Please Don't Judge Patients

Its not easy to be a nurse, nor is it easy to be human at that. We make mistakes. We have feelings. We have opinions. And we also have judgements because thats human nature. Nurses Relations Article

Its not easy to be a nurse, nor is it easy to be human at that. We make mistakes. We have feelings. We have opinions. And we also have judgements because thats human nature. But we are nurses. We should strive for excellence in health and it is our job and duty to do. So although after 10 hours on shift we may be tired, irritated, frustrated, and quite possibly stewing over the judgements we have made about this patient or that patient. I believe as nurses we can rise to the challenge of trying not to judge our patients. It is not easy and of course we may catch ourselves doing it, but in the moments we do catch ourselves lets try to just take a step back, breathe, and remember we are all imperfect humans. Plus...it never hurts to try.

Last night was a rough one. As I attempted to lay a patient down for the 15th time I slowly found myself in a state of total irritation. Thinking in my head why does she keep doing this? I swear this only happens to me! Ok, now she is doing it on purpose! And lastly I found myself thinking wth is wrong with you?!? But as slowly as the irritation came on it quickly subsided when i heard her say..."Im sorry i cant sleep, my brain wont."

This stopped me from what i was doing as I was reminded of why i was there. I was there bc she needed help, because she needed to be safe and well. I was there to do a job, not to judge her and wonder almost aloud what was "wrong" with her. I took a moment, we sat down, we watched TV, we talked about why her brain wont work. She smiled and laughed for no reason...so did I. After an hour, guess who was ready for bed? After doing the bedtime routine for the umpteenth time I found myself alone and in silence.

But I also found myself with a new way of thinking and the simple way of thinking can change so much for so many. Because as nurses our job is to provide care to people during what is likely some of the most difficult and trying times of their lives. We also tend to major catalyst in the way someone is cared for. We are all human and during rough times we may not always be at our finest moments or remember how much our small actions and thoughts affect the way we treat others and reflect how we feel towards them. We must remember this about our patients always but we must also remember this when it comes to our fellow nurses and all humans alike.

When you see the man yelling at all the staff down the hall and you think to yourself geez what a grumpy old man. Or when your brain injured client ask you the same question 13 times in 5 minutes, you think omg why do keep asking the same question?!? Or when you never seem to see the parents of that 4 year old peds patient and think to yourself, I would never leave my kid alone in the hospital. Well during these moments remember to stop, take a breath and not judge. Maybe that old man knows he is dying and is having a difficult time coping. Maybe that brain injured client didn't ask to be hit by a drunk driver and spend the rest of her life permanently confused. And maybe that parent you never see is struggling to work full time and provide for the other 3 children still at home.

In times of sadness, illness, life changes, and everything in between let's all stop to remember our patients are only human, just as we all our. Our job is not to judge those whom we don't know, but to heal our patients and provide them with care and comfort during times of distress or need. Sometimes a simple smile or words of encouragement go far beyond what you know. And sometimes when we open our eyes just a little wider we learn to accept the fault of being human and we also allow ourselves to see our patients as they truly are...not as just another patient but as a person.

You mean I might loose my license? Mercy me! :eek:

It's a sad thing for your patients if the Code of Ethics doesn't mean anything to you.

Specializes in M/S, LTC, Corrections, PDN & drug rehab.
It's a sad thing for your patients if the Code of Ethics doesn't mean anything to you.

Do you know anyone personally who lost their license or was reprimanded for a judgment they had against a patient?

I sure don't.

Nice judgment against another nurse, one you don't know on a personal level.

If anything we shouldn't judge other nurses since we are under constant stress from work. A patient you might see for a few days, your coworkers you see for as long as you work there. I definitely don't want to work in a hostile environment where everyone is taking out their judgments on me.

Do you know anyone personally who lost their license or was reprimanded for a judgment they had against a patient?

I sure don't.

Nurses do get reported and disciplined by the BON for unprofessional conduct. And patients do comment to administrators and in surveys on the quality of the nursing care they received including the nurses' attitudes towards them and their families. I have seen this result in significant ramifications for nurses.

Specializes in M/S, LTC, Corrections, PDN & drug rehab.
Nurses do get reported and disciplined by the BON for unprofessional conduct. And patients do comment to administrators and in surveys on the quality of the nursing care they received including the nurses' attitudes towards them and their families. I have seen this result in significant ramifications for nurses.

I asked if you know anyone personally who lost their license due to a judgment they had (not acted on, just the judgment since this post is about judging others). Nowhere in your long winded answer did you say yes.

I asked if you know anyone personally who lost their license due to a judgment they had (not acted on, just the judgment since this post is about judging others). Nowhere in your long winded answer did you say yes.

I didn't find your question relevant; that's why I didn't answer it.

Specializes in M/S, LTC, Corrections, PDN & drug rehab.
I didn't find your question relevant; that's why I didn't answer it.

It is completely relevant. You brought up the code of ethics & this whole post is about judging patients. Anyone can leave a negative review or report anyone to the BON. Unless there is proof to the accusation, the report is meritless. Which is why no one has lost their license due to a judgment they had.

I'll take your refusal to to answer a no.

Can you please point out to me in the code of ethics where it specifically states not to judge a patient? I must have overlooked it.

By the way, I went to the TXBON to see if anyone has lost their job due to a judgment they had against a patient. Guess what? No one did.

It is completely relevant. You brought up the code of ethics & this whole post is about judging patients. Anyone can leave a negative review or report anyone to the BON. Unless there is proof to the accusation, the report is meritless. Which is why no one has lost their license due to a judgment they had.

I'll take your refusal to to answer a no.

By the way, I went to the TXBON to see if anyone has lost their job due to a judgment they had against a patient. Guess what? No one did.

Why do you think complaints of this nature would necessarily be unsubstantiated? You are referring to just one BON. And don't you have a standard of personal behavior that is based on more than just legal consequences?

Specializes in M/S, LTC, Corrections, PDN & drug rehab.
Why do you think complaints of this nature would necessarily be unsubstantiated? You are referring to just one BON. And don't you have a standard of personal behavior that is based on more than just legal consequences?

I am purely talking about judgments, not acting on them. This whole post was created about having judgments, not carrying out on the act. Two completely different things.

How can you substantiate what someone is thinking? You can get called for it but honestly, are patients mind readers? What if a nurse is just having a bad day? How can you verify the judgments? Again, this is *not* about acting on your opinion of a patient, but just thoughts.

I can keep looking at other BONs but I have never heard of anyone losing their license over an opinion.

ETA: I did look at multiple BONs & not a single person I found lost their license due to a judgment against a patient.

Also I couldn't find anything in the ANA Code of Ethics about not judging a patient. Being respectful is there but not a word about making judgments. Again, this is only about the judgment making. It is not about what you do with said judgment.

Specializes in Psych, Corrections, Med-Surg, Ambulatory.
It's not about having sympathy or empathy for other people. Nor is about making excuses for the people we treat. It's about understanding the fallibility of humans. None of us are perfect including our patients. We all make choices...one of them being to judge other people on the small part of them or their lives we see. But It seems I can't make a simple comment without it turning into a debate. I respect others opinions without being rude or judgemental just think it would be nice if everyone was afforded that same opportunity.

How do you know if someone is judging? If they say or do something inappropriate in the workplace they can be taken to task for that. Their thoughts are their own. Many of us have mastered a good poker face and our thoughts are not reflected in the care we provide.

On the other hand, anytime I read pontifical admonitions straight out of nursing school, I can't help but feel judged.

Can you please point out to me in the code of ethics where it specifically states not to judge a patient? I must have overlooked it.

Providing care without prejudice.

Specializes in M/S, LTC, Corrections, PDN & drug rehab.
Providing care without prejudice.

That's acting out on a thought. I said, multiple times, this post is about just thoughts. *Not* acting out on them. I don't know how many times I have to reiterate the fact that this post is about the judgment, period. Not about treating patients differently due to it. The OP clearly stated we should *not* judge. She never said anything about treating patients differently.

Patients, coworkers, bosses & etc are not mind readers. I could hate my patient because of a judgment I made but I will never get in trouble for it unless I act on it. Clear difference. Once I act on the opinion I have of my patient that is where I believe it is wrong. But this thread is *not* about the actions, just the thought.

I feel dizzy from going in a circle with you. This post is titled "please let's remember not to judge patients". Not "please don't treat patients unfairly due to your judgments". Your responses go waaay beyond what the OP's original post was about.

That's acting out on a thought. I said, multiple times, this post is about just thoughts. *Not* acting out on them. I don't know how many times I have to reiterate the fact that this post is about the judgment, period. Not about treating patients differently due to it. The OP clearly stated we should *not* judge. She never said anything about treating patients differently.

Patients, coworkers, bosses & etc are not mind readers. I could hate my patient because of a judgment I made but I will never get in trouble for it unless I act on it. Clear difference. Once I act on the opinion I have of my patient that is where I believe it is wrong. But this thread is *not* about the actions, just the thought.

Read the Merriam Webster online dictionary entry for prejudice. You'll see it doesn't just refer to actions.