Hard and Soft Skills - page 5

Last year, or perhaps the year before that, I attended an all-staff meeting that was being facilitated by the hospital administrator, chief nursing officer, and a couple of other members of the site leadership team. I will never... Read More

  1. 0
    Quote from middleagednurse
    LPN guy: I have worked in corrections.No you don't need to be overly nice to the offenders. Just professional. And, the offenders appreciate the care. Unfortuneantly, a lot of really mean people like to work in corrections, which was difficult for me because I just can't be mean to people, regardless of who they are.
    I'm that way too - and I've spent the last eight years working in a hospital, and I've seen my share of meanness there as well. Good practice for working in a prison, in fact.

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  2. 1
    I think your administrator is going in the right direction. I have worked with nurses who have excellent hark skills but were just awful to be around. Awful for other nurses and awful interacting with patients. Then I have been around nurses who needed a little work on their hard skills, which let's be honest, can be learned in a short amount of time with practice, who were absolutely delightful to work with. Of course what the admin wants is the happy medium which is hard to find. People skills are important when working with people, especially people who are for the most part less-educated, or educated in other fields. And if everyone has a good attitude, learning those hard skills will come faster because no one will be afraid to ask for help.
    jalyc RN likes this.
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    Frankly, Im glad health care is moving this direction, somewhat. Yes customer service is good, and it sure would be nice to be able to go to work and not be bullied or harassed, the only thing is sometimes the patient can be put on a pedestal, where they can do no wrong which means that if there's a conflict between nurse and patient the patient wins. It would be nice if the patients could have training in how to be nice. If all people could be kind and considerate that would be great. Of course that will never happen.
    CoffeeGeekRN likes this.
  4. 1
    Quote from middleagednurse

    It would be nice if the patients could have training in how to be nice. If all people could be kind and considerate that would be great. Of course that will never happen.
    Oh they have that already in terms of respect; it's in the patients bill of rights; they have responsibilities in addition to those rights...

    I have no issues invoking those responsibilities when I care for patients.
    canigraduate likes this.
  5. 2
    This is for the best. I'm exhausted from working in a hostile environment where I see excellent nurses with years of skill which I have so much respect, consume themselves with bitterness and dissatisfaction and pin it on others. It makes the job undesirable.
    forthebirds and CosmicHymns like this.
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    This is also why a lot of employers are having mandatory "personality tests" for potential employees.

    This is pretty sad if you ask me. I would rather hire someone with a good hard skill set vs. someone who "smiles more" and therefore they will make a better employee. I feel like the skills of nursing are going down the drain.

    Take this for example. When I used to work on the floor, we would have a frequent flier, known for her drug seeking behavior...she would get her 2100 meds, which would include things like Seroquel, Xanax and 2mg Dilaudid tabs...but would also have IV prn anxiolytics and opioids. She would ask for everything (including her prns) all at once...as she kept dozing off mid-sentence with her SaO2 dropping. The nurse taking care of the patient refused and told her that she would have to wait, because you know, the nurse was afraid this patient would stop breathing. Patient complained to management, management spoke to that nurse and basically told her that the next time a patient asks for all of those meds, you give them, even if they are falling asleep mid-sentence. You gotta keep them happy.

    Medicare needs to get their priorities straight.
    Last edit by turnforthenurseRN on Jan 19 : Reason: more to add
    CoffeeGeekRN and bristolrover like this.
  7. 3
    There is a major discrepancy between school and employment. School says keep the patients safe. Employers say keep the patients happy.confusing.
    NurseMikki, jalyc RN, and bristolrover like this.
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    I appreciated this article about increasing importance being placed on a kind personality! It is so hard to work with mean and bitter coworkers. However, skills and experience are also very important - it can be hard to find that awesome medium in a nurse.
    bristolrover and middleagednurse like this.
  9. 1
    Quote from Cobweb
    I once had a patient who was virulent and caustic to everyone, but was particularly repellent in his treatment of minority people--black, Hispanic, Asian, and especially Filipinas. He would stiffen his first two fingers and try to poke them in the eye (a barfighter's trick). He would spit on them and try to bite them. You would think perhaps Alzheimer's, or a really bad sundowner, wouldn't you? Not so, his daughter said he had been like that all his life. He said the most foul things to those girls I have ever heard, and I have heard a lot. He had CNAs run out of his room crying all the time.

    I charted on his behavior. I reported it verbally and in written form to the doctor, the psychologist, the day shift supervisor, the ADON, the DON, the CEO, and Human Resources. I explained that I felt that sexual harassment and racially-aimed verbal and physical abuse was unconscionable and unforgivable and that he should be booted out. Nothing. I mean, absolutely no reaction from anyone. They just didn't care. He's rich, and that's just part of your job, so suck it up. So, every time my aides went in his room, so did I. I charted every time we went in his room and what happened.

    After he left, they gave him one of those customer satisfaction forms and he filled it out. They called all my CNAs in to "discuss his complaints." The aides got a verbal write-up. Management never spoke to me about it (cowards ;p).

    I can do the corporate happy shiny thing, but I feel that if we give it, we should also receive it. What's the point of "excellent customer service" if the staff aren't treated like excellent people, as well? If management feels that being shiny happy people is really important, maybe they should look at their own behavior first.

    I have a great job now with a really wonderful boss who listens to me. How many nurses can say the same? I know it's been pretty rare in my career.

    This what I most worry about when I hear about "customer satisfaction" and getting along with other nurses..

    I don't want to sound like a complainer but there was a time when I was the only "young" nurse on the floor and the older nurses would gang up on me.
    So of course,everyone thought I had "poor" soft skills when it was the other way around.
    Yes,the pts liked me,but still,it didn't matter.

    Soft skills depends on fitting in with the "crowd".
    Nurses are people,and I have saw nurses who didn't fit in on the unit for simple reasons...weight,shyness,race, you name it.

    I don't talk about my personal life at all at work,but it gets under some nurses' skin because there is nothing for them to gossip about me.
    bristolrover likes this.
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    Nursing is an applied science. People can be taught all kinds of things and be actually quite bright and still lack the ability to apply what they know. Some of the best places to work have clear guidelines, foster an environment of acceptance, regularly update and educate their employees, and focus on how to get the work done. Places that focus on "personalities" usually lack an organizational framework and can become a real snake pit.
    NurseMikki, LadyFree28, and Altra like this.

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