Do You Have a Toxic Boss? (eyeroll)

Most of us have experienced good and bad managers, whether that was at a fast food restaurant, retail, or in our present jobs as nurses. I know that in my own experience, the managers who were difficult to work for did not foster warm fuzzy feelings amongst the workers. In fact, there was often a lot of dissatisfaction and frustration that led to a high turn-over. What is one to do? Nurses General Nursing Article

We all have had moments when we have been in charge of a group of people, so we understand how difficult it can be to try and accomplish what needs to be done and keep everyone calm and cooperative. We already realize that making everyone happy is impossible, so let's rest in knowing that. This article is not being written to bash anyone, but to help those who do have a toxic manager recognize the qualities that go into such a person, and hopefully find some safe and healthy ways to deal with the situation.

There are many unhealthy qualities that can be embedded in a nurse manager's personality making them toxic for their units. Because of this, they often have trouble keeping staff, morale is low, and job stress is elevated beyond reasonable levels. Staff may begin to call off more to avoid the bad atmosphere created by the toxic manager. Often times a culture is created within a department that is detrimental but is considered "the way it is," and therefore nothing is done. Hopefully we can find some solutions that will make daily work life less stressful.

In the article "Recognizing and Overcoming Toxic Leadership," by George A. Zangara, PhD, et. al., it is revealed that research shows a correlation between job satisfaction and competent leadership. They also tout interrelationships between the desire to stay in the job and level of commitment to the job in relation to management. Clearly, people rely on managers to do their job with professionalism, fairness, and maturity so they feel safe in their job and in return will be bent on doing a good job.

If a manager advocates only their own agenda without allowing for input, creativity will be stunted and the work environment turns unhealthy. Managers who do their best to preserve their own reputation will lose the respect of those working for them. Trust is degraded. Attitudes become negative towards the manager and the result is a toxic working relationship creating a divide that sometimes cannot be repair. At times, It is not easy to articulate what defines a bad manager and at the same time, feelings of how that person makes us feel can be hard to define.

"The manager who bullies, threatens, yells. The manager whose mood swings determine the climate of the office on any given work day. Who forces employees to whisper in sympathy in cubicles and hallways. Call it what you want - poor interpersonal skills, unfortunate office practices - but some people, by sheer, shameful force of their personalities, making working for them rotten," (Zangaro).

Managers who suppress creativity lead their staff to feel as if their opinion does not count. These managers often withhold information and are very secretive, controlling the narrative of the workplace and as a result, eliminate autonomy. Respect is not often showed to their employees and is replaced with condescension.

For me, the most annoying quality of a toxic manager is emotional immaturity - one who is emotionally immature. When one can't manage their personal life and decisions, and emotions -- that person should not be in a management position. They cannot separate work and home life and therefore one spills into the other. For some reason, in the medical profession, these people are tolerated. According to the article, "Stop Tolerating Bad Managers," by Rebecca Hendren, bullying and bad behavior is more tolerated within the management than among staff nurses. The culture of healthcare is at fault for allowing this.

Non verbal cues are used more often than verbal to bully others. One can sigh, eye-roll, or ignore someone instead of using words to respond to something or someone. This can be just as damaging as yelling at someone.

Nursing executive managers can be part of the solution to toxic managers. They can look at turnover rate, observe behavior, and offer mentorship to help learn new behavior techniques.

What can staff nurses do when they work under one of these toxic managers? One of the most important things to do is do not respond on their immature level. Stay professional and preserve self respect. Approach upper management for help if able, and always confront the toxic manager with a witness so that you have someone to hopefully be the mediator or your back up. Although it is trying and exhausting dealing on a daily basis with these managers, try and stay positive.

One thing that I do is remember that my patients come first. So that means I have to set aside my personal feelings and do my job to the best of my ability. I eat properly and exercise on a regular basis to keep my body healthy and reduce stress and frustration. Stress can cause damage to our bodies, so reducing stress levels as much as we can under our power helps prevent ulcers, anxiety, headaches, and depression.

We all bring something different to the table. Contrasting core values, cultures, and thought processes can create conflict within a group, or they can help us learn and grow. Being organized, flexible, conflict resolver, timely, honest, and a good communicator are the coveted qualities of a good manager.

Recognizing our own faults is a mature way to help decrease stress in our workplace. Stepping back and taking a breath before reacting to a situation will decrease not only our stress but help us respond better to a situation. What are some ways that you have dealt with a bad manager and what was the result?

References

Healthfield, Susan M. "Bad to the Bone: Dealing With a Bad Boss." 2 April, 2017. TheBalance." 4 Aug., 2017. Web.

Hendren, Rebecca. "Stop Tolerating Bad Managers." 11 Oct. 2011. HealthLeadersMedia. 4 Aug., 2017. Web.

Zangaro, George A. PhD, RN, et. al. "Recognizing and Overcoming Toxic Leadership." nd. RNJOURNAL. 4 Aug., 2107. Web.

Specializes in Gastrointestinal Nursing.
Thankfully I don't work in a bullying environment. However I work in a yes environment. Constantly agreeing with every additional nurse task and short staffed there is. Then expecting us to be Pollyanna positive and sell the hospital. We're dying on our floor and our bosses hop in the elevator at 3 waving and saying thanks for all you do. Now they are talking about bringing back team nursing. Bye Felicia. Most recent nursing survey asked if we'd recommend friends or family work there. Only 19% said yes. I'd love to know who these 19% are. 2 1/2 years and I'm almost completely burned out.

I see and hear of this happening all over. I understand your frustration!

I agree. I, too have worked with people who sold out their morals and ethics after they got promoted, to keep their jobs and keep THEIR bosses happy. But it's also been my observation that environments like the one you described ATTRACT people who were already toxic.

Nursing is one of the professions that ALREADY has a tendency to attract it's share of people who are in it for inappropriate reasons, even if they're not looking at a promotion. People with malignant personality disorders like those adrenaline rushes, the power they sometimes have over life and death, the way they can control their patients...I could go on and on.

Specializes in Stepdown . Telemetry.

The manager on my unit is someone I deem to be toxic. She spends every pre-shift huddle discussing things we are doing wrong that she has gotten in email complaints. In her tenure NOT ONCE has she said, "i appreciate how hard you all work" or something to that effect.

She is all about compliance and the bottom line which includes the things that make her look good.

She implicates our work whenever something negative arises and never looks at the system or other aspects of the unit...mostly because she is never on the unit.

Everyone works their tail off for 12 hours then listens to the 10 minute huddles of her negatives.

Its very demotivating.

Specializes in Family Nurse Practitioner.

My manager is not a bad person. I truly believe that. He simply has zero managerial skills. He is unable to solve issues, deflects if there is one person that doesn't agree, turns every situation around to the employee that questions anything, constantly provides positive feedback, and is a complete company yes man. In regards to feedback, I mean that he constantly blows smoke praising that amazing job everyone is doing. No one can grow without real time honest feed back. Should you approach him with concerns, he will then turn that around blaming the employee with insecurity or lack of confidence. He simply can not trouble shoot or problem solve. But he came to us from Cedar Sinai so we are supposed to be completely in awe and thankful. Well he wasn't in management at Cedars. He was merely a physician. It is the elephant in the room constantly. As long as you are the employee that goes along and questions nothing then you are fine. That doesn't leave room to improve the work environment. He is polite and nice to employees but everyone feels like he is useless to the point we all try to dodge him.

Was this author working at our hospital? Conflicts/stress with our boss has been the primary reason we lost 18 nursing staff last year. Of course none of them said anything about it in the exit interview because the HR person was "besties" with the toxic manager. Nice. So nothing changes. Even after one of those "engagement surveys" which just blasted nursing management, they still don't get it, or don't want to deal with it. The only way I keep my head high is the praise and thanks I get from my patients. Believe me, patients recognize a bad nurse, or one who isn't doing their job. I've also sought counsel from experienced nurses, ones who've been around, who are excellent at their jobs. If they think I'm doing a great job, then that helps my self-esteem. Because of circumstances I can't change jobs just yet, but believe me, I'll be getting off the toxic bus soon enough.....hang in there!