I'm just about to start a new nursing postion and leaving my last appointment with heartfelt relief.
Why heartfelt relief? Because it brought back to me the stark and often ugly truth about nursing. This truth is that throughout my nursing career many of my nursing positions have been akin to the opening line in "A Tale of two Cities":
"... It was the best of times, it was the worst of times..."
Nursing is a complicated business. It's based on the premise of caring for other people and on the whole I think nurses do a pretty good job of caring for their patients.
What nurses don't do so well is care for each other! Therein lies the paradox of nursing. That's why it has always seemed to me to be the "best of times" as well as the "worst of times". And, I don't think I'm Robinson Crusoe either as the discussions on Nurse Uncut testify. All of us who continue working as nurses experience this best and worst of nursing.
So, what are the "best of times"?
For me, the best part of being a nurse is the genuine camaraderie that exists amongst colleagues who know and understand the difficulties of caring for people throughout difficult times. Nurses usually meet and care for people when they are physically and emotionally unwell, and never at their best by any means.
This is what keeps me in nursing. In some unexpected way, I always feel privileged to be offered someone's hand while I walk with them through their dark journey; and then when it's over to watch these people go home, knowing I have made a difference to their journey. I usually don't ever see them again and that's a good thing. It means that I've done my job well. There are many people I have met and known intimately for such short periods of time while I've nursed them and then never seen them again. This ability to develop and nurture these short intimate relationships that enable people to heal effectively, is an unrecognised and undervalued nursing skill. Nurses do this well and it's wonderful thing. It's part of what keeps me in there for the long haul.
Another good thing about nursing is the odd and often dark sense of humour that develops, to enable us to keep on nursing and manage the highs and lows of our work. I like this sense of humour and the sometimes hysterical and always muffled hilarity that happens in the tea room, pan room, nurses station and outside a patient's room. Having worked with other health professionals, I know it doesn't exist elsewhere and it's what keeps us sane.
The other "best" parts of nursing are the boxes of "thank you chocolates", tea room chats, the laughter and the bitching, the crazy night-duty world that no one else visits and the constant everchanging and interesting world where learning is a prerequisite for staying an effective nurse.
And, what are the "worst of times"?
It is, of course, the terrible culture of oppression and mistreatment that continues to exist within nursing. The worst of nursing are those times when you don't "toe the party line" which results in your exile to some sort of nursing Gulag where you are tortured and oppressed by the ruling Nursing Stasi. An extreme metaphor, I admit. But, to those of us who have experienced this exile, it seems like a harsh work camp with despotic overseers and frightened fellow inmates too afraid to say anything that might incriminate them. It appears to be a very unfortunate truth that many nurses go into management and allow themselves to be indoctrinated into an old and ruthless system of oppressive practices. The sad truth is, if they don't wear this dictatorial and high-handed cultural mantle they are also persecuted as a "new management" dissident and banished to the "siberia of nursing" - never mind how much skill and experience they might have!
It is often said that nurses "eat their young". It could be more truthfully said that in this strict heirachical nursing culture with its wealth of historical mores, nurses eat not only their young; they also eat those more experienced nurses that threaten the long-held system of heirachy and oppression. Many nurses really do like this system and that's why it doesn't change. These nurses keep the oppressive culture alive by eating their young, or banishing those that try to make a difference. How sad that we can't manage to change this very dark side of nursing?
My last nursing position was another instance of the "best of times and the worst of times" and resigning from it closes another interesting chapter in my now long nursing story and off I go to a different place in nursing.
And that's one of the "best" things about nursing as well - there is always another place to go and do your nursing thing!
So, in your opinion, what are the best and worst parts of your profession?
Image courtesy of photobucket.
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jockeyd71 - says: Added on - 02 Mar 2010 06:53PM |
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Scary is it not; a tales of 2 cities is my favourite book. In the US and UK I have contributed to blogs that read the same as this. Nurses with the same sad stories. As a senior CNC I refuse to go into management to tread this dark path. I often am an outsider looking in on beautiful people or potentially beautiful passionate nurses destroying each other often over miss communication or different values and minor issues like rosters. I remember when I was young getting in trouble for; my humor, being male, turning up late, getting too many weekends off on my roster, not working night shift and knowing too much. The last one was the worst crime of all. |
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Kassie - says: Added on - 06 Feb 2010 12:48AM |
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The Pride and Shame of nursing Well said indeed. The pride of being a nurse is doing the tough job - whether in aged care, paeds, emergency or general - most of the population could not and would not do what we do, and we do it well. |
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Added on - 14 Dec 2009 08:16PM |
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Bernhard I hope you hang around here a bit ... I like the way you think things out ... and explain things :) |
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nursezilla - says: Added on - 09 Dec 2009 02:44PM |
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It is a sad fact That we Nurses are the distructive force to another Nurses self assurance - how many times have we heard around the morning tea room - nurses ripping the character of another Nurse to shreds - I do not mean the whinge we all have about a Nurse we work with then get over it - I mean the Malicious Vindictive Nasty attack on a character for doing exactly what the the loudest voice is also doing but if they talk loud enough maybe attention will not be on them - We have all experienced hearing or witnessing this but have sat back and thanked the powers that be that the attack was not on us - and then we wonder where all the good - caring nurses have gone? |
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Added on - 08 Dec 2009 11:36PM |
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Tale of two cities! I think I'll throw in another line from this book:"It is a far, far better thing that I do, than I have ever done; it is a far, far better rest that I go to than I have ever known" - and add that this should refer to nursing, if you do it with conviction and humour. Trust me, if you don't enjoy the ride, the guillotine will do more damage and with more pain. It's sad so many do actually "eat their young". When I became ADN level5 on night shift at a large hospital, I was constantly given names of 'smart-alecky" students and was told "they already have 2 strikes against them, so I'm sure you can help with one more complaint so we can terminate them now!" |
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Added on - 04 Nov 2009 10:09PM |
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Best of times and worst of times I am optimistic that the best of times is ahead in AGED CARE .Surely the support and pressure from the public has to have an effect and will cause an upsurge and change of the guard . |
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Added on - 02 Nov 2009 01:18AM |
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Spoken with such truth! I have to agree with absolutly everything you have said except for this part "It appears to be a very unfortunate truth that many nurses go into management and allow themselves to be indoctrinated into an old and ruthless system of oppressive practices. The sad truth is, if they don't wear this dictatorial and high-handed cultural mantle they are also persecuted as a "new management" dissident and banished to the "siberia of nursing" |
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Added on - 01 Nov 2009 07:20PM |
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Two Sides of Nursing This is so real and so true. There is truely two sides of Nurses. I have experenced the good, when after the years (decades) of nursing and you look at all the thank you cards and letters (I have kept each and every one, I have a box full) and you remember each and every person you have touched in a positive way and you get up and go to work the next day to do the same, because you want to help someone have a better day. That is a nurse. |
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ljm - says: Added on - 31 Oct 2009 02:26PM |
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I love the place I work and I also hate the place I work I love;- The commraderrie, the friendships and the mentorship that you get from other nurses can be amazing, especially when you are open to it. I work in a small rural private hospital as an EN, I am currently attending university to do my RN's. I am loving the support I get from my colleagues who have all been absolutely wonderful. I am a mature age student who has come back into nursing after many years of doing other non nursing job's. I have found a new passion for nursing which is opening so many doors for me. The diversity of this priofession is amazing and awe inspiring. I have found if you go into situations with a good attitude and willingness to learn that your experience is rewarded by those around you whether this be from your patients or your work mates. The patients are why we do what we do and I love caring for people and I can't believe how lucky I am to be involved in their lives at sometimes the worst times of their lives and be able to give them some kind of comfort. |
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Nat X - says: Added on - 30 Oct 2009 04:49PM |
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best and worst of times!! The worst of times. Unfortunately learning about horizontal violence (amongst colleagues) and "nurses eating their young" was perhaps one of (if not the first) lessons I learned about in my TENs training. This nastiness not only makes it unpleasant to go to work and difficult to do your job and to learn, it is downright DANGEROUS. It is so dangerous that even silly and vindictive complaints can lead you to be hauled up in front of the NUM to answer for, which can potentially threaten your good standing, self esteem and JOB itslelf !! How can you give safe and effective care when you are not supported to care for the patients, and the workplace feels like a warzone!!!. It could potentially cost lives !!! Come guys, no ones perfect but we are here to do the same job after all !!! |
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ruthguevarra - says: Added on - 30 Oct 2009 02:35AM |
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I would like to agree with you Pc I am also new. I know at one stage I felt like I have been eaten alive. I have cried over the worst shift I've ever had. But, I am still here, stronger. I love what nursing is all about. I love it when I get to make people smile in their worst of times. For me that is the "Best of Times".I'm not here for the paycheck. I am passionate about touching people's lives and making a change in their lives no matter how small or subtle it is. To me, that's BIG! |
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Added on - 30 Oct 2009 01:45AM |
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a good read It's always good to read ur blogs |