Listen, Nurse

Nurses General Nursing

Published

I am going into 4th year nursing, and this was in one of our labs in first year. I love this thing, it really makes you think about how you are caring for your patients. In the rush of everything, would one minute really kill us?

Listen, Nurse

I was hungry and could not feed myself. You left my food tray out of reach on my bedside table, then you discussed my nutritional needs in a nursing conference.

I was thirsty and helpless, but you forgot to ask the attendant to refill my water pitcher. You later charted that I refused liquids.

I was in financial difficulties and in your mind I became an object of annoyance.

I was a nursing problem and you discussed the theoretical basis of my illness. And you did not even see me.

I was thought to be dying and, thinking I could not hear, you said you hoped I would not die before it was time to finish for your day because you had an appointment at the beauty parlor before your evening date.

You seem so well educated, well spoken, and so very neat in your spotless unwrinkled uniform. But when I speak, you seem to listen but do not hear me.

Help me, care about what happens to me, I am so tired, so lonely, and so very afraid. Talk to me - reach out to me - take my hand. Let what happens to me matter to you.

Please, nurse, listen.

---Roth Johnston, RN

Let me know what you think!

Amanda :)

That poem made me feel simpy ineffectual. I am actually not "guilty" of those points, but I know who is. Administration is guilty of making this profession look like that to the patients. We are not allowed to tell them that we are understaffed, cause they complain and if they complain about anything, it is always blamed on the nurse. I have been a nurse for 4 years now. I was raised by a nurse, and worked as a ward clerk, tech, and monitor tech/secretary up until I graduated. I went in with open eyes.

My goal during the first year was to learn how to have organization. I had some fantastic teachers in that area and I can honestly say that no matter what I did on some days, there was no keeping up with it all.

I left the hospital I started nursing at because, when I got my position on day shift, I felt like I was living with an abusive drunk and never knew when the abuse was going to start. The day normally got downright horrible after 3 pm, when the staffing office cut our staff with regularity. Our first admissions usually came right after the person cut was sent home.

Nursing is responsible for passing trays in this hospital. When there are 22 patients and only 4 nurses to do the work, you have to just pass the trays and get them out before you can go back and actually feed someone. Then you have to turn around and pick up the trays, or complaints start coming in from dietary. In this hospital, the guy who brings the trays to the floor and back is either brand new or from the home for functionally delayed men. The person comes at a certain time and rolls the cart away regardless of whether it is full or not. Three meals a day.

For some reason, that part of the poem ticked me off. With 22 patients, two teams with an RN and either a tech or LPN, if just one is lazy, then the whole thing falls apart. A team is only as good as it's members. Dropping what you are doing to pass trays was a major thorn in my side, and for once, I would like the blame to be laid where it belongs!!!

Specializes in Trauma acute surgery, surgical ICU, PACU.

I didn't like this poem because I thought the entire goal of the poem was to make nurses feel guilty and inadequate for not being perfect. Yeah, there are things that may get forgotten or neglected (or perceived that way by the pt). But as other posters have already said, most of the stuff that is missed is because we are overworked, shortstaffed and not given enough consideration by management to let us do our jobs properly.

Do we really all need another guilt trip? Half the profession facing burnout over not being given time and resources to do things that are at times, way more serious than water jugs, and somebody feels the need to write this piece of drivel... ! I find it hard to believe this was actually written by a nurse and not a pt or family member.

As far as sensitizing us to the fact that the pt's are the ultimate victims of our hurried care... we all know that already. That is partly why nurses leave this profession - they are sick of feeling responsible for that inadequacy that is not created by them. The nurse is as much a pawn in this game as the pt... and this was a grossly unfair poem.

Yeah when I read the poem I felt guilt too. Like why can't I be more attentive and do it all for my patients. I remember crying like an idiot one day at work because I just could not do it all.

Well, that was my first job. Now my mantra is "There are 24 hours in the day and I can't do everything". I really do care but I'm not superwoman.

A friend of mine, who was recently a patient himself, told me that he had nothing to do but lay in that bed and he couldn't help but notice everything the nurses did. Patients really do notice a lot.

Recently, I have been feeling lost as a nurse and that management just doesn't care, and that the public is lost too. I called in sick last night because I needed a mental break. I realize that calling in is not a solution to the problem, but I feel more rested. Peace.

Specializes in Hemodialysis, Home Health.

P_RN....sorry..didn't mean to get sappy there. My point was merely that I think we're reading a whole lot more into that "letter" than is actually there..and with the way things currently stand re shortages and all, we are all hypersensitive to anything even smacking of criticism...certainly understandable. Just trying to get our focus on what the "letter" really says..not what we THINK it's saying. Just the "little things"..which I know we all at least try to do and all of us WANT to do !

Not graduating for another couple months yet, but doesn't mean I'm a "pie-in-the-sky idealist", unaware of what's happening out there. I've been in the medical arena 30+ years (in numerous and varied settings) and have witnessed the pitiful stripping away of all that nursing holds dear. It truly is hard to watch and even harder to accept. Yet it makes me all the more detrmined to do what I CAN... the little things...as I know every other nurse out there does as well, or they wouldn't be so distraught about the way things are in the "real world".

I agree wholeheartedlywith all the above posts..couldn't agree MORE! In just the past 5 yrs. I've seen things go from bad to worse to downright unacceptable in my own work setting... I (and my patients) have been victimized by the same "system"...always wanting more for less. Pt. care has been placed on the backburner, and the almighty $$ is number 1 priority, and they are SHAMELESS in their approach, requests, expectations, and even demands.( I'm referring to the "system.")

Just thought I'd clarify. ps..one last thought...since this "letter" was written for nursing students in a lab and first year, is it not merely an "awareness trng. tool" to get the new nursing students to develop sensitivity to pt. needs, and nothing more sinister or critical intended? And if so, do not ALL the nursing books, manuals, materials we all have to study include the SAME idealistic themes..even today, knowing full well that is only idealistic and has nothing to do with reality in nursing today? Should we revise the material in Nursing Education and omit the basics all together..? State that the ideals of good nursing care no longer apply or are possible in the current nursing world?

Or should we still attempt to reach the hearts of those new students in hopes they might be sensitive to "the little things". I'd say go ahead, include it... whether it applies or not. Use it as a tool, a guide. It certainly doesn't hurt... better than the alternative.."new & revised edition: Drive Thru Nursing" or "Assembly Line Nursing Today"...? Let's at least keep the ideals, even if we CAN'T always perform that way due to no fault of our own, or lack of desire, to be sure !

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

WE can keep the ideals...but you know what? it is frustrating to try to UPHOLD them when lousy staffing and time do NOT allow it. How frustrating is it to TRY TO UPHOLD AN IDEAL...you seewhat NEEDS to be done, but cannot humanly do it?????? So what's a person to do? Shut down or do "assembly line nursing"...truly sad, but REALITY FRIEND! So many's reality!

Specializes in Hemodialysis, Home Health.

Agreed, my friend, agreed. I experience it every day and I KNOW what is being said in all the above posts! I, too, live it on a dailey basis and it IS frustrating, to say the least. And it's not FAIR to the pts. OR the staff! Guess I'm just afraid to throw out the baby with the bathwater. Afraid if we ignore the "ideals', we will have capitulated to the system and will have allowed it to turn us into insensitive, mindless, heartless robots. And if the system wins, they'd better start changing the nursing curriculum to tell it as it truly is. See how many new nursing students they get then ! So what's the solution ? Maybe this is what we need to start SERIOUSLY discussing and ACTING on...what is it we need to do to bring about change? How do we fight this monster?

Specializes in Hemodialysis, Home Health.

AAAAAAAaaaarghh !!! :(

Now here's what I'm talking about when I say the Nursing Ed. materials may need revising... just browsing through my NCLEX Review and find the section on "client needs"/"cultural diversity"..

I'm fully aware that different cultures have different concepts of time/space, etc. But the BOOK says "be flexible and avoid rigidity in timing/providing your nursing care."

Now how realistic IS THAT in light of all that's been written here? I know that in MY situation, (and surely, everyone else's, too) this simply is not possible ! At dialysis, we must stagger the pt. apt. times in order to put them on the machine.. no way you can have 4 pts. come in at the same time and put them all on simultaneously. We have one lil' fella in particular who likes to come in when it's right for him, and time is just no big deal to him. He lives in the "present".

So this concept or "ideal" of being flexible(and not frustrating the pt. by showing your own frustration or disapproval) in providing pt. care simply will not work here! Because the other patients will rip his head off if they are delayed because of his "preferences". Not to mention the frustration of the staff, trying to work around HIS schedule and still get all the other patients on in time who DO keep their appt.s on time. So why put all this nicey- nicey stuff in the books at all ? If we have to deal with reality, then I expect that the education materials will addresse reality as well... and tell it like it is... not expect us to perform a certain way in a situation or setting they can't provide!

Another attempt to guilt trip nurses, who are overtaxed as it is. I don't know anyone who is intentionally unkind to pts. (although I'm sure there are people out there).

Insead of addressing these musings to nurses, why not:

Dear Hospital Administrator:

I was having chest pain...you sent an unlicensed person to evaluate me,

I needed to go to the bathroom, but the aide was busy trying to take care of her other 15 pts.,

I soiled my linens, but there was no one to change them,

I got the wrong dinner tray, and when I asked the nurse for another one, she told me that dietary was closed after 6:00pm to keep costs down,

I had pain from my surgery, but since my nurse had too many pts. I had to wait 2hrs to get my medicine,

I was having trouble caring for myself at home, but there was no social worker to talk to, because it was the weekend,

I waited in the ED for 15 hours to get a bed upstairs; the floor did not have enough nurses to be able to take me,

I was in the ED with severe abd. pain and vomiting, and I had to lie on a litter in the hallway; when the doctor came to see me, everyone could hear what he was saying...I had no privacy...

I think we could go on an on here...bottom line, I hate threads that lay the blame at the feet of nurses. Lets talk about who's really responsible...greedy administrators.

There is absolutely nothing wrong with this poem....

The items cited in the poem are NOT out of the realm of possiblilties... If some of you would READ it correctly... what it cites is a lack of "attention" to our Patients.... NOT about performing those extras we'd all love to be able to deliver.

Eye contact when you're with your patient....

A smile...(YES, even when you don't flipping feel like it)...

Truly listening during those times you ARE with your patient...

Treating your patient the way you would wish your family, friends or yourself to be treated....

Courtesy....

Before some of you get on the old "let's slap Pollyanna into submission" bandwagon... let me ask you this:

Are you human? Or an automatron?

How DARE any of you come off with the patronizing "oh, well... I see you're a student... someday you'll understand" garbage. Understand what? Nurses b****, moan, whine and complain about how much we NEED qualified, competent, caring people in this Profession. Someone takes a risk and posts a very lovely, NON CYNICAL poem to illustrate what it is we'd LOVE for our profession to be able to offer... and you SLAM HER?!?!?! :confused:

Yes, we're crunched for time... but truly (as other posters have commented)... how much TIME does it really take to be PLEASANT or HUMANE in the course of your day?

Apparently more time than some of you are willing to give....

Instead of beating posters of such threads with your taunts, insults, criticism and cynicism... how about you just keep it to yourself or open a thread especially devoted to your tirades? Your sort do enough damage with the nursing staff already out in the workforce with your snide comments and poor attitudes.

Perhaps forensic nursing would be more to your liking.... You don't have to deal with the living, then.

I LOVED the poem.... and no, I don't feel guilty when I can't do ALL of the things for my patient's that I'd like... I do the very best I can, when I can... and try my damndest to leave work knowing that... regardless of what I didn't accomplish... I DID do my best for THAT day.

Peace:)

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

Not being one to slam other members of any board, I was in the camp whereby reality sometimes does make it hard to live up to the ideals there. WE have that poem posted on my floor, actually, in a beautiful frame with angels on the border. And I read it all the time; yes I really do.

Somedays, I go home angry and in tears cause I was unable to do some of those things. Do you not think those are things we strive for? But EYE contact w/someone you KNOW you have neglected ALL shift is hard...just an example........I do it..I MAKE eye contact, I touch, talk.......but damn it hurts, knowing I did NOT meet their needs even tho I nearly killed myself trying!

That is what "the other side " is saying here.......and if you will notice, figureitout, I refrain from belittement and name-calling to get MY POINT across. When reality sets in, ideality sometimes is hard to achieve, no matter your intentions. All the wonderful nursing care models, poems, and theories in the WORLD do not solve our national crisis, and as usual, it is laid at the WRONG FEET. Our shoulders are heavy w/the burden and so are our hearts........It is indeed a sad specter.

HOW BOUT A NEW POEM: LISTEN TO ME, CEO, ADMINISTRATOR, LEGISLATOR, NURSE MANAGER???? ANYone????? All I can say on that.

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