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Stitched in silver
By  

In her blog titled “The Diary of a Nursing Student,” a newly inducted honor society member seeks to document her progress and “allow others to share in the joys of nursing.” In this posting, reproduced with her permission, she looks at the profession’s dark side and tries to find a silver lining.

 

By Jessica L. Daigle

My passion for nursing has become rather subdued lately, and I know exactly why. I’ve gone back and forth as to whether or not to write about it, as this blog is primarily meant to be inspiring. However, I felt that to leave it out would not do my blog or my take on this profession any justice. As with everything in life, we must take the good with the bad. Right?

Working in the hospital (and I won’t say which one) has become a tedious task lately. I try and make the most of every shift, committing myself to the work that needs to be done. I see my job as both a challenging and overwhelming learning experience, in both good ways and bad. The only problem is that, lately, the environment in which I work has become quite different from what I would consider respectful.

There is certainly a lot to be said about the type of person you are forced to become when you choose this profession. As of late, I am experiencing the need to thicken my skin a good 10 layers simply to get through a shift. I become unhappy before a shift, nervous about the way I will be treated by my co-workers. Considering the amount of time I spend on a shift, it is disappointing that my work environment is not more pleasant. Not even a month ago, I was excited to go in and work with patients. I now find that my spirited excitement for working with patients has been tempered by new knowledge—developed over time—of the harsh realities associated with helping sick people each day.

As with everything in life, we must take the good with the bad. Right?You never really know what you’re going to get in terms of the team you work with. There are a lot of nurses I look up to and respect, and many I would like to learn from. Some, however, are abrasive, never happy with the work you do or how hard you try, and they make sure you know this, too. At the same time, there are others who make a point of coming up to you at the end of the day and saying, “Hey, I appreciate all your help today.” 

Dissatisfied with the environment created by my co-workers, I confided in a nurse on another unit, whom I greatly respect and learn a lot from. Her advice was simple: “When you care for the critically ill, you learn how to make tough decisions, and how to fight for your tough decisions. When I was on the floor, I didn’t often question what the doctor said, but down here, the nurse plays a big role in patient care. To make yourself heard, you learn to become abrasive and speak up.”

She told me not to take the way nurses were treating me personally. “They likely don’t even know they are behaving that way toward you. It may simply be because of how they are.” I’m glad I spoke to her about this because she put a lot of things into perspective for me. I understand that, as a young and spirited nursing student, it is difficult for me to see this profession for what it really is. I may have been viewing nursing from behind a veil that has kept me from seeing the negative. As I grow and learn and progress in the field, everything becomes more real to me. This includes the dangerous acuity of the patients I care for, as well as the personalities of my co-workers.

It is said that nurses eat their young, and they do, with A1 Steak Sauce, ketchup or whatever condiment they prefer. I will not be cooked medium rare and handed to them on a plate with a side of fries. My recent experiences have taught me that, now more than ever, it is a good time for me to develop a thick skin. This will be difficult for me at first as I have been a student my entire life. I aim to please others, although I am learning that, if I am to do any good for my patients—and for myself—I need to become a stronger person. So, from that perspective, I thank my co-workers for what I consider, right now, a negative experience. Already, it is helping me learn and grow. 

There is always a silver lining. RNL

 Jessica L. Daigle
Jessica L. Daigle
Jessica L. Daigle graduates in May 2009 with a BSN from the University of Massachusetts Lowell. On her 22nd birthday, she was one of 18 students from the school who were inducted into the Honor Society of Nursing, Sigma Theta Tau International. Recalling the ceremony, she wrote: “While I sat there and listened to the speakers, I couldn’t help but reflect on the direction my life is taking. After graduation, I will jump right into a career of critical care. I plan to be a leader in all aspects of my life. Currently, I am a student leader and role model through the Student Nurses' Association. I plan to pursue a master’s degree, whether it’s as a critical-care nurse practitioner, a clinical nurse specialist or even a nurse anesthetist. I plan to hold multiple leadership roles as I advance in my career and can see myself obtaining a PhD one day.”

Reproduced with permission from “The Diary of a Nursing Student.”

Good One, 1/17/2009
by: kaspensullivan@gmail.com
Rating: 5
This was a great way at looking at the tough personalities nursing students are forced to deal with during their clincal rotations (an already stressful time in their lives). I know I had a similar experience in school and realize that I will have similar experiences when I finally get a job in the nursing field (which has been a struggle in itself as a new grad in NYC). Thanks again Jessica!
Sorry, 1/17/2009
by: elai427@zoominternet.net
Rating: 5
I am always sorry to hear that some seasoned nurses STILL don't respect their younger colleagues. I am a nurse of 35 years and LOVE students as well as new grads....so there are still some of us left! My daughter has recently graduated with a BSN from Univ. of Pittsburgh and is having a similar problem in her new work environment (ED Nursing) I have, however, watched her grow that thicker skin you talk about and it has come in quite handy when she has been needed to truly be a "patient advocate" Thank so much Jessica for a well written perspective and good luck on your career!
Speaking up, 1/17/2009
by: keynanhobbs@yahoo.com
Rating: 5
Jessica, your desire to lead shows nicely in your willingness to speak up about how you want something different for yourself than what you currently have in your work. Still, I hear you saying that your coworkers create your environment, and that speaking up means you must also be abrasive (defensive). Leadership of self comes before leadership of others, and I hope to influence you to consider that you shape your experience of relating to others at work, rather than others creating an experience for us. All best as you finish school!
Me too!!!, 1/17/2009
by: lnbryan1@student.malone.edu
Rating: 5
I have been a nurse for about 4 1/2 yrs now, but I still seem to get the cold shoulder. However, I work at a small hospital in a specialized unit. Most of my co-workers are older and will "never return to school." I too will be graduating in May with my BSN. I also plan to continue on for my Master's. I am married and have 3 young children, and my co-workers think I should be focused on them instead of myself. What they don't realize is everything I do is for my family. Is it really their business anyway?? I feel for you--I'm there too!!! Congratulations to us, though, we have proven to the only person that is the most important--ourselves--that we can do it, no matter what anyone else says!!!!!
stay positive, 1/17/2009
by: amcxo59@yahoo.com
Rating: 5
I have been a nurse for 27 years with a MSN...I have seen a lot of what you are talking about...best advice...at all costs...don't give up your authentic self, your true identity...the essence of why you are here. We can be advocates, assertive without being abrasive and defensive...those negative things we don't have to be. I try to follow the idea of "what goes around comes around" and just keep my side of the street clean, because that is all I have control of in this crazy world!!!
It's called Professionalism, 1/17/2009
by: alepard@vcn.com
Rating: 2
I am saddened that Jessica feels the need to toughen up, disheartened that even now we still have the idea that "nurses eat their young", and worried that the myth is still perpetuated through this blog. I have worked a lot of professions in my quest to nursing and see the same "eating of the young" no matter what the job market. I don't think it's really that a seasoned nurse resents or distrusts a newer nurse or thier abilities. I'd like to believe that we all care about the job we come in to do, and while we don't work for our coworkers, we work for a profession that exists 24/7, the patients, and the satisfaction to be the best. Yet, we have to work together to get the job done in a manner that stays professional, loving and with the knowledge that some days are better than others. Some people don't work as well in a team, some nurses don't teach well, some don't know how to relate to a student. I would echo your mentor; don't take it personally, don't sto
Stitched in silver, 1/17/2009
by: tanweeking@gmail.com
Rating: 4
Someone said that of all living things if he had to choose to represent him,it will be the dung beetle. The dung beetle cleans up the environment as he rolls the dung to his little home in the ground. It's an effective element that contributes positively in a world of destructive woe. Let's h=choose who we want to be ...and be of good cheer!
Keep Looking Up, 1/17/2009
by: ysmith1@bham.rr.com
Rating: 5
While I am sorry that you are having this expereince, I'm glad that is occurring now while you are in school so you have a chance to process the experience. Sadly, nurses eat their young in all areas of practice. We must learn to be helpful and offer our support to all new nurses whether in clinical practice or education. Stay strong - the rewards of patient care are worth it.
Thinking out loud, 1/17/2009
by: mac.kcd@gmail.com
Rating: 5
With all due respect I'm inclined to disagree with your mentor. I was in the high tech industry for over 30 years. Frequently being on the "bleeding edge" of technology meant being hard nosed, and agressive, but never did I withness anyone "eating their young". We always had the utmost respect for our colleagues (new and old). I dare say someone would have quickly been called down had this type of behavior been witnessed. I retired 6 years ago from a marketing position and recently graduated with my BSN. Hopefully we can change this uneeded and unacceptable behavior in the nursing industry.
You're not alone, 1/17/2009
by: gerry_sayre1@hotmail.com
Rating: 5
It is a sad day indeed, when, no matter what you do at the beginning of your new profession, that there are those who are at times so burned out and/or dissallusioned, that they will try to temper your enthusiasm or break your spirit, to whos benifit is anyones guess. That you keep going, and rise above all that, to be the best you can be, you will be able to lay your head down and the end of your shift and know you are doing the God's work. You will the peace and confidence of knowing you are doing right thing despite the interferience you get from those who would work to break you instead of supporting you by sharing their years of experience with you.
The choice is yours, 1/18/2009
by: nurse_man2005@yahoo.com
Rating: 4
Jessica, you will very soon find yourself faced with a many choices. This is a wonderful porfession that is well respected by those we are so privillaged to serve. I admire your skill of self-reflection and your objective assessment of nurses eating their young. I am a Registered Nurse with over 12 years experience in both critical care and management who recently completed the MSN with a focus in clinical leadership. Sooner than you realize, you will be the one serving as a mentor to an up-coming professional nurse and I sincerly hope that you will reach out in support of this individual. With the increasing acuity and rapid turn-over of patients, it is crucial that we all support one another because truth be told; none of us can do it alone, it take all of us working as a team to provide healthcare in a very fragmented system of delivery. I hope that others of our colleagues will also make the conscious effort to support one another.
Stay you, 1/18/2009
by: theresavarela@hotmail.com
Rating: 4
Keep the compassion. When we don't take care of ourselves it is easy to become abrasive, defensive,and offending. As careproviders we need to remember to replenish ourselves. While nursing is demanding it is a gift. We willingly provide service and should acknowledge this. When we find we're hurting others we've also been hurting ourselves. Best wishes to you in your nursing career and in all the twists and turns it brings. May you walk in beauty.
Integrity, 1/18/2009
by: meg2e@virginia.edu
Rating: 5
In teaching BSN nursing students in their 3rd & 4th year, I have the privilege of watching young professionals like Jessica grow from green newbies to developing professionals. I could not have a more rewarding job. Students report negative behaviors, particularly when they are in their capstone experience (with a preceptor, and no clinical instructor on the unit). They process this negative role modeling, and exposure to burned out nurses in our conferences. I have thought alot about this,& my advice to approaching grads is to become self-aware and develop their own professional integrity. By that I mean stay positive and model to others the best of who you are. Place the patient at the center & I believe that ultimately new grads will achieve respect and personal satisfaction. It is a tough world! but you are prepared to tackle it.
Stitched in Silver, 1/18/2009
by: meg2e@virginia.edu
Rating: 5
Integrity
AACN's Health Work Environment, 1/18/2009
by: rtimmer@mtaonline.net
Rating: 5
As a future nursing leader, I want to encourage you to read and embrace the American Association of Critical-Care Nurses' standards for creating and sustaining a healthy work environment. These 6 standards are essential for protecting patient/client safety and reducing nursing turnover. You can find them at www.aacn.org
You be the better person, 1/18/2009
by: woolgirls@comcast.net
Rating: 5
I believe all professions have employees who for whatever reason feel threatened by new people with new knowledge. Sadly, some of us have to deal with these negative employees. Keep true to yourself, be the better person. I have watched as my daughter developed her thick skin, she became cynical and judgmental. I did not raise her to be this way and I don't practice nursing this way. We have talked about the ways she has changed over the last two years and she sees the negative attributes she has borrowed from some of her co workers. We are professionals who are here to care for and about our patients and their families. We need to have the same compassion for our co-workers.
You are not alone, 1/21/2009
by: hpierce@jhsi.com
Rating: 5
I have been practicing for 11 years and still remember my experiences in nursing school and as a new grad. My best advice to you is this: Don't ever forget how you feel right now. Carrying those memories has made me very conscious of how I behave toward students and new nurses. I try to go out of my way to be supportive, understanding, and mentoring. Every day each of us makes the decision, whether deliberately or not, to replicate the cycle or stop it at ourselves. Good luck and stay strong!
Soar like an eagle, 1/23/2009
by: lillibeth@rcn.com
Rating: 5
Soar like an eagle. There will always be people who will put you down, discouraged you from achieving your dreams but you don't have to listen to them. As long as you are a responsible nurse and doing the right thing for your patients, someone's watching over those good nurses. Reach for the stars but keep your feet on the ground.
Is this our legacy?, 1/25/2009
by: sja3@shaw.ca
Rating: 5
25 years as a nurse and I, unfotunately, have heard this story often. Unless we stop making excuses for this behaviour "we need to be abrasive to get our point across...it's not you its the system" - it will continue and that's just not acceptable to me. For a student or new grad to stand up to a seasoned nurse it is diffuclt and unfair to expect - how about all you veterans calling your collegues on this behaviour when you witness it. Maybe then we will have a chance at ending our legacy of "eating our young". There are better ways to mentor our new nurses to survive!! Thank you Jessica for having the courage to share your story - you are already a leader!
She says it as she sees it!, 1/25/2009
by: ima66eppld@yahoo.com
Rating: 5
It seems that not much has changed since I was a nursing student many years ago. I am in the clinical educator role at this point of my nursing career. I like to pass on hindsight to my students so they can avoid making the same mistakes I made. One of the goals in my nursing instruction is to alleviate the fear and instill confidence in new nurses. I tell my students not to make themselves victims but become educated in their fields because we all know knowledge is power. Sadly there are many great, experienced nurses who are out there that are simply tired (we call them "toxic nurse"). They hate their jobs but cannot or do not leave. Something about complacency. This is projected toward young, vibrant, fresh nurses like Jessica because it may bring out how these nurses used to be. Don't give in to the negativity. Believe me there will be enough of that just dealing with our patient's illnesses, family issues, politics, etc. I applaude Jessica's energy and I'm happy
Hold on to your passion, 1/28/2009
by: rugratrn99@yahoo.com
Rating: 4
Negativity on nursing units is like a cancer... do not feed into this negative culture... rather, stay positive and forward moving and you will influence others to follow suit... you are better than stooping to "abrasive" behavior... assertiveness with a positive can-do attitude is contagious... don't let them get you down!
It's a darn shame..., 2/2/2009
by: kathy.rozema@gmail.com
Rating: 5
To Jessica (and other nurses and nursing students like you): I feel awful that you are having increasing anxiety over what should be a great school experience due to bitter nurses that should darn well know better. This is something called LATERAL VIOLENCE and is being focused on heavily by the Center for American Nurses in nursing education. Please see the following link for their policy on this: http://www.centerforamericannurses.org/associations/9102/files/Position%20StatementLateral%20Violence%20and%20Bullying.pdf. I have experienced this, and it takes a lot of effort to speak up for yourself when you know you're being bullied. This isn't junior high, nor should it be. I hope that you develop the ability to stand up for respect not only for yourself but also for your patients. It's all about respect, and there is no supportive workplace culture without that. Good luck in life, and I hope you achieve all of your dreams!
Stay true to yourself!, 2/7/2009
by: missdulcemia@hotmail.com
Rating: 2
No matter what anyone says, I don't believe that there is ever an excuse for anyone, a stressed nurse, etc, to be mean to you. You are so sweet! They are looking for an excuse to be nasty-don't give it to them. I respect you for trying to fit into the culture, but if the culture is treating people like dirt, then you may want to reconsider the value in that. Good luck! Nursing is hard, but wonderful!
The Honeymoon is over - Stay with it through the Shock phase, 2/24/2009
by: ghgilbert@comcast.net
Rating: 4
As a nurse educator, I have listened to this same story told through many tears, many, many times. I still remember feeling like no one cared when I began working in the OR in 1985 - sometimes it seemed like others would actually keep information from me to prevent me from accomplishing what I needed to scrub a case. I vowed then that I would never become stingy with myself or my resources. Each time I hear these stories from new OR nurses, it reinforces my promise to stay open to new people, new ideas, and to foster learning and success in others. The best outcome for me as I have encouraged others to continue their commitment to the role of nursing is that most make it through the shock of being out there alone, and eventually begin to 'own' their practices. While a few years seems like forever when you are new, you will develop self-esteem in your own decision-making as the shock wears off. You'll know you've reached resolution, as Marlene Kramer would say, when you can get on the u
What a shame...., 2/24/2009
by: elizabethmrice@cox.net
Rating: 4
I have just retired from a profession I have loved every day of my career. I read your story with great concern and I would like to apologize for the treatment you have received. There is no resource more important for the future of healthcare then new, enthusiastic and dedicated nurses. As a manager, I was almost excited as the new nurses I hired to see their eager faces on that first day of work. During orientation preceptors were handpicked according to the personality of the new grad and if the assignment did not work out for some reason, it was quickly changed. No new nurse (or experienced nurse for that matter) should be subjected to the harrassment of those few nurses not happy with their chosen profession, their lives, teaching or the rigors of patient care. How do you teach a new nurse that the patient always comes first if you do not demonstrate that behavior? Keep that positive attitude, thicken your skin to the insensitive and be the best nurse you can be for your patients.
Change comes with one person at a time., 2/24/2009
by: taysheedra@yahoo.com
Rating: 4
I must say, my nursing career started 6 years ago just as you described in your reflections. I decided I wanted to become a nurse in the sixth grade. My love and passion for my profession grows everyday! I am proud and blessed to be a nurse, and I tell everyone I meet. I currently coordinate the program for Associate Degree New-to-Practice nurses. In this role, I try to inspire and share my passion for my profession. I would encourage you to keep your dream; no one can take that way. Remember that every experience can build character, if we learn and let ourselves grow from it. One by one, we can change that stigma in nursing that “nurses eat their young”. I do not eat the young, I try to feed and fatten them up. I encourage you to do the same, one day you will be that experienced nurse and this experience will help you to be the encourager not destroyer. We can stop this cycle!
Change begins with each of us....., 2/24/2009
by: scook@northrock.bm
Rating: 4
Yes, it is true that throughout your career you will meet those who have been on the ward longer who may feel threatened by your enthusiasm for your job. What really upsets me is how soon those who take the abuse at times become the abuser at a later date. We need to grow from these harsh experiences and change this cycle of abusing new staff. Often we become so worn out that we don't even realize what we are doing and then wonder why things never change. We started this poor behaviour and have done such a great job that it then becomes a perpetual cycle that we too complain about. Change needs to start with each of us. Don't accept the ways we are abused and ensure that we learn from these harsh experiences and change these behaviours for the next generation of new staff members. scook@northrock.bm
Find a supportive environment, 2/26/2009
by: black8618@sbcglobal.net
Rating: 4
I'm a nurse educator after 20 years of management and I recommend you choose a supportive environment to work in by asking to shadow and talk with the staff you may be working with. You may toughen up a bit but we do need to help and support each other learn and grow. Some department, for whatever reason, are toxic and that is no place for a new graduate. Good luck in your career and I hope you'll be teaching others someday too.
Stitched in silver, 3/1/2009
by: amoore51@hotmail.com
Rating: 5
Jessica please don't give up. Keep your high ideals and your desire to help others. It is unfortunate that we continue to deal with nurses who "eat their young"!!! I've been a nurse for 34 plus years and I have not lost the desire to help others despite the sometimes overwhelming negativity around me. My passion for nursing continues. I recently completed my MSN despite remarks from colleagues who say they are too old to return to school. We are never too old to learn and I have found that I learn something almost every day. Yes, I even learn from the student nurses who come to my department to observe endoscopy procedures. So Jessica, don't give up! Hold your head up high and continue to give compassionate care to your patients. Also, pursue your desire to continue your education, it will be extremely rewarding. Best of luck to you as you complete your BSN and join us in the real world. amoore51@hotmail.com
Keep going., 4/9/2009
by: chidevil@verizon.net
Rating: 5
good luck and keep going.
Congratulations, 6/2/2009
by: Judith M. Rausch, BSN
Rating: 5
By now you have graduated with your BSN, and I hope that you are very proud. In school we are rewarded for our academic prowess, but at work we are rewarded in many different ways. A "thank-you, bless you" from a patient, for example. Working hard in school will get you a good grade. Working hard in an environment where older (more experienced) nurses do not mentor a new graduate can be quite challenging. We are told to "toughen up, get a thicker skin". Why? Is not striving to care for our patients with excellent care enough? I think that nurse department managers need to emphasize leadership qualities and professionalism much more. I am dealing with a similar situation, and I have worked in a critical care environment for 10 years. Keep your compassion, for there is not enough of it in this world, and effect change by NOT being like the negative nellies you must work with.
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