If Truth Be Told...

During the coronavirus crisis, I've been moved by the outpouring of gratitude toward healthcare workers.  But there are some expressions of gratitude that make me uncomfortable.  Read on to find out why. Nurses Announcements Archive

Updated:   Published

I have been moved by the awesome outpouring of gratitude from the public during the coronavirus pandemic. My spirits are lifted each day as I pass the homemade "Thank You" signs and banners that line the road leading to my workplace. I have especially enjoyed reading the cards and letters sent by the youth to encourage the nursing staff. It gives me hope that the younger generation will carry a deep respect and appreciation for healthcare workers.

Gut Reaction Concerns

But, there are some expressions of gratitude that have been gnawing at me. When certain people cheer on front-line workers, I immediately have a major internal "eye-rolling" moment. Since I'm not a cynical person by nature, this gut reaction has bothered me. When I am struggling with something internally, it always helps to write it down. I So, I did just that.... fleshed it out for insight. I write under a pseudonym, which gives me the freedom to openly share my experience and thoughts when I write.

Insincerity?

Now that I have a better understanding of my angst, I suspect I am not the only lonely tree in this parking lot. The "people" whose apology I often perceive as insincere are executive administrators, politicians and lawmakers. Recently, healthcare administrators sent messages praising how we've "all come together", "stepped up to provide competent and compassionate care" and "supported the organization's mission during trying times". But, thoughts like these below keep me from truly accepting their gratitude.

Because I'm a Nurse

I am a nurse, and like other nurses, this is just what we do. Yes, it is unprecedented and scary times. But because I am a nurse... I care for COVID patients with the same high level of commitment that I have for all patients throughout my career.

Feeling Under-Valued

I don't feel valued by executive leadership and this is a common occurrence throughout my nursing career. There are many reasons for this, but the majority seem to be "universal" regardless of the employer.

The "Executive Silo"

I have had exceptional supervisors, managers and directors over the course of my career. Unfortunately, there have been times the voices of nurse leaders are not heard. Decisions made by executive teams are often made in a silo. This "executive silo" too often consists of non-medical individuals or individuals who are long removed from day to day realities.

Disregarding OUR Safety

My safety, as well as my co-worker's safety, has been undermined by decisions driven by profit. Safety concerns run the gamut, from available PPE to violence against healthcare workers. I have worked the past few years with less than a $1.00 raise despite stellar evaluations. However, I have never lowered my patient care standards based on pay gaps and poor incentives.

FACT: I suspect that Senator Walsh's "card playing" remarks are shared in political circles. At minimal, her public comments certainly did not help build a rapport of trust.

Recognizing and Addressing Personal Biases

I've given much thought to what it is that I can do to address my biases. Ultimately, I need to use my voice and get involved. I plan to communicate to upper management that I appreciate the recognition for the quality of care I and other nurses have always provided. I also need to network with other nurses and educate myself on the barriers that keep nursing from being perceived as a profession. But most of all, I need to advocate for the profession I love.

Final Note

I wrote this article about my experience during the COVID-19 crisis. I acknowledge that my thoughts are limited to my own personal experiences and circumstances, which may be hugely different from your own. Even though my facility had a large number of COVID patients, we have not reached a point of an overwhelmed system.

I invite you to tell us about your experience.

Specializes in Primary Care Pediatrics; NICU.

Thank you for echoing my thoughts!- very timely during Nurses week.

Nurses don't feel gratitude because health systems do not value altruism. Everything is about the bottom line. Nurses are not income generators. Procedures, physician services and hospital charges are reimbursed, not nursing care, which consumes budgets.

Stop telling us we're HEROES because HEROES aren't supposed to get sick, cry, make errors or have moral distress. They endure despite dangerous conditions, never taking that cape off. [Insert Nightingale Pledge here]

Healthcare leaders and managers, if you are reading this, I'm grateful for the difficult and thankless work you do. Thank you for stepping up. I could not. Often there are very hard decisions at hand, I know. But, please treat your nurses as if they are a precious resource- because they are. A good, safe nurse is very costly to replace. He or she is also human, and can break. I don't want a mug, t-shirt or breakfast for nurse's week. Just listen to me. Get my back. Period. Help keep me safe while I help heal others or maybe even you.

"Personally, I've never had much time for heroes."- Albus Dumbledore

Specializes in Surgical, quality,management.

I am very fortunate to be in Australia.

We have had time to plan, prepare and flattened our curve. I see the anxiety in my EDON and CMO faces. I see them working 12 hr days and coming in on the weekend to deal with new suprises such as a cluster of cases in a facility close to ours and investigating if there is any crossover of staff or spouses of staff.

I get the phone calls from them as a clinical manager to ask if the idea they have is practical and applicable in real life. (This is what happens when you are the squeaky wheel for years ). They take my suggestions and the mapping of the process and listen to it.

I don't doubt if we were in a different position that they would be trying their best but would not have the luxury of asking for advice and time to consult.

I don't doubt that the non clinical leaders in the executive office have my best interests either. The director of finance and logistics is arguing and advocating for us and our PPE needs at a state level- but all PPE is now centrally ordered by the department of health and distribution is managed by them. This guy only joined the organisation 3 months ago. He has been shown how many little bits of out lying facilities we have and we all have PPE no matter where we work.

My friend works with the COO and she has been working non stop on plans to turn every area that was once clinical back to being able to take patients if needed at 24hrs notice. Basically if there is medical gases in the wall she can do the rest.

Our CEO is managing the lunacy of some of our medical directors irrational demands and knocking some sense into them.

Our board on the other hand has been deathly quiet. Not a peep. It is disappointing to not have heard anything, even an email from them.

We have the great news yesterday that federal government is ready to reduce restrictions to level 2 and a plan for a new normal by July. My state has been dealing with a little outbreak in the past week of 17 people so we may be a few weeks behind in relaxing restrictions but we are getting there I hope.

Specializes in Clinical Leadership, Staff Development, Education.
On 5/8/2020 at 8:27 PM, K+MgSO4 said:

I get the phone calls from them as a clinical manager to ask if the idea they have is practical and applicable in real life. (This is what happens when you are the squeaky wheel for years ). They take my suggestions and the mapping of the process and listen to it.

I appreciate the opportunity to hear about experience in other parts of the world. So refreshing that you are asked about practicality prior to decisions being made. Thanks for sharing.

Specializes in Surgical, quality,management.
On 5/9/2020 at 9:23 AM, J.Adderton said:

I appreciate the opportunity to hear about experience in other parts of the world. So refreshing that you are asked about practicality prior to decisions being made. Thanks for sharing.

We have time. Something that we have not talen for granted. We have sat and worried as we planned and planned, each morning checking the news before we get up. It has been eerie when I see my classmates in Ireland struggling through and friends and family all over the world in health on the "frontline" and count my blessings of my choice to migrate to Australia. We have been waiting for the tsunami that never came and for that I am truly grateful to the government and the people.

On the flip side the chances of a trip back "home" to Ireland without quarantine are a futuristic dream at this point. But we have technology to keep in touch with each other.

If we were in a position like many of you I doubt that the same level of consultation would of happened.

Specializes in SCRN.

The same praising healthcare executives will throw you under the bus in a blink of an eye, and go home feeling accomplished.

As for the applauds and free food - it's nice, but I do get payed for my job, so not necessary.

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