Nursing: Pros and Cons by Christy Picton, RN, BSN, Illinois Nurses' Views of The Nursing Profession
I struggle when asked whether I would recommend the nursing profession as a career. In the end it comes to down to a weighing of the pros and cons. Let me begin by introducing you to some of my patients, my "pros" so to speak.
“Evie” was a 15-year old who was diagnosed with chlamydia, gonorrhea, and herpes. Because of her history, she was scheduled for an HIV test. This was the mid-80’s, when just the word “AIDS” conjured up visions of an instant death sentence with no reprieve. Evie always came to her appointments alone, so I held her hand while the blood was drawn, and I hugged her in relief when the test was negative.
“Harry*” had been with us for some surgery one December, and was now recovering. He required a follow-up procedure in January, after some healing had taken place, but his insurance program was changing and the second surgery would take place in another hospital. He had not been his usual jovial self the past few days, and he had told us not being able to return to our unit for the surgery had him down, among other things.
When I was instructing Harry on ways to rest and reduce stress while waiting for the second procedure, I asked him what he did to relax. He answered that he enjoyed movies and listening to music. That hit a nerve with me. Music is an important part of my life. I asked what type of music he liked, and he answered, “Are you down with the Temptations?” Dutifully, I began to sing, “I know you’re gonna leave me, but I refuse to let you go”. He joined me for the rest of the song, singing and laughing.
I went back to the nurse’s station to prepare my evening medications and the other girls were just looking at me, shaking their heads. “What were you doing in there?” they asked.
“Patient teaching”, came my reply, “and this guy hasn’t smiled in 3 days, so leave me alone and don’t mess with what works, OK?”
“Abby” was a 15-year old combative autistic patient who had been a long-term resident of a psychiatric hospital. She had a psych aid at her bedside 24 hours a day, but her combative, abusive behavior toward the staff persisted. After a few days of determined conversation in a quiet tone, she let me comb her hair and she talked to me about music and boys. I got to share one of her rare moments of just being 15.
I was assigned to stay with a patient for hours until she miscarried, both of us in tears as she held her little one and said good-bye. I stood at the bedside of a patient in kidney failure, supporting her significant other as he stroked the coppery skin of her hand. A friend and I had the hideous experience of “coding” a fellow nurse who was a patient on our floor, but we also had the joyous experience of watching her recover and return to work. All of these experiences and many others like them are the things that keep a nurse coming to work.
Unfortunately the list of "cons" is long, as well. For instance:
I was charge nurse on second shift one evening when our census was down. One RN and two aids had been pulled to work on other units. As the shift progressed, we received four admissions and the condition of two of our existing patients deteriorated. There was a hospital policy against refusing admissions, but on the fifth phone call to admit a new patient to our unit, I refused. The nurse in charge of the hospital soon appeared and asked if I had refused an admission. When I said yes, we talked about it. I got my RN and one aid back, and we accepted the admission. However, I had to break hospital policy to make it happen.
I told the head of my unit that the conditions we were working under were unsafe for the patients, and she said, “You’re not supposed to say that out loud.”
On a shift with a “code,” two fresh open heart patients, four other patients with various IV drips, and everyone on telemetry, I was expected to give adequate nursing care to all patients including dressing changes, deal with the code, complete all doctor’s phone calls and charting, and clock out after precisely 8 hours, not one moment more. The only exception was if I was asked to stay over to cover an absence.
These experiences and many others are what makes some nurses leave the profession. So recommending nursing as a career is a complicated proposition. I usually decide how to answer by who is asking. If the person talks about money or nursing as a “job,” I discourage them. But if the person has a gleam in their eye, a wish to serve, lots of energy, a good sense of humor, and a feeling that nursing is their “calling,” I am happy to welcome them to our profession.
In this section, you can hear from Registered Nurses, Licensed Practical Nurses, etc, new and old on why they would or would not recommend going into Nursing as a career. Our articles are frank, uncensored and brutally honest. We hope they'll help you make your decision if you're unsure about nursing being for you.
It is not our intent to "scare you off" from Nursing, some of our reviews are quite positive. It is our intention to help you go into Nursing with "open eyes" and aware of what you can reasonably expect as students and entry-level nurses.
See also:
Licensed Practical Nurses,
http://www.nursefriendly.com/lpn
Registered Nurses, http://www.nursefriendly.com/rn/
To Stay In Nursing or Not:
http://www.nursingdiscussions.com/stay
Nursing, Not For Everyone, Not For Most People by Andrew Lopez, RN
Nurses are Licensed Professionals who's practice is regulated by Nurse Practice Acts, and the State Board of Nursing of each State. Nursing is a ...
******************************************************
The Beauty of Nursing by Rebekah Hinton, BSN, RN, Virginia Nurses Views of The Nursing Profession:"I have been a caretaker for as long as I can remember. I am the oldest of four daughters and have always been a second Mother to my siblings. Going into nursing seemed to be a logical choice for me. As a student I was eager to learn and worked very hard to get the best education possible. I entered into a Bachelor of Science in nursing program without knowing the difference between a RN program and a BSN program."
******************************************************
Nursing: How Do I Find Out If It's For Me? by Angela Eichenlaub, RN, BSN:"The face of nursing has changed" or "Nursing is not what it used to be" are phrases I often hear from seasoned staff. I wish I knew what nursing "used to be" so I could compare! My own personal advice to anyone considering a career in nursing is to take your reason for entering the profession into account. Some go into nursing for money, some because they have always wanted to and some people go into nursing because they don't know what else to do."
******************************************************
To Be Or Not To Be, by Sharon Jones, RN, Ohio Nurses Views of The Nursing Profession:"To Be…Or Not To Be… was never the question for me. I had always been a caretaker of sorts even at a very young age. The decision to return to work was based more on a career that I could relate to and be employed at. To be it was… and I started school at a local college for a Registered Nurse program. Almost two years into school, all my pre- req. courses completed and a waiting list to get into the nursing classes (a very unbelievable thing looking back- too many students- many had to wait) forced me to change course of action that lead to LPN school."
******************************************************
Twenty Years of Nursing by James E. Meekins, North Carolina Nursing Views:"Thirty years ago I walked into the Navy recruiters office; laid off, without a real skill and signed up to be a Navy Hospital Corpsman (medic). I learned basic patient care---and basic first aid; and learned to work under the direction of a physician or nurse. I enjoyed what I did, the pride of being part of a team; accomplishment of a common goal, first aid in the field with Marines, or care of a patient in the hospital. . . ."
******************************************************
Nursing: Pros and Cons by Christy Picton, RN, BSN, Illinois Nurses' Views of The Nursing Profession:"I struggle when asked whether I would recommend the nursing profession as a career. In the end it comes to down to a weighing of the pros and cons. Let me begin by introducing you to some of my patients, my "pros" so to speak. . . . "
******************************************************
"One of The Lucky Ones" by Christine Cruz, Minnesota Nurses Views of The Nursing Profession:"My name is Chris. I have been an RN for ten-years. I have worked in a wide variety of nursing settings, from home care, long-term care to telephone triage, clinics and nursing management. Upon graduation from nursing school in, May, 1993, I had eagerly anticipated a new RN position at a local hospital, in one of its med-surgical units. . . ."
******************************************************
You Want to Be a Nurse? -- Better Leave Your Heart Behind by Pennye Diane Morgan Shaw R.N., Texas Nurses Views of the Nursing Profession:"So you're thinking about being a nurse? You probably are a person who wants to make a difference, to help others, to be a compassionate healer. Are these are the same reasons I entered the nursing profession about 9 years ago. I had been through the emotional experience of watching my father being diagnosed with colon cancer. I had been by his side though radiation therapy, and though surgery and recovery. I watched as he struggled to cope with the drastic changes to his body as he tried to return to a normal life. . . . "
******************************************************
My Advice for New and Potential Nurses, by Pam Lowry, Illinois Nurses Views of the Nursing Profession:"According to the American Association of Colleges of Nursing (AACN), "The United States is in the midst of a nursing shortage that is projected to intensify as baby boomers age and the need for health care grows." They also state enrollments in nursing colleges are at a six-year decline. According to JAMA there will be a shortage of 400,000 nurses in the U.S. by the year 2020. AACN goes on to state there are declines in nursing faculty leading to limitations on enrollment, the population of R.N.'s is the lowest it has been in 20 years, and vacancy rates at hospitals are high. . . "
******************************************************
An Insight Into Nursing by Leah Stockdale, R.N., B.S.N. Maryland Nurses Views of the Nursing Profession:"Although I am extremely proud of being a nurse, I will have to say that I am not sure if I would choose the profession if I could go back. At the same time, I probably would not choose any career in the health care industry. In my opinion, as far as hospital nursing is concerned, the negatives outweigh the positives. That is why I am currently in the process of applying my nursing skills and education to another field. . . "
******************************************************
A Letter To A Future Nurse by Kristina Rzanca, LPN, Michigan Nurses Views:"Being a Nurse is a career you can be spiritually, emotionally and financially satisfied with. In this day and age this is a unique opportunity, but it is not for everyone. A special person with qualities such as empathy, compassion, intelligence and above all patience should only apply. . . . "
******************************************************
To Be A Nurse Takes A Special Kind Of Person By Vicky Oliver, LPN:"As an LPN for the last ten years I believe I could give some insight on my experience as a nurse. I am the type of person who is always doing something for others instead of me. My experiences in nursing consist of Medical Surgical, Doctors' Office, Emergency Room, Surgery, GI Lab, Urology, Utilization Review, Recovery Room, and the Nursing Home. Anyone that goes into the nursing profession needs to be a very caring person, someone who wants to give to others and someone that is very dedicated. . . "
******************************************************
After Fourteen Years As An RN, I Am Not Sorry For My Choice By Lynn Kash, RN:"Would I recommend the nursing profession? That is a good question that requires a lot of thought. Nursing was not my first choice of careers. I studied accounting in college, and after working in the business world, decided it was not for me. I fell into a job as a nursing assistant and found patient care to my liking. I then started nursing school and the rest is history. . . .
******************************************************
A New York BSN's Point of View, By Melina Begun, BSN, RN, Clinical Administrative Liaison Nurse:"Nursing is suffering. Thousands of caring people enter into this profession every year only to become disillusioned by its reality. When I first started to study nursing, I immediately felt a connection with its history and our potential to be leaders in the medical community. Excited by all of the knowledge and skills I acquired in my Ivy league nursing program, I was astonished by the harsh reality of nursing in today's hospitals when I started working as a staff nurse. . .
******************************************************
Tips To A Good Start In The Nursing Profession by Diane Hartley:"My name is Diane and I have been in the nursing profession for 12 years. In those years I have seen very many changes with this profession. One of the first changes was in DRG's. This for those of you who do not know what they are is diagnosis related groups. . . "
******************************************************
No comments:
Post a Comment