jbird

Please read the post entitled Thank You So Much. I think this will help clarify some things about my position. Thank you also for such great advice. I appreciate your help.

I have been a House Supervisor at this hospital for almost a year, graduated with my MSN in August and just began the transition in September. I know the staff and managers very well and have a great repoire with them. My biggest challenge is the culture of negativity that exists in this organization. My boss, who is also the DON at this hospital has been there a year and is very respected. Together, with the managers, we have been planning ways to get the culture of negativity back on a positive track. Very tough as you may know. Another problem is that out of 5 managers of the acute care units, only two people have a BSN and one of those two just began at our facility this month. The other managers are AD/AS prepared and are lacking the education to understand what my CNS role is and how I will function. In our hospital the DON has a MSN and has almost completed her PhD and I am the the only other person with any type of advanced nursing education. It's a struggle! We both have awesome ideas and great challenges to face, but with lack of education from the managers and nursing staff, it's like pulling a train up a hill. Your advice is wonderful! I recently surveyed the entire acute care nursing staff and managers asking the very same things you were recommending. But, I've only received 4 back from a group of 220 and I'm getting a little concerned. Many of the staff at this hospital have poor attitudes and are focused on coming to work for the pay check and then going home. There are a lot of "I don't care" attitudes which make my job even more challenging. Don't get me wrong, I love the challenge but getting past the negative culture is like walking into a wall. Much work on teambuilding needs to take place. I appreciate your detailed response and I look forward to seeking your advice in the future. Thanks again!

i'm a new cns and just started a cns role at a 100-bed community hospital in nebraska. this hospital has never had a cns and there is much confusion as to what my job will be from the staff nurses and managers. staff and managers believe my job is to strictly educate, however as you all know that is not the case. i do have a job description, etc but i'm looking for any ideas on how to integrate a cns within a hospital. please help! any suggestions would be wonderful. thank you!:chair: