Why Are Nurses Leaving Clinical Nursing? Not Because Of Er!

A couple of years ago, Baltimore's Center for Nursingworking 26 weekends and five holidays a year.
Advocacy started a letter-writing campaign againstNurses also face serious on-the-job risks, such as
NBC and the producers of ER. This group wasbloodborne pathogens, latex allergies and back injuries
protesting the episode where a central character,from those long shifts pounding hospital floors and
nurse Abby Lockhart (actress Maura Tierney),doing more lifting with less help. Isn't it ironic that the
chucked her nursing career to go to medical school.injured and disabled are treating the sick? No wonder
The Baltimore group claims the TV show "isnursing numbers are shrinking.
perpetuating long-standing misrepresentations that areSpeaking of disabilities, just look around at how many
contributing to the nursing shortage."nurses smoke, drink and are overweight. Such
Never mind the fact that ER - watched by 20 millionsymptoms of intense stress occur when people have
viewers - is far from reality television. The notion thattoo little time to properly care even for themselves.
the show is contributing to the nursing shortage isNurses are finding their own answers to these
simply untrue. This TV program could depict nursing asdilemmas. According to an American Nursing
the most glamorous career on the planet and realAssociation (ANA) poll, almost 19% of nurses do not
nurses would still be leaving their hospital jobs inwork in clinical nursing. A study by the Center for
droves.Health Outcomes and Policy Research reveals more
Nurses are quitting because they are understaffed,than 20% of hospital registered nurses plan to leave
underappreciated, underinsured, underpaid andtheir jobs in the next year.
under-you-name-it. Most nurses complain about theThe significant development is not the fact that nurses
lack of respect from doctors. Sure you hear aboutare leaving or even why they're leaving - that's
record-breaking salaries and bonuses, but compared toobvious. The news is where they are going. When
whose record? At an average pay of $22 an hour,nurses aren't valued in one arena, they take their
nurses are still among the lowest-paid professionals innursing education and expertise and go elsewhere.
this country.They develop new careers outside traditional
Managed care is another reason nurses are leavinghealthcare settings.
the bedside. It goes against everything our professionMaybe the Center for Nursing Advocacy should
stands for. Under managed care, nurses are frequentlycontemplate that fact. They might even suggest that
denied the opportunity to deliver the quality of careER present an episode about a nurse who quits her
they expect to deliver. Some patients die unnecessarilyhospital job to become a Certified Legal Nurse
because nurses have too little time to spend withConsultant.
them. Yet when everything turns sour, nurses faceThen those 20 million ER fans would really be
more responsibility and liability than ever.watching "reality TV.
Many nurses I know endure nightmarish schedules,