Why nurses don't want to talk to a ward psychologist? - page 7

Hello, Since I often seek and get good information at this forum I had an idea I can ask you for help with my current issue. I am a psychologist working in a pediatric ICU. I am there mostly for... Read More

  1. by   emmy27
    I have no problem talking to a therapist and have done so of my own volition when struggling with issues in the past. But I would never avail myself if one who was also a coworker. Even if I trusted that nothing would get back to management, it's just too close a working relationship to be comfortable sharing personal vulnerabilities. I want someone entirely separate from the rest of my life for that.
  2. by   Ambersmom
    You bring up a great point. I learned after a very hard experience that management does not have your best interest at heart, and they, while stating we are non-punitive are in fact very punitive, I could go on but yeah, I would never go to a person on the unit for any type of support unless it was mandatory. I make sure my healthcare is provided at unrelated facilities as well. I've never felt comfortable with any place I've worked having access to my health info, and I have nothing wrong, other than I'm not so much worried about coworkers as management having access, I've always felt the only one who should have access to my health info is my doctor and myself. Which made me think of a question on this subject;
    Lets say I did go the ward psychologist for support after some issue, how is that going to be documented? Wouldn't they, if they counseled you have to put some form of note in a chart, your medical chart, employee health? etc I'm pretty sure I wouldn't want a paper trail started, but maybe I'm just paranoid.
  3. by   seaofclouds21
    Quote from Kooky Korky
    Of course, the employer can see your medical records since it is paying for your insurance, if yo use
    employer-paid insurance.
    Good think I don't use employer-paid insurance either.
  4. by   Orca
    I would be very reluctant to talk to a psychologist who worked for my employer. I would never be completely sure that my information would remain confidential within the same company. I worked on a hospital inpatient mental health unit, where employees' mental health care was paid for 100 percent on our unit, but only 50 percent if they went somewhere else. I believed that this was profoundly unfair, and I felt badly for the employees who came to our unit. Even if no one talks about it, the people who worked on the unit and ancillary people who came through (lab, EKG, etc.) would know that they had been there.
  5. by   maxthecat
    I also worked in a hospital that wouldn't make an out of network exception for mental health. One of my co-workers started having problems and had to come to our unit for treatment. Not only was that extremely awkward for him, it was also awkward for me. I really did not want to know the details of his failing marriage. When you learn intimate details about someone's life it makes it VERY hard to go back to the "just a co-worker" role. You as a patient either share things that shouldn't be shared with a fellow worker in order to get the best treatment or you hold back and don't get all the treatment you may need. Let alone private info shared with a provider with whom you have to work. I would go so far as to say this sort of thing is unethical, but the hospital didn't seem to think so.
  6. by   Oemgee
    The bottom line here is that you most likely were not put into your position at the request of the staff on the floor, no matter what you've been told. Even if they requested your presence for the good of their patients, they did not ask for you to be there for their benefit. They're at work to work and not to discuss personal matters with a stranger employed by hospital administration. These nurses don't have time or inclination to attend groups during their shifts because they are always going to be managing their time for the good of their patients. They're not going to be doing things during their break, if they even get one, because that is their time and is not to be infringed upon. They're not going to open up to you about their issues because anyone who has ever worked as a nurse knows how easily any and everything can be turned against you, no matter how high your opinion of your ability to keep things confidential is. Administration can be vicious, especially when things go wrong and they're looking for someone to blame.

    If the charge nurse is coming up with things for you to do I'm betting it's either because you're bugging her when she's working or because you look like you've got too much time on your hands.

    I find the entire idea that you're pushing for people to confide in anyone in their workplace things that could conceivably be used against them to be absurd and intrusive.
  7. by   canoehead
    Manja, just knowing you are there if they choose to talk has some value. As you gain a few years on the unit you will build a reputation, and maybe things will loosen up.