I have been a critical care nurse for 8 years and recently took a nurse manager position at a surgery center. The staff that has been working there for several years are unprofessional, unethical, gossip, backstab, and do little work. I have been working with them for months to improve. They do OK for a couple of weeks and then go back to their old ways, to include undermining me with other physicians and employees--making it extremely difficult for staff to take me seriously. I have met with the physician/owners and they don't want me to fire anyone. By the way, they have gone through nurse managers every couple of years for the same reasons. I love a challenge and know I can make positive changes here, but how do I do it without getting the staff to either change, or let them go???