing shortage in TX, huh....

Apparently the Texas Department of State Health Services disagrees...
http://www.dshs.state.tx.us/chs/cnws/
"In response to mounting concern about Texas’ nurse shortage, the 78th Texas Legislature, regular session, created a Nursing Workforce Data Section (NWDS) under the governance of the Statewide Health Coordinating Council (SHCC). "

So does the Texas Medical Center:
http://www.tmc.edu/tmcnews/05_01_00/page_03.html
"We are already 40,000 nurses short of what we need in Texas,

Also I never claimed that there was NO nursing shortage in MA....I stated that there is LESS of a shortage.

PLEASE SEE THIS LINK TO THE BOSTON GLOBE:
http://boards.boston.com/n/pfx/forum.aspx?tsn=1&nav=messages&webtag=bc-general&tid=709&redirCnt=1

"After striking for several hours yesterday morning, nurses at UMass Memorial Medical Center in Worcester were successful in contract negotiations over salary and health benefits.

The dispute concerned the management's plan to reduce what they called excessively generous nursing contracts. The average nurse, according to the hospital, working a 40-hour week makes $107,000 a year. "


HERE IS ANOTHER LINK TO THE MA Nurses Association:
http://www.massnurses.org/News/2006/10/globe-poll.htm
"We urge every nurse and family member to respond to this poll and [B]tell them why you are indeed worth $100,000 per year."[/B]

In additioin, I personally know nurses in MA who are making 100K !

There also is a 3 year long waiting list just to get into a MA nursing school !!!

Justatravler - I'm done arguing with you on this post. Its seems that you HATE nursing and have missed the whole point of this post.

THE US GOVERNMENT SHOULD BE MAKING EFFORTS TO CORRECT THE PROBLEMS CAUSING THE NURSING "SHORTAGE". BUT INSTEAD OUR GOVERMENT IS HIRING FOREIGN WORKERS TO SERVE AS LOW COST BAND-AIDS. IN THE END, THE US NURSES, US PATIENTS, AND FOREIGN COUNTRIES WHO NEED THEIR NURSES LOSE OUT.
justatraveler Mar 9, 2007, 1:37 AM
lorianncw wrote:As I already stated ABOVE....I am not personally familiar with Texas and that info I cited could be wrong !

But you claim there's no nursing shortage in TX, huh....

Apparently the Texas Department of State Health Services disagrees...
Texas Department of State Health Services, Nursing Workforce Data Section
"In response to mounting concern about Texas’ nurse shortage, the 78th Texas Legislature, regular session, created a Nursing Workforce Data Section (NWDS) under the governance of the Statewide Health Coordinating Council (SHCC). "

So does the Texas Medical Center:
Texas Medical Center NEWS
"We are already 40,000 nurses short of what we need in Texas,

Also I never claimed that there was NO nursing shortage in MA....I stated that there is LESS of a shortage.

PLEASE SEE THIS LINK TO THE BOSTON GLOBE:
http://boards.boston.com/n/pfx/forum.aspx?tsn=1&nav=messages&webtag=bc-general&tid=709&redirCnt=1

"After striking for several hours yesterday morning, nurses at UMass Memorial Medical Center in Worcester were successful in contract negotiations over salary and health benefits.

The dispute concerned the management's plan to reduce what they called excessively generous nursing contracts. The average nurse, according to the hospital, working a 40-hour week makes $107,000 a year. "


HERE IS ANOTHER LINK TO THE MA Nurses Association:
Boston Globe Wants to Know if Nurses Deserve the Money they Earn - Weigh In and Tell them Why
"We urge every nurse and family member to respond to this poll and [B]tell them why you are indeed worth $100,000 per year."[/B]

In additioin, I personally know nurses in MA who are making 100K !

There also is a 3 year long waiting list just to get into a MA nursing school !!!

Justatravler - I'm done arguing with you on this post. Its seems that you HATE nursing and have missed the whole point of this post.

THE US GOVERNMENT SHOULD BE MAKING EFFORTS TO CORRECT THE PROBLEMS CAUSING THE NURSING "SHORTAGE". BUT INSTEAD OUR GOVERMENT IS HIRING FOREIGN WORKERS TO SERVE AS LOW COST BAND-AIDS. IN THE END, THE US NURSES, US PATIENTS, AND FOREIGN COUNTRIES WHO NEED THEIR NURSES LOSE OUT.


Where do you get that I hate nursing. I've been a nurse for 26 years. I rarely do something I don't like for even an hour. Exercise comes to mind.
I made 90K last year without ever stepping foot in a hospital or MA.

All I'm saying is that MONEY is the end all be all for nurses. Many people won't do our job for any amount of money.

Look at public housing, the war on drugs, and many other entitlements. Did they succeed with the MILLIONS of dollars poured into them? NO

And where are you gonna get the 100K jobs for every RN in this country. Who's gonna ante up that kind of money? Do you know what our taxes would be if that happened?

You have one solution for the nursing shortage. ONE. It's a very complex issue.

I worked in hospital with a 4:1 M/S with and aide days. 3 twelves. Every third weekend and I LEFT. Now I work 3-5 12's a day. No Sundays. And I take care of 20 patients in the morning and 20 patients in the afternoon, and 8-10 in the evening. In all we have about 90 patients. I work harder now than I did in the hospital. The money's good but I did this job for the half the money five years ago.

All I'm saying is money is not gonna solve this problem

My son squeaked through HS. Spent 9 years in the USMC. And he cracked six figures last year at 29 years old. Been in his present job for 9 months. He doesn't get peed on, pooped on, doesn't work weekends expect when his on the road, makes $41 an hour, on salary but he gets paid for every hour he works. Why would he go into nursing for any 100K. I'll tell you why. Cuz he doesn't wanna.

Nursing is a job that you either love or don't love and more money is not gonna make most people love it who hate it. Prostitutes make good money in Nevada. I don't see alot of people flocking to that profession. Strip tease/club dancer make good money. I don't see a mass exodus from other profession into these professions.:frustrated:

I googled Average Homes Prices USA

This is the results
Boston: 1,260,000
Lexington: 729,500
Worchester: 340,966
Tauton: 460,950

Used to be banks advised 2.5 x Gross Pay now I think it's 3 x GP That would equal 361,000 as you can see their aren't many places to live at that price.

TX:
Fort Worth: 148,610
Houston: 151,600
Corpus Christi: 179,125
Dallas: 261,325
Plano: 183,750
If Texas nurses are making. $25 x 2080 ( 40 hrs x 52 weeks) that equals 52,000 x 3 =156,000 so there are several places they could afford.

Also I google Cost of Living States
MA 41,,, ME 38,,, SD 1,,, TN,,,, TX 4........... Again those Mass nurses need that kind of money to just live in Mass.
justatraveler Mar 9, 2007, 1:58 AM
lorianncw wrote:As I already stated ABOVE....I am not personally familiar with Texas and that info I cited could be wrong !

But you claim there's no nursing shortage in TX, huh....

Apparently the Texas Department of State Health Services disagrees...
Texas Department of State Health Services, Nursing Workforce Data Section
"In response to mounting concern about Texas’ nurse shortage, the 78th Texas Legislature, regular session, created a Nursing Workforce Data Section (NWDS) under the governance of the Statewide Health Coordinating Council (SHCC). "

So does the Texas Medical Center:
Texas Medical Center NEWS
"We are already 40,000 nurses short of what we need in Texas,

Also I never claimed that there was NO nursing shortage in MA....I stated that there is LESS of a shortage.

PLEASE SEE THIS LINK TO THE BOSTON GLOBE:
http://boards.boston.com/n/pfx/forum.aspx?tsn=1&nav=messages&webtag=bc-general&tid=709&redirCnt=1

"After striking for several hours yesterday morning, nurses at UMass Memorial Medical Center in Worcester were successful in contract negotiations over salary and health benefits.

The dispute concerned the management's plan to reduce what they called excessively generous nursing contracts. The average nurse, according to the hospital, working a 40-hour week makes $107,000 a year. "


HERE IS ANOTHER LINK TO THE MA Nurses Association:
Boston Globe Wants to Know if Nurses Deserve the Money they Earn - Weigh In and Tell them Why
"We urge every nurse and family member to respond to this poll and [B]tell them why you are indeed worth $100,000 per year."[/B]

In additioin, I personally know nurses in MA who are making 100K !

There also is a 3 year long waiting list just to get into a MA nursing school !!!

Justatravler - I'm done arguing with you on this post. Its seems that you HATE nursing and have missed the whole point of this post.

THE US GOVERNMENT SHOULD BE MAKING EFFORTS TO CORRECT THE PROBLEMS CAUSING THE NURSING "SHORTAGE". BUT INSTEAD OUR GOVERMENT IS HIRING FOREIGN WORKERS TO SERVE AS LOW COST BAND-AIDS. IN THE END, THE US NURSES, US PATIENTS, AND FOREIGN COUNTRIES WHO NEED THEIR NURSES LOSE OUT.


Did you want to give some money to nursing schools to hire some faculty? Or did you expect the faculty to work out of the goodness of their hearts?

How can you throw money at something that doesn't exist. NURSES willing to work nights, holidays, Weekends, get peed on, pooped on, ragged on by family etc?
justatraveler Mar 9, 2007, 6:28 AM
Here's an article of our peers. Not a group of consultants spewing stats.

NurseWeek: Can We Fix It? :: Page 2


Yes, it's old, but none of the ideas addressed there have been implemented on any scale.

And none of them advocated more money for nurses. More resources for education,yes.

Food for thought.
smarty77 Mar 12, 2007, 11:33 PM
IF you believe in the laws of supply and demand....eventually the hospitals and public will willingly pay for superior nursing care. Unfortunately, more people are going to die and suffer if we wait for the capitalistic route.There are hospitals out there that don't have the turnover and retention problems....but not many. Some hospitals are rejecting the JCAHO crap (and a lot of it is political crap), not taking medicare patients, and the nurses who work there LOVE their jobs, I'll try and find the article to share. I do think it is reasonable to have some government control/regulation of hospitals. There is actually some legislation that has been kicked around, but never passed, that would make the hospitals publically report their staffing numbers. There was also legislation that actually passed in some states that makes the hospitals report nosocomial infection rates, but I do believe they have weaseled their way around it some how. Anyway, I think that nurses need to be much more vocal about the positive role they play in healthcare, how understaffing increases death and infection in hospitals and nursing homes (think about how much money we spend on nsg home residents w/urosepsis, decubitus,etc.?). The media is woefully ignorant on what nurses do. Once again I must reiterate that I don't mind the poop and stuff if I didn't have to go into work (especially night shift) and play nsg assistant/nurse/janitor/etc. I can't practice holistically and safely because we do not have enough/some nights any nursing assistants to help us. Thats where the bitterness and irritation just take over :firedup: I feel demeaned!!!!!!!
justatraveler Mar 13, 2007, 1:55 AM
smarty77 wrote:IF you believe in the laws of supply and demand....eventually the hospitals and public will willingly pay for superior nursing care. Unfortunately, more people are going to die and suffer if we wait for the capitalistic route.There are hospitals out there that don't have the turnover and retention problems....but not many. Some hospitals are rejecting the JCAHO crap (and a lot of it is political crap), not taking medicare patients, and the nurses who work there LOVE their jobs, I'll try and find the article to share. I do think it is reasonable to have some government control/regulation of hospitals. There is actually some legislation that has been kicked around, but never passed, that would make the hospitals publically report their staffing numbers. There was also legislation that actually passed in some states that makes the hospitals report nosocomial infection rates, but I do believe they have weaseled their way around it some how. Anyway, I think that nurses need to be much more vocal about the positive role they play in healthcare, how understaffing increases death and infection in hospitals and nursing homes (think about how much money we spend on nsg home residents w/urosepsis, decubitus,etc.?). The media is woefully ignorant on what nurses do. Once again I must reiterate that I don't mind the poop and stuff if I didn't have to go into work (especially night shift) and play nsg assistant/nurse/janitor/etc. I can't practice holistically and safely because we do not have enough/some nights any nursing assistants to help us. Thats where the bitterness and irritation just take over :firedup: I feel demeaned!!!!!!!

Many are willingly paying for superior care right now. In Thailand for instance. And actually they are paying less and getting more.

So you just want more nusing assistants not more money. Correct?

We can't get people to understand that they have to take all their antibiotics, not stop when the are "better". Do you really think they would understand infection rates etc. Most people are of the mentality that "it won't happen to me". They see an old man who's abused his body for years and is still alive and just know that they can do the same thing.

The majority of people in hospitals are not Yuppies or intelligent even. Yuppies wash their hands, jog, eat organic foods etc. Good health is not usually associated with the poor, illiterate, and homeless. So the people who could afford superior care don't need it that often.

Ever read the side of a ciggarette package? How many smokers take it to heart?

BTW it was NURSES who wanted JCAHO years ago. Be careful what you wish for.....................
smarty77 Mar 19, 2007, 12:35 AM
no, I'm not too keen on nursing assistants....how many night shifts have I felt sorry for the nsg.assist. and given her 9 patients (out of 29) because the acuity is so high (always total care pts on our floor and we have a step down unit)...then I turn around and she is on the computer! It would be great to have more nurses, but I have worked in that environment too, and it helps to have someone turn, feed, etc. It is a no win situation....