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For nurses, a little respect goes a long way

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As everyone knows--heck, even my mom knows this, and she works in a restaurant--nursing shortages are one of the great issues the healthcare industry has to address. Even if president-elect Obama comes up with a health reform plan that knocks everyone's socks off and generates a wave of bipartisan support, it's not likely to fix every problem in the health system. Keeping an adequate nursing workforce in place is in a class by itself.

So why, pray tell, should we be having to enact laws in Philadelphia, or any state in the union, requiring healthcare facilities not to force nurses and other health personnel to work overtime? (See related story in this issue.) Yes, I can certainly see where some facilities may face emergencies that force them to require extra hours from nurses, but the rest of the forced overtime, I suspect, has more to do with avoiding hiring new nurses to cover gaps. And that's no way to cover a shortage--unless nurse turnover isn't a big issue for you, of course.

As regular readers know, when researchers go out there and look into what it takes to attract and keep nurses, the answers they get generally focus on offering them respect and input into decisions that affect patient care. Mentoring programs for newer nurses also seem to be a big plus. The message is clear: hospitals don't have to offer the absolute highest salary to attract more nurses than their neighbors; they just have to treat them like professionals, for heaven's sake.

If they're going to do that, execs might want to start by making sure they're not doing anything coercive to meet their short-term goals, like pushing nurses into tired-zombie zone to in order to meet coverage requirements. Then, they could always do more listening, more empowerment, more enhanced training and the like. They could even fund better salaries for nurse educators at local universities, which can ripple out into more slots for nurse trainees and greater availability of nursing candidates.

In the mean time, a little R-E-S-P-E-C-T goes a long way. Let's hope that it doesn't take a law in every state to convince hospitals that nurses are human too. - Anne

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Comments

No employer wants to have people working extra hours if they don't want to. But outlawing employer mandated overtime is a very short-sighted move. As someone who has a relative in the hospital right now, I've witnessed what happens when someone calls out and nurses scramble to provide care. I'd rather have someone who was bit tired but available to provide care than a nurse who has to cover 12 or more patients because of absent workers. Unless an employer is working staff overtime several times per week, it shouldn't create a safety issue.

I agree that R-E-S-P-E-C-T is a key factor in attracting and keeping nurses, not to mention workplace violence, conflict management, creativity and client satisfaction.

At the surface it seems simple, but underneath it is not. Respect involves attitudes we have towards ourselves and each other as well as those from leaders, patients and colleagues. When we start to look at the power dynamics in nurse practice settings and self esteem issues many of us have, including myself, we can begin to see how complex the issue becomes.

Individuals and organizations must look for ways to build effective communication and respectful organizational cultures. Being able to set limits in a healthy way is a critical part of self respect. Mandatory overtime may be a necessary evil in the short run for situations such as those described by the previous writer. But in the long run, it is a dangerous stance. As Anne, states, 'nurses are human too'. To be expected to chronically work overtime is not healthy for nurses, patients or the organization.

The Joint Commission's new 'conduct' standard will help as will training for communication skills such as assertiveness and attentive listening. R-E-S-P-E-C-T is inherent in all of the above.

Thanks for the article, Anne.

Beth

I beleive most Doctors and Nurses deserve the most
respect we can give them,except if they make money
by putting people on hospice,Its just to get rid of the poor the elderly and the disabled,Doctors,take an oath"Do no harm" well hospice is murder.When you murder,thats harm, to every one,especially the patient thatbeen killed against their will,and their loved ones,Its a corn game to get rid of patients they dont like.
"A Rose by Any Other name is still A Rose"When you kill some one its murder...........

RNs deserve so much more respect and pay then they receive in most acute settings. As a new grad RN who loves nursing, I am so disgusted by the outside factors that affect my actual NURSING duties. The workload (nurse-patient ratios) cause much stress and make it difficult to provide safe and quality care to each patient. That stress coupled with the lack of respect from other healthcare professionals and at times the general public, mediocre pay, difficult and demanding hours and often overtime really causes me to reconsider my future in healthcare as a newly BSN prepared RN.

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