Abusive and Cruel Clinical Instructors: Why??

Nursing Students General Students

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Forgive me, but I've noticed on these boards when a student is afraid of a overly harsh clinical instructor, there seems to be a running theme: angry clinical instructors that embarrass students, intimidate them, and make them afraid of them are the clinical instructors you want, because they make you work hard?

Huh?

This is grossly incorrect, in my humble opinion. I had a clinical instructor who picked on only me in a class of eight people. She would actually chart for other students, was kind to them. When it came to me, she embarrassed me in front of patients, their families, and other staff. She talked down to me, she consistently made me feel that I was not going to be a good nurse.

Absolutely EVERYTHING I did was wrong, and nothing I did was right. Even when there were no mistakes on my charting, she made it a point NOT to tell me how well I was doing, yet did it with other students.

It had a horrible effect on me: I lost 25 pounds, I was stressed out beyond belief. I was not sleeping, and it took a toll on other classes I was taking. I am an A student, and I began to get grades that were below that. It was then that I took control of my life.

I realized that when there is a person, instructor, boss, manager, who you can NEVER, EVER PLEASE, despite how hard you work, and how correct your work may be, there may be a personality disorder there, and you may need to simply talk to other faculty who may be able to talk to the instructor. You may just need to realize that IT'S NOT YOU, IT'S THEM. And that's ok. It's ok to realize that you are doing your best, and there are people who you cannot please. But lateral violence, nurses being mean and cruel to each other, and younger nurses accepting this attitude and even praising it is baffling to me.

This harshness and uncaring attitude that some clinical instructors show to students is what fuels lateral violence in the nursing profession, and it makes being a nurse more about personality conflicts than taking care of patients. In nursing school, I have seen more times than I care to remember other nurses who are mean and cruel to new nurses, or me as a nursing student. I don't cower in a corner like many nursing students, I stand up to nurses like that, and demand to be treated with respect.

I can understand that nursing students may be afraid to cross these clinical instructors, but what kind of nurse will you be, and how can you advocate for patients, if you cannot advocate for yourself? You need courage to be a nurse, and it seems that the message on many boards is: "do what you can with mean clinical instructors, be silent, accept the abuse, and move on". This just seems strange to me since as nurses, we need to be strong for our patients.

There is a nursing shortage going on, and we don't need students dropping out of programs because they have clinical instructors stuck in the past who think it's acceptable to embarrass and intimidate students and create a hostile class environment. It's unnecessary, and we as nurses need to acknowledge it.

I think it's high time that abusive instructors and nurses who practice lateral violence to other nurses and CNA's realize just how they are making this nursing shortage worse, by discouraging bright and talented nurses who don't need the cruelty. For those of you who are reading this who practice this behavior and you know who you are: Stop It.

And we wonder why so many nurses leave the profession.

Specializes in Paramedic 15 years, RN now.

1. Determine the treatment is actually happening by having a witness.

2. Speak to nurse in private explaining your feelings, BUT, use psychology and never put her on defensive, always use, "i feel, that I am, I feel that you are not happy with MY blah blah.."

3. Ask if there is anything you are consistently doing wrong and how you can improve. Make her slowly see the connection of your lack of infractions combined with her inconsistent treatment toward you.

4. Last option, take your witnesses and go to head of dept and tell whole story, perhaps the insturctor with get a "talkin too"

I recently started a new semester of nursing school with a different CI, and am already seriously concerned that she is going to fail me. Today she continuously singled me out in front of my 5 other classmates. During our group meeting, she interrupted my report on my patient, insinuated that I was making stuff up about my patient's status, said I needed to work on it, and asked the next student to start her report. When I later pointed out to her that my patient did in fact have a condition that she just previously remarked she did not see, she completely dismissed the fact that she had embarrassed me in front of my classmates. Whenever we ask her questions, she always gives condescending, snippy remarks like "Well, yea." and "Obviously no." leaving us feeling stupid and on our own. She is extremely insensitive and will share things with the class that students have hoped she would keep confidential. Basically I have an instructor who makes us feel stupid when we ask her to teach. I don't know how I will ever learn how to properly document on my patient's progress unless I seek help from my other teachers. I actually considered going to our administrator about this, but do not want to start anything if it will only cause more trouble and no solution. I doubt that I can be transferred into another clinical group considering all the other CI's at our school already have more students than my own CI. I just have this awful fear that I will do well on my written exams and reports and still won't be able to continue nursing school, because my CI failed me.

Try and get through this rotation is the only advice I can give you. The instructor I had took something away from me so the previous post concerning them scarring you is very true. I find myself trying to stay under the radar now. I'm almost relieved when my new instructor is with someone else. But I've learned more in the last two weeks than I did that entire rotation. Our instructor used us as free CNA labor for her hospital.

What many of these schools really need to understand is that by allowing this to go on they are not producing a nurse with skills. They are producing a nurse who is already jaded to the profession, who feels that may never be confident. I am not going to take abuse again though. I will quit first. I had a nurse the other day jump all over my tush because of my allowing the patient the time to finish praying rather than interrupting the time alone with their priest and family. JMVHO but emptying the urinal and the basic care I needed to do could wait five minutes for the patient to have their spiritual needs met. I relayed the information to my instructor, and if I'm labelled as a troublemaker so be it.

Specializes in Telemetry.

Rule one, document all that the instructor said to you and her attitude towards you and keep it at a safe place.

I've come across instructors like that clinical and theory instructors.

One said that their new policy was to try to instill fear to gain respect. Others were mean and you could tell, just to motivate you to do the best.

I've seen one leave teaching (which was a blessing to us all)

One getting pulled from teaching to something more office related

But I've seen ones that were just evil. They do it for the power trip sometimes. They worked for years at bedside and you've given them just a taste of power and they go nuts.

They're pretty unpleasant.

Specializes in Operating Room, Long Term Care.

Well said. I must say I have not experienced this at my school. I got the toughest clinical instructor according to everyone else and I learned so much. She expected nothing but the best, but she did let you know if you were doing well.

Specializes in Gerontology, nursing education.
Try and get through this rotation is the only advice I can give you. The instructor I had took something away from me so the previous post concerning them scarring you is very true. I find myself trying to stay under the radar now. I'm almost relieved when my new instructor is with someone else. But I've learned more in the last two weeks than I did that entire rotation. Our instructor used us as free CNA labor for her hospital.

What many of these schools really need to understand is that by allowing this to go on they are not producing a nurse with skills. They are producing a nurse who is already jaded to the profession, who feels that may never be confident. I am not going to take abuse again though. I will quit first. I had a nurse the other day jump all over my tush because of my allowing the patient the time to finish praying rather than interrupting the time alone with their priest and family. JMVHO but emptying the urinal and the basic care I needed to do could wait five minutes for the patient to have their spiritual needs met. I relayed the information to my instructor, and if I'm labelled as a troublemaker so be it.

C&B, if you were my student, I would have given you an "A" for the day for your excellent holistic assessment! I would have jumped all over the tush of any nurse who would DARE harass a student of mine for respecting a patient's spiritual needs.

I have to say that I am late to this discussion, but, having been a clinical instructor, I never tried to be intimidating or rigid. I feel secure enough in myself as a person to not have to bully students or other nurses. My biggest challenge was that I was a bit rusty in my clinical skills and, in retrospect, I should have asked for much more orientation to the clinical facilities at which I taught. It is a little ridiculous that a school will put an instructor, especially an adjunct, in a facility in which he/she has never even set foot! :down: However, I did have one student who took advantage of my easy-going nature and, looking at it from the other side of the issue, I was definitely hurt by her actions and her duplicity. I haven't taught in a clinical setting since then and, while I would rather be teaching in a classroom, I might be at least a little wary if I do teach clinicals again because of how manipulative this student was. It isn't right---but my guard is definitely up. I believed that if I treated students with respect, they would in turn respect me---but then again, the rest of my students were great, so I should not let one bad apple spoil the entire bunch.

Actually, the experience burned me out so badly that I thought I would never want to teach again. But, especially after reading the posts here, I know that I am needed. Thank you for reinforcing that for me. :loveya:

BTW, instructors from hell exist in all sorts of programs, even at the graduate level. I am sorry about the horrible experiences many of the posters on this thread have had but it does help me to realize that I wasn't the only one to which something like this happened. Yeah, I had it happen to me as a student, too, and it is NOT a pleasant experience. Please feel free to PM me if you ever need a shoulder.

I too had a bad nursing instructor. She would say are you ready to pass meds when I'd say yes she would be like you don't have the insulin syringe ready what are you going to give it with your finger. The syringe was right beside the pyxis machine so not like I needed to have it out. Then she would try to rush me through pulling up meds and say the pyxis is going to run out of time and error out. One time I had a patient that had abnormal lung sounds so I was like mrs*** you might want the other students to listen to this. Her reply was I John I think they have all heard lung sounds, in a really smart way. I worried and just hated every minute of my clinicals with her, learned nothing, and built a hate for her. My point is this if you are a clinical instructor don't treat your students like crap, you could be their pt or they may be your supervisor someday. Plus you should want to teach them so that they can become an excellent nurse. If you're a nursing student don't let an instructor intimidate you. one you are paying them to teach you, second you deserve better, third you should just report them. One of my friends working on the floor accidently squired some of the insulin out of a syringe and was too nervous to tell her so just gave the lower dose. That puts pt in harms way so just remember that next time you are a total hag to your students.

P.S. I told her what I thought. One day at the pyxis machine when I was pulling up insulin, I told her that I was not going to rush and she as a clinical instructor shouldn't want us to rush through a med esp one that can be very dangerous. She was shocked and speachless. If you are the instructor reading this post I really hope you grow up and get over your power trip because your just ruining new nurses and we all think you were a horrible instructor...

I've said my peace thanks for reading :) :)

Some of them are on a powertrip.... Don't put up with it report them to their supervisor and then board of nursing. That will stop the BS...

I guess I'm lucky because most of our clinical instructors are pretty cool. They are SUPER strict and will make you re-do your checkoffs for ANY little reason but they are also patient and respectable. I have heard horror stories though about nursing school and I'm sorry you have to deal with those types of people, it's abuse.

Thank you for this thread! I haven't read all of the responses, but have my problem answered. I started my class at the local CC in mid August. The following week we saw the VS video on Wednesday afternoon, and were checked off on Friday morning. I really messed up the pulses because I have nerve damage in my fingertips. Another student in my class also had this problem, but is not "disabled". I was told last week that I would not be allowed to go to clinicals because of this. I was never given another opportunity to re-test like the other student, but was checked off on everything else. I can do it now, due to the suggestions on this MB. I'll have to find another program, but think that my 103 GPA and the fact that I was noted to always be prompt will only help. Is there a way to find out which programs have instructive, non abusive teachers? I learn much more through encouragement and instruction that screaming rants. I found it ironic that these instructors spent more time teaching the different types of abuse, then yelled at me that I was NEVER going to succeed??

Thank you so much!

BTW, instructors from hell exist in all sorts of programs, even at the graduate level. I am sorry about the horrible experiences many of the posters on this thread have had but it does help me to realize that I wasn't the only one to which something like this happened. Yeah, I had it happen to me as a student, too, and it is NOT a pleasant experience. Please feel free to PM me if you ever need a shoulder.

I have a doctorate in another field that at this point I would love to go back to. I feel like a naive smuck. I have had lots of different teachers. My program was multidisciplinary and I took a full semester that was the same as the medical students and a full semster same as the dental students as well as other department. So I am very familiar with profs that are hard, cranky, eccentric, highly competitive, mentally ill. estly, I can handle difficult but no interest in being emotionally abused.

The way the nursing depts are different is that in other depts this abusive type of behavior by an instructor is looked down on and tolerated mainly because a person has tenure or is bringing in lots of grant money. If the person is kept on they tend to try to keep this person from doing major damage ot the students and in fact usually try to get rid of the person.

Nurses are also different as that this type of behavior is looked on as ok and a rite of passage by many. And of course I see especially the "seasoned nurses" talking about younger ones just "not being able to handle it". I got news for you. What you are "handling" is emotional abuse that you have been taught to tolerate. All of you out there tolerating this abuse are like crabs in a barrel trying to pull down everyone else that does not want to tolerate it. Yesterday I heard a student at the local high school was being arreste for punching a teacher. I have seen/heard one two many times that this is just something that happens if you are a nurse and you have to buck it up.

I had high hopes for this professional change and combining it with what I already have but am just about to throw in the towel and declare it a lost cause. Not because there are not good people out there in this field. But because as a majorly codependent person who has worked hard for my recovery and never wants to be in an abusive relationship again I am very attuned to emotional abuse and that what you all are describing here over and over and over.

I do not wish to be trained to take it again or as I hear it put here. On this site I almost laugh when I see the very smug "some people just arent cut out for nursing" in the context that the person that is writing this is somehow superior.

The main problem with nursing is nurses no matter how you cut it. People that need to be martyrs generally have ver low self esteem and I believe nursing attracts people with low self esteem in droves. This is also the reason so many are so mean to each other, people with low self esteem try to get pumped up from outside sources and the best way to do that is by putting another person down.

By the way I had a dream of being a nurse when I was young that I went out and pursued as an older person. I have seen here people saying that there is an idea that once someone is no longer codependent they no longer want to be a nurse. Maybe that is me.

I am pretty much at the point where I am just going to pay off my loans. Once that is over I will og to work every day with a smile on my face even if I am shovelin' poo knowing that my daily interactions will not be spent with a bunch of mean nurses who hate themselves and want to take it out on me cause I dont.

I know lots of you are wonderful people and I am sorry you are having to train yourselves to be treated ike nothing just to keep a job. I unfortunately have joined your ranks but hope my sentence will not be too long.

If you knew me in person you would know that I love people and have always tried to help in any way I can and will continue to do so. Perhaps just not in a field where I have to feel selfish for taking care of myself.

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