What solutions do you offer for stopping nurse abuse? - page 3

I am deeply interested in resolving the problems that face nurses today, and would love to hear your ideas of how to solve the various issues confronting nurses in the hospitals. Please state... Read More

  1. by   sanakruz
    #1 problem: managed care!
    It's NOT all about the freaking dollar
    This mind set translates into misery for pts, nurses, and MD's too.
    The "consumers" know it and so do we.
  2. by   FranEMTnurse
    Furball, Are you sure those people are Christian, or are they putting a giant poop smear on Christianity.
    I believe that real devoted Christians would NOT do such stuff! They look to see who they can help, or where they can make a difference somewhere like Cheerfuldoer and Jnette, etc. They also co-operate with their co-workers, and if a staff member has some good news to share, the REAL practicing Christian will offer congratulations, and well-wishes. I know a few of them right here on this website, and am a member of their group.
    Any one of them would offer their services and kind acts, and prayers if requested, and I am truly HONORED to be a member of their group.:kiss
  3. by   Marie_LPN, RN
    In a few words: TEAMWORK and GOOD COMMUNICATION



    TEAMWORK: leaving one person to do the job of 2 is not safe, nor does it promote good care for the pt.

    GOOD COMMUNICATION: There have been several incidents where a nurse "forgot" to mention that the new pts have PICC lines, are NPO ( and are gulping a pitcher of water), cannot get up on their own, or are diabetic. If you have been off for a few days vacation (HA! if you should be so lucky) you sometimes come back to a whole slate of new pts. and know nothing about them, but you need the general info like this when you come on, because you don't necessarily get to review the dr. orders and the charts before the call bells begin ringing. Poor communication can land everyone in hot water, causing a LOT of tail to be chewed.
    Last edit by Marie_LPN, RN on Jul 25, '03
  4. by   starcandy
    Originally posted by gwenith
    .

    We HAVE to adress the theory/practice gap. I see this and it's persistance as being a major problem with our profession. Recently I was reading a thread on vital signs and medications and marvelling at the disparity of opinion. Some are wedded to the "party line" of "you must assess all patients before you do anything else whilst others acknowledge the workplace restricitons and assess as required. I think it comes down to the basic difficulty in defining our primary role.
    I agree gwenith, this "theory/practice" problem has caused me great confusion as a nurse. Good thread !
  5. by   gwenith
    I think part of the problem for retention of nurse in the US is the conditions. I have been thinking about this for some time now and here are some work conditions that we have over here that maybe should be lobbied for in the US.

    Long Service Leave]

    We get one week "extra" vacation a year for every year of serviec but the catch is you can only claim it after ten years of service to the same company. Of course Long Service Leave can only be taken at the company's convenience. You can even "bank" the weeks until you retire to add to retirement. (think of it 30 years service = 30 weeks of leave on full pay!!
    This is not unique to nursing but a standard work condition. The accounting for this gets tricky as companies actually have to budget for future payment of LSL but the goverment mandates this as a base condition.

    Vicarious Liability Here and in England we are covered legally by an old law called vicarious liability. This means that the employer is held legally accountable for the actions of the employee.

    Think about this last one. You do not get sued the HOSPITAL does!!! How much "nurse abuse" will that stop!!!They are then TOTALLY responsible for low staffing. They have to ensure safe staffing mixes.

    Vicarious liablity does not mean that the nurse can get away with murder - teh hospital does have the right to sue the nurse in return for poor performance BUT this is rarely done.

    Workplae Health and Safety law mandates that if a worker is injured at work they can be given "light duties". So instead of being off work and costing teh goverment money the employer has to try to find a niche within the establishment where the employee can work until healed. This is less abused than you would think as they do not have the "light duties" forever. I knew a woman who was injured and part of this workplace rehabilitation she ended up assisting with some nursing research the hsopital was running. It puts valuable people back into the workplace.
  6. by   FranEMTnurse
    Gwenith,
    Where did you say you live? I'll be sure to spread the word. Mmmm,hmmmm. Wow! I don't think they'd have it here in the US. The insurance companies regulate a lot of medical stuff here, and they're the ones who usually don't know the first thing about what the medical field entails, nor do they care.
  7. by   live4today
    Originally posted by Frances LeMay
    Furball, Are you sure those people are Christian, or are they putting a giant poop smear on Christianity.
    I believe that real devoted Christians would NOT do such stuff! They look to see who they can help, or where they can make a difference somewhere like Cheerfuldoer...jnette. They also co-operate with their co-workers, and if a staff member has some good news to share, the REAL practicing Christian will offer congratulations, and well-wishes. I know a few of them right here on this website, and am a member of their group.
    Any one of them would offer their services and kind acts, and prayers if requested, and I am truly HONORED to be a member of their group.:kiss
    Awwwww.....what a very nice thing to say Fran! :kiss

    Tis true though about a TRUE follower of Christ and Believer in the faith...one would definitely NOT behave such a way.

    Many people....matter of fact...TOO MANY people...wear the label "Christian" but really do NOT understand what it means to do so. For these we pray.
  8. by   FranEMTnurse
    Renee,

    Well put reply sis. I love you loads and loads. It just riles me when people put true Christianity down. It's as Joyce Meyer says, "Being a Christian is much more than wearing a Jesus pin, a cross around the neck, or a bumper sticker on your car that says, "I'm a Christian," but doesn't really live it."
    I can think of so many people in organized religion who fit that profile. Mmm, hmmmh, mmmm hmmmh. Oh yeah. In fact, before I was given the wake-up call, I too was one of them. But thanks be to our all merciful God, I let Jesus lead me right on into the New Covenant, and this gal is now truly, living grace, and am very very pleased to be associated with all those who are doing the same.
    Awesome bunch, they are! And I'm PROUD to call Jesus not only my Savior, but also, "My Hero." A real he-man!

    LumpofClay,
    and very pleased to be one who the Master Potter is molding.

    this is 4 U:kiss
    Last edit by FranEMTnurse on Jul 28, '03
  9. by   Teshiee
    I think nursing abuse will stop when some of us stop abusing the profession. Derogatory statements about hating nursing, it is a waste of time when it is not nursing itself only the non nursing management dictates how we should take care of patients. Lack of unification is another problem. Too many back biting individuals that only hurt nursing instead of finding alternative solutions to alleviate problems in their unit. Feeling helplessness when it is not warrented. Putting up with bureacratic nonsense. I love what I do and I know there are days when I can't move but I wouldn't give up what I do because I love caring for my babies. It needs to start in nursing school. Stop eating the young who come out enthusiastic about learning. Stop lying to nursing students teach them the realistic world not idealistic Unions may work I think the more we get involve and start taking notice then things will begin to change instead of waiting for someone to save us we have to save ourselves. We must believe that what we do is very special and very valuable and until we believe that nothing will change.
  10. by   live4today
    Solutions are definitely the cure for the problems that exist in nursing. The next step after naming the solutions is implementing those solutions. Solutions not implemented are totally a waste of time.
  11. by   FranEMTnurse
    How true, Teshiee.
    I'm proud to be a nurse too. It is an honorable profession, and one where we can really make a difference in the lives of others.
    But unfortunately, co-workers and nurse educators still do eat their young. Not only that, but as you said, they teach you from a La-la land instruction book; not the REAL world.
    When I was in nursing school, most of my classmates couldn't wait to get their hands on a juicy tidbit about something I had done. They were all younger than me and definitely very immature.
    My nursing instructor who was also an army nurse, was the one who ate a lot of us, but my other one was very nice. Her method of teaching was organized and articulate, and even though she taught us things from the testbook, she would also add, "But that's not the way it is in the real world. I appreciated that. She even complimented me for not giving up when I was being tormented by the bullies. That made it all worthwhile.
  12. by   ainz
    When is the last time you heard a group of doctors sitting around engaging in character assassination of another doctor? Or attorney's doing the same? Or CPAs (accountants)? Or psychologists? Or architects? True professionals do not engage in such behavior. They also know what their business is, they can clearly define what they do, they know what it takes to become a professional in their field. They understand the real world and the real pressures that drive business.

    The healthcare industry is a business. Healthcare is something that must be purchased. It is not a right in the USA. Businesses must manage their finances, it is what drives everything that is done. Ethics tempers the people that react to the pressures that drive business, ethics itself does not drive it.

    Our profession generally lacks understanding of the financial realities of healthcare and how we fit into that, what our role is. Look around the world, economics drives everything. Generally, if you don't have the money to buy something, you do without. People pursue learning how to do something productive so that they can earn a living, so that they can be paid for their knowledge and skill and their contribution to society. Nursing is no different. Too often nurses demand things that make no economic sense. It becomes painfully apparent that nurses lack the financial knowledge and skill when they demand things that are out of line with the financial situation of the company. Even though a company may be making huge profits, that money is earmarked for something already, whether it be investment or just sitting in the bank to display the financial strength of the organization. Wall Street reacts to such, people that invest money in the stock market react to such, it is what drives the American economy. When a group of nurses demand a pay raise or some sort of increase in benefits or more staff, it adds expense to the hospital's operations. Unless you can show a payoff in doing this, the administration will not be interested. If you present yourself as angry, brazen, and uneducated about financial matters, you will not be taken seriously and you will do damage to your credibility and nursing as a whole. The attitude that administrators are evil and greedy and care nothing about people is sure to inflame and shut down communication. Unfortunately they have the power. To bring about change, it must be done incrementally, slowly, deliberately, steadily, relentlessly. The strategies for change must be targeted to bring about long-term strengthening of the position of nursing in the healthcare system. Through economic policy changes and changes in the law that recognize nurses' knowledge and skill, we can advance ourselves and gain the recognition and respect that will STOP NURSE ABUSE.
  13. by   gojack
    Bullying in the work place for nurses? Why of course, management likes it like that. Management is ultimately the source of your co-workers trying to bully you, and others, too. Do nurses think that all those divisions in nursing itself just came about by coincidence?

    We have sitters, CNAs, LPNs, ADN-RNs, Diploma-RNs, BSN-RNs, MSNs, PhD-RNs, nurse managers, Unit Directors, imported nurses, agency, travelors, in-house float pool, students of varying types, instructors, education directors, FT, PT, every once in a blue moon nurse, and just recently at the facility I was at.... an RN who asked us what the difference between Extra strength Tylenol and Regular Strength Tylenol was. I kid you not, and I know that nobody is actually going to believe that this is a true story, but it is. And that's just the divisions in 'nursing', not to even try to tackle the myriad other hospital cubicles management has created in the "health care biz".

    The sum total of all this, is that management has found a jillion and one ways to divide us. and bullying and separating us into those that feel superior to others is how they do it. How many RNs seem today to give a hoot about how their CNAs are fairing in their lives, for example. So CNAs and RNs tend to level off against each other, and yes... they resort to bullying tactics. This is just one tiny arena of the problem.

    Bullying in the nursing shark tank is a lot like the rampant rape of prisoners in the US prison system. In other words, it's something actively condoned by prison management....oh I'm sorry... I meant medical systems management.

    It goes along with deliberatley making health care benefits unaffordable and inaccesible to employees, speed-up, 12-16 hr shifts, no breaks as guaranteed by law, and on and on ad infinitum..... All of this to make the nursing staff feel as they have no value, nor any rights.

    Hey, that's where your co-workers bullying attitude comes from. Monkey see, monkey do. But they'll try to pose as the creme of the crop, as they take to minutely interrogating you, knifing you in the back, and then trying to take your job away from you. They're always just being good professionals. Like the administrators want them to be.

    So what's the solution? Unity of those below in taking on the top. And by the way, nurses should unify with the patients and their families too. We need to cut out our often hostile attitude towards patients. But that's another topic yet, I guess? Try to help each other out, instead of sucking up to those above. That's the solution in broad terms.
    Last edit by gojack on Aug 2, '03

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