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Challenges and Future of Bedside Nursing

Apr 18, 2025

Long Overdue Nurse Talk

Overview

  • Current state of bedside nursing is concerning
  • Future of nursing in America looks bleak
  • Transition from ICU to mental health and med-surg

Bedside Nursing Challenges

  • Bedside nursing has changed significantly over the years
  • Patient ratios and acuity levels have increased dramatically
    • Patients are sicker, more comorbidities
    • Med-surg patients now require higher-level care
  • Lack of CNAs and support staff exacerbates the issue

Personal Experience and Career Path

  • Experience primarily in ICU
  • Transitioned to mental health and PRN med-surg
  • Strategic career moves for better work-life balance

Changes in Nursing Education and Career Choices

  • Younger nurses are not staying at the bedside long-term
  • Many seek alternative careers or advanced practice roles
  • Nursing no longer a family tradition or desirable career

Future of Nursing

  • Nurses burning out and leaving the profession
  • Decrease in younger generation entering nursing
  • Administration's lack of support and understanding

Patient Care and Family Involvement

  • Increased burden on nurses affects patient care quality
  • Family members need to be more involved in care

Current Systemic Issues

  • Hospital administration failing to address nurse workload
  • Need for nationwide safe staffing ratios

Personal Reflections and Call to Action

  • Importance of personal health and lifestyle changes
  • Nurses need more support and reasonable expectations
  • Urgent need for systemic changes in healthcare

Conclusion

  • The current nursing environment is unsustainable
  • A call for feedback and shared experiences from other nurses

Final Thoughts

  • Importance of maintaining personal well-being
  • Balancing work, education, and personal life

These notes summarize a detailed discussion on the current challenges facing bedside nurses, the future outlook of nursing in America, and the personal reflections and career trajectory of a seasoned nurse.