Confessions Of A Nurse With Poor Interpersonal Skills

I have watched as many technically-skilled nurses have gotten fired for their inability to get along with others and their poor interpersonal skills. To be blunt, these great nurses simply did not have the likeability factor. Hands-on procedural skills and the ability to assess are critical to keeping patients alive, but interpersonal skills are crucial to success in most occupations. Nurses Relations Article

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I've heard that the initial step to solving a problem is admitting that you have one in the first place. Well, my name is TheCommuter and I have a problem with interpersonal skills. Gulp.

For starters, interpersonal skills are the competencies that a person uses for interaction and effective communication with other people. We first learn these skills in our families of origin and continually reinforce them through interactions at school and with peers. Someone who has solid interpersonal skills knows how to listen actively, speak clearly, communicate with efficiency so others will understand, assert oneself without being too aggressive or passive, regulate one's emotions, build rapport, and resolve conflicts.

Interpersonal skills are important enough to make or break one's career because, even though a highly cheerful person can succeed in the workplace without a great deal of intelligence, a highly intelligent individual will face a series of uphill battles in his or her professional life without possessing good social skills. In fact, the Center for Public Resources did a national survey and found that 90% of the time people are fired for poor attitudes, inappropriate behavior and poor interpersonal skills rather than deficient job skills (McNamara, 2003). Social ineptitude, difficulty bonding with people on a personal level, struggling with empathy, and failure to express ideas will harm one's ability to build interpersonal relationships in all aspects of life.

You're probably wondering, "Why did you pick nursing as a career if you know you have a problem with interpersonal skills?" I started training for nursing in my early 20s. My sense of identity was not fully developed at that time and, although I had been in the workforce since the age of 16, I was blissfully unaware that my relational issues might have been due to a lack of basic interpersonal skills. Although my employment had never been terminated anywhere, I was getting on the nerves of supervisors, coworkers, and customers without having much insight on the reasons behind it all.

I am an introvert who does not necessarily take pleasure in meeting new people, even though I put on the acting game for the sake of my patients. Also, I'm not the nurse who seeks validation or yearns to 'be needed' by others. People say I'm quiet. I'm task-oriented and often create a 'to do' list when each shift begins. Small talk aggravates me, but I will chat and schmooze to put the patient or family member at ease. I am serious and lack a sense of humor to the point that I take some jokes literally. I have a restricted affect, intermittent eye contact, and I do not smile much because my smiles often seem fake. It took several years of working in nursing to realize that my interpersonal skills were problematic.

What have I done to conquer my issues? To be frank, I have had to play the game. If my supervisor babbles on endlessly about a recent vacation, I actively listen, ask questions, and otherwise pretend to be interested. If a patient or visitor has questions about a medication, physician, procedure, or some random topic, I smile while making direct eye contact and answer to the very best of my ability. If a coworker tells a corny joke, I laugh as if it was funny. I also initiate more conversations, ask more questions, and participate in discussions that others have started. It took me a long time to realize that people want to be reminded that they matter. Acknowledging them, connecting on a personal level, and seeking information reminds them that they matter.

I have seen many technically-skilled nurses get fired for their inability to be personable and their lack of interpersonal skills. The hands-on skills and ability to assess are critical to keeping patients alive, but the interpersonal skills are crucial to one's success in most occupations. When one uses good interpersonal skills to connect to coworkers and patients on a deeper level, they will usually take pleasure in your presence and regard you positively.

Specializes in LTC, assisted living, med-surg, psych.

Once again, you've written a masterful and honest article. :yes: How refreshing it is to hear that not every nurse can conform to the "customer service" mode of nursing, and that I'm not the only one who absolutely loathes schmoozing! While I'm certainly friendly enough and have a wild sense of humor, there are aspects of getting along in the workplace that make me impatient and even resentful because I think they're a waste of my time. Sales visits are my number one annoyance---I'm busy, I don't have time to sit and listen to someone's spiel about how great their home-health agency or hospice is. And it's not like they call ahead of time, they just show up and you're expected to be gracious. I don't DO gracious when I'm being pulled in 15 different directions!

I also don't like to spend time on the phone, although it's necessary at times. Phone calls are distracting and they take up valuable time that could be used getting things done. If I could communicate entirely by e-mail or in person, I'd get along just fine, because I can control that. My attention span and short-term memory aren't the best, and getting distracted by phone calls tends to throw me off course badly.

But yeah, schmoozing is the worst......thankfully, I've got a boss who does it well and doesn't ask me to do it too often.:)

2 Votes
Specializes in 10.

Commuter, AMEN! AMEN! You have hit the nail on the head, yet again. Sometimes I think you are in my head, saying and feeling the way I feel. I so dont like small talk, and would rather have conversation with my DD cleints, than speak to the staff. I have learned to "play the game", but it has been exhausing. KUDOS, on another great article:cool:

1 Votes
mariebailey said:
I understand what you're saying, and I could use some fine-tuning of my interpersonal skills as well. The frustrating thing for me is when personality &/or communication style seems to trump one's ability to provide competent, safe, & high-quality patient care when determining a person's value as a nurse to others in an organization.

My preceptor was like this but she was great! It wasn't skill sets per se, but her personality, expressiveness, and just her overall demeanor took care of everything else. She knew what she was doing, but she sucked at time management and she had an even better personality so everyone loved her and helped her out.

Bless her heart. ?

1 Votes

High functioning Aspie here too, and what you describe are many Asperger signature traits. Maybe someday it will be considered less an "issue" and more of a disability that can be managed.

1 Votes
Specializes in Critical Care.

Use "scripting" pet phrases when you speak with others. Surely you have some social skills after working in nursing with all the social interaction involved. Being a quiet person, shy is not a problem because most patients will talk to you if they want. They will tell you how they are doing, their fears, their concerns, their family. Surely you've had patients talk to you and were able to listen and respond.

Now if the problem is really "stress, anger, impatience" that is another story and that could get a person in trouble. Nursing is a high stress, pressure cooker environment and if that is your real problem then I would suggest taking medication to help you remain calm, therapy and support groups, could help as well.

1 Votes
Specializes in orthopedic/trauma, Informatics, diabetes.

SO interesting that you posted this right now!! My husband and I are in the process of getting our oldest tested for Asperger's and I find that I HAVE many of the traits. I am good with patients, I just don't know how to play the "social" game. I have a very hard time making relationships. I just feel "left out" or disconnected. The people that have "gotten" me over the years are my best friends. I have very few, but one from childhood and most 25-30 years. I am 48 and am a new grad (May 2012) and I LOVE nursing. I love the autonomy and I can limit my interactions with peers. It's funny how I don't have trouble "turning it on" for patients, but have a harf time with peers. I am looking into where I can some help/insight into ways that I can better function.

Thank you!!!!!!

2 Votes

In a lot of ways, I am like you. I love to talk to my friends. We are hilarious and have great fun but I hate small talk. Hate it. I have only been a nurse for 6 months now and I was worried about talking to my patients but so far, its been okay. I say basically the same things to them as far as chit chat goes. I get my feelings hurt easily so I was worried about having unfriendly patients and while I haven't had any that have been downright mean, I have had some who aren't "friendly" or don't have much to say. I just let it go and forget about it for the most part.

1 Votes
Specializes in nursing education.

You know, I look around and the people who seem to have the greatest knack for socializing are some of the most shallow and mean individuals. I feel like I have fought long and hard to learn even the most basic social skills, but I understand more deeply about the human condition than some of the "cool fun people" who text their boyfriends all day and whine about how they hate our patients.

Thanks for this article. It's good to know there are other nurses out there that aren't ESFJ's.

2 Votes

I appreciate your article, and your sincerity. I do feel though that you are negating yourself in some ways when you don't need to. Interpersonal skills are important, but they are not the be all and end all in relationships. Being honest in one's relationships with other people, being trustworthy, treating others with respect and consideration, listening genuinely to others, trying to further other peoples well being; these qualities are the foundation of relationships, and these are the qualities that really affect and influence other people.

1 Votes

I feel like an actress at work. i try to smile, but my smile also seems to be fake.It is usually forced unless I am about to laugh. My natural face even when I am relaxed seems b*****. Or so I have been told. I don't like to kiss up to people , meaning other coworkers especially. I HATE when people do that to me or pretend we are all great old friends. Feels forced and annoying. ACtually, I do this to patients and visitors if I think they will like it, and many do. I can't believe how often people buy this or seek it from others. Many people are pleasent enough without partaking in some co worker's baby shower. i don't care and can't be bothered about it. I don't like people in my business or asking too many questions. Some of these interpersonal "skills" are so subjective and I have found through expereince that some of their biggest supporters can't spot me faking it if their life depended on it. This just leads me to believe that most people are phony. lol

1 Votes

I don't think a lot of these are a disability or should be thought of as such. i think they are just a personality trait , not something that needs treatment. Believe me, there are many people out there like this, some just put forth the effort to comform and fake it.

1 Votes

Enjoyed your article, and I feel that I share many of your personality traits. It can be very frustrating when the "good nurse" is the one who sits down, visits with family, serves everyone coffee, visits, is entertaining etc. when actually, there are orders sitting at the desk, labs not addressed, doctors not called, meds not ordered etc. I think it boils down to the public REALLY not understanding what nurses do. If they did understand, they would have no problem with the nurse at the desk, not smiling, concentrating on what he/she is doing, completing the very necessary parts of the job.

1 Votes