Perfect-o Meter

In this article, the author discusses our dealings with perfectionism, in ourselves and in others. Do you have an internal "Perfect-o Meter?" Nurses General Nursing Article

The phone rang loudly besides me, it's electronic clanging disrupting the peaceful thoughts that floated through my mind as I enjoyed a first cup of morning coffee on the porch. "You forgot to enter a note on Mrs. S for Interdisciplinary Team Meeting this morning. Can you fix that by 8 a.m.? After quick "I'm sorries" and a few pleasantries, we hung up and I walked over to the computer. A few minutes later, task completed, I returned to my now-cool coffee and sat down only to hear the nurse in my head, the one with the "Perfect-o Meter" set on "10" wagging a scolding finger at me and singing that old song, "You're no good, you're no good, baby, you're no good." I shook my head to shoo her away and calmly addressed her accusation with reality: I am a wonderful nurse, experienced and caring. Yes, I make mistakes. But I keep moving forward."

After the imaginary conversation was over, I tried to return to my morning meditation time, holding the re-heated cup of coffee to warm my chilly hands, enjoying the day off. But I couldn't stop thinking about the small omission and the drive to perfection. How do we cope with "the perfect nurse" of our imagination? Even harder, how do we cope with the real life nurse-sometimes our managers or co-workers-who really do seem to have it all together, never make mistakes, and have their Perfect-o Meters set on a steady "10"?

First, a pause for consideration. The truth is no one is perfect. All of us are humans and do make mistakes of omission and of commission. Mistakes of omission, like mine, can be either unimportant in the scheme of things or more serious. Depending on the type of work we do, we can all supply examples. Simply forgetting to do something, to chart something, to add something, can have unintended consequences. On the other hand, omissions can also involve leaving work for the next shift or careless management of our time so that we are unable to complete the work before us. Whether it is a mistake of omission or commission-doing something that is not exactly right-we are often left discouraged with ourselves, processing the same event over and over, wishing we could fix it. Unfortunately, when this happens we tend to mentally compare ourselves with others.

So how do we deal with our own Perfect-o Meter's setting and also deal with others? Mistakes are one thing,but there is also the general day-to-day nursing where someone whose meter is set on high can make us feel inadequate-even when we are doing a good job. Or the other side of that-if our meter is set higher we can feel critical of other nurses' efforts and try to do too much because we feel no one else does it as well as we do. Either approach can be defeating and leave us burnt out and sad.

One way to begin to cope with this is simple acceptance of who we are and how we are made. Now this doesn't mean excusing ourselves for our bad behaviors, "Oh, I just blow up like that." or "I can't help it if I am slow." There are always things in our inner make-up that we need to work to improve; but there is a great deal of beauty in acknowledging that we are "fearfully and wonderfully made" and that is not just a description of physical bodies but also our personalities and dispositions.

A car with a full tank doesn't run better than a car with a half a tank. They both run just fine. The amount of gas that propels them forward is irrelevant to the ultimate arrival at their destination.

We all have natural Perfect-o Meters. While one is set on a high "10", another nurse, also an excellent clinician may be set at a more casual "7.5." This doesn't mean that the 7.5 person is less or more. They simply are. Sometimes we go around disliking ourselves so much that we have little left to offer our patients and our co-workers. Or on the other hand, we exercise little tolerance for those who don't operate quite as efficiently as we do, thereby transmitting that critical vibe that makes others uncomfortable and undermines good working relationships.

So what to do here? First, we learn to love who we are as we are. Let's turn off the mental recordings that sing the "You're no good" song and tell those voices to back off. Instead, we work to find voices of affirmation and encouragement to fill our heart and soul. We try to avoid the toxic people when possible in favor of those who express love and acceptance toward others and who recognize their own worth, no matter where their particular meter is set. When we are full to the brim with quiet confidence, we can make allowances for ourselves and for others. Wherever we are on the Perfect-o Meter, we are good!

Thank you for this article. I am a new nurse, and I am struggling so much with perfectionism right now. I've been a perfectionist all my life--I will take Twice as long as another family member does to clean the kitchen because I obsess over every detail being done perfectly. I'm having trouble with my time management at work now, and I think that is a big part of the problem. I have been working in the ICU for about 2 months now, and I started feeling really discouraged this week because even though I had stable patients, I had to stay late each day to finish charting. I feel like I should be past that by this point, and last week, I was. Having to stay late when I have had relatively "easy assignments" makes me feel like a failure. I just want so badly to do my job well, to provide excellent patient care and be able to complete everything in a timely manner like my coworkers do. I want to have the wealth of knowledge and experience that they do, and I am impatient with myself and the learning curve I'm on. :/ Thank you for the reminder not to compare myself with others.

Specializes in Faith Community Nurse (FCN).
Thank you for this article. I am a new nurse, and I am struggling so much with perfectionism right now. I've been a perfectionist all my life--I will take Twice as long as another family member does to clean the kitchen because I obsess over every detail being done perfectly. I'm having trouble with my time management at work now, and I think that is a big part of the problem. I have been working in the ICU for about 2 months now, and I started feeling really discouraged this week because even though I had stable patients, I had to stay late each day to finish charting. I feel like I should be past that by this point, and last week, I was. Having to stay late when I have had relatively "easy assignments" makes me feel like a failure. I just want so badly to do my job well, to provide excellent patient care and be able to complete everything in a timely manner like my coworkers do. I want to have the wealth of knowledge and experience that they do, and I am impatient with myself and the learning curve I'm on. :/ Thank you for the reminder not to compare myself with others.

Welcome to nursing! We are blessed to have people like you who long to do an excellent job in whatever they set their hand to. You sound smart and caring. Over time, experience will teach you how to prioritize--but that is something that can't be learned right away. Meanwhile, be patient with yourself and notice what you do well and what you enjoy about your job. Look around for people who are good mentors and seek out their advice. All the best! Joy

Specializes in Faith Community Nurse (FCN).
Thank you for this article. I am a new nurse, and I am struggling so much with perfectionism right now. I've been a perfectionist all my life--I will take Twice as long as another family member does to clean the kitchen because I obsess over every detail being done perfectly. I'm having trouble with my time management at work now, and I think that is a big part of the problem. I have been working in the ICU for about 2 months now, and I started feeling really discouraged this week because even though I had stable patients, I had to stay late each day to finish charting. I feel like I should be past that by this point, and last week, I was. Having to stay late when I have had relatively "easy assignments" makes me feel like a failure. I just want so badly to do my job well, to provide excellent patient care and be able to complete everything in a timely manner like my coworkers do. I want to have the wealth of knowledge and experience that they do, and I am impatient with myself and the learning curve I'm on. :/ Thank you for the reminder not to compare myself with others.

Being new makes the struggle more pronounced, doesn't it? With time you will gain experience to do things well and quickly. I remember reading Gladstone's book that said it takes 10,000 hours to become an expert at anything. 10,000 hours! Heavens! We will hardly allow ourselves 2 weeks. So give yourself time and space to learn. It will probably also help to maintain balance in your "outside" life: eating well, getting some intentional exercise, feeding your spirit. All the best! Joy