
Originally Posted by
Ricu
Interesting article.
Wouldn't it be insightful to look at the various capacities in which nurses work and the relative age of those nurses? For example, let's break the workforce down into the following arbitrary areas; direct inpatient care, supervisor/manager, clinical nurse specialist, clinical nurse educator, advanced practice, inpatient/outpatient, acute/long term care, home/hospice care, physician office, and so on.
I'm sure there's no clear pattern but it's my sense that those "older" nurses will likely be found at the bedside rather than up the chain of command. Nurses here eventually will retire and many want out sooner rather than later. We like our job but it's taking more out of us than it used to. We're getting older, the work is more challenging than ever, there are sicker patients and more of them to care for and there are fewer of us doing it. It's here, at the bedside, where the shortage is felt, not in the boardroom. Ironically too, it's at the bedside where the fewest new nurses are found.
I'm forty-six so by some standards, fit into that category therefore, feel qualified to comment. Nurses in this category have probably been working for over twenty-five years so have mastered patient care and view it as more relevent activity than the rest of what is referred to as Nursing Scope and Practice. I refer to this realm of nursing as "clipboard" or "meeting room" nursing with truthful sarcasm, probably because I've been in administration. I eventually returned to bedside care because I didn't find admin. as fulfilling.
Don't misinterpret my opinion as being opposed to nursing leadership or advanced practice when I applaud efficient leadership and nursing advancement. What I oppose is the epidemic of ineffective, nonclinical, roles and top heavy bureaucracy which seem to be the fastest growing areas in nursing.
This leads me to another controversy, the preparation of the new nursing workforce and how we come to have so few of them at the bedside consequently; a shortage.
Thoughts anyone?
R