- 0May 12, '03 by crp2000Hello All-
I've read several-THOUSAND posts on this board about doctors disrespecting and yelling at nurses.
My question is - is the nurse allowed to YELL BACK, or does he/she have to sit back and take whatever the doctor is saying to him/her? Are nurses punished for NOT taking crap from doctors? All advice and/or stories are welcome.
I'll be entering a BSN program in August. Once I become an RN, I have NO PLANS on letting a doctor disrespect me simply because he/she is a 'doctor'.
- 0May 12, '03 by gwenithMost of the time the doctors are respectful, nice and just people. They have thier good and bad days. The days you get reamed are fortunately fairly few.
However you might find yourself accepting more passively than you would now expect. When you enter the nursing world a process of socialization into that world occurs. It is sometimes called the hidden curriculum. YOu don't kick up a fuss because no-one else does and the peer pressure kicks in to be accepting and passive. This is one of the reasons why nurses are notoriously difficult to rouse to action and the term "nursing activist" is almost an oxymoron.
- 0May 12, '03 by nursemouseYelling back reduces you to the same, crude, out-of-control level. Calm but assertive responses often get a better response. ("I realize that your lab results are not back, but calling me an ignorant schmuck with the IQ of a gnat is not appropriate. I am a professional, and I expect to be treated with courtesy.") It's also helpful, not with just doctors but with any colleague, to determine if the person is yelling at you or at the situation. And WRITE THE OFFENDING DOCTOR UP!!! Every hospital has to have a chain of command to deal with inappropriate physician behavior. Some are stronger than others, but multiple complaints about one physician should get attention. Verbal abuse is a power thing, and we are not subordinates, but colleagues.
- 0May 12, '03 by SmilingBluEyesI find it MUCH more satisfactory to RISE above it....I never yell back, but I DO let them know politely I won't be treated like a doormat either. They are professionals and must be dealt with as such, but SO ARE WE as NURSES! It is incumbent on us to ACT as professionals.
- 0May 12, '03 by nimbexI think there is a huge difference in the attack being personallly insulting, or ranting over a situation, not directed at anyone.
Also knowing the doc., if you've never heard them raise their voice before.... cut them some slack, be calm and try to help resolve it. Get them aside..." you seem very upset, is it this incident or are you having an overall crappy day?" hell, they need to vent sometimes too.
a personal, degrading attack warrents a calm "when you have control of your tone and wish to discuss your patient, I'll be sitting there", turn your back and leave.
My favorite, the silent STARE.... long silence after they have finally shut up, if they don't do a 180 I may throw in "are you done yet?", Still not done, call the supervisor and fill out the incident report.
Many people may disagree, but I believe doc's are people too and deserve a "bit" of slack, God knows I need it some days too, but don't dare come round thinking you'll treat me like dirt and get away with it.
- 0May 12, '03 by llg GuideI agree with the overall tone of the previous posts in this thread. "Two wrongs do not make a right." It's an old saying, but true. Yelling back or being rude in return are not the appropriate way to handle the situation when someone mistreats you. As others have said, doctors are people, too -- and sometimes they have bad days and say react in ways they regret later. Inflaming the situation further and/or stirring up hard feelings that will last for years is no way to handle it.
In my 26 years of nursing, I have only been "yelled at" or similarly mistreated a couple of times. I think it is partly because I choose to work in positive environments where "uncalled-for behavior" is exactly that -- uncalled-for and NOT part of the organization's culture. Also, I tend not to have a "smart mouth" or "unprofessional demeanor" that invites that kind of response in others. I treat others politely and professionally and let it be known that I expect to be treated the same way. When I am not treated politely, I let the person know (firmly but politely) that I expect better. I try to give people the benefit of the doubt and try to support them when they are having a bad day -- and let people know that I expect to be treated the same way.
In the end, I think the way we treat other people and the work environment that we and our colleagues create with our own behavior has a big influence on the way others treat us. Nurses represent a large proportion of most healthcare environments. So, the culture in those environments is subject to our influence.
Of course, there is always that rogue person out there who is just not nice and who will cause trouble ocassionally. That behavior needs to be nipped in the bud before it gets out of hand -- by the nursing staff agreeing to not tolerate it and to follow-up on it a calm, professional manner.
I know this post sounds a bit "preachy," and I didn't mean it too. I'm sorry about that. It's Monday morning and I am not yet fully energized to re-write it to make it more appealing! I hope you all understand.