Why the nurses get no respect... - page 8
Hello, everyone. I know this topic has been severely beaten, but its not dead yet because so many of us are still talking about it. I thought I would share my opinions and I invite everyone to... Read More
Jun 22, '03Want to see some California nurse heros?
Just one of many success stories from the link!
Community Campaign Improves Telemetry Staffing
The CNA Professional Practice Committee at St. Vincent, LA:
"Our telemetry unit assignments were too heavy to allow safe delivery of patient care. After meetings with nursing administration proved unproductive, the telemetry nurses and the PPC initiated an intensive two-week ADO campaign on all shifts in the unit to document the unsafe assignments that resulted in a private meeting with JCAHO and the State Department of Health Services (DHS). Violations of Title 22 were reported and the facility was cited for staffing deficiencies. When administration still did not comply, the nurses held a candlelight vigil at the hospital about the staffing deficiencies at which copies of the DHS report were distributed to the media, physicians, and other staff. A few days later, the staffing ratios recommended earlier by the PPC were implemented. The staffing matrix now includes 2 acuity levels at 1:3 and 1:5."
Jun 22, '03http://www.hi-ho.ne.jp/taku77/sum/spr02120.htm
Effects of Year's Scandals Evident in Honesty and Ethics Ratings
Jeffrey M. Jones, GALLUP NEWS SERVICE
More than anything, 2002 may be remembered as a year of scandal in the United States. The corrupt actions of high-ranking
executives at several major corporations, most notably Enron, were uncovered. Martha Stewart and some of her business
associates became embroiled in an insider stock-trading scandal. The Roman Catholic Church is still dealing with the issue of
sexual abuse of young people by priests. And Rep. James Traficant of Ohio was expelled from Congress and jailed after being
found guilty of taking bribes while serving in the U.S. House. The effects of these scandals are apparent in Gallup's annual
update of the public's ratings of the honesty and ethics of professions. While ratings of business professionals have never been
high, it is clear that the scandals may well have taken a toll. Ratings of the clergy's honesty and ethics are at their lowest point
ever, and ratings of congressmen declined this year after reaching historical highs the past 2 years. Overall, NURSES are once again the most highly rated profession among those tested in the survey, while telemarketers and car salesmen rank among the lowest.
POLL ANALYSES After 9/11 Firefighters and police rose in respect.
Firefighters Top Gallup's "Honesty and Ethics" List
Nurses and members of military close behind
Firefighters top this year's annual Gallup survey of honesty and ethics among members of
different professions. Nurses and members of the military rank second and third, respectively,
close behind the firefighters. The police, pharmacists, medical doctors and the clergy also get
high marks. The biggest change is found in the higher ratings received by the police, up 13
percentage points from last year. Car salesmen come in last, as they have for the past two
and a half decades.
Gallup Poll _ November 2000 Only partial with NURSES most respected.
Please tell me how you would rate the honesty and ethical standards of people in these different fields -- very high, high, average, low, or very low? Occupation % Very High/High
Medical Doctors 63
Jun 22, '03Originally posted by gwenith
I am glad you feel able to express this opinion but the big stick approach never really works rather than getting management to "insist upon it" it is better if we can encourage self motivation and empowerment. All too often I have seen education used as a magic wand to cure all ills. No attempt to analyse the problem - no attempt to determeine wherther or not it is even an educational problem just throw the staff into a room and lecture to them - problem solved.
I am sorry that my post was misinterpreted. I did not mean that we need more lectures or even inservices. That isn't good leadership or even good management. A good leader would insist that the staff on her floor act in a professional manner, and would insist that they continue their education.
What I find happening all too often is that management is so busy trying to fill schedules and balance budgets that they don't encourage either professionalism or education.
Typically it may be decided that short staffing is really caused by nurses not "organising thier workloads correctly" and an educational session would be set up to address this but in truth the workloads may be VERY dangerous. Read some of the threads on this board. One nurse a couple of weeks ago talked of how as a graduate she was trying to cover 15 telemetry patients!!! No amount of reorgnisation will address that deficit and it is insulting to expect her to welcome a session on how to better organise her day. When she/he complains that this is not appropriate he/she is told that tehy are "resistant to change" and "unwilling to learn"
I couldn't agree with you more. The nursing shortage is very real. It is not the nurses fault. But, it is here to stay and we better find a way to deal with it.
You say that experience does not replace knowledge well I will have to disagree with you on this point also. Please do not belittle experiential learning and practice wisdom. Admittedly they are not and should not be the only foundation of knowledge but niether should empirical knowledge be the sole support of our practice.
David Woodruff, MSN, RN, CNS, CCRNLast edit by dwoodruff on Jun 23, '03
Jun 22, '03Dave, I am not yet a nurse, nor am I i nursing school. I have however volunteered in a hospital just like you and I also am a nurses assistant. Im not stating my credintials to justify anything just letting you know that i have an idea of whats going on. I believe that people like you go into nursing for the big money, degrees, and other things that i my book are bad reasons. I didnt clearly see you state anything about your going into nursing with any respect to the nurses who have been doing there job for year. I also dont rremeber you stating that you are going into nursing to make changes, set examples, ad provide the best care possble for patients. You have no idea what it is like to be nurse, and yet you think its ok to put others down and jusify others for doing so as well. Under no circumstances is it acceptable to look down on another human being. i really dont know you or your true feelings but from what i have read from you i think you dont need to become a nurse, and i really dont think you should be adminstering anesthesia to anyone. Please look and observe bit more, humble yourself and become a little more understanding.remeber you just observed one enviorment.
Jun 22, '03Dave, thanks for your input. I have to agree with UntamedSoul about promoting nurse's empowerment to make changes, because no one else will do it unless we take matters into our own hands.
This reminds me of a veteran RN who constatnly complained about how unfair hospital policies are towards nurses, and that "because it's a gender-specific profession " we are a have no fair representation therefore no respect. She might have had a point, but had she ever written to her congress rep. or was she ever part of a coalition to impose legislation? No...
As you are aware, nursing programs are educating future nurses on the importance of empowerment and becoming politically involved, this is a must for nurses, and one way to make a difference.
As for the uniforms is concerned, most of us are aware that the traditional white cap and starched white uniform did not historically reflect authority...rather, the white color was a way to imply " a state of virginity" and submissiveness before the authoritative, dark-suited male physician. I personally liked how clean it looked, but will never be caught dead with such an uncomfortable outfit. I love as long as they coordinate and are clean, and there is a fashion plus with the colors. I think nurses can find other ways to idenfity themselves in the absence of a white cap. The suggestion of using Nurse Jones instead of just "Linda" sounds appropriate.
Also, nurses were never as respected in the past as they are now. Back then, you were supposed to cross your legs, stand up when the physician walked in and make coffee... apart from other unsighly duties... This might have been regardes as more "ladylike" but never has nursing been seen as a legitimate profession as it is now... So take pride on it.
Some nurse advocates have pointed out that part of the problem lies in the fact that so many nurses have unequal educational backgrounds from a one and-a-half nursing program, to the traditional four-year program, therefore clients and medical staff don't know how much clinical preparedness the nursing staff practices with. I have mixed opinions about this because I have worked with excellent clinicians with less than a four-yr. college degree and with BSN nurses who no longer stop and listen to their patients all together...But I agree that we just can't loose with educating nurses better, and we need to work on solidifying our educational backgrounds better. Instead of being part of the instutution, better educated nurses can be the institution.
As for the acrylic nails go, everyone knows they harbor more bacteria and as for the wrinkled scrubs and nasty tennis shoes goes, (yup, some of them look like jail inmantes) we definitely have much more to goLast edit by NurseLili on Jun 22, '03
Jun 22, '03Originally posted by gwenith
I am sorry you feel thout our considered and erudite rebuttals of your orignal post were "sarcastic". I answered as I did because I considered your post to be deliberately inflamatory.
I wonder whether you would have the temerity to post on a Bulletin Board dedicated to teachers and tell them that you in essence consider them to be the authors of thier own professional problems because they no longer wear reading glasses and lace - up shoes. Would you go to a bulletin board for police and tell them that the reason they have lost respect is that they are no longer crew cut and worse there are women in thier ranks!! You are on a nursing bulletin board deriding nurses to nurses do not be surprised if we respond to defend our profession and our own professionalism.
Once again though I note you have leveled accusations without giving specifics. Who on this thread has been sarcastic, complained and made negative comments?
As for cleaning pee-pee and poop. Yes I clean patients when they have defecated and urinated but I also maintain thier ventilation, monitor thier vital signs, administer medications and evaluate responses to therapy and interventions and by heaven I also do my fair share of guiding new medical staf in performance of thier duties. It is called providing holistic care.
Provide specific instances of your allegations and we will listen and where possible enlighten you. Make general negative comments and expect the responses you have recieved.
Jun 22, '03No respect in our profession?????????, of course there is enough respect, only not allways.
Do we allways!! respect people? .......
Jun 22, '03interesting read
As a student nurse in a major trauma hospital working in neuroscience, I have run across attitudes about patient care and nursing from nurses that have shocked me. It's true. It is also true that I have run across nurses who have overwhelmed me not only with their knowlege of medicine, but their compassion and empathy.
I choose to focus on those nurses and seek them out. Even if I have seen everything that Dave is talking baout, and I have (although the white uniform thing seems to be a bit of a fetish of his. I'm not knocking his opinion, I just think it comes from some place other than concern for patient care), I have also seen everything that many other nurses here are saying in defense.
And I am so happy that I am almost working as a nurse. And proud.
The lateral violence insight is interesting. I had felt that from some of the nurses, but I was never able to word it properly. Thank you for giving it a name. Makes it easier to wrap my head around the problem.
Jun 22, '03Dave I agree with everything you said except the white uniforms. Although the one nurse who wears white looks more professional than those who wear colors he/she looks trashy if the uniform is soiled. I remember when we all wore whites, and caps, and it made the hospital look so cold and sterile. A fresh white uniform is wonderful, but if it was a rule the freshness would fade quickly.
Jun 22, '03Seems counter intuitive that the very hospitals that claim patient care is the best show little respect for nurses.
Here in California a study showed that hospitals where the registered nurses are members of the RN union have the shortest length of stay and lowest complication rate.
Jun 23, '03Seems counter intuitive that the very hospitals that claim patient care is the best show little respect for nurses.Last edit by roxannekkb on Jun 23, '03
Jun 23, '03Want to try a little experiment guys 'n gals? Go to work some shift with a white lab coat on. You will be amazed at the difference in attitudes from patients and families. I have found this to be so telling...
I'm not necessarily saying we should go back to sterile whites, but I do find this phenom verrry interesting.