Nurses: Oppression Can Stop With You

The intended purpose of this article is to explain that nursing is a largely oppressed occupation due to its social position and the occasional lack of professionalism displayed by some of its members. Nurses Announcements Archive Article

The Merriam-Webster dictionary defines oppression as unjust or cruel exercise of authority or power. Due to its position on the social ladder combined with the sometimes unprofessional behaviors of its members, nursing is an oppressed occupation.

According to Whitehead (2010), the position of nursing within the socioeconomic framework is one of a relatively oppressed group - not as low in the social scale as some, but certainly not in the upper professional tier.

Oppressed people tend to lash out at each other as the result of a strong sense of displaced anger along with an overall lack of group empowerment. Many nurses are truly upset at their superiors and 'the system,' but end up displacing the anger onto their much less-threatening coworkers and subordinates.

In many healthcare facilities, administrative hierarchies promote and perpetuate oppressive conditions, such as inability to take uninterrupted breaks or meals, inadequate staffing ratios, limited supplies, and little recognition of nurses' ability to think critically (Townsend, 2012). In other words, many hospital units and nursing home wings are home to toxic working environments where oppressed nurses behave rudely toward one another, engage in gossip, start rumors, and act like immature schoolyard bullies while management looks the other way.

Let's examine the crab mentality for a moment.

Any person who has been in an area where fresh seafood is sold has likely noticed that crabs are left in open buckets. There is no need to place lids on the buckets because, when one crab climbs near the top of the container, the other crabs latch on and pull it back to the bottom. Hence, all of the crabs experience the same fate. If one single crab is in the bucket by itself, it will make it to the top, leverage its way out of the container, and escape to freedom because nothing holds it back. Although the lone crab almost always escapes, none ever get away if other crabs are at the bottom of the bucket. Crab mentality is also a powerful metaphor for human behavior, especially in oppressed groups such as nursing, where some of its members do everything in their power to latch on and keep others down.

However, oppression can stop with you. Power comes in numbers. Remember this saying: United we stand, divided we fall. It is time for nurses to stop lashing out at each other and start funneling the negative energies into more positive endeavors such as mentoring newer graduates, helping coworkers feel welcome, providing the best patient care possible with the constraints involved, and getting politically involved to help bring about beneficial changes.

The nursing profession in the United States has more than three million members, and is the largest healthcare occupation in the country. History shows us that oppressed groups can push for change if every individual in the group pulls together, supports one another, and organizes effectively. The Civil Rights movement of several generations ago is a prime example of oppressed people coming together. Oppression can stop with you, and empowerment can begin with you.

Specializes in Gerontology, Med surg, Home Health.

It seems unlikely that nurses will ever join together. Read a few different posts on here....hospital nurses think nurses who work in long term care aren't real nurses. Bachelors prepared nurses look down on those with Associate degrees. Older nurses think new nurses are entitled brats and new nurses want the older ones to get out of the field so they will have a job.

Most managers I see are definitely indifferent to this large scale problem.

Of course they are. It's a good thing for them. If we're fighting with each other, we won't have any energy left to fight them over little "trivial" things like bumping up our ratios.

Specializes in Case mgmt., rehab, (CRRN), LTC & psych.
It seems unlikely that nurses will ever join together. Read a few different posts on here....hospital nurses think nurses who work in long term care aren't real nurses. Bachelors prepared nurses look down on those with Associate degrees. Older nurses think new nurses are entitled brats and new nurses want the older ones to get out of the field so they will have a job.
Unfortunately, I agree. There's too much division, back-biting, and internal battles in nursing. Instead of uniting, many nurses engage in behaviors typical of oppressed groups that only serve the purpose of keeping one's thumb on top on another. Too many nurses keep their colleagues down instead of doing things to build each other up.

I'll repeat this saying. . .United we stand, divided we fall. Without unity, the internal division in nursing will help maintain nursing's status as an oppressed group.

Specializes in Home Care.

I left a job because of bullying and mobbing..

My manager said "we're aware of it and working on it"

HR said "we're aware of it and working on it"

The union dsaid "we're aware of it and they are working on it

It seems unlikely that nurses will ever join together. Read a few different posts on here....hospital nurses think nurses who work in long term care aren't real nurses. Bachelors prepared nurses look down on those with Associate degrees. Older nurses think new nurses are entitled brats and new nurses want the older ones to get out of the field so they will have a job.

It's as if the lifeboat (i.e., having a job) is getting more crowded, there are not enough provisions, and people are trying to push one another off the side.

Ten years ago, when the job market was much better for nurses, were conditions any better? Or did you climb into the same meat grinder after picking up your hiring bonus check?

Specializes in geriatrics, hospice, private duty.

It is frustrating. All I know to do is to "be the change I want to see...". I go out of my way to avoid the drama and cat fights and I also go out of my way to help out where I can.

Specializes in Peds Medical Floor.

As someone who just found out that someone else brought a complaint against me (outright lie!) this couldn't be more timely. I'm really starting to hate nursing because of this crap.

Specializes in Home Health, MS, Oncology, Case Manageme.

Great article! The specialty of home care used to be a better environment than the hospital but no more. Because there is a huge shortage of home care nurses (at least in Metro Detroit) there is lots of drama due to lack of nurses to cover the cases. The management wants to cases open for the profit but then they can't find a nurse to manage the case. This causes overwork and stress which leads to back-stabbing, infighting, bullying etc. This leads to high turn-over, even with management. And the problem goes on and on....

Great article! The specialty of home care used to be a better environment than the hospital but no more. Because there is a huge shortage of home care nurses (at least in Metro Detroit) there is lots of drama due to lack of nurses to cover the cases. The management wants to cases open for the profit but then they can't find a nurse to manage the case. This causes overwork and stress which leads to back-stabbing, infighting, bullying etc. This leads to high turn-over, even with management. And the problem goes on and on....

Unlike most other nursing areas, it sounds like there is a genuine shortage there. While the market is not the answer to every problem, wouldn't raising salaries for home care nurses go a long way to solving this one?

Specializes in Home Health, MS, Oncology, Case Manageme.

Yes, raising the salaries would certainly help but due to the cuts in Medicare reimbursement, its not going to happen.

Specializes in Operating Room.

Excellent article. Sadly, those who try to fight for change often end up discouraged, tired, beaten down. I'm not ready to give up quite yet, but I'm getting there. :(

TheCommuter- To compare the plight of nurses today with the real oppression of African-Americans prior to the Civil Rights movement is not congruent in any way, shape or form. It is offensive to both parties by minimizing what was done to African-Americans and maximizing what happens to nurses. A study of the Civil Right movement is necessary to understand why they are not similar at all.

There are issues in nursing (and other professions) that need attention and solutions from the bottom up and top down. There are lots of moving parts that need to be streamlined in all areas of healthcare that will make it better for everyone. For example, physicians putting in new orders via computer on wheels or iPad in the patient's room so it can get to the RN/Pharmacy/OT/PT, etc. faster so the patient get's their care faster and is more satisfied thus not complaining, on the call bell, sending family to the nurses station, etc.

Additionally, people speaking up for themselves, defending themselves and not allowing co-workers to bully them. All workplaces have all of this diversity and tolerance training: respect for differences in religion, culture, sexual orientation, blah, blah, blah and we all go through the trainings and get signed off and the bosses get to check off a box BUT rarely does a boss simply says things like, "The gossiping has got to stop or you are going to be asked to resign.", "Stop being such b****** to each other or you are going to be asked to resign." Bosses must root out the poison- those people who are literally destroying their workplace from the inside out. Send the mean ones to Employee Assistance Programs get to the root of their negative affect on their workplace. Management needs get brave, separate the sheep from the goats, emphasize basic manners, civility and respect not the vague diversity and tolerance principles that don't truly get to the real issues. We need to get brave and protect ourselves in any legal, ethical ways available to us.