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 Medical-Oncology.

What a great article. Thank you for that honest and open assessment of yourself. I'll never forget the interpersonal skills class I took prior to nursing school. It changed my life. It changed the way I communicate with everyone. I still refer to the textbook when I face a situation I don't feel I handled particularly well.

The nurse manager on the unit I precepted on during nursing school told me that just about anyone she hires can learn the skills necessary to nursing...but what she looks for in a nurse, and what she can't teach someone, is how to play well with others, create a spirit of teamwork and camaraderie, and basically just be a great person to work with and someone that patients and co-workers will like. So true. I'll never forget her words.

SA2009 wrote: "I grew up in a more sober environment, more serious and much more introverted."

Dragonflower responds: There is absolutely NOTHING wrong with this and there is nothing wrong with being an introvert. It is cultural brainwashing to say that everyone needs to be an extrovert.....and, in fact, this quality is deadly in certain occupations where being an introvert is essential.

If I am forced to work with somebody who is "too bubbly" and extroverted, they are fatiguing to be around...and I will sometimes make myself scarce until I recover from their emotional onslaught.

Specializes in Case mgmt., rehab, (CRRN), LTC & psych.
roro13sf said:
The nurse manager on the unit I precepted on during nursing school told me that just about anyone she hires can learn the skills necessary to nursing...but what she looks for in a nurse, and what she can't teach someone, is how to play well with others, create a spirit of teamwork and camaraderie, and basically just be a great person to work with and someone that patients and co-workers will like. So true. I'll never forget her words.

Yes. In the nursing profession and in other occupations, there are two types of skill sets: hard skills and soft skills.

The hard skills are the technical hands-on procedural skills that are needed to perform our jobs effectively such as peripheral IV starts, dressing changes, urinary catheter insertion, NG tube insertion, and injections.

Soft skills are the intangible people skills that are needed to successfully navigate the workplace. Soft skills consist of the personality traits, congeniality, work ethic, etiquette, behavioral competence, reliability, communication style, personal habits, optimistic attitude, interaction, and unspoken social graces that come together to render someone a desirable employee.

It has been said that employees can be trained to perform the hard skills, but the soft skills come from within. For instance, an organization can easily train a nurse to properly apply a wound vac, but they cannot train the same nurse to have empathy for others or do much to change the rude personality that she has displayed since childhood.

This was a most interesting thread. As I read it, I mulled over multiple coworkers I've had, who were quiet and seemed to be somewhat socially withdrawn, and how I envied and admired them.

I am very outgoing, can end up talking too much at times, and I must make efforts to not talk too much. It's embarrassing, and I feel it is just as much of a curse as not enjoying talking. I am working on it, always. Sometimes it does work well, sure does, sometimes ppl do like me and I am funny,

Othertimes, it increases my chances of saying wrong thing,

Or of getting on last nerve of a coworker like commuter.

I am working on it, and it has gotten better as I have aged. I am quieter now, whew.

I did agree with an excellent comment by thecommuter earlier in the thread, that I can't relocate to quote, about how "Likability" is sometimes a factor in how long a nurse stays employed somewhere.

Who among us, can't point at a coworker, that we would not rate as a very great nurse at all, yet, is the unit manager's favorite, cuz that nurse is likable? Who among us can't drum up stories of nurses we thought were great nurses, yet, not that likable, and we felt that non-likability was a factor in their being let go?

Who among us can't list some nurses who seem to "Get away with" any number of issues, that a less likable nurse might get canned for?

It matters.

Whether that nurse has reduced "Likability" factor cuz she talks too much, or doesn't enjoy interacting with others that much,

Either way,

Whatever the root of the problem on why any given person is not "Likable"

There is no denying that

"Likability" is a factor in holding one's job.

Especially, like commuter pointed out, as patient feedback becomes more and more part of our assessment. Patients might not always (if ever) credit the nurse who caught this or that medical problem and averted it through adept action,

But, they will fawn all over the nurse (however capable or incapable) who they "Clicked" with, who made them feel cared for.

It does matter, imo, how "Likable" a nurse is. (whatever is the cause of it)

Hi Commuter.

I've been thinking about this thread. Maybe your interpersonal skills aren't as bad as you think they are. I've read and participates several of your threads and you come across fine over the computer. And a lot of the "Flaws" that you have, I think most of us have them to some degree. I know I do. And people seem to like me in my personal life.

Specializes in Case mgmt., rehab, (CRRN), LTC & psych.
PRICHARILLAisMISSED said:
Hi Commuter.

I've been thinking about this thread. Maybe your interpersonal skills aren't as bad as you think they are. I've read and participates several of your threads and you come across fine over the computer. And a lot of the "Flaws" that you have, I think most of us have them to some degree. I know I do. And people seem to like me in my personal life.

It's true that I might be describing myself harshly.

However, others have given me an idea of how I come across. My best friend, former classmates, and some acquaintances have said that I often have a flat affect and speak with a monotone tone of voice. Over the years, coworkers have described me as 'quiet.'

I also have an invisible wall that prevents me from connecting with people on an emotional level. I simply do not want to open my heart and soul and get too close to anyone. Moreover, I struggle with empathy and have difficulty feeling sorry for people, even if they're in pain, desperate, grieving, or in dire straits.

Quote

I also have an invisible wall that prevents me from connecting with people on an emotional level. I simply do not want to open my heart and soul and get too close to anyone. Moreover, I struggle with empathy and have difficulty feeling sorry for people, even if they're in pain, desperate, grieving, or in dire straits.

Not sure what to do about the first part of this, except to say that this is fairly common. I myself am like this, but it hasn't really been a problem. I find that yes, it does take a while for me to consider someone new as being close to me, and vice versa. But I also find that after I actually do take the time to get to know someone new and decide that I like them (For lack of better term), these relationships tend to really last. Think quality over quantity ? But as for the bold face, I don't believe that empathy is absolutely necessary. It may help, but it's not the end all be all. What is necessary, I believe is the understanding that these ppl are in pain,desperate, grieving, or in dire straits. As long as the understanding is there, you can respond accordingly.

Try not to beat yourself up over a perceived lack of empathy.

Specializes in tele,med/surg.

This is exactly my problem and why I was fired.....It really bothers me and I feel like such a failure. But I just cant seem to make my fake smiles, interest etc appear genuine....I dont know what am I going to do but reading this makes me think my career is already over before it began....I dont now what to do :/

At least I know I am not alone

Specializes in Case mgmt., rehab, (CRRN), LTC & psych.
Real Nurse Jackie said:
This is exactly my problem and why I was fired.....It really bothers me and I feel like such a failure. But I just cant seem to make my fake smiles, interest etc appear genuine....I dont know what am I going to do but reading this makes me think my career is already over before it began....I dont now what to do ?

At least I know I am not alone

Perhaps some social skills training is in order? If a lack of interpersonal skills is contributing to your employment being terminated, something must be done on your end.

In ultra-competitive job markets where many nurses are competing for a limited number of job openings, interviewers gravitate toward hiring candidates who can display evidence of likeability and a solid foundation of basic social skills.

Do you really think nursing is about "sociability?" Do you think it is either clinical skill or interpersonal skill?" The likeability factor occurs in all professions, we are not immune.

And, please stop using the excuse of patient sat scores. Come on, it is not either/or, and it never was.

Know what you signed on for, and be what you signed on for. You don't get to re write the narrative once you are into the profession. Interpersonal skills are a competency that you signed on for. Stop whining.

The schools of nursing are missing the boat here. It is hard to fake it. Our work is hard enough without having to force skills that are critically necessary

We all know nurses who lack these skills and go on in the profession for years. What is seldom talked about is that the rest of us are making up for it. Get it, if you are not doing your job, someone else is.

Specializes in Case mgmt., rehab, (CRRN), LTC & psych.
seagleson said:
Interpersonal skills are a competency that you signed on for. Stop whining.

I don't think anyone on this thread has whined, so there's no need to demand that anyone "stop whining."

Anyhow, thanks for posting this comment since it inadvertently bumped my three-year-old piece that had gone without comments for nearly 14 months. I appreciate it! ?

Specializes in Emergency.

I do see myself in much of what you wrote. I'm INTP. I've been called analytical and straightforward. I've had difficulty with "office politics" or "playing the game". I despise being fake and forcing an interaction, being phony or pretending to have a certain emotion. It feels dirty. I'm trying to get better in these soft skills, as I realize much of what you said is true, that the people with the best soft skills seem to have the most success. I've also heard the 90% statistic that nearly everyone is fired not for lack of knowledge nor for poor performance, but for an inability to navigate interpersonal relations/office politics. I relate in a straightforward manner. Playing games, being two faced, playing office politics and popularity contests, these things would never cross my mind and I cannot imagine why they are so pivotal in the culture of the workplace. Interestingly, my patients never complain, and I have been told quite a few times that I have a good bedside manner and connect well with pts. I guess perhaps because I know the pts are in a vulnerable state, I understand that they need validation in those moments. My coworkers however, I view as strong, competent, independent professionals who don't need a false ego stroking. It seems that pts are more willing to connect while coworkers seem to have a wall built around themselves. I have this thing, that whatever I do, I want to do it authentically and whole-heartedly. That's why I'm not interested in shallow or false exchanges. If you and I are willing to put in the work to develop a true connection or rapport, then let's do this. Anything else seems like a waste of time to me. I want to do things 100% or not at all. Because I recognize that time, and energy are finite resources. I dunno, I guess I must keep reminding myself, as the adage goes..."The only thing people will remember is how you made them feel."