An open letter to the #NursesUnite movement

I’ve had this on my mind for quite some time, but am now able to put it into words. Since Joy Behar opened her mouth and let her ignorance towards the nursing profession spill out, my timeline has been flooded with Nursing Stethoscope Selfies and personal outrages against those comments.

An open letter in response to #NursesUnite:

It is amazing that you have finally found a cause to unite over (#nursesunite), however, I find it hard to jump on board this superficial bandwagon that actually serves the nursing profession no purpose whatsoever.

I have pondered over the last week why it is that so many nurses take such offense to the few words of an ignorant television host, being that Ms. Behar has zero impact or influence on the healthcare profession or the role of nursing, yet they do nothing to end the many real issues plaguing the nursing profession.

The only conclusion that I can come up with is that nurses feel that they can't do much to change the real problems in nursing, so they unite and attack over something that really makes no difference at all to us as a whole.

There are so many other REAL aspects of the nursing profession to unite over to influence change that will actually make a difference to nursing. There are many "dirty secrets" of nursing that go unspoken and ignored, many of which are cultivated by nurses themselves.

Bullying, horizontal violence, inadequate training, nurses "eating their young", 12+ hour shifts, no breaks, high acuities, too many patients per nurse, etc.

I went into nursing because I like to help people. I am empathetic. I am a quick thinker. I am smart. But that isn't actually what makes a nurse successful in this profession, as I have come to find out. As I have come to find out, nursing has less to do with how competent or compassionate you are, and more to do with how much you can, or are willing to, put up with. The nursing culture is full of "suck it ups" and "oh well, it is how it is."

What seems to make a nurse successful is the ability to withstand bullying, intimidation, being talked down to by supervisors, patients, family members, and doctors. The ability to get over inadequate training and support provided by management and your peers and to be okay with unsafe patio to nurse ratios. You'll feel more confident in time, it's just a part of nursing.

To be successful in nursing, you have to be okay with having zero time to take a break (even a bathroom break) and most times, taking your lunch sometimes 8 hours past your start time, or sometimes not even getting a lunch. You have to be okay with being dehydrated while hanging patient's IV bags and shaking from not being able to take a break and eat while you are checking diabetic's blood sugars and teaching the importance of proper urinary hygiene to avoid UTIs while you've been holding your own urine for the past 5 hours. Nurses are expected to just be okay with it. It's just a part of nursing, right?

You have to be okay with coming in early to "get familiar" with your patient load and not getting paid for that time. You have to be okay with staying well past your shift to give report on a regular basis, taking your total time on the clock (and off) well into 14-15 hours, which means that you are so tired driving home that you hope you make it there without crashing because your brain is tired mush. But long shifts are just a part of nursing.

You have to be okay with having to do more with less, even if it affects patient safety and outcomes. You have to be okay with doctors yelling at you and treating you like you're an incompetent idiot rather than a professional colleague in health care. You know that if you call a doctor to clarify orders or to update on your mutual patient, you may be met with disdain and sarcasm. But that's okay too, because it's just a part of nursing.

Nurses know this to be true. Nurses know these are the dirty secrets of nursing. Nurses know that bullying is rampant. Yet, the answer to this problem is "grow a thicker skin" or "you'll just get used to it".

Nurses know that understaffing is a given and that high acuity and high patient loads per nurse is more common than not. Nurses know this isn't safe, they know the care being given isn't what it should or could be, but they do not unite together against it and demand change.

Nurses know that there is often a lack of adequate training and preceptorship for new grads and new employees entering new specialty areas and that too many times nurses get thrown to the wolves and it's a sink or swim mentality. But, this is just a part of nursing we accept.

Nurses know this. They live it. They experience it. It is the culture of nursing. Yet, there is no call to end it. No hash tag. No selfies. No viral campaign on social media. No standing up to it. Just the continued mentality that these things are just a part of nursing that you have to accept or leave.

So, instead of uniting together against something or someone that has no impact on nursing, why not stand up and unite against the things that are killing the nursing profession and demand they change?

Sincerely,

A disillusioned nurse

That is great unless you have a surgeon throwing s**t at you.

We had everyone but nursing punching a clock at one point. Then the RNS were found to be abusing this system. That is why everyone now punches the cl9ck.

You are wrong hon, bully is very common in other units...ER has very bad reputation...And, more education ie taking a bunch of other training courses would not make nurses better human beings...

I agree. I've only been a nurse for about 3 months and I'm beginning to get depressed about it. I love my patients and I feel I can become a great nurse, but dealing with the ridiculous amount of paperwork, inadequate training, doctors, etc., etc. is overwhelming. I'm starting to get an ulcer from it.

Specializes in Family Nurse Practitioner.
The ANA is out of touch with the bedside nurse.

Are there even any bedside nurses left? that aren't applying for or in grad school? :(

Specializes in Education.
Are there even any bedside nurses left? that aren't applying for or in grad school? :(

Only reason I'm going to grad school is so that I have options before my body gives out completely. But I'll be quite happily doing my bedside nursing thing until I can't anymore.

Specializes in OR, Nursing Professional Development.
Only reason I'm going to grad school is so that I have options before my body gives out completely. But I'll be quite happily doing my bedside nursing thing until I can't anymore.

Ditto. I don't want to get to the point of not being able to handle the physical demands of beside nursing and taking on student loans at an age close to retirement in order to advance my career. That's why I completed my MSN Ed program last year instead of waiting until I need it.

Specializes in ICU, Pacu.

One of the best articles I have ever read about what is REALLY going on with nurses and I have been in it to win it 40 years hope I can hang in there for 2 more years until I retire..... Thank you for this post it reaffirms. :)

Specializes in Med-Surg, Oncology, Neurology, Rehab.

Dear disillusioned RN--AMEN AMEN!!!!

No truerer words were ever spoken! 😊👦

That's why the time clock thing is used----because there is always that 1% of nursing that abuses the system, and so the entire nursing staff gets "punished" for the 1%, because they can't be trusted. That's just how life is---the 1% that abuses ANYTHING, whether that be insurance claims, running red lights, and even mass shootings cause the entire population to suffer the consequences of their actions. In order for the establishment to feel that they can "catch" the wrongdoings, they must monitor the entire population.

I remember when computerized charting was first utilized. Computer charting was supposed to REPLACE paper charting. Now, nurses have to do charting on paper AND in a computer. WHY? Because the hospitals are afraid that their system will be compromised & crash, so they want the charting done in hard copy too. Hospitals & facilities have to do EHR's because of Medicare---so nurses get to double chart. In the medical malpractice consulting I have done, one of the BIGGEST issues surrounding charting errors is having to put the same thing in a whole bunch of different places in a chart. It is totally unnecessary to put medication administration information in 3 or 4 different places. It is totally unnecessary to put assessment information in more than one place. It is totally unnecessary to put ANYTHING in more than one place. Many times, it is an error in the duplication of the same information in multiple places in the record. But, try to tell the powers that be about this. If there is a stable & secure EHR system in place, it would not be necessary to chart in a computer & on paper. The problem is that facilities don't want to pay for the most stable & secure system----they'd rather toss the dice & see what happens.