Hard and Soft Skills

Two types of skill sets exist in nursing and in other professions: hard skills and soft skills. The hard skills are the hands-on procedural skills that a typical bedside nurse must use to perform the job effectively, while soft skills are the intangible interpersonal skills one needs to facilitate communication and navigate the workplace successfully.

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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 forget a statement the administrator made.

"We are now hiring nurses for personalities. We no longer hire nurses for their skills," he said.

I raised my hand and kindly asked him to elaborate on this statement. He explained that almost any newly hired nurse can learn the skills necessary for bedside nursing. But what management desires in a nurse, and what they cannot teach every individual, are certain work-related social skills such as basic courtesy, getting along with others, caring for patients as part of a team, maintaining camaraderie, and being a good coworker and the type of caregiver that patients and colleagues will like.

He went on to say, "Now that Medicare reimbursement rates will be determined by patient satisfaction scores, it is important that we hire and retain nurses and techs who have good attitudes."

I clarified, "So you will now hire people based on their soft skills and hope they are able to grasp the hard skills?"

The administrator and chief nursing officer simultaneously confirmed that, yes, they would hire staff based on the personality conveyed during the interview process. The old way of hiring prospective employees would be gone forever.

Nursing Requires Two Types of Skill Sets

In the nursing profession and in other occupations, there are two types of skill sets: hard skills and soft skills.

What are hard skills examples?

The hard skills are the hands-on, technical, procedural skills that a typical bedside nurse needs in order to perform the job effectively. Examples of hard skills include starting peripheral IV lines, performing dressing changes, inserting urinary catheters, administering injections and checking vital signs.

What are soft skills examples?

Soft skills are the intangible social skills that an employee needs in order to facilitate communication and navigate the workplace successfully. Soft skills are comprised of the personality traits, positivity, cordiality, work ethic, dependability, workplace etiquette, behavioral competence, emotional intelligence, reliability, communication style, personal habits, optimistic attitude, interaction, and unspoken social graces that come together to render someone a desirable employee.

A person who does not possess soft skills is often viewed as an undesirable employee, even if he / she has a wealth of hard skills.

Employers Can't Train Soft Skills

It has been said that employees can be trained to perform the hard skills, but the soft skills come from within. For instance, an organization can easily teach someone to apply a wound vac machine, but they cannot train this same nurse to have empathy for others, communicate effectively, or change the selfish personality that she has displayed since middle childhood.

Soft skills are important enough to make or break a person's career because, although a pleasant person can thrive in the workplace without a high intelligence level, a very intelligent individual with hard skills will struggle in his or her professional life without polished soft skills. In fact, the Center for Public Resources did a national survey and found that 90% of the time people are fired for poor attitudes, inappropriate behavior and poor interpersonal skills rather than deficient job skills. A lack of soft skills will impede the ability to foster interpersonal relationships in all aspects of life.

Specializes in FNP-BC 2014.

you can dispense with the ***** the term "pussyfoot" refers to treading lightly around something - as something a cat or "puss" (another name for cat as in Puss n Boots) would do.

Specializes in cardiac, ICU, education.
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I personally don't tolerate having someone spit in my eye and tell me its raining, and I would hope my patients feel the same way.

Having "soft skills" does not mean you smile while someone is kicking you. It really is the concept of kind but assertive communication. Not to be confused with assertive and certainly not passive or passive-agressive which is the worst communication style. Basically, how do you handle conflict? Do you truly have empathy for your patient? Do you want what is best for them and their family? But most importantly, how do you want to be perceived if you get into a hostile situation? "Telling it like it is" is a relative term. Your perception of the situation may be totally different than theirs based on a plethora of issues, so how can you meet in the middle while maintaining your dignity and theirs and staying true to the common goal of patient safety. Again, Crucial Conversations is a great resource.

I will say one thing, we have gone a bit off the deep end with regards to patient satisfaction. It is one thing to sharpen your soft skills and try to be the bigger person during conflict, but it is another to cater to every whim a demanding and degrading patient may have. I am not blind to the abuse that nurses take on the daily, but we also need to look in the mirror at ourselves to see what we can do better as a profession because many posters on this thread are correct when they say that other professions are very in tune to this concept right now.

msn10 said:
Having "soft skills" does not mean you smile while someone is kicking you. It really is the concept of kind but assertive communication. Not to be confused with assertive and certainly not passive or passive-agressive which is the worst communication style. Basically, how do you handle conflict? Do you truly have empathy for your patient? Do you want what is best for them and their family? But most importantly, how do you want to be perceived if you get into a hostile situation? "Telling it like it is" is a relative term. Your perception of the situation may be totally different than theirs based on a plethora of issues, so how can you meet in the middle while maintaining your dignity and theirs and staying true to the common goal of patient safety. Again, Crucial Conversations is a great resource.

I will say one thing, we have gone a bit off the deep end with regards to patient satisfaction. It is one thing to sharpen your soft skills and try to be the bigger person during conflict, but it is another to cater to every whim a demanding and degrading patient may have. I am not blind to the abuse that nurses take on the daily, but we also need to look in the mirror at ourselves to see what we can do better as a profession because many posters on this thread are correct when they say that other professions are very in tune to this concept right now.

It is very interesting since this has been a frequent topic of late at my job. Moral in my department is the lowest I've seen it. I can recall only one staff meeting since I've worked at my current job as my manager is VERY uncomfortable with confrontation, and people actually spoke up, and laid it all out there. Feelings were hurt, but it was a temporary blip. For once issues, and those that had them were plainly seen. Now 2 years later our manager will not have a all dept staff meeting, rather she manages by listening to issues, and tell people what they might want to hear at the time.

I have been in charge nurse positions, and when not charge if there was something that was a potential patient care problem I felt comfortable in bringing the issue to the forefront.

I truly feel I was 'called' to be a nurse. To comfort, educate, and advocate for my patients. The business aspect of nursing and healthcare is not what drew me to this field and seeing as it seems to be more and more about doing more with less, staffing unbelievably thin, and hoping against all hope there is not a sentinel event, maybe it is time for me to strategically plan my exit from this field.

Specializes in Orthopedics/Trauma/Med-Surg.

To improve your soft skills, take a class in customer service. Hopefully, teaching customer service skills will one day be part of a nursing degree.

Specializes in Gerontology RN-BC and FNP MSN student.

I appreciate softs skills....and it makes our shift easier when we are working with others who are developed in the area of "Soft Skills".:yes:

Specializes in Pediatrics, Emergency, Trauma.
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Having "soft skills" does not mean you smile while someone is kicking you. It really is the concept of kind but assertive communication. Not to be confused with assertive and certainly not passive or passive-agressive which is the worst communication style.

Basically, how do you handle conflict? Do you truly have empathy for your patient? Do you want what is best for them and their family? But most importantly, how do you want to be perceived if you get into a hostile situation? "Telling it like it is" is a relative term. Your perception of the situation may be totally different than theirs based on a plethora of issues, so how can you meet in the middle while maintaining your dignity and theirs and staying true to the common goal of patient safety. Again, Crucial Conversations is a great resource.

I will say one thing, we have gone a bit off the deep end with regards to patient satisfaction. It is one thing to sharpen your soft skills and try to be the bigger person during conflict, but it is another to cater to every whim a demanding and degrading patient may have. I am not blind to the abuse that nurses take on the daily, but we also need to look in the mirror at ourselves to see what we can do better as a profession because many posters on this thread are correct when they say that other professions are very in tune to this concept right now.

Well said...my "soft" skills are very effective, and they FAR feel like a cotton ball. ;) It's possible to

balance the two. :yes:

Specializes in nurseline,med surg, PD.

And just where does one find a class in customer service?

Specializes in cardiac, ICU, education.
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I can recall only one staff meeting since I've worked at my current job as my manager is VERY uncomfortable with confrontation, and people actually spoke up, and laid it all out there....Now 2 years later our manager will not have a all dept staff meeting, rather she manages by listening to issues, and tell people what they might want to hear at the time.

That is too bad, but that is the biggest problem I hear "My manager doesn't deal with the issues" or "My manager says one thing to my face and does another."

It all starts with management, they are the barometer for the unit (will we have stormy or calm weather?) and they need to model the behavior they want to see on their floor. Being a manager is a tough job, but there is no excuse for passively or even aggressively promoting a poor culture.

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.

kmclark said:
I interviewed a very competent nurse one day. After the interview I flat out told her the only advise I could pass along her way would be to smile more. She had a beautiful smile but was very stingy with it. She said "oh my, thank you so much I wasn't aware of that." She came across as almost ****** the way she looked at you so hard sometimes. She said when she was really concentrating she seemed to get into a zone, but she would certainly keep that in mind. We hired her and everytime I saw her in the hall she always gave me that million dollar smile. She is a great nurse and has done well.

I believe what you are referring to is also known as "B***** resting face."

RobtheORNurse said:
It is a sad commentary but so true. Everyone wants the sunshine and rainbows and they whine when they don't get it. I have said time and again to people I know, I would rather have the most gruff caregiver that is fully competent in their skills than a really nice incompetent one. I may sound bitter about it but a cute smile and sweet demeanor mean nothing when a patient is going down the tubes. A smile without skills is just a smile. I have been in some very difficult situations, in hospitals, in burning buildings and in battlefields, skills matter. You can smile later.

I'm with you on this one RobtheORNurse...... I am seriously being considered for a position in a state prison, and from what I understand you don't have to deal with the "service with a smile, can I get you a hamburger" type of stuff. I am a healthcare professional. Corrections nursing is looking better all the time.

Wow. Will send you a PM.