Manage Your Life

Thursday, December 10, 2009

Nurses returning to work in droves; taking a closer look


by Carol Fishman Cohen

In June, the Wall Street Journal reported that the Center for Interdisciplinary Health Workforce Studies at Vanderbilt University’s School of Nursing released a study about 2007-2008 nursing employment patterns. Here’s what caught my eye:

“Many nurses who had left the field have re-entered the work force to compensate for a spouse’s lost income or health benefits, the study said. About half the increase over the [2007-2008] period came from nurses over age 50.”

A look at the career paths of four relaunching nurses here in Newton, MA, where I live, will give you a sense of the wide range of possibilities open to returning nurses:

  • “Jane,” an operating room nurse who used to fly on medical helicopters bringing in transplant organs, returned as an elementary school nurse.  She was concerned this position might feel like a big step down from her high level, high pressure previous nursing career, but that hasn’t been the case.  Jane is responsible for monitoring some very complicated and serious health conditions among her students.  She also saved a student’s life by recognizing a child was in early stage, undiagnosed, diabetic shock, and made sure he went directly to the emergency room.
  • “Silvia,” a hospital nurse who volunteered as a La Leche League leader while on career break, returned to what she calls her “dream job” as a lactation consultant/nurse at a major teaching hospital.
  • “Diane,” also a hospital nurse, returned to a corporate nursing agency.  Nurses from this agency go into companies and set up mini-clinics for administering flu shots and dispensing health information.
  • “Sheila,” formerly an obstetrics R.N., returned to a minimal part-time schedule by teaching a weekly childbirth class.  She then went back to school to get a Master’s in nursing and certified as a nurse practitioner.  She is now a nurse practitioner in private practice.

Formalized career reentry programming in all fields is a fairly new phenomenon, as most of the growth has occurred since 2004.  Nursing reentry programs are no exception, as we have witnessed the emergence of programs offered by employers, educational institutions, and governments over the last few years.  Here are four examples:

  • Northern California’s Sutter Health’s New Grad/RN Re-entry Program combines classroom and clinical experiences to update nurses returning to acute care environments.
  • Online educator Nursing Knowledge International offers a Return to Nursing Refresher Program.  Seven units covering pharmacology, IV therapy, communication techniques, and care of the chronically ill, are included in this 40-60 hour program.
  • Australia has introduced two government programs for returning nurses to help cope with a severe nursing shortage.  The Royal College of Nursing National Nurse Reentry Scheme is specifically for nurses “whose registration has lapsed and/or who have not practiced for 3 years or more.” The Australian Government’s Bringing Nurses Back Into the Workforce program gives nurses returning after a leave of at least 12 months up to $6,000 Australian in cash bonuses.

Some nurses on career break wonder how to stay connected when they have family or other obligations that keep them from a full time work commitment.  Here’s how one nurse did it:  “I was lucky enough to add various jobs that worked around motherhood. I covered a shift [at the hospital where she used to work full time] every other week or so, and at one point I temporarily covered one day a week for a couple of months until someone was hired for a position. I also did some phone triage for pediatricians’ offices overnight. I would be nursing my daughter and answering the beeper, talking to parents with sick children in the middle of the night.”

The Vanderbilt study indicates the surge of first time entrants and re-entrants into the nursing profession over the 2007-8 period helped ease but not eliminate the current nursing shortage.  The study estimates a shortage of 260,000 nurses by 2020, demonstrating that nursing will remain an excellent career choice for the long term. Nurses on career break should not hesitate to take advantage of an online or employer updating program and start working on their “relaunch” immediately!

(Originally posted as a Guest Blog for the Sloan Work and Family Research Network.)

Image credit:   http://cmsd.k12.pa.us/cmsd/cm_health/img/NURSE.png






                                                                                    

Carol Fishman Cohen                Vivian Steir Rabin                                                                                      


Carol Fishman Cohen and Vivian Steir Rabin are the co-authors of the acclaimed career reentry book Back on the Career Track: A Guide for Stay-at-Home Moms Who Want to Return to Work, and the co-founders of iRelaunch, a company that produces career reentry programs, events, and content for employers, universities, organizations and individuals. Download our webinar on LinkedInfor Beginners. If you’re on career break in the Tri-State area, register for our Career Relaunch Forum October 29, 2009 at Seton Hall University in South Orange , NJ .  Carol and Vivian can be reached at info@iRelaunch.com or follow us on twitter www.twitter.com/iRelaunch.

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From the Community…

Comments 1-10 of 78
  • Mysterious Gryphon's Avatar
    Posted by Mysterious Gryphon Tue Jul 28, 2009 8:26am PDT

    A lot of people have gone to nursing school lately because they believed that it was a growing career, that all the older nurses were retiring and there was more than enough jobs for everyone.

    However, now those older nurses are returning to work after having been retired for years, and robbing those new graduates of employment opportunities.

    I feel strongly that one has some forty years or so to earn money, and that between two spouses it should be very easy to build up enough of a retirement that they shouldn't need to go back to work. Returning to the workforce after retirement reveals some serious bad planning in one's working years.

    My parents were able to save up for their retirement on just one income. They raised me, put me through college, helped me with grad school, are now financing my wedding, and live very comfortably in retirement. Why can't more people get their acts together? Flooding the workforce with post-retirement nurses is UNFAIR to newer grads with more recent training who deserve the chance to build up a nest-egg of their own.

    Report Abuse
  • mary's Avatar
    Posted by mary Tue Jul 28, 2009 8:34am PDT

    what a bizarre comment.

    was that intended to get attention for this article?

    Report Abuse
  • Beckster's Avatar
    Posted by Beckster Tue Jul 28, 2009 9:55am PDT

    Good grief! That was an odd comment, what should we do with people over 50? Just shoot them? Then those old fuddy-duddies can't steal our jobs! You're nuts.

    Report Abuse
  • Jasper's Avatar
    Posted by Jasper Tue Jul 28, 2009 10:47am PDT

    At the hospital I work at new grads or recent grads get sign on bonuses of $10,000 for a 2 year contract yet PRN or returning nurses don't. There are lots of perks to being a new nurse. Most hospitals (like the teaching hospital I work at in Memphis Tennessee) have a rule that once you reach 55 you have to move to a non-clinician nursing job b/c of the increased malpractice rate and insurance costs. Most nurses become auditors or case managers or DON's.

    As a DON I will be the first to admit that I would hire a 20 year old nurse before I would hire a 50 year old nurse. Younger people have more up to date education and more knowledge and training. We are all computerized with charting and most older nurses just don't have computer knowlege. Sorry all you over 50's but it is a fact of life!!!

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  • Pam's Avatar
    Posted by Pam Tue Jul 28, 2009 10:53am PDT

    I am sure this will piss off a lot of folks over 50-but I agree with Jasper and Mysterious. I am a ER nurse in Little Rock (Arkansas) and our hospital also has an age rule. Older nurses are a risk to the patients and to the other staff and are not as educated. A lot of "old nurses" have what I like to refer to as an RN complex. They think they are superior to other staff. LPN's have the same job duties and there is only $1 difference an hour in new hires for LPN's vs RN's. For instance: One of our charge nurses in the ER is a 28 year old LPN. We have a 40-ish RN under her and she cannot take a young person giving her orders or someone that she classifies as "less educated."

    We would rather have a new grad LPN than a 50 year old RN. New grads and young nurses are more educated and better workers. A 20 something does not gripe about "sore feet and swollen ankles" after being on call all night or work a 16 hour shift.

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  • Casper's Avatar
    Posted by Casper Tue Jul 28, 2009 11:03am PDT

    I am a 43 year old male nurse and sad to say but Mysterious, Whoswho and Jasper are all correct.

    I work 12 days a month which is full time for an RN (3 days a week, 12 hour shifts) but I cannot get an PRN or call work at my hospital. The younger nurses and the recent grad usually get asked first. Why? That I can't tell you. (Obviously the MD's like the young ladies and men better because they are perky and attractive and usually don't complain as much.) Most nurses do retire at age 50-55 just because by that point you have put in your 20 years. I for one would rather retire at age 55 and be a Wal-mart greeter than be demoted b/c of my age and be forced into a non-clinican job and do paperwork or rock and burp babies in the NICU.

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  • Kathy's Avatar
    Posted by Kathy Tue Jul 28, 2009 12:18pm PDT

    Whoa, people!! I cannot believe what I'm reading here. I'm a 44 year old, 18 year veteran RN. Let me begin by saying that there is still a shortage of nurses. I know my unit is constantly crying for us to help fill in holes in the schedule.

    The problem is with the economy tanking, hospitals are making cutbacks and installing hiring freezes. This is because it costs millions of dollars to hire and train new grads who, (in my experience, and I am a nurse mentor), often take the sign on bonuses, get trained, and then move on to "greener pastures" after their sign on contract has expired.

    Additionally, did you know that there is a shortage of nurse educators? Many schools of nursing have long waiting lists for enrollment, simply because there are not enough instructors to teach the required curriculum.

    I am deeply saddened to read these comments, which personify the old saying I learned in nursing school, "Old nurses eat their young". Well, apparently it goes both ways. Young nurses eat the old, too.

    I try very hard to make the younger nurses feel welcome and respected among our colleagues. It may be true that nursing positions are getting scarce in this economy, but let's not throw stones at each other. Can't we join forces and give our patients the best of both worlds for their benefit?

    It is horrible to assume that nurses over 50 are feeble and unable to learn the latest technology. Those veterans have helped countless people, and are quite skilled in picking up on those subtle signs that something bad is about to happen, often way before the monitors pick up on it.

    While young nurses may be more adept at the technological stuff initially, let me tell you all that once you've been in it for 10+ years, it's very likely to change, so think twice before you claim to be more up to date than your seniors. When I was a new grad, computers ran on the DOS system!! We all must learn to adapt, and we all learn at a different pace...new, old...it makes no difference.

    And one final comment to all nurses, especially Casper. Think about why you became a nurse in the first place. Was it because you truly want to help people with their basic human physical and emotional needs? Or was it for the money, or the rush of working with high-tech equipment and strong medications? Because if rocking and burping a baby in the NICU is beneath you, then you are not what I consider a model nurse. A model nurse will do ANYTHING for their patients, no matter how small the task may seem.

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  • Casper's Avatar
    Posted by Casper Tue Jul 28, 2009 1:00pm PDT

    Honestly, Kathy, I chose nursing b/c I could get a diploma of nursing in 2 years. What other career allows you flexibility to choose the days you wish to work and make $. I got a sign on bonus of $10,000 and I make $58 an hour in trauma ICU, $87 with shift differential or weekend shift. ALL nurses weigh their options and if greenier pastures is what you choose so be it. I would not blame anyone for going to a job with better hours or more money. Furterhmore, I am not sure what area of the country you are in, but at the hospital I am at we have not had any cutbacks or layoffs.

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  • Jasper's Avatar
    Posted by Jasper Tue Jul 28, 2009 1:10pm PDT

    classicalmusclvr:

    I will be the first to tell you that nursing school today and today's grads are taught TOTALLY different stuff than a 60 year old nurse. Is pharmacology a major part of nursing like it was 30 years ago? NO-because the pharmacy mixes all our drugs and does our dosing for us. We are taught to take temperatures with digital thermometers and dynamaps. These are duties that RN school teaches you assign to a medical assistant. Most people go to nursing school because of the flexibility and the money. Not many jobs that I know of women can work 2 or 3 days a week and make $50+ dollars an hour. I have never heard of a RN QA nurse being in charge of social workers-that is a totally different department. QA/UR/CM and d/c planners usually consist of RN's, LPN's and RNP's.

    Kathy: if you are just in nursing b/c it is "rewarding" you are one of the few.

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  • Preslee's Avatar
    Posted by Preslee Tue Jul 28, 2009 1:44pm PDT

    I am a PRN nurse in NICU and Myelosupression at a local childrens hospital. We have not had a shortage of nurses at our facility. But I can also say that there are not any nurses on my unit over the age of 35. One of my charge nurses is a 22 year old LPN. LOVE HIM!!! He is so easy going and laid back!! Most of our educators, UR/CM and discharge planners, whether LPN or RN, tend to be young. I personally think that is because the young nurses tend to be bubbly and full of personality. I think in nursing, in general, you get older and get burned out. Most young adults that I know go into nursing strictly for the job flexibility and the money. Sorry to say to some of you older posters but it is true.

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