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.

TheCommuter,

I do not think there is anything wrong with you. There is something wrong with these 'supervisors'. 'Caring' does not always involve 'fitting' in. If you have to assist in saving a patient's life, do what is necessary. How many of these 'social' nurses make critical errors? The supervisor will take notice when there is a heavy lawsuit on thier desk.

I've noticed that our relationships with our peers and supervisors often determines how highly we're thought of in terms of our skills and abilities. If we're a part of the group, we're accepted and approved of and any areas that need improvement are overlooked.

Specializes in Case mgmt., rehab, (CRRN), LTC & psych.
LilgirlRN said:
You just described me! You are doing what you have to do. I live in the deep south but I don't have the characteristic drawl, I do when I'm at work. Believe it or not people here don't like "yankees", don't trust them. So be sweet, kind and caring as patients and families expect and be yourself at the nurse's station or locker room but especially at home.

I'm originally from California and have been living in Texas for the past 7 years. I stand out like a sore thumb because I do not have the Texas drawl or the southern speech patterns that most of the people in this area have. People commonly ask me, "Where are you from?"

I couldn't even fake a southern drawl for the life of me.

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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.

No worries :). This is what most of us do anyways. Seriously though, I think the fact that you recognize this and attempt to change it for other peoples' benefit shows very clearly that this is why you are a good nurse. I believe its better to fake it til you make it instead of just being rude or ignoring someone. You clearly have compassion for others, and that will make you a far better nurse than someone who can bs with the best of them.

Specializes in ED staff.

I did some travel nursing in California back in '03. Small hospital, 69 beds but had a 15 bed ER. We saw anything and everything and had the local airmed company on speed dial. I'm working when I here "Lilgirl, can you come help me. I can't understand a word this woman is saying" I'm thinking huh? I don't speak anything but English. I go in the room. Little old lady from Tennessee involved in an MVC. I held her hand and told her I was her neighbor. "I'm from Alabama!" She just about cried, said, Thank God, I couldn't understand anything that young man was sayin! (A Canuckian) She ended up having a flail chest and was airlifted to a bigger, sister hospital.

I got lost in New Jersey once. Walked into a grocery store with a map in my hand and acted like the biggest southern bell ever! They 'bout tripped over themselves to assist me!

Specializes in ORTHOPAEDICS-CERTIFIED SINCE 89.

At first you may not know you lack them. For instance, my Mother lost her mother at age 15 in Bronx NY. She was sent to live with an aunt across Manhattan. That aunt distanced her as the poor relation and had her babysit and much worse WALK all the way back to the Bronx to stay in her own High School. Subways and buses cost more than she had at times.

She really resented her Aunt to her dying day. She developed an introverted personality. After high school she went to business school at Columbia, while the Aunts children went Ivy league. Fortunately one day she met my father on TDY from his ship. Daddy was from SC.

A few years later she got on a greyhound bus and eloped to Parris Island area. They had a house while he was on shore but mostly she went to live with his mother. At last in her life she had a real MOTHER image. .But my formative years gave me a form of adult ADD.

I was born in 1944 and swaddled and held away from kids who might carry POLIO, or TB or EVERYTHING. When we moved to the state capital, Daddy bought a house in the boonies at the time. Now 60+ years later and I don't live there, it's practically downtown!

I think it was fortunate that hubby got discharged and I married him. Believe me spouses at that base were included in so much you were not able to realize you were alone. So scoot about 9 years later and hubby goes to the university and handed in an application for me. Then he took me to an interview.

My previous University Nursing grades read c- to F. My return grades, I ended up with a 126 average in Nursing (those were the days of rounding up etc) 6.0 average and a sweet little diploma. My boards were the 2nd highest in the states and introversion and interpersonal relations were overly good if that were the case. I had the best in-laws a girl could have. Not an introvert in the bunch.

To this person I'd say get help and distance yourself from toxic people. You CAN do it.

Specializes in Med/Surge, Psych, LTC, Home Health.

I can relate to a lot of what TheCommuter posted as well. I have a pretty crazy sense of humor and as I've gotten older I've become a friendlier person, but I still feel a strange disconnect with other people and have a hard time making close friends. I have my husband, my kids, and my brother and parents, and most of the time that's all I need. Sometimes though, I really yearn for a "girls night out", but that's hard to come by when you basically have no girlfriends.

I can't STAND small talk. Absolutely cannot stand it. I often get uncomfortable when I'm stuck in a confined space with one person. Group discussions, I like and will sometimes interject myself into them, which I think annoys people. =)

As an introverted nurse who's career counselor told her not to go into such a public career as nursing, I can relate to many of the comments here.

One thing I tell myself when sometimes wishing I had a more outgoing personality is that not all patients have the same personality type, and there are plenty of patients out there who prefer a nurse who is not the bubbly outgoing type. I'd be one of those patients if I were ever in the hospital - I'd be ready to pull my hair out if I had some of my "friendlier" coworkers as my own nurse.

To the OP, I'd say from your post that your interpersonal skills are intact - it appears that you just don't enjoy doing them. That's a different problem from truly not having interpersonal skills.

We are all unique and special! It seems like everyone is working everyday toward becomming better and strengthening weaknesses that they've recognized. Some times it is personalities that are more compatible with some and not others. Just remember 'treat others how you want to be treated'. Sometimes it's hard when you're not having a very good day or others are incondsiderate. Be the bigger person

Specializes in Legal, Ortho, Rehab.

I see nothing wrong with the O.P.'s first post. Nothing wrong with "playing the game" as I think everyone does it, though a stereotypical nurse bubbly may not think it's a game. What matters to me is skills, and tact.

I feel so grateful to have come across this particular thread, because this will be my greatest challenge as a nurse. For me, the cultural difference will show; I grew up in a more sober environment, more serious and much more introverted, and even after living here for 20 years, it still shows. To top it off, I also grew up in a dysfunctional household and a lot of this "nice warm fuzzy" emotional stuff is still foreign to me. Having said that, I have worked as a special ed teacher, both with kids and adults, so I know I can compensate, but it can be a little rough, but when I look at all the firsts I will encounter.... first Code Blue, first crying family members, etc.

Again, for me it's just great to know that there are others like me out there; it helps tremendously!!

Isn't it a sad comment on the modern workplace that the "likeability factor" has become more important than competence and professionalism? Frankly, I am disgusted when substandard and even hazardous employees everywhere (including nurses) are retained ONLY because the manager "likes" them - while outstanding nurses are terminated solely because a manager or physician does not like them.

It seems like such a "junior high mentality" to worry about whether we are liked or whether we like somebody else. How come we cannot "see through" people putting on an act, those fake smiles, those insincere words, blatant favoritism and workplace politics? What ever happened to Maslow's idea of self-actualization? Did we all get "stuck" in the "love & belonging" level of his pyramid?

I think the root of the problem is that people are relying on the workplace for nearly ALL of their socialization needs. We are a nation of "non-joiners" as evidenced by the decline in membership organizations of all kinds - from Kiwanis to churches to bowling leagues. If people were passionate about their softball league or their knitting club and the relationships they have there, they would be less "needy" in the workplace....and it would not matter if the boss liked them or not and the boss would not care either.

Personally, I don't want forced emotional closeness with people at work. I just want everyone to be civil to each other, act neutrally, treat others fairly, do their jobs and stay out of each other's hair!