"The Victim" and the "Big Ole Meanie who Made Her Cry"

Nurses General Nursing

Published

i've always wondered why when there's a "communication difficulty," the person who says what they mean and means what they say is usually the one blamed for it. when someone bursts into tears at work, why are they always "the victim" and the person who was trying to tell them something they didn't like, couldn't understand or disagreed with was "the big old meanie who made them cry"?

we have a wonderful charge nurse -- always helpful, knowlegeable, well-organized. she's a great resource and i really enjoy working with her. her only flaw, if it can be called a flaw, is that she has a very direct style of communication. i overheard a series of exchanges where she was trying to convince a relatively new nurse that she needed to get up to speed with her assessments and nursing care and keep her documentation up to date. i was working next to this nurse, and picking up a lot of her slack. she wasn't keeping up -- and we weren't busy. hortense (not her name, but one you'll likely remember!) kept asking her if she needed help and what we could do to help her get her patient ready to transfer at 1100. myrtle (also not her name) kept saying she was doing fine, everything was ok, etc. yet 1100 came, and her patient still needed a bath, lines pulled, dressings changed and her charting done. myrtle had spent her morning rushing about doing stuff, but not really getting anything done. hortense and i stepped up and got the patient ready and transferred by 1200, the room cleaned and set up by 1245 because we had a new patient coming out of the or at 1300. myrtle continued to ineffectually flit around, but didn't get anything done.

finally, when myrtle complained about taking the new admission because she hadn't had lunch yet, hortense calmly but clearly explained to her that had she been able to transfer her patient by the allotted time, she'd have had an hour for lunch plus another half hour to relieve me for lunch and as it was none of the three of us had had lunch. she wasn't mean about it, just clear and factual. myrtle burst into tears and ran to the manager, complaining that hortense was being "mean to her." hortense and i both explained the situation to the manager, but the upshot is that hortense is being counseled about her "communication skills". i think myrtle ought to be going to the communications class with her. if hortense was too direct, myrtle obviously wasn't direct enough because she clearly wasn't "getting" what hortense and i had been trying to tell her all morning.

so when one staff member bursts into tears at work, why is the fault always seen to be the person who "made them cry." why don't we blame the person who bursts into tears at work? if they were capable of communicating directly and factually and understanding direct communication, they might not need to be talked to several times before the point gets across and perhaps emotions wouldn't be so high for everyone.

Specializes in Acute Care Psych, DNP Student.

Actually, this topic of sensitivity to criticism and tendency towards tears came up in a psych class I'm taking. The professor said that studies have been done that show the self-esteem movement in the 80's and 90's with small children has created a generation with distorted self-esteem. You know - the children who all received trophies on their soccer teams...every single one...no matter how good or bad they were...or if they showed up much. The Dr. gave specific examples of these studies.

The professor said that this is manifesting primarily with the Millennial generation now. The Millennials are the generation more recent than the gen X'ers. If anything, gen X'ers have a need for autonomy and efficiency. The trend in parenting and eduction was starting a bit with the Gen X generation, but not nearly to the degree as with the Millennials.

Specializes in Lie detection.

If Myrtle can't stand the heat of the ICU; she should get out of the fire. It is INTENSIVE care.

Agree. ICU is not for the faint of heart. Myrtle needs to figure out if she's going to be able to cut it there and quick. The PATIENTS need her to figure it out. You know I also blame the manager for not taking a better approach to resolving this whole issue.

A lot has been written about the current crop of twentysomethings being unwilling to put their time in at entry-level jobs in general. They don't believe they should have to earn the privilege of a weekday shift, for example, or have so many years of experience before being promoted to a supervisory experience. They want meaningful work right off the bat; and to their credit, a lot of them are willing to negotiate their way around work they don't want to do. When they can't, they often leave. Unemployment has no stigma. (For what it's worth, Wikipedia has an interesting entry on Gen Xers.)

.

I think there is some truth to this. I am shocked by the amount of twenty year olds that do not have jobs or that think it is no big deal to not have some sort of plan for the future! Or they think working at a low level job is beneath them. Sigh, we all started somewhere.

Recognizing when you need help is part of becoming a professional, as knowing when to take help when it is offered. You're the one that should know that you need help not your coworkers, nor should it be their responsibility to tell you. Your coworkers are not mind readers nor will they necessarily be fully aware what is actually needed when they offer assistance. I think sometimes people confuse needing help as a weakness, when the truth is knowing when to seek help/assistance/advice is a strength. When help is offered and you need it, take it, someone may not be able to help you later.

She had been told repeated that she needed to get up to speed with her assessments, nursing care, and documentation. She had also been told that the patient needed to be ready to be transferred by 11:00. She was asked what did she need help with to get this patient ready by that time, she insisted she was fine and everything was OK. She should have known at some point before 11:00 that she was behind. At 11:00 her coworkers got the patient ready for transfer because she hadn't. She was complaining about receiving a new admission BECAUSE SHE hadn't had lunch yet, she didn't express concern over anyone else having lunch, I'm sure she would know she would have relieve another in order for them to have lunch. What Hortense was pointing out to her was the fact that had the patient been ready for transfer when he/she was supposed to be, she could have had lunch AND relieved another so that they could have had their lunch. Actually it was a great opportunity to point out how her time management impacts not only herself. Yes it was said in front of a coworker, I don't think it was entirely inappropriate, it can sometimes be in one's best interest to have a witness present. I don't think this was a situation of the charge nurse "punishing" her by denying her lunch, if that was the case then she would have been the only one not to have lunch.

This was great and you made great points. Call me harsh, call me mean but I really think people have to realize that newbs are still dealing with patients LIVES. Sure we can mentor and guide but let us get them on the ball too!

When I was precepted, I worked with a bunch of experienced nurses that had a little bit of a reputation for being "mean". Were they? No they really were not. They just didn't react well to newbs like Myrtle. There were a lot of direct communicators and I learned quickly to take the wise things they told me and use them to my full advantage.

Myrtle should have done the same. Now she's alienated 2 nurses. Too bad for her.

Specializes in MS, Hospice, LTC.

Newbie doesen't always equal a GenXer. My mother was 48 years old when she went back to school to become an RN and that was almost 10 years ago. My mother is still working on the same unit where she started out because she likes it so much. She told me that in the beginning it wasn't easy catching on, and some of her coworkers weren't so nice; but she chose not to put up with it and let them know "directly", and decided not to let it bother her. Granted, I think maturity and life experience has a lot to do with how sensitive a person is, and how they respond to what they may feel is adversity.

Specializes in Acute Care Psych, DNP Student.

Correct, newbie doesn't always equal gen X or Y (Millennials). While it would be unfair to make any assumptions about a particular person based upon his or her generation - there are definitely group differences with generations. It's a large field of study by psychologists and sociologists. Gen X'ers tend to need more independence and autonomy. Gen Millennials tend to need more praise and constant feedback. Both display distorted self-esteem related to their actual actions and/or efforts. This distorted self-esteem causes hypersensitivy reactions (tears) to constructive criticism. Millennnials more so.

Here's an article that discusses this:

http://www.csmonitor.com/2007/0302/p01s01-ussc.html

I worked with one of those. One night, we both ran our butts off all night. However, while she was running, she stopped to:

- take 3 phone calls from her highly dysfunctional grown (32 y/o) daughter. They were all (OF COURSE) emergencies. As in, "Momma, I spent the three hundred dollars, you gave me for the $200 phone bill (collect calls to drug abusing boyfriend in jail) on new clothes for the kids and on food for a party - I need more money NOW!!!!

- Went off to smoke 4 times - she was just too stressed out to work otherwise.

- Call a few nurses on other floors to complain about th MD on call.

- Whine about how unfair "EVERYTHING" is.

I, on the other hand, left the floor for 10 minutes to get food (at 0330 when caught up briefly) and scarf it down in 10 more minutes. No personal phone calls, no excess whine time, no smokes. I also offered to help and caught lights.

So at report time at 0700 AM, while I have to round with MDs in addition to having the same load, who starts crying to the oncoming shift about how she had no help at all, and felt like she worked the whole floor by herself?

So instead of leaving remotely on time after busting my butt, who has to stay behind for a stat chat with the boss and gets chewed on by a day nurse that heard her side and blamed me without getting my side?

I leave you to guess.

:angryfireso true isn't it!

Specializes in ORTHOPAEDICS-CERTIFIED SINCE 89.

This was true in high school on group projects, in business school where 2 students were assigned to one office, in nursing school and in the "real world." Somehow lazy/disoriented people are always the victim.

I'm a "do the project that night it is assigned." Get the basics done on ALL patients, chart in timely fashion, so people like us end up doing our 100% and their 10-45% too.

Interesting read, Multicollinarity. Thank you.

Recognizing when you need help is part of becoming a professional, as knowing when to take help when it is offered. You're the one that should know that you need help not your coworkers, nor should it be their responsibility to tell you. Your coworkers are not mind readers nor will they necessarily be fully aware what is actually needed when they offer assistance. I think sometimes people confuse needing help as a weakness, when the truth is knowing when to seek help/assistance/advice is a strength. When help is offered and you need it, take it, someone may not be able to help you later.

Like I said, I like to hold my own. However, I do know when it is a get help or fail situation. I never let it get that bad, and I do accept help if I am falling far behind.

She had been told repeated that she needed to get up to speed with her assessments, nursing care, and documentation. She had also been told that the patient needed to be ready to be transferred by 11:00. She was asked what did she need help with to get this patient ready by that time, she insisted she was fine and everything was OK. She should have known at some point before 11:00 that she was behind.

Ahh I missed this "repeated" part. That makes more sense. You are right.

At 11:00 her coworkers got the patient ready for transfer because she hadn't. She was complaining about receiving a new admission BECAUSE SHE hadn't had lunch yet, she didn't express concern over anyone else having lunch, I'm sure she would know she would have relieve another in order for them to have lunch. What Hortense was pointing out to her was the fact that had the patient been ready for transfer when he/she was supposed to be, she could have had lunch AND relieved another so that they could have had their lunch. Actually it was a great opportunity to point out how her time management impacts not only herself. Yes it was said in front of a coworker, I don't think it was entirely inappropriate, it can sometimes be in one's best interest to have a witness present. I don't think this was a situation of the charge nurse "punishing" her by denying her lunch, if that was the case then she would have been the only one not to have lunch.

I understand now, but I don't understand why upper management would punish the charge nurse (I don't know if you call communication courses punishment) and not the other girl. I don't know if we are just unaware of the other girl's side of the story. Tears aren't the end all to get getting your way. Crying couldn't have been the main reason for the outcome of this...

Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac.
A lot has been written about the current crop of twentysomethings being unwilling to put their time in at entry-level jobs in general. They don't believe they should have to earn the privilege of a weekday shift, for example, or have so many years of experience before being promoted to a supervisory experience. They want meaningful work right off the bat; and to their credit, a lot of them are willing to negotiate their way around work they don't want to do. When they can't, they often leave. Unemployment has no stigma. (For what it's worth, Wikipedia has an interesting entry on Gen Xers.)

None of that applies to Myrtle, nor necessarily to new professionals in any aspect of health care. And we've all worked with twentysomethings who are fantastic and can teach the rest of us a thing or two.

As for whether people have to pay dues, it's been my experience that people who've got years of experience -- some, not all -- believe that newbies earn their privileges.

Not to nit pick, but aren't Gen X'ers the generation behind the baby boomers. They are now in the their 30's, they were full of angst, but also fueld in the computer generation by working endless hours bringing the internet and computer life to masses? 20-somethings are not part of that generation.

I do see what you're saying. On the other hand you have experienced nurses with time in a place thinking they get all the priviledge, that they get first choice of all holidays off, that they get priority over vacation and other things, and the newbies get nothing.

Also, it can be admirable that younger folks are coming in and asking for what they want - speciality positions, dayshift, etc. Why pay dues when they can get what they want. Why force someone to pay dues when the price can be lowered with no harm to anyone.

There shouldn't be any sense of entitlement for newbies and experienced people. But newbies shouldn't be expected everything on a silver platter.

Not to nit pick, but aren't Gen X'ers the generation behind the baby boomers. They are now in the their 30's, they were full of angst, but also fueld in the computer generation by working endless hours bringing the internet and computer life to masses? 20-somethings are not part of that generation.

I do see what you're saying. On the other hand you have experienced nurses with time in a place thinking they get all the priviledge, that they get first choice of all holidays off, that they get priority over vacation and other things, and the newbies get nothing.

Also, it can be admirable that younger folks are coming in and asking for what they want - speciality positions, dayshift, etc. Why pay dues when they can get what they want. Why force someone to pay dues when the price can be lowered with no harm to anyone.

There shouldn't be any sense of entitlement for newbies and experienced people. But newbies shouldn't be expected everything on a silver platter.

You're right, Tweety. Gen Xers came after Baby Boomers, followed by -- thanks, Multicollinarity! -- Gen Yers and Milleniums. I learned that from Multicollinarity's link to a very interesting read. One of the observations in that piece is that many members of Gens X, Y and Millenium all seem to have -- in the opinion of a number of social researchers -- an exaggerated sense of self-esteem and entitlement. Of course, these researchers are careful to point out that there are many who don't fit that stereotype.

As another poster pointed out, you don't have to be a twentysomething to be a newbie like Myrtle, either. When I raised this issue, what I was really thinking about was that people come from all different perspectives, and successfully managing them requires that we try to recognize that when we communicate on the job.

That said, Myrtle needs to think about managing up -- and down, and sideways -- just as Hortense and everybody else does. I think what some veterans have said on this thread about mentoring is right on. But I also agree with posters who've said that Myrtle needs to cool it with the tears. One thing's for sure: She didn't endear herself to any charge nurse by running to the manager right off the bat.

Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac.
. One of the observations in that piece is that many members of Gens X, Y and Millenium all seem to have -- in the opinion of a number of social researchers -- an exaggerated sense of self-esteem and entitlement. Of course, these researchers are careful to point out that there are many who don't fit that stereotype.

Boomers have a bit of a problem with entitlement as well. We're one of the first generations that didn't have to struggle, that the world revolved around us through each phase of our lives from toddler to now older age. Everythings been given to us and we've never gone hungry. This is manifested in the lack of planning and saving for retirement. 1/3 of us have nothing for retirement set aside, another third have an inadequate amount. We're spendthrifts but presume we're entitled to be taken care of because we always have.

Differences in generations, how they act and work are important things for us to know about. We also have to remember none is superior than the other. Even the beloved "greatest generation" those that fought in WWII had their problems with racism, homophobia and prejudice against others religions, etc.

I do get aggitated when boomers disrepect the younger generation, when we were the generation that rebeled against that very idea and started the "youth culture" and generational wars in the 60s. Now we're older with kids of our own whining "younger people these days..............". :lol2:

Boomers have a bit of a problem with entitlement as well. We're one of the first generations that didn't have to struggle, that the world revolved around us through each phase of our lives from toddler to now older age. Everythings been given to us and we've never gone hungry. This is manifested in the lack of planning and saving for retirement. 1/3 of us have nothing for retirement set aside, another third have an inadequate amount. We're spendthrifts but presume we're entitled to be taken care of because we always have.

Differences in generations, how they act and work are important things for us to know about. We also have to remember none is superior than the other. Even the beloved "greatest generation" those that fought in WWII had their problems with racism, homophobia and prejudice against others religions, etc.

I do get aggitated when boomers disrepect the younger generation, when we were the generation that rebeled against that very idea and started the "youth culture" and generational wars in the 60s. Now we're older with kids of our own whining "younger people these days..............". :lol2:

There was an interesting show on PBS the other night about we Boomers.

steph

+ Add a Comment