Dear Nursing Colleagues,
I am currently pursuing my MSN and Critical Care Clin Spec but have found at my particular institution that the relationships between CNS and physicians has been less than amicable. In addition, and far worse than lack of MD-CNS collaborative relationships, I have witnessed and felt what I will call a "reverese prejudice". This phenomenon of new or much less experienced nurses who appear to be threatened by an advanced practitioners knowledge and then either knowingly or unknowingly act out behaviors to hurt, discredit, or sabotage the efforts of the "expert" who is striving to assist them and make their work environment a better place. I wonder if this is a common problem encountered by Clin Specs or is it just at my small hospital? Please send your thoughts and experiences my way. Thank you for your input-also if you have experienced this "reverse prejudice" did any particular interventions assist you in gaining the support of the less experienced staff?
Oct 21, '03
I've only been a CNS for a short time and I don't work in the hospital setting. What I have learned and try to practice in the CNS role is to establish a relationship of trust with nurses (after all, you are one). Advocate for them to the higher ups, seek their opinions and knowledge with situations and work together with them rather than above them. Also, share your "expert" knowledge with the nurses in a way that is meaningful to them and don't discount any knowledge they share with you. When you are considering implementing something new, such as writing a protocol, seek and value their input. I think it boils down to establishing relationships, trust, partnerships and mutual respect. Don't forget where you came from.
Hope this helps and makes sense.
Nov 9, '03
I have been a CNS for many years practicing in a variety jobs. I suggest that you first establish yourself as someone the nursing staff can trust. They must see you as a nurse. period. Not someone with alot of fancy letters after her name. Once they see that you are on their side and are one of them you will be able to move ahead.