Another spouse of an RN who works night shifts (ICU, CCU, transport team, ECMO team).
I'm gonna play devil's advocate here. I loathe my spouse having to work any night shifts. He was lucky enough to start on days when he started at his hospital 10 years ago. When he advanced onto the transport team (his goal), he got slotted into rotating between nights/days. We were told that would be a "1 - 2 year" prospect before he go back to only days. It's now 2 years later, and he's likely won't get back fully onto days for another year or two.
What I've learned watching him is that hospital nursing is a team sport. He is now the most experienced RN in his respective departments - and that means he's often asked to be the flexible one. When they have a ton of travel or newer nurses in the CCU and a complicated heart transplant is coming down the pike - my husband gets called, regardless of whether he's already done "his nights" or "his slotted weekend shifts". Our mustachian choice to live 1 mile from the hospital also lends to this happening - if a critical shortage is happening, they know he's only 5 min away.
He has used his flexibility/availability as an advancement strategy - he's frequently recognized by upper management, and no one gives him a word of push back when we take off for extended vacations (travel hacking). He also regularly secures extra shift differentials, negotiating extra shift bonus pay, etc. So financially, its been a boon. Basically, he's made himself indispensable.
I get the pressure your wife feels to be flexible. It's hard to say "nope - I won't" when you know you're the most experienced and that patient care will suffer in your absence. My only advice is that if she's going to continue to be flexible in the interest of the team, she be compensated for that flexibility accordingly. That compensation could be extra $$$, but it could also be negotiating extra paid leave, or getting priority in taking off specific holidays (she probably doesn't want to work Xmas eve and Xmas morning on baby's first holiday, etc.).
Thanks for the perspective, it is hard for me to grasp the team concept. I look at work as a business transaction and nurses look at it as a family. The thing is there have been a number of things that have happened that show that management doesn't look at it as a family. Such as two weeks after she started, they put a freeze on all PTO accrual, and eliminated 7% profit sharing bonus. The aforementioned, skipping over her for someone else because they "needed" it more than her. Not taking the last several months to train someone else, while she was doing them a favor by filling in and being charge nurse for them on her weekends. And they do not give her any flexibility or added $$$. Everything is "policy" until its "policy" is inconvenient to them.
Working as a healthcare provider is just a different world, and I recommend that you work on trying to understand that more, trying to understand her dilemma more instead of assuming that you know the right way to handle it.
She may desperately want to stop working nights, but she's also a healer, and refusing to work nights can mean abandoning the people she's sworn to care for. Nursing isn't a regular job, it's a brutal job with terrible compensation for the level of skill and responsibility. Most nurses continue to do it because of the enormous sense of responsibility for the patients, otherwise a lot of them would be better off getting a job at Costco.
I'm someone who has staffed, trained, and supervised healthcare workers, and they really are a different breed. There's a *very legitimate* reason that they treat their team like a family. It may be hard for someone who's never worked in that kind of lives-on-the-line environment, but it's very similar to soldiers on the front lines. It's really, REALLY hard to put their own needs first sometimes, even when they are legitimate, even when they are being taken for granted, even when their own health is at risk.
I'm not saying your wife shouldn't stand firm on what she's not willing to do; I'm saying that you can get all of the feedback in the world on how to stand up to her employers and none of it will matter until she feels comfortable not stepping up and doing what she feels is needed of her. The best way to support her is to make her feel understood. When people are experiencing conflict between two choices, the most powerful support they can receive is to feel like their dilemma is profoundly understood.
You've already said that you struggle with understanding her team mentality. Perhaps you should invest some time in trying to understand it, in understanding *her* better and what her motivations are. Not with the intention of convincing her to think differently either, but with the genuine effort of understanding the basis for her hesitation.
Don't approach this as "how do I convince my wife that she's handling her own priorities wrong?" approach it with the open minded compassion of "why is my wife struggling when her stated priorities are one thing but her behaviour is something contrary to that?" Give her the benefit of the doubt that there's something quite legitimate behind her internal conflict. It could be fear that FU money isn't enough, it could be a sense of duty to her patients, it could be lifelong indoctrination to not question authority, it could be that she loves her job and her team and would rather work nights than lose it.
There are a TON of possible combinations of factors influencing her struggle, and if you don't know what they are, then you are falling down on the job of being her main support.
I'm personally facing huge decisions right now that I'm really struggling with, and my husband keeps dragging me out for long walks so that I can verbal diarrhea my way through the process of deciding what to do. He asked a lot of questions, but held back from stating an opinion until he fully understood the complexities and nuances of the dilemma, which I myself didn't even understand until I talked through them with him. It's been weeks and only now is he starting to offer his opinion because it's taken that long to fully understand my feelings and worries.
So put in the time, get to know your wife better, and then you will be equipped to give her the most effective guidance.
Just my 2c as a retired senior healthcare professional, and the wife of someone who makes every difficult decision easier for me.