Why the nurses get no respect...

Nurses General Nursing

Published

Hello, everyone.

I know this topic has been severely beaten, but its not dead yet because so many of us are still talking about it. I thought I would share my opinions and I invite everyone to comment, whether you agree with me or not.

I'm working on a BSN degree, which I expect to complete by summer '04. After that I intend to work as an RN for a year and then apply to grad school to do the CRNA program. Yes, I'm one of 'those' people who went ahead and did a nursing degree despite all the MANY negative things I heard about nursing as a career. BUT... I've been working as a volunteer in a local hospital, and from what I have observed, it IS true that physicians and NPs look down on nurses. But, it is also true that a lot of what has happened to the nursing profession is due to the attitudes and behavior of some of the nurses themselves.

First of all, I can tell from talking to some of the nurses at my hospital that they barely made it through nursing school and probably passed the NCLEX by less than a hair. Even as a student, I am shocked at some of the things I've seen some RNs do and at some of the questions they ask...stuff that any first year nursing student should know. If even I, as a nursing student, can observe these things, then surely the doctors also do. And, this is one of the reasons some of them think most nurses are idiots and little more than patient care techs. I've only been a volunteer in this hospital for 6 months and already I can tell the good nurses from the bad ones.

Another thing I've observed is that many nurses complain, complain, complain...about everything and wherever they can find an audience. They complain about the pay, the patients, the doctors, the administration...you name it. I've always wondered why these people got into the profession in the first place. They always use the same cliches...Plumbers make more, landscapers make more, etc. Anyone who really loves nursing will agree that it takes a lot more to be a nurse than it does to be a plumber or a gardener. For one thing, to be a good nurse you have to care more about helping people than about making a buck. In fact, to be really good at any profession you have to care more about your competence and reputation than about making a lot of money. I think a lot of nurses don't understand this.

I've seen some nurses who're so miserable when they come on the floor most times that I wonder why they bother. I've always believed that if you don't like what you're doing then you should find another way to make a living and stop creating more stress for yourself. I'm not yet an RN, and obviously as a volunteer I'm not making ANY money from helping take care of people in the hospital, but its experience that I'll need later and I don't get stressed out by it because I actually like helping people.

Also, some nurses don't take themselves seriously but they expect doctors to respect them anyway. In the old days, nurses used to wear immaculate white uniforms that were ironed, and they also wore clean white shoes. They wore conservative and neatly groomed hair, short cut nails, and they were spotless all around. Nurses were in very much the same supporting role back then but doctors did not look down on them the way they do now. Everyone used to look up to that spotless white uniform as a symbol of health and authority, and nursing used to be one of the most highly respected careers.

But look at what's happened. SCRUBS!!! In the ugliest and most shocking colors and prints, and with a pair of smelly, dirty sneakers to match. Not to mention the outrageous hairstyles and the long, acrylic fingernails to match. Compare the matronly-looking nurse from the 1950s in her glorious white uniform to today's nurse in his/her cheap cotton scrubs. Which one looks more like a circus act? Which one looks more like a healthcare professional? And we're wondering why people don't see nurses as professionals!!! Yes, appearance matters, and to prove it, put a lab coat on any nurse and throw a stethescope around his or her neck and see whether most patients won't assume that she/he is a doctor.

Then there's attitude. I've seen nurses who flat out refuse to go back to school to learn new stuff, always holding on tight only to what they know. They resist change and complain when they have to learn new technology that comes into the hospital. Some of them love to stand around backstabbing each other and gossipping, and they say the nastiest things about other nurses who take their work seriously.

I encourage anyone who's thinking about going into nursing to volunteer a few hours each week in a hospital and watch how the RNs and the LPNs do their stuff, just to get an idea of what to expect from the career. If after doing that you still feel like giving nursing a try, then just do it and stop paying attention to other people who say negative things about nursing. Every career has stress, and very few people you ask (no matter what profession they're in) will ever say they make "enough" money. I don't think nurses will ever be paid "enough" money for what they do, but one thing I've learned is that nursing is absolutely the wrong career choice if you're doing it just for the money.

I think nursing can once again become a respected profession when some of us in the field start to respect ourselves and each other a lot more than we do now.

Very good posts. Dave you have no idea what the job entails as you yourself said you are not yet a nurse. Believe me I have worked with many a nurses aid that thought they knew exactly what nurses did that is until they went to school and became one. They usually end up apologizing to the nurses they wrongly judged. As for the dress code a nurses choice of scrubs has nothing to do with a lack of professionalism and everything to do with being able to move enough to really DO your job. At leaste where I work I have to get in some pretty strange positions in order to perform alot of my duties. If I had to wear a starched dress or uniform I doubt that I would get as hands on in dealing with my pts as I currently do. GOOD nurses gotta be able to move. As a nurse I feel I would be remiss if I didnt tell you that you need to get your judgemental attitude in check before you become a nurse. If you dont your pts will dislike you and your coworkers will eat you alive. The chip on the shoulder must go. Trust me it is not becoming to a professional nurse.

Specializes in Med/Surg, Geriatrics.

Oh, Dave, Dave, Dave! It is so much more complicated than you realize, sir. As one of the nurses who proudly profess to her years in the profession(12) and then complain, let me say to you: you must walk a mile in our shoes before you can even begin to judge. Many have already made good points to you: Nursing school does not prepare you to know everything. And in fact, you will not ever know everything there is to know about nursing even if you specialize. That is the nature of the biz.

You made some good points about people who don't care about themselves or their jobs. But honestly, why must we feel guilty about wanting to make more money? If my salary has not risen significantly in the 12 years that I've been working, don 't I have a right to complain?

As for the white uniforms, it costs a fortune to keep them looking white and starch(???). They stain very easily and it is difficult to get them clean. Wearing scrubs is a matter of practicality but I daresay that it is possible to look professional in them also. I know I always do.

It is pretty funny that you think that nurses were more respected in the past than now. By the way, did you hear that nursing is the top respected profession in the United States as rated by the public? I guess they don't mind the scrubs.

I also like what said to you about how it really is the nurses' own fault if they are unhappy. That is so typical of what administration usually thinks and I see that you bought right into it. You have a great career ahead of you! Seriously, let's see how much you think it is the nurses own fault if she or he is complaining after you are working your third double in a pay period, short-staffed again!, and administration shrugs their shoulders and tells you to just deal with it. Let's see how proud you are after working hard all shift under the worst of circumstances to keep your patients alive and progressing only for someone to complain because you didn't keep their water pitcher filled or you took too long to get a blanket.

Gwenith is right. Your tone is rather condescending but I am not angered by it. I know that you will see the truth shortly. I only hope that after your 1 year that you would write us back and let us know exactly how it is for you.

What's really frightening here Dave, is you seem to think that once you're a nurse you will know everything and never have to ask questions. That what you learn in school or read in journals will be enough.

Facility policiy and procedures change every day. Nurses are floated or they move on their own to new specialties. New drugs are always introduced. If nurses don't ask questions, get second opinions, or back up, sooner or later a patient will be harmed.

Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac.

Points well taken.

Just be carful of approaching your career with such a judgemental attitude or you'll be very frustrated. Just concentrate on doing the best you can every day for your patients. You are looking at all the negatives. Gee if that's how you feel about nursing, find another career and fast.

Find a positive place to work that you can grow.

Leave the rest. Rise above it. But careful about the "I've just graduated with a BSN and I'm so smart, and I'm so much holier than thou.."

(There is so much information out there. I am a sponge to new grads, asking them questions that yes I should know, but forgot or want up to date information on.....) (I may not be the smartest, but I get plenty of respect.)

Good luck.

Specializes in Step down, ICU, ER, PACU, Amb. Surg.

*a deep, proper curtsie to Gwenith and Sim*

I could not have put it any better or written any more passionately about the comments made that opened this thread to begin with. I would like to add the following few thoughts:

A) I wear scrubs. They are not loud and obnoxious, they are a very reserved shade of navy blue and I top them with brightly printed jackets. Those brightly coloured jackets get me more compliments and thank yous from the patients and have assissted in calming down more distraught children than you will ever know. A cheerful, pleasant pattern can go a long way to calming fears and brightening spirits that are weighted down by fear, anguish and sadness. My tennis shows (sneakers) are designed to provide my tootsies and back with maximum comfort and are kept clean. See, if I am not comfy while on my feet, do yu really think I am gonna take good care of you and be able to think clearly and concisely??? Oh HELLNOOOOOOOOOooooo! Do not judge the whole barrel by 1 or 2 rotten apples you have stumbled across. (PS: I started out wear whites and a cap....and I am neater, cleaner and more professional looking that i was in the begining of my career)

B) I have lost track of the times that I have "eaten" over time and worked unpaid because a patient was in need, or called from home to make sure that someone addressed the doctor about the concerns of my patient. My family has gone many, many hours with out their wife and mother because I have a dedication and passion for what I do.

No, it is never perfect, where ever you go and tere will always be something that is a proverbial thorn in your side.....yes, we are all guilty of grumbling and grousing but it is a way to vent so that we do not carry the negative feelings to the bed side. Yes, you may hear us complain that we are not getting paid enough or that doctor so-and-so is rude and the patient in room such-and-such is a PIA but it is like the release valve on a pressure cooker.....we must release some steam or we will explode...for we are human and we take our profession very seriously and sometimes in a very personal way....if we did not vent we would self desruct in less than 10 seconds. I am one of the nurses yu will find deep in the infastructure of nursing....I am a Critical Care/Recovery Room/Emergency Room Nurse...I am proud of the fact that I have taken my basic knowledge and fine tuned it into a specialty......it is challenging, stressful and rewarding.....I learn at every opportunity I can get, even if I do not commit to furthering my Associates Degree.....there are other methodes of learning and I obtained my Associates while caring for 2 babies and a spouse (as I am sure others have done as well). That in and of it's self was a challenge. Yes, I have heard nurses ask questions that make me very afraid and question their competency but I would rather that the nurse ask a "dumb,ignorant" question than to be foolish, not ask and kill someone.

I would strongly reccommend that you rethink your opinion, Sir....take your shovel and start filling in the deep fox hole that you have dug for your self so quickly in such a short time on the front lines of a war that you have not even been enlisted to fight. You would do better to go into this profession with an open mind, heart and soul....keep your eyes and ears open and your biased, hostile opinions to your self. You might be surprised at how much you will learn and what great friends and co-workers you will make in the process.

Specializes in Step down, ICU, ER, PACU, Amb. Surg.

PS: if not for my warped, sarcastic and twisted humor I would never be able to continue to function in the setting I have chosen. As for respect......it is something that must be earned and when you do earn it....You will have the most loyal of supporters in those, who's respect you have earned. And with that earned respect...comes being treated by a professional.

But you are entitled to your opinions and I am not obligated to agree or like them.

Part of that is just venting so we dont take it all home with us. More than that is a symptom of a bigger problem - low morale & burnout. You have to look past the symptom & identify the cause before you can treat it. If you did so, you would probably find that the nurses at your facility are not well-treated or well-paid, are overwhelmed with unmanageable, unsafe working conditons that put them & their pts at risk, and they feel powerless to change the situation. Many nurses are walking away from the job because of that, but a lot have no choice but to stay and put up with up the abuse - and the result is the symptoms you mentioned. I am so tired of hearing people complain about nurses "poor attitudes" while they are working in abusive, oppressive, dangerous environments. How the hell do people expect them to behave when they are getting beaten up all day?

The apparent culture of disrepect of nurses at your facility has much to do with the nurses dissatisfaction. That dissatisfaction results in low moral. Instead of writing the nurses off as chronic complainers, look at the management practices of the facility to see WHY their nurses are manifesting symptoms of dissatisfaction, low moral, and burn out. If the problem is to be fixed, management has to change those practices that are causing it.

If your pt had a temp of 103, would you just give Tylenol & walk away, or would you say hey wait a minute, whats going on here? And find out WHY the pt has that temp? As a nurse you'll have to do more than just observe because many times, things are not always what they seem at first glance.

I realize you are a student and you still have a lot to learn but understand from now that bedside nursing is NOT just a "supportive role" today and we are not the doctors handmaidens that we were in previous centuries.

BTW, Ill go back to starched white dresses and maids' caps the day that men nurses start wearing them too.

(How easy for them to tell us what we should be wearing when they themselves have never had to work, bend, stretch, lift, pull, etc in such a get-up.)

Good luck with your CRNA.

Specializes in ICU.
Originally posted by daveFL

The sarcasm in some of these posts are exactly what I was talking about in my original comment about the negative attitudes towards nursing from some nurses. This is why I don't undertand why so many RNs complain about their jobs. Nurses today are no different from the ones of years ago...essentially, they're still cleaning the patient's pee-pee and poop, giving medications, doing assessments, and taking orders from doctors and NPs. That's always been a part of the job that will never change whether you're wearing white or the most hideous scrubs.

As one nurse manager in my hospital puts it, the worst offfenders and the biggest complainers always find a way to blame the horrible state of the nursing profession on somebody else besides themselves. Its never about them or their attitude, they always try to make it about the hospitals, the doctors, other nurses, or the patients...always trying to find some fault that they can complain about or criticize. And they walk around with all this false pride about how long they've been a nurse, as if that excuses them from incompetence and sloth. The fact that a person has been a nurse for 10 or even 20 years doesn't necessarily mean that that person is a good nurse, and I've seen that with my own eyes.

For the person who says wearing a clean white uniform makes a nurse look like a bimbo, well... I guess only so much can be said for cleanliness and self respect. Evidently, these qualities mean different things to different people.

But, to each, his own. Right?

I am sorry you feel thout our considered and erudite rebuttals of your orignal post were "sarcastic". I answered as I did because I considered your post to be deliberately inflamatory.

I wonder whether you would have the temerity to post on a Bulletin Board dedicated to teachers and tell them that you in essence consider them to be the authors of thier own professional problems because they no longer wear reading glasses and lace - up shoes. Would you go to a bulletin board for police and tell them that the reason they have lost respect is that they are no longer crew cut and worse there are women in thier ranks!! You are on a nursing bulletin board deriding nurses to nurses do not be surprised if we respond to defend our profession and our own professionalism.

Once again though I note you have leveled accusations without giving specifics. Who on this thread has been sarcastic, complained and made negative comments?

As for cleaning pee-pee and poop. Yes I clean patients when they have defecated and urinated but I also maintain thier ventilation, monitor thier vital signs, administer medications and evaluate responses to therapy and interventions and by heaven I also do my fair share of guiding new medical staf in performance of thier duties. It is called providing holistic care.

Provide specific instances of your allegations and we will listen and where possible enlighten you. Make general negative comments and expect the responses you have recieved.

Specializes in Obstetrics, M/S, Psych.

gwenith

Great post. Loved especially how you note how anyone can give a negative, unqualified assessment to the problems within any given profession. You're good!:cool:

Excellent replies. Nothing else to add that hasn't already been said so well. No one should condemn another, without first having walked in their (nursing) shoes.

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

wow---- such great replies I cannot add much to. I will just say this:

Dave, you need to walk oh....about 2000 miles in my so-called "stinky sneakers", as you put it so deftly, BEFORE YOU HAVE THE REAL RIGHT IN MY EYES TO EVEN BEGIN TO UNDERSTAND WHAT REAL-WORLD NURSING IS ABOUT.

Til then, you need to remember this, especially in nursing and medicine: A CLOSED mouth will never hold a foot in it!

Best of luck to you. I mean it.

I wore a little white dress and a little white cap and little white stockings and little white shoes through nursing school and I felt like a jackass. I really felt as though no one took me seriously, including the patients. They were more interested in my uniform than in my abilities. The nurses in our hospital have a dress code, either all white or a specific color. No prints are allowed. It is not often followed though and some just wear plain blue scrubs. I agree some nurses look less than professional but that should not reflect on the profession as a whole, but rather on the individual. My problem is that half of the employees do not wear ID, including agency nurses. So you don't know if they are an RN, an LPN or the housekeeper. I feel the patient has the right to know who is taking care of them and what their position is.:)

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