Quote from blueheaven
I remember that kind of treatment "back in the day" and also vowed not to get ICUitis. I have had at times in my career that I have been a ****** nurse but then my conscience stops me and I check my attitude and get back to the Golden Rule. I thank God that the older generation meanies are leaving, but there are a lot of young whippersnappers out there with the same bad attitude.
I think a lot has to do with the culture of the unit and the leadership of the unit (both formal and informal). I just started working adult ICU in September, and I asked around to find which unit would be the most accommodating. There are 3 ICUs in our hospital, and the vote was unanimous for the medical/neuro ICU.
I've found the staff to be pretty great. They are supportive and the unit's culture is one of mutual helpfulness. I floated to the surgical ICU last week and was dismayed at the staff attitudes there. I was laughed at when I asked where certain items were, and one nurse even thought it was "funny" that I did a cardiac workup for a particular patient who was complaining of chest pain. Yes, I know she had a history of anxiety, but she also had a history of an MI! Her enzymes and EKG were normal, and I would do the same thing tomorrow. Just amazed me that someone would react that way!
Anyway, the NICU I came from had a lot of problem people (attitude wise) and a lot of disparate practices. The current manager was new, and the previous manager was apparently a shrew, but the previous manager was well respected. I talked to several like-minded RNs who had been through all 3 managers, and stated that the earliest manager really set the tone for the unit, which then deteriorated with the next 2 managers. Also, there was an informal leader who was one of the charge nurses, who was really running the show.
So (long post coming to a close
) I really think that there are many reasons why we see these toxic environments, but it's just so sad that we can't all work together for the benefit of the patients