Is it normal to quit a job because the culture isn't welcoming?

Nurses Relations

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I'm a tech (nursing assistant), not a nurse, but I'm certain that this topic is equally applicable to LVNs and registered nurses alike, so I wanted to bring it up.

I currently work two jobs (one full-time, the other PRN) at two separate hospitals, each a part of a different healthcare network. I've been at my full-time job for about two years, and I love it. I get paid well, I love the hospital culture, and I feel that my co-workers and are not only respectful and warm, but very collegial. About seven months ago, I was hired at my PRN job, but have mixed feelings about it. Most people at this PRN position are respectful enough, and I feel like that I my job competently and have no issues whatsoever with management. The only thing is, at my PRN job I feel like there's a lack of support and positivity between the staff members, and sometimes it's a bit depressing.

For instance, at my full-time job when a nurse asks me to do something, they phrase it as a question. "Can you get vitals on patient suchandsuch?" or "He needs an EKG. Are you cool with getting it?" Obviously, I never say 'no' and am quite compliant. Moreover, the nurses will say 'Thanks for doing that' if I help them out. So I do feel like I'm contributing to a team effort.

But at my PRN job, the nurses are more like, "Grab Room 214's blood sugar" or "He needs an EKG at 4 o'clock." I still cheerfully say "Sure!" and comply, but is it strange that the communication feels more hierarchical and less collaborative? Also, I don't feel like I'm ever recognized if I'm particularly busy and do a whole lot of things. I don't expect accolades, but many of the nurses could at least say, "Hey, thanks for doing that!" Is that too much to ask?

Also, at the PRN job it just feels like there's so much negativity among the nurses and other techs, as if they're burnt-out. I've never witnessed it myself, but I've overheard staff (nurses and techs alike) talk about how the doctors yelled at the nurses, or a nurse chewed out a tech. To me, that seems really unprofessional in a workplace environment, and it resembles what 'nursing culture' was years before. I've verbally conflicted with a particular nurse twice, over various issues, since I value my self-respect more than any pretensions to "hospital hierarchy". I'll stick up for myself if need be. Still, I hate conflicts and the perceived aggression, and afterward I always feel like my chest is beating fast and my eyes do get a bit moist.

On the one hand, I consider quitting my PRN job since I feel that I don't particularly need it (I make good money with my other job), already have a solid resume with work experience, and really don't like the atmosphere of negativity. I aspire to be a BSN-prepared nurse someday, and I really don't want to feel like what I do is "just a job". I want to be inspired. For the record, the patients at my PRN job love me (one guy told me he loved having me as his tech because I "treated him as a human", and another patient said I was really positive and they needed more people like me! Aw).

But on the other hand, I haven't hit the one-year mark that's traditionally used to quit a job. Moreover, I may do clinicals at the same hospital system (though probably not the same hospital) as a nursing student in the future, and I don't know if being a former employee over there would make any difference in me being able to do clinicals there. Also, I have doubts as to whether I just need a 'thicker skin' and be more detached from what I do.

Sorry if it's a long post. Just wanted to get all my thoughts out there!

Thank you so much for your replies, folks!

Specializes in Psych, Corrections, Med-Surg, Ambulatory.
Thanks for replying. I really liked it! Communication's a skill and an art, it seems.

I think we've all been in that situation where something is needed immediately, and if someone said "We need a stat Accucheck on patient 245", it's totally understandable. Using "we" instead of "I" conveys a sense of teamwork rather than hierarchy. And even when the question-based order, saying something like "Could you do an EKG on this kid?" carries the implication that you're not going to say "no".

As opposed to saying, "Hey, go in there and get his vitals". You might as well say "Go fetch that chew-toy and bring me some coffee".

Even from the RN's point of view, if the tech replies differently, I think it matters. Would you rather hear, "I can't right now, I'm busy in here with Mr. Smith (a fall risk patient)!" or "Sure. Could you come and look at Mr. Smith for a second while I go get it?"?

It's really a cultural thing. Let's say I'm really busy doing vitals and lab draws, and a nurse tells me, "I've already got that patient taken care of", I'll still say "Thanks for helping me out with that!" I definitely want to feel like patient care is a team effort, and I'll do my part to convey that.

Sorry, but you sound exhausting to have to work with. Requiring people to walk on eggs around you under the guise of "good communication" is anything but. As for the conflicts that you've heard about second hand but never actually witnessed, why should those even register on your radar?

Specializes in Float Pool-Med-Surg, Telemetry, IMCU.

I've been on both sides of the fence. I started out as a CNA and have been working as an RN for over 3 years now within the same hospital system and I think I can relate a bit to what the OP is saying. The OP may well need to grow a thicker skin but I also don't think anyone here can deny that in a place where you spend a good chunk of your time it is draining not to feel as though you are part of a team and/or appreciated. Yes, it is all about the patients but we are human also, and we crave connection with others.

When I worked as a CNA I floated to various units and was able to observe the culture of each one. There were a couple of units that were incredibly hectic but I enjoyed going to them because the staff there were kind to one another. Sure, I may not have gotten a please and thank you for every task I did and that's fine- but staff greeted me by name and treated me like one of the gang. In contrast there were other units that were far easier work-wise but I found them more draining because there was no sense of camaraderie among the staff.

Since becoming a nurse I am mindful of how I treat those I rely on. It isn't "walking on eggshells" to say please and thank you once in awhile to a nursing assistant and it may just make a difference in their day. I guarantee a few of you have probably complained about your nurse manager or administrators not showing appreciation for the work you do. I bet a few of you have felt drained when a patient or family member ordered you around all shift and couldn't be bothered to say thank you- despite the fact that you are an adult who is there to earn a paycheck, not a "child" who needs praise.

Bottom line: we all need to feel appreciated once in awhile. No matter how stressful your day may be it takes a second to say "thank you".

Answer: Quit your PRN job.

I've been on both sides of the fence. I started out as a CNA and have been working as an RN for over 3 years now within the same hospital system and I think I can relate a bit to what the OP is saying. The OP may well need to grow a thicker skin but I also don't think anyone here can deny that in a place where you spend a good chunk of your time it is draining not to feel as though you are part of a team and/or appreciated. Yes, it is all about the patients but we are human also, and we crave connection with others.

When I worked as a CNA I floated to various units and was able to observe the culture of each one. There were a couple of units that were incredibly hectic but I enjoyed going to them because the staff there were kind to one another. Sure, I may not have gotten a please and thank you for every task I did and that's fine- but staff greeted me by name and treated me like one of the gang. In contrast there were other units that were far easier work-wise but I found them more draining because there was no sense of camaraderie among the staff.

Since becoming a nurse I am mindful of how I treat those I rely on. It isn't "walking on eggshells" to say please and thank you once in awhile to a nursing assistant and it may just make a difference in their day. I guarantee a few of you have probably complained about your nurse manager or administrators not showing appreciation for the work you do. I bet a few of you have felt drained when a patient or family member ordered you around all shift and couldn't be bothered to say thank you- despite the fact that you are an adult who is there to earn a paycheck, not a "child" who needs praise.

Bottom line: we all need to feel appreciated once in awhile. No matter how stressful your day may be it takes a second to say "thank you".

No, but having to phrase everything as a request, and being expected to use "we" instead of "I' lest you be thought to be inconsiderate... is a bit much.

I kind of understood where the OP was coming from until I read some of the above posted by the OP. She does seem like she would be an exhausting person to work with.

There is a doctor I work with who is really annoying, and is notorious for giving tons of unnecessary orders "just to be safe." And he is ALWAYS thanking us.

The thanks has started to grate on everyone's nerves, because it doesn't seem like he really means it (I know that may sound silly, but you'd have to be there...just trust me). I also want to tell him not to thank me, I'm not doing YOU a favor, I'm doing my job!!!

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