Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Nursing’s newest problem: The young eating the old

Debbie Moore-Black, RN
Policy
June 3, 2019
Share
Tweet
Share

In 1976, we couldn’t wait to be nurses. Our starched white dresses with the nurse caps and stripes symbolized our graduation status as we were called one by one to receive our diploma and a rose.

We took an oath to care for the sick, to be professional, to critically think, to respect doctors and to respect patients and family members.

And to respect each other.

It was the age before computers. We learned how to calculate IV fluids in drops per hour and drops per minute. We had large folders that contained algorithms for sepsis, or myocardial infarctions or code blues. We had a three-fold flow sheet that we would manually document on. Threefold front and back. Blood pressures every 15 minutes and the pressors to coincide with the blood pressure. Everything was manually written from labs to a patient’s chart to MDs handwriting new orders — and endless charting of everything that happened to the patient in the ICU or CCU. We knew everything we charted had to be precise as it was always a potential for legal matters.

The handheld calculator had just come out on the market. It was the newest invention: $85 for a handheld calculator. So we were thrilled that we could now plug in some numbers to get an accurate drip rate for IVs or calculate dosages in an instant.

We were associate-degree and diploma nurses. And only the “elite” would earn a BSN.

We didn’t have breaks; they didn’t exist. We just kept working until it was time to go.

You worked the shifts your manager told you to. There was no compromising. You just did what you were told to do. We were the new pioneers in this field of nursing, and we were quite proud of ourselves.

Some older nurses did not communicate well with younger nurses.

Sometimes it was bullying the young. Or harassing or degrading a younger nurse who was just learning.

And the newly coined phrase appeared:

“The old eating their young.”

And the phrase stuck. Unfortunately.

And there was nowhere to turn. The managers turned their heads away. Sometimes the hazing was so bad that nurses would resign and even find a new career.

ADVERTISEMENT

The nurses we couldn’t wait to be were riddled with harassment and ridicule.

And instead of holding each other up, we slowly destroyed each other.

Fast forward to the year 2000.

We older nurses are counting the years we can say goodbye to this long, hard, relentless career. This career that afforded our family vacations and a house and car and nice clothes and college for the kids.

This career that challenged us in the gut as we watched people live longer or die faster. As we said our goodbyes to our patients, we grew to love, and we’d gulp buckets of tears when it was over. Our last goodbyes to patients we loved.

We slowly evolved painstakingly learning the computer. And the computer was foreign to us. We were “special” and slow and didn’t adapt as well as the younger nurses did. These younger ones started computers in their home, in kindergarten and throughout the rest of their young lives.

Though they sported lots of energy, they walked faster than us, and they now had medical protocols and procedures right at their fingertips — instant knowledge.

But what the young ones didn’t know was that we were pioneers. We’re the ones with years and years of knowledge and experience and wisdom. And thus, the cycle of bullying was reinvented.

I’ve been a manager of an emergency department, I’ve been first assist to the surgeon, I’ve been a staff nurse and a charge nurse in ICU. And I’ve endured over 30 years in nursing. I have to continue working three more years before I can financially retire.

My sadness comes in when I hear the young men and women in this nursing career start the harassment.

“Where’s your hearing aid?”

“Are you STILL working?”

“Where’s your walker with the tennis balls?”

And then there’s a laugh.

But it’s not funny.

It’s sad and degrading.

It compromises our integrity, worth and our camaraderie.
 And instead of working together — we tear each other apart.

This is the hardest part of nursing.

I know it’s not everywhere, but it does exist.

And so now the coin has flipped.

The young eating the old.

Are we strong enough to stop this?

Are we strong enough to encourage positive work ethics and behaviors and to learn from the new and learn from the old?

Can this profession be saved?

It’s up to us.

All of us.

Respect.

Educate.

Enrich.

Empower.

We came here for a reason. Let’s not destroy ourselves.

Debbie Moore-Black is a nurse who blogs at Do Not Resuscitate.

Image credit: Shutterstock.com

Prev

The epidemic of violence against health care workers

June 3, 2019 Kevin 8
…
Next

You just finished residency. It's time to consider life insurance.

June 3, 2019 Kevin 0
…

Tagged as: Hospital-Based Medicine, Nursing

Post navigation

< Previous Post
The epidemic of violence against health care workers
Next Post >
You just finished residency. It's time to consider life insurance.

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

More by Debbie Moore-Black, RN

  • What money can’t fix: the scars left by a friend

    Debbie Moore-Black, RN
  • A retired ICU nurse’s brunch conversation sparks a life-changing moment

    Debbie Moore-Black, RN
  • Wisdom for new nurses: lessons from a 30-year ICU veteran

    Debbie Moore-Black, RN

Related Posts

  • The gender imbalance in nursing

    Cole Edmonson, DNP and Paulette Anest, RN
  • The nursing shortage: then and now

    Way Chiang, BSN, DO
  • The nursing home staffing crisis will not be fixed through transparency

    Harsh Moolani
  • Are diploma mills hurting the nursing profession?

    Patricia Anne Aronin, MD
  • How PTSD is hurting nursing

    Anne Naulty, RN
  • My battle against the nurse’s cap

    Debbie Moore-Black, RN

More in Policy

  • The lab behind the lens: Equity begins with diagnosis

    Michael Misialek, MD
  • Conflicts of interest are eroding trust in U.S. health agencies

    Martha Rosenberg
  • When America sneezes, the world catches a cold: Trump’s freeze on HIV/AIDS funding

    Koketso Masenya
  • A surgeon’s late-night crisis reveals the cost confusion in health care

    Christine Ward, MD
  • The school cafeteria could save American medicine

    Scarlett Saitta
  • Native communities deserve better: the truth about Pine Ridge health care

    Kaitlin E. Kelly
  • Most Popular

  • Past Week

    • The broken health care system doesn’t have to break you

      Jessie Mahoney, MD | Physician
    • How scales of justice saved a doctor-patient relationship

      Neil Baum, MD | Physician
    • How dismantling DEI endangers the future of medical care

      Shashank Madhu and Christian Tallo | Education
    • Why shared decision-making in medicine often fails

      M. Bennet Broner, PhD | Conditions
    • “Think twice, heal once”: Why medical decision-making needs a second opinion from your slower brain (and AI)

      Harvey Castro, MD, MBA | Tech
    • Do Jewish students face rising bias in holistic admissions?

      Anonymous | Education
  • Past 6 Months

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • Internal Medicine 2025: inspiration at the annual meeting

      American College of Physicians | Physician
    • A faster path to becoming a doctor is possible—here’s how

      Ankit Jain | Education
    • Residency as rehearsal: the new pediatric hospitalist fellowship requirement scam

      Anonymous | Physician
    • Are quotas a solution to physician shortages?

      Jacob Murphy | Education
    • The hidden bias in how we treat chronic pain

      Richard A. Lawhern, PhD | Meds
  • Recent Posts

    • Surviving kidney disease and reforming patient care [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why we fear being forgotten more than death itself

      Patrick Hudson, MD | Physician
    • My journey from misdiagnosis to living fully with APBD

      Jeff Cooper | Conditions
    • Antimicrobial resistance: a public health crisis that needs your voice [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why a fourth year will not fix emergency medicine’s real problems

      Anna Heffron, MD, PhD & Polly Wiltz, DO | Education
    • Why shared decision-making in medicine often fails

      M. Bennet Broner, PhD | Conditions

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 39 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • The broken health care system doesn’t have to break you

      Jessie Mahoney, MD | Physician
    • How scales of justice saved a doctor-patient relationship

      Neil Baum, MD | Physician
    • How dismantling DEI endangers the future of medical care

      Shashank Madhu and Christian Tallo | Education
    • Why shared decision-making in medicine often fails

      M. Bennet Broner, PhD | Conditions
    • “Think twice, heal once”: Why medical decision-making needs a second opinion from your slower brain (and AI)

      Harvey Castro, MD, MBA | Tech
    • Do Jewish students face rising bias in holistic admissions?

      Anonymous | Education
  • Past 6 Months

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • Internal Medicine 2025: inspiration at the annual meeting

      American College of Physicians | Physician
    • A faster path to becoming a doctor is possible—here’s how

      Ankit Jain | Education
    • Residency as rehearsal: the new pediatric hospitalist fellowship requirement scam

      Anonymous | Physician
    • Are quotas a solution to physician shortages?

      Jacob Murphy | Education
    • The hidden bias in how we treat chronic pain

      Richard A. Lawhern, PhD | Meds
  • Recent Posts

    • Surviving kidney disease and reforming patient care [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why we fear being forgotten more than death itself

      Patrick Hudson, MD | Physician
    • My journey from misdiagnosis to living fully with APBD

      Jeff Cooper | Conditions
    • Antimicrobial resistance: a public health crisis that needs your voice [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why a fourth year will not fix emergency medicine’s real problems

      Anna Heffron, MD, PhD & Polly Wiltz, DO | Education
    • Why shared decision-making in medicine often fails

      M. Bennet Broner, PhD | Conditions

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Nursing’s newest problem: The young eating the old
39 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...