New nurses fear two things when they
start their first job: Making a mistake and that the other nurses will eat them
alive! Really. I’ve talked with many student and graduate nurses over the years
and get asked the same question: “What do I do if the nurses are mean?
Unfortunately, they have every right to be
worried.
I once witnessed a new nurse on her very
first day, approach the unit secretary and announce that she was there to start
work. The unit secretary, who didn’t smile or even acknowledge her presence,
shouted to another nurse, “Hey Carol. Your baby nurse is here.” Carol looked up
and said, “Great” sarcastically and then said to her, “Look. I don’t want to be
a preceptor and I tried to get out of it but couldn’t. Just don’t get in my way
and try not to kill anyone okay?”
The look on this new nurse’s face was a look of
terror.
Horizontal violence has been going on for
a long time and although there are a lot of theories behind why nurses “eat their young” and what
bullying looks like, not a lot has been done to stop it. One of the reasons
that this issue has gone on for so long is because we accept it as the norm. We just tolerate or try to ignore them. Many
bullies keep their jobs because they’re either great clinicians, work a lot of
overtime, or because everyone’s afraid to confront them. It’s not right however
it is the truth. Until we can come together as a profession, take ownership of
our behavior and hold others accountable, bullying will continue.
Instead of worrying that the
nurses will eat them alive, new nurses need to focus on learning how to
effectively care for patients.
However, there is something YOU can
do.
If you find yourself the victim of horizontal
violence as a new nurse, consider these 3 options:
1. Confront
the aggressor
Many schools of nursing are now incorporating
conflict resolution into their curriculum – a much needed skill to learn! If
you are confident in your communication skills, try to confront the
bully. Just a simple, “I need your support – not your criticism” or
“Please stop criticizing me in front of everyone”, etc. may be the conversation
that turns things around. It may send a message to the bully that you are not
an easy target.
2. Ask
for help
Although confronting the aggressor is a great
strategy, many new nurses don’t have the courage. That’s okay. I didn’t either
and found myself an easy target until I gained confidence and was able to stick
up for myself. If you are not comfortable with confrontation, ask your
preceptor, nurse educator, or unit manager for help (this is implying that they
are not the bullies!). Let them know what’s been happening – don’t assume they
know. Remember, some bullies use covert tactics to abuse their victims and it
might not be obvious to others.
3. Climb
the ladder
If you are not getting support from your unit
leadership, take it up the chain of commands. Don’t let it stop at the unit level.
Organizations now have mandated codes of conduct to comply with regulatory
agencies (The Joint Commission). If you take your complaint to senior
leadership or the Human Resource Department, they have no choice but to take it
seriously and address the destructive behavior.
You deserve to work in a supportive, nurturing
environment. If that’s not happening, speak up!
Thanks for reading. Would love to read your
comments on this important topic.
Thanks for choosing to become a nurse! I am cheering for your success.
Renee
For more tips to help you succeed as a new nurse, click here!
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Thank you for sharing such wonderful information! Being a nurse is a challenging job, so it must be a great passion and good dedication that makes one can pass all the difficulties.
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