Hospital: a business with a cult mentality

Happy Nurse’s Week

I’m doing my favorite thing in the world; sitting through hospital orientation. It’s difficult not only because I loathe orientation, but also because it’s one I’ve sat through under a year ago. *cue internal screaming*

I’ve come to many conclusions about being a nurse and being in the hospital setting.

1) this is a business.
While healthcare, the administration of care, the care of patients and families shouldn’t be a money making scheme; bottom line is it is indeed a business.

While I don’t like it, hospitals have to make money in order to keep the lights on. Frankly, I’d like to get paid for what I do, so the hospital has to bring in cash (however that looks) in order to pay their bills on time. Part of that is part satisfaction and jumping through hoops to accommodate government entities that control reimbursement.

The unfortunate thing, in my humble opinion, is it makes the conversation more about money as opposed to giving good care. It always comes across as doing something so the doors stay open. Perhaps that’s me being jaded.

There have been so many strides and improvements in healthcare in just the decade I’ve been a nurse. Great advances that I’ve seen in my travels that make me excited for how they increase the health and well- being of patients. Healthcare has to morph to accommodate, but I can’t help feeling that some of the brokenness of the system comes down to how much money may or may not be made. It makes it tough to want to continue in the hospital setting because the last person receiving consideration is the nurse.

Which leads to my next point.

2) nursing is a cult.
Or maybe nursing is a cult because hospitals molded us into it? Stop me if you’ve heard this before…

I remember teaching and thinking that. Like the military, we have rules and a way of thinking far different than laymen. We use terms foreign to most people and process that would make no sense outside of the context of nursing. Even within the different specialties, there is language and behaviors we do. I know a little bit about hearts, but if we start talking arrhythmias then I glaze right over. I know some ICU nurses get weird when you start talking about the fundus.

Where I get kinda, antsy is the loss of self or total disregard of person that comes with stepping into a hospital.

You must do this for patient satisfaction and this to keep the doctor happy. What about me as the nurse? We make up the large majority of the hospital work force, but the once yearly recognition of Nurse’s Day with the occasional gift thrown in doesn’t make me feel valuable or important.

I know, I know I talk about this a lot. Part of why I continue traveling is because no where treats nurses with any kind of respect outside of what must be done to make the hospital happy. For all our knowledge base, no initiatives are geared toward making us important components of the process. Not do this, but you are important.

Maybe this has little to do with cult mentality, but maybe it does. It does have everything to do with satisfaction of nurses. We exit the hospital in large numbers and the shortage is real. Why is that? Why is retention and attrition a continued issue in hospital settings? Why is no one really trying to fix it beyond handing out sign on bonuses?

You want longevity and good patient care? Take better care of your nurses. The hospital that gets me to stop traveling will be special and if they have a good retention rate, I’ll call out all the reasons why.

I can’t help coming back to this point over and over. It seems to bother me more than is should and is part of why I’m constantly debating leaving the hospital setting all together.

Back to orientation. Always back to orientation.

Travel on, road warrior

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