The Disrespect Of Nurses

The nursing profession might be the most trusted according to surveys and polls, but it is certainly not the most respected by a long shot. The intended purpose of this article is to further explore the rampant disrespect of nurses in American society. Nurses Relations Article

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I was at my workplace earlier this month when my supervisor told me about a volatile situation that was unfolding on a different floor between another nurse and a verbally abusive family member. This particular family member was at the bedside for twelve hours straight and refused to leave when gently prompted. She was confrontational, hollering, taking pictures with her cellular phone, and interfering with procedures that needed to be performed on the patient. Nothing seemed to please her.

And guess what? The verbally abusive family member was coddled by management and allowed to stay well beyond the visiting hours that other visitors are expected to follow. I suppose the old saying applies in this situation: "The squeaky wheel gets the grease." Too many members of the public know that they can act like loudmouthed fools, behave disrespectfully toward nursing staff, and basically get away with it.

I clearly recall another instance of blatant disrespect at the same workplace. A group of surly family members were yelling obscenities and threats at the floor nurse and supervisor after being informed that the patient contracted a urinary tract infection: "You haven't seen crazy until you've seen me!" "I will put my foot up your ***!" "You'd better get my mother out of this place before I get you out of the way!" To keep a long story short, the patient was sent to another hospital to receive the same intravenous antibiotics that my workplace had been providing.

These same instances of disrespect would be totally nipped in the bud at other places of business. For instance, the frustrated traveler who attempts to enter the cockpit and give the airline pilot a 'piece of his mind' will be jumped on by the air marshall. If I start acting out irrationally and refuse to leave the local new car dealership once closing time has arrived, the workers will call law enforcement to physically force me off the property. The customer who threatens the safety of the teller at the credit union will be escorted to the parking lot by security guards. If any of you try to walk to the back of the bakery to harass the staff and take pictures of the employees and equipment with your cell phone, you will not be in the bakery for very long.

According to polls, nursing is the most trusted profession. For the 12th year, nurses were voted the most trusted profession in America in Gallup's annual survey that ranks professions based on their honesty and ethical standards (American Nurses Association, 2012). However, trust must not be confused with respect. While nurses are certainly trusted, we are not respected by the public, management, or administration.

Although it is generally not constructive to babble about a problem without offering possible resolutions, I do not pretend to know of any solutions to this complex problem. For starters, it would be nice if we had the backing of management more often. Do you have any real life tales of disrespect from patients, visitors, families, or other members of the public? If the answer if yes, please share. And most importantly, please stay safe!

Specializes in Gerontology, Med surg, Home Health.

I do not allow anyone to threaten, scream at, or intimidate my staff. They have all been told to calmly walk away or tell the other person that they will not be spoken to in that manner.We don't have security, but the staff know they can an should call 911 if they feel threatened.Work is stressful enough and we are busy enough without having to deal with bullies.

Specializes in ICU.

I found the following on CNN:

Nurses describe alleged assault by Kennedy son - CNN.com

Quote

It was the second day of Kennedy's criminal trial on misdemeanor charges of harassment and child endangerment resulting from what happened in January at Northern Westchester Hospital in Mount Kisco, about 40 miles north of New York City.

One of the nurses, Cari Luciano, said that as Kennedy tried to get past the nurses and into the stairwell, his infant's head was being jostled, unsupported, in his arms. She testified that she instinctively reached out to steady it when Kennedy kicked her squarely in the pelvis.

Nurse Marian Williams said she saw Kennedy kick Luciano with "such force" that it knocked her off her feet.

The third nurse, Anna Lane, testified Kennedy twisted her arm off the stairwell door as he tried to leave.

Such a gentleman. He needs to spend some "quiet time" locked up in a cell with his new friend Bubba.

I work in palliative care, so we have a lot of families who aren't coping well and blame the nurses and other staff for their loved ones illness. I had one particular situation where one family member was yelling at me at 6 am at the nursing station because I went into their room to give routine pain medication and it woke him up. It was waking up other patients and family members and I was not able to control the situation, so the charge nurse came and talked to him, completely defending me and explained to him that even though in our unit family is welcome 24/7, it is NOT a place to expect a good nights sleep and why it was necessary for me to be in the room. I also had other patients family members ask me later on if I was okay, and say that they wanted to step in but didn't feel like it was their place, because they could hear the whole thing from their own rooms. It was very nice to have the charge nurse take my side and I think that it really turned into a more positive experience regarding confrontation with family members!

Specializes in burn ICU, SICU, ER, Trauma Rapid Response.
TheCommuter said:
I was at my workplace earlier this month when my supervisor told me about a volatile situation that was unfolding on a different floor between another nurse and a verbally abusive family member. This particular family member was at the bedside for twelve hours straight and refused to leave when gently prompted. She was confrontational, hollering, taking pictures with her cellular phone, and interfering with procedures that needed to be performed on the patient. Nothing seemed to please her.

And guess what? The verbally abusive family member was coddled by management and allowed to stay well beyond the visiting hours that other visitors are expected to follow. I suppose the old saying applies in this situation: “The squeaky wheel gets the grease.” Too many members of the public know that they can act like loudmouthed fools, behave disrespectfully toward nursing staff, and basically get away with it.

*** Let me guess, a Magnet hospital? That family memeber would not have been tolerated in my hospital. I wouldn't work for a hospital with so little reguard for it's staff.

TheCommuter said:
I clearly recall another instance of blatant disrespect at the same workplace. A group of surly family members were yelling obscenities and threats at the floor nurse and supervisor after being informed that the patient contracted a urinary tract infection: “You haven’t seen crazy until you’ve seen me!” “I will put my foot up your ***!” “You’d better get my mother out of this place before I get you out of the way!” To keep a long story short, the patient was sent to another hospital to receive the same intravenous antibiotics that my workplace had been providing.

*** Wow so that hospital has a tract record of throwing it's staff under a bus. I would be out of there.

Why is it when you go to workplace all the rights that you are entitled for yourself as a citizen, as a human being are denied? Shoot, I'm not about to have anyone threaten me. I will call security or the cops because if there is no one going to stick up for me, I need to do it myself. They need to quit making places of employment like abusive relationships!

caregiver1977 said:
What if someone is physically abusing a nurse and in the process someone else gets hurt as well?

Blame the nurse! I've always been told by managers that everything will be fine if the nurses would just use better therapeutic communication.

One of my favourite doctors discharged his patient once for being completely incompliant with care and very rude/inappropriate with the nurses.

He said, "If that's how he choses to be, we won't keep him here."

I was charge nurse on night shift a couple of years back when our PCA came running down the hall saying the patient in room 8 was threatening to beat up one of the nurses. This 6'4", 240 pound patient was threatening and poking his nurse in the chest when I arrived. I stepped between him and his nurse and told him that his behavior will not be tolerated and that if he does not immediately desist security will be called. At this point I became his target and he punched me in the side of my head. I grabbed him, to defend myself from another punch, and we went all over the room I am 20 years older than him and was tiring quickly. I was finally able to get him in a headlock and hold him down on the other bed in the room (thank God no one was in it) until security arrived. I believe this was the beginning of my hatred of nursing. Working long, hard hours, getting no respect or appreciation from management or patients has taken its toll on me. We are highly trained professionals trying to do the best we can but are looked at as nothing but waiters and waitresses by patients and expenses that need to be cut by management. At the hospital where I work our PTO is going to be cut by 72 hours a year. Management is very concerned about patient satisfaction surveys because of reimbursement issues but refuses to do the thing, in my opinion that would help the most, which is to have proper staffing so you will have time to give patients the attention they require. I know my comment rambles on some but I feel better after doing it.

This is 1 of the many reasons I have been looking for different Nursing jobs AWAY from the bedside. It has become obvious to me that nurses are no more than assistants to Drs. We are held responsible for all kinds of ridiculous things which mgmt thinks helps save money. We recently got another email from our CEO telling us how budget cuts could mean wage cuts for all of us in the future. However its funny to note that mgmt does NOT get included in any of these salary cuts. Instead if anything they always get a raise to help encourage them to make the hospital moooooore money. Mgmt has Noooooooooooo idea what we do at the bedside and they don't care as long as the hospital continues to make money we mean nothing to them. If firing a nurse makes for better customer service they don't mind because they know that there are 15 new grads waiting for that job. Funny thing those new grads don't even last 1 year before they turn around and enroll in NP school to get away from the bedside.

We go to school to learn so much and do more than this yet we have become a task-oriented profession who are not allowed to think or act autonomously. It is very depressing. :no:

My hospital pays low and doesn't treat their staff too well so when they have a high census and call nurses to do extra shifts NO ONE shows up. I am only here for the experience but now I too am looking to get out of bedside.

I already told my manager i am tired of bedside nursing and am going back to school to do something different. She told me you're smart and can do it so go for it! She knows what bedside is like and totally supports my moving forward. :up:

Specializes in Case mgmt., rehab, (CRRN), LTC & psych.
PMFB-RN said:
*** Let me guess, a Magnet hospital? That family memeber would not have been tolerated in my hospital. I wouldn't work for a hospital with so little reguard for it's staff.

Nope, it's not a magnet facility by a long shot. It's not even a general acute care hospital.

PMFB-RN said:
*** Wow so that hospital has a tract record of throwing it's staff under a bus. I would be out of there.

Unfortunately, I cannot just 'get out of there' because I live in a large metro area with a local employment market that is glutted with too many nurses and too few nursing jobs. Although I have been applying for jobs out of state, I am at a keen disadvantage because I possess the wrong mix of experience.

typicAl blame the victim garbage. wow some of your (multiple posters) patients should be on a locked psych ward. it is a typical customer service job but about a million times worse on the customer is always right mantra. Most of our management also believes if a pt or visitor is rude or disrespectful or hostile or combative it must be the nurse's fault somehow. must not have communicated right, bedside report will fix it , not responding to pain , (as if i can order the dilaudid ivp ) on and on.

I work in a private hospital in Australia (so similar to the US system where the hospital is running a business as opposed to public hospitals here) and that sort of behavior would never fly. Security would be called and patients can be and have been banned from the hospital for being violent. We have had security guard patients due to aggressive behavior related to their medical condition (e.g we had a patient with steroid induced psychosis so they couldn't really help their behavior) to protect the nurses. I don't believe this is a universal problem and it seems most likely related to the US system where profit appears to be the bottom line in healthcare.