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Hospital Nursing Versus Private Practice Nursing .pdf



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Hospital Nursing Versus Private Practice Nursing
While it’s true that a nurse is a very important part of any medical facility,
there are significant differences between working in private practice, and
working in a hospital environment. Hospital nursing positions can be
relatively similar regardless of which hospital you work in; however, private
practices can range significantly.
Benefits of Working in a Hospital
Working in a hospital has its advantages. The job descriptions for nurses
are generally laid out in a design that is easy to follow. Hospitals hire nurses
very often, so the training and new hire process is organized, and very
routine for the hospital. You will most likely be assigned to a mentor upon
being hired, and the job should be an easy adjustment if you have
previously worked in a hospital setting. You will always have co workers to
rely on for assistance, advice, and anything else you may need. There is
variety in a hospital. Generally, patients change on a daily, or a semi daily
basis, so if you enjoy meeting new people, a hospital environment could be
a great fit. There are also a variety of coworkers that may change often as
new nurses are hired. Hospital nursing jobs are great for anyone that enjoys
working with a group of people, and likes change; new patients are generally
assigned on a daily basis.
Benefits of Working in Private Practice
Private practice is considerably different than working in a hospital. Job
responsibilities in private practice can range depending on the size of the
practice. The larger the practice, the more likely the job will be routine.
Private practices usually assign one or two nurses to one physician. You will
work closely with the physician, and will get to know the patients, as many
patients are regular visitors to the practice. You will most likely need to call
patients with lab results, and doctor's orders, and you may be assigned a
day or portion of a day during the workweek, that you return calls to any
patient that calls in leaving a message on the nursing line. The most
appreciated benefit for most nurses in private practice is the work schedule.
Related: All the Things You can do with a Nursing Degree
In private practice, you generally work with the same people, and see the
same patients, so if routine is your preference, private practice would be a
great option. A very small private practice can differ significantly. Working
in a small practice, you may be expected to take on duties other than nurse
related. Administrative duties are often common for nurses in private

practices. If the practice is very small, you could assume the role of
receptionist, administration, and nurse. If you enjoy different tasks and not
nursing 100% of the time, a small practice could be a good fit.
Satisfaction in Job Choices
The ratio of job satisfaction upon nurses is close to the same between
private practice and hospitals. The turnover ratio, however, is much higher
in hospitals. It is presumed the high turnover rate in hospital nursing
positions may be due to long shifts, and rotating schedules. Much of the
choice on what type of position to take, depends highly on personal
preference. In general, there is a higher probability of promotion within a
hospital setting; there is a limited number of positions for nurses in private
practice. You may also have more opportunity for attending specialized
trainings when working in a hospital, however, in private practice you can
search out opportunities on your own and take advantage of them. Assess
your personality, and your working goals, this will help you decide which
position to seek out.
Working in the Private Sector
In addition to working in private practice, there are jobs for nurses working
in the private sector. Some nursing positions outside of a hospital setting
and private practice are:



Public health department
Schools- elementary, or high schools


Private companies- some companies have a regular nurse on staff for
their employees


Centers for disabled adults



Nursing homes



Retirement communities

These are a few of the private sector nursing positions. Most of these
positions would involve working on your own, or with a small group of
coworkers. You will be responsible for making more decisions on your own
in the private sector, if you are comfortable with that, there are some
advantages. If you enjoy being in charge, it's more likely to occur in private
practice. If you dislike any administration work, it's probably not the best
choice.
Related: How to Handle a Complaint That’s Been Filed Against You

Disadvantages of Working in a Hospital

Less personal than private practice


Nights, holidays, and weekends are probable



High turnover rate (you may have to adjust to new coworkers often)



Working with more than one physician (it can feel like you are pulled
in many directions at times when multiple doctors have requests)

Disadvantages of Working in Private Practice

Less training may be provided


Less chance for promotion



More administrative work



More phone calls and conversations



Less variety, fairly routine, regular patients

Both working environments are equally important, and one is not better than
the other, it mainly depends on your work surrounding preferences.
Explore your opportunities, and decide which is the better fit, and which
position is more likely to work well with your available schedule. The private
sector jobs have much less support than those of a clinic or hospital, and the
private sector often puts the nurse in charge of everything within the clinic,
so administrative work would likely be expected.
In a 2014 survey, out of 15,000 nurses that participated, the outcome was
as follows:


Prefer working in a hospital

46%



Prefer working in private practice

45%



Prefer working in private sector

%5



Undecided

%4

It was almost the same for private practice and hospital nursing, and the
reasons noted, were most often based on personality type, and personal
preference of regularity or variety. Nursing is a highly respected position,
and regardless of where you may opt to work, it is very important. Lives
depend on you daily, as do the physicians and coworkers that you work with.

Regardless of what sector you work in, you hold a very important title, as a
nurse.
Related: Leading Registered Nurse Cynthia Russo, RN, BSN, CRNA, CLNC,
EJD to be Published in the Worldwide Leaders in Healthcare as New Member
of the International Nurses Association
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