Nurses Eat Their Young

Nurses General Nursing

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"Nurses eat their young".

I read this phrase in utter disappointment. I feel disappointment towards the destructive nature of this very sentiment. The idea that experienced nurses and their behavior towards students or novice nurses shape succeeding generations of front line nursing staff. We are, in this instance, the very people who hold the key to the fate of the profession. By "fate", I am not referring to its survival, but rather its vitality.

Imagine going to work everyday with the expectation that the very last bit of self-confidence you had had would somehow, in someway be stripped away by a snarky comment or backhanded compliment. Now, dig a bit deeper and tack this onto the responsibilities of the job, the stresses that it brings, and the collaborative obligation you have to operate around others, who, according to your negative experiences, do not appear to want anything to do with you. Then, consider anyone in their right mind and the quality or quantity of motivation that they have to get up in the morning and do their job. Its a system waiting to fail. A bomb about to implode. Perhaps a nurse ready to give up and move on from the negativity.

The origin of this phenomenon would be interesting to dissect in terms of its conception into the practice of nursing and how it was first perceived. But more importantly, the motivation that lies beneath this behavior is even more interesting. In my estimation the motivation can either be obligatory in nature or an unjust reality. Nurses can choose to behave less than optimally towards those with fewer miles under their belt purely due to the culture that has developed surrounding the "student" & "master" ideology. Perhaps the idea that "experience" trumps "knowledge" or weighs more heavily in favor of time spent in practice is what sparks the fire (so to speak) in response to an underlying fear of powerlessness by way of the knowledge that the novice brings. I suspect that its a bit of both. A little bit of influence from nursing culture and a hint of our own fear apparently makes for a poor or sub-optimal experience for those who will proceed the next generation of nurses. But I digress.

What is more troubling to me is that in a very nonsensical way we are contributing to the degradation of the profession. In other words, we are being our own worst enemies. Allowing the unnecessary torment of the novice nurse will lead to burnout, resignation, poor mental health (confidence, self image, etc), and a level of vitality that continues to suffer one jaded nurse at a time.

On 12/23/2019 at 6:33 PM, hherrn said:

Why do you believe this is true?

Any reason to think bullying is more prevalent in nursing than anywhere else?

Life experience?

as a male who spent many years in male-dominated industry before becoming a nurse, I’ve seen lots of bullying in nursing - much more than in my previous career.

I’ve been a victim of bullying and seen several other nurses bullied.

It is what it is - ymmv.

My mileage has definitely varied.

I don't question whether anybody perceives themselves to be bullied. Many people do, and some of them are.

I question whether this is endemic to nursing, or even common.

Specializes in ED, ICU, Prehospital.

Happens everywhere, all the time. The bottom line is, people are ******** for the most part.

I do not believe, as some here do--that people for the most part are kind. They're not.

Watch the news. Read comment sections in any forum, newspaper, blog, or anything online. Drive in traffic, break down and see what happens. Live in a community where there are more than 2 houses, including yours. Leave $10 on a table in the cafeteria.

I could go on. People are neither kind nor honest when it comes down to self interest. If it's in that person's self interest---you are going to lose. Period.

Everyone has their own reasons for why they do what they do, their rationalisations for being an *******, and they believe they are right.

Why do nurses act like this when they are supposed to be the "nurturing" profession? Because they're people.

You cannot control how anyone else around you behaves, you only control how you react to their behavior. My personal advice is to avoid ********--but if necessary, you fight fire with fire. I'm known for being a relentless ******* to those who will just not leave well enough alone. I also defend those that are victims of the "gang mentality".

I was driving last night, coming out of my townhouse community. The husband of the manager zoomed up behind me (the speed limit is 30mph and they are always calling the police on people who break this rule) going so fast I really though he wasn't going to be able to stop before hitting me.

I stopped at the stop sign. The rule. I turned left. He didn't stop and just followed me out onto the road. Speed limit is 35mph. I set my cruise control because in my little town the popo love to give tickets. This guy sat on my rear bumper with his bright lights on---beeping the horn for a mile. No passing zone. I stayed the course.

Another stop sign. Same. He followed me for 4 miles on my ***, bright lights on, beeping the horn.

He knew precisely who I was---and he knew that I live in the same little townhome community where his wife is manager and I see them every day. I am also a nurse at the local ER, which they know, and it might behoove them to be a little....oh....kinder to someone who might save their life one day?

Nope. Guess where he was off to in such a hurry?

The liquor store.

We all have stories like this. This is people. They are not relegated to nursing only. This man behaves this way to the guy who does the landscaping. He drives around incessantly---doing little else all day long---spying on residents, having his wife write nastygrams to residents about bird feeders being "too close to the ground" or someone has left their garbage bins in front of the garage instead of inside.

Nurses don't have a corner on that market. Yeah, they do eat their young in instances that there is no real reason for being "as big of an *******" as they are in some circumstances---such as embarrassing colleagues in front of patients. But again, this happens in every job.

Getting rid of them is really the only solution. Working to find ways to make their lives as miserable as possible so that they move on.

So yes and no. yes, nurses can be bullies. no, nursing isn't unique.

Yes nurses eat their young and yes this is leading to the degradation of our profession

I believe the number one reason there is nurse bullying is because of the ramifications of our actions, our actions or lack there of could lead to a patient’s health deteriorating or even worse

As such there is a need to be straightforward and no nonsense, but a lot of people who excel at this also are great at putting down others - to me this is a stereotypical type “a” personality and it thrives on nursing floors

There is a huge difference between a nurse that is ignorant but wants to learn vs a nurse that is lazy and wants to use other nurses to essentially do work for them.

I do not know about what other states are like but in southern california it is wild and there is a lot of belligerence and entitlement, the fact that I am encountering healthcare professionals, specifically nurses and pharmacists who cannot understand the english language is astounding and contributes to huge amounts of wasted time

Moreover as nurses some patients and family members - i repeat some - most patients and families are kind and respecting - threaten nurses. We tolerate this, which is extremely destructive and what is even worse is most nurses i find wont step in and say “cut it out” on behalf of their fellow nurse. I am always fighting my own battles which I am proud of but there are times when people catch you when youre already so burnt out and you almost just give up and crumble. Throw in the fact you as a nurse are scared of a complaint coming down the pipe - most people just take the abuse.

I am not sure what the future holds but how can you ask a nurse whos new to the field to fall in love with the profession if you have an attitude that you dont have time for this novice nurse.

If it were not for the fact I love the academic side of nursing, the learning of pathophysiologies, the readings of labs and tests in correlation with the patients condition, the digestion of a thorough and well written h & p, the willingness and desire to solve problems- I would not last in nursing. Often just like on a basketball court, bullies or people who foul can dish it out but cannot take it when you play the same game.

I think there are also units that you can find where it does not exist as bad but its rare, Ill never forget the time i did a clinical rotation on an emergency department as a student. There was a comraderie between the most of the rns on the unit. Young or old most of the RNs had a cool confidence about them, no b.s. no nonsense, but they also delt with capable students as equals. The doctors were there at all times, and did not look down at nurses but treated them with respect (I have met many MDs who i absolutely loved, but we have all delt with MDs who also have an attitude - sorry but you picked this career dont complain if your life is stressful)”

Specializes in Dialysis.
On 12/22/2019 at 3:19 PM, JadedCPN said:

If this was the title of a book, it would be on the New York Time's Best Seller's list.

I would buy said book...?

I've seen more than once that the person crying "bully" is simply not being told what they want to hear or in a tone that they want to hear it in...in life, not every message or messenger is going to use a sugarcoat

Bullying, harassing, and hazing of new to the profession or the group nurses is not unique nor new.

This is a social phenomenon seen in most high-stress ""life or death" professions. From my understanding it is a social tool to test a new teammate and ensure that the new member into the social group can withstand the pressure required to perform. Once they move past this "test" they benefit from an increased level of trust and acceptance, more so than without it.

I have read a little about it but from what I understand the Department of Defense has done a fair amount of research into this social phenomenon due to the prevalence in the armed forces, especially the special forces. From my limited understanding it is a crucial social element for team development but it is extremely fragile and exceedingly easy to get out of hand. I remember it being related to holding a match in a hay barn. Hold it right and it be a useful tool, let it get away from you and it burns the whole place down.

I suspect what we are seeing is the latter element.

Specializes in Psych/Mental Health.

I've spent many years in finance (mixed with males and females), and never heard of bullying being edemic in a profession until I started nursing. My previous career was a highly professional industry and people place a lot of value on behaving "professionally."

I'm not going to sugar coat it, some nurses are incredibly mean. That's why I never bought into that whole "holier-than-thou" BS that nurses try to claim. For many RNs and NPs, nursing is a job that pays the bill. Nothing more.

To OP - nobody can strip your confidence away unless you let them. Find ways to handle nasty folks and spend time evaluating your own perceptions. In some units, negativity is the culture, and in that case you should withdraw from that culture and find a more positive one.

3 minutes ago, umbdude said:

I've spent many years in finance (mixed with males and females), and never heard of bullying being edemic in a profession until I started nursing.

Most white-collar jobs allow a person to have their own space (even if it's just a cubicle) with their own computer, their own happy place stuff and control over it. They have a spot they can go to and, for the most part, isolate to a certain degree if they are having a bad day. In nursing we have none of that. We have to "fight" over functional VS carts and work stations, in my job I have a spot for the day but I have to give it up to physicians and anyone else who needs it "for a minute" (or if I leave to go pee) and who have no problem with shutting down all of my programs and losing my work, even when they design nursing spots they inevitably get taken over or are given away to physicians or turned into another patient room, there is always somebody in our faces, we are constantly "on", we are constantly interrupted, it's noisy and too bright, we are judged by multiple factions, have tremendous responsibility and little to no authority, I could go on. It's no wonder we are a little cranky. Spend too much time with your own family and things are likely to get a little ugly. While this in no way excuses bullying, true bullying, I think it explains a lot of the incivility we witness in nursing. It causes bad tempers as well as over-sensitivity and this is as unlikely to change as the environment is.

Specializes in ICU, ER, RESEARCH, REHAB, HOME HEALTH, QUALITY.

To add to this topic, I wrote my dissertation on nurse bullying and found that most of the bullying occurs from nursing leaders (charge nurses, managers. or nurses that are senior to the nurse they are bullying, etc) who are responsible for much of the bullying toward nurses. A survey found that 35% of nurse managers reported workplace bullying with their superior being the perpetrator. Parchment and Andrews (2019) recommended that nurse executives should be held accountable for creating a healthy work environment for nurses.

Leaders utilize overt and covert tactics and manipulate staff in ways that can affect employee morale and reduce individual and organizational performance (Piggot-Irvine, 2015). Piggot-Irvine (2015) claimed if senior management were aware and able to identify bullying within their organization, bullying behavior could be addressed at all levels in the organization. Organizations need to reject the practice of bullying just as should each individual nurse.

It is definitely an issue in the profession, and the silence that occurs because of the fear and retaliation that occurs if one reports the incident. Men typically confront the bully and women quit or are terminated (O’Donnell and MacIntosh, 2016).

In 2015 The American Nurses Association (ANA) created a panel to discuss incivility, bullying, and workplace violence and developed a new ANA position statement. Joint Commission also requires health care organizations and leaders to address bully with staff. Nothing seems to have changed.

Although the practice continues and has been normalized as accepted behavior within healthcare, hospital management remains silent and continues to tolerate bullying (Gaffney et al., 2012; Hutchinson et al., 2010; Roberts, 2015).

Hopefully with the new bill that addresses violence in the workplace and bullying is under the umbrella the profession will see a change. This bill however addresses violence against nurses by patients and family members.

As of November 21, 2019 the Workplace Violence Prevention for Health Care and Social Service Workers Act reached the floor of the U.S. House of Representatives (House Bill 1309, 2019) where it was passed with a vote of 251-158. This bill has been sent to the U.S. Senate and is waiting a vote.

References

Gaffney, D. A., DeMarco, R. F., Hofmeyer, A., Vessey, J. A., & Budin, W. C. (2012). Making things right: Nurses; experiences with workplace bullying – A grounded theory. Nursing Research and Practice, 2012, Article ID 243210. https://doi.org/10.1155/2012/243210

Hutchinson, M., Vickers, M. H., Jackson, D., & Wilkes, L. (2010). Bullying as circuits of power. An Australian nursing perspective. Administrative Theory & Praxis, 32(1), 25–47. https://doi.org/10.2753/ATP1084-1806320102

O’Donnell, S. M., & MacIntosh, J. A. (2016). Gender and workplace bullying: Men’s experiences of surviving bullying at work. Qualitative Health Research, 26(3), 351–366. https://doi.org/10.1177/1049732314566321

Parchment, J., & Andrews, D. (2019). The incidence of workplace bullying and related environmental factors among nurse managers. JONA: The Journal of Nursing Administration, 49(3), 132–137. https://doi.org/10.1097/NNA.0000000000000726

Piggot-Irvine, E. (2015). Leader bullying through a different lens. SAGE Open, 5(2). https://doi.org/10.1177/2158244015589786

Roberts, S. J. (2015). Lateral violence in nursing a review of the past three decades. Nursing Science Quarterly, 28(1), 36–41. https://doi.org/10.1177/0894318414558614

Specializes in Psych, Corrections, Med-Surg, Ambulatory.
On 12/26/2019 at 9:20 AM, Wuzzie said:

It's no wonder we are a little cranky. Spend too much time with your own family and things are likely to get a little ugly. 

Prophetic.

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