The Florida Nurse - December 2014

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Page 16 The Florida Nurse December 2014 Rising Above the Culture of Incivility in Nursing Roselle Samson- Mojares, MSN, RN There are evidences which substantiate the reasons why the culture of the nursing profession is vulnerable to incivility. Awareness may help us understand incivility and compel us to act wisely and in haste. As a practice discipline, nursing is a profession with an intricate social atmosphere (1). Interaction with people is an essential undertaking where most challenges and struggles emerge from. Healthcare is a business with different personalities. Conflict is an inevitable phenomenon. A postcolonial feminist discourse classifies people based on their race and hierarchy in society or institution (2). Race can be a malicious approach in identifying people as there are certain racial or cultural attributes that command social behavior. Race is not limited to the genetic make-up of a person, but more compellingly how politics and society define and identify a person in reference to actual or mythical characteristics. Oppressed group behavior was first portrayed when literature began focusing on colonized groups (3). Besides invading physical space, colonizers shoved their authority upon the natives. The conquered felt insignificant, doubted their capabilities, and developed contempt toward self (4). Nurses lost their autonomy and conviction when healthcare moved from visiting home care into the hospital setting (3). The male dominance philosophy persuades women to believe they are worthless but acquire worth only through male associations (5). Women are socialized to address each other as “natural enemies,” bonding with one another serves no enrichment of their essence, and women are incapable of coming together (5). Gender bigotry creates a threatening atmosphere between women for no cause (5). Needless to say, majority of nurses are women. Marginal people will support oppressive doctrines and practices in exchange for positions slightly above the oppressed (4). Applying the concept to the culture of nursing, nurses are considered marginal beings when they advocate for the oppressors at the expense of the oppressed. The medical model is constantly defying the notion that caring is greater or equal to curing. The inclusion of the physician’s name under the patient’s admission data validates the role of the physician, while nurses remain the unnamed souls who implement the care that cures the patient. A dilemma emerges for nurses as they are pulled between carrying out orders, their ethical responsibility to be altruistic (6), and their standard of practice to be autonomous (7). Kanter’s theory of social power asserts that conduct and perspectives are largely molded by a person’s status and circumstances (8). Human dynamics are underlined by vulnerability triggering anxiety and manifested through incivility. Social power can also be linked to “access to resources and information” (9); perceived or actual lack of such produce tension which becomes important factors in the culture of nursing. If culture is a collection of the founding views, goals, and structure which sets nursing apart from the rest; then nurses must look within and reflect on what truly matters to us and decide to make changes now, to have a voice, to stand up against the status quo, to prove everyone wrong, to bond, and once and for all banish incivility from the profession. Roselle Samson-Mojares, MSN, RN is on the faculty at Barry University, College of Nursing and Health Sciences in Miami Shores, FL. She teaches for the Undergraduate program in Mental Health and Psychiatry as well as Women’s Health and Maternal-Child. She received her Associate in Science Nursing degree from Indian River Community College. She earned her Bachelor’s in Nursing and Master’s in Nursing Education from Barry University. She is currently pursuing her PhD in Nursing from Barry University with her dissertation focus on “Incivility in Nursing.” 1. Guidroz, A. M., Wang, M., & Perez, L. M. (2012). Developing a model of source-specific interpersonal conflict in health care. Stress and Health, 28, 69-79. 2. Anderson, J. M. (2009). Toward a post-colonial feminist methodology in nursing research: Exploring the convergence of post-colonial and black feminist scholarship. Nurse Researcher, 9(3), 7-27. 3. Roberts, S. J., De Marco, R., & Griffin, M. (2009). The effect of oppressed group behaviours on the culture of the nursing workplace: a review of the evidence and interventions for change. Journal of Nursing Management, 17(3), 288-293. 4. Freire, P. (2010). Pedagogy of the oppressed (30th anniversary ed.). New York, NY: The Continuum International Publishing Group Inc. 5. Hooks, B. (1986). Sisterhood: Political solidarity between women. Feminist Review, 23, 125-138. 6. American Nurses Association (2001). Code of ethics for nurses with interpretative statements. Washington, DC: American Nurses Publishing. 7. American Nurses Association (2010). Nursing scope and standards of practice (2nd ed.). Silver Springs, MD: Nursesbooks.org. 8. Laschigner, H. K., Sabiston, J. A., & Kutszcher, L. (1997). Empowerment and staff nurse decision involvement in nursing work environments: Testing Kanter’s theory of structural power in organizations. Research in Nursing and Health, 20, 341-352. 9. Kanter, R. M. (1979). Power failure in management circuits. Harvard Business Review, 65-75.
December 2014 The Florida Nurse Page 17 Actions Speak Louder Than Words Dr. Carole Kain Nationally Certified Mental Health Nurse Practitioner Kain Behavorial Health Associates Being a nursing student is just hard! The challenges of defining the nurse’s role and learning hundreds of facts, skills, and science that comprise our profession can seem more than overwhelming for anyone. And these days, many nursing students begin a nursing education as grown-ups. Perhaps they are married, have children, or are full-time employees. They aren’t abandoning any of their current roles; they are adding the student nurses’ role to an already full plate. It can be easy for these hopeful people to become disillusioned or cynical. How can we as a body of nurses prevent that disillusionment? You can provide a much needed bright light of encouragement by: • Inviting a student nurse to attend a conference, • Taking time to stop for a minute during the work day in the hospital or clinic when you see a student during the clinical rotations to offer a compliment or a word of encouragement, and/or • Introducing the student to other nurses on your floor. Mentors contribute to the overall improvement of the nursing profession and can have a remarkable influence on a nursing student’s career. As a mentor, you can provide diverse perspectives and practical insights to the practice of nursing. Mentors also serve as role models and informal guides to the healthcare field. Mentors offer formal and informal networking and collegiality, career guidance, advocacy, prioritization and time management skills, professionalism, values, passion, and fun. So next time you see a student nurse, take a moment out of your day to show you care because “ACTIONS SPEAK LOUDER THAN WORDS.” Please send in your Mentoring Vignettes to Vicki Sumagpang at vsumagpang@floridanurse.org. We look forward to hearing your stories. Thank you. Looking for the perfect career? Look no further than... nursingALD.com Find the perfect nursing job for you! Attention all Nursing Entrepreneurs, Small Nursing Business Owners, and Nurses who are considering being independent contractors The FNA Nurse Entrepreneur Special Interest Group is developing a Nurse Entrepreneur Boot Camp which will be offered as a series of Webinars. The webinars will provide contact hours and a certificate from FNA upon completion. The topics to be covered are: • Week one: Nurses finding their niche and passion as Nurse Small Business Owners and Entrepreneurs • Week two: Nurses learning what their services and products are and who to market their products/services to • Week three: The development of a beginning business plan • Week four: How to network and sell your services The lead instructor will be Dr. Dan Berman. Dr. Berman has been a nurse entrepreneur since 1990. He has developed, owned, and sold his own Home Health Agency. In addition, Dr. Dan Berman was the co-owner and developer of a large group practice in mental health. He developed and owned his own Healthcare Management Consulting Firm. He currently is a Nursing Executive Consultant who offers and speaks on a variety of subjects around the US. He also serves as a member of the FNA Board of Directors. Earn a Credential That’s in Demand Nationwide MSN MASTER OF SCIENCE IN NURSING (MSN) DNP DOCTOR OF NURSING PRACTICE (DNP) PhD PhD IN NURSING SCIENCE clinical interventions, health services research “Top 15” ranked nursing school Practice specialties for all interests State-of-the-art nursing informatics and facilities Community of scholars with broad faculty expertise Distance learning opportunities Seamless BSN entry- MSN-DNP option LEARN MORE. APPLY TODAY: nursing.vanderbilt.edu TEACHING | PRACTICE | RESEARCH | INFORMATICS Connect with us: #VUSN Serious About Nursing? Earn an accredited BSN in just over 3 years. New Miami Campus—classes forming now. 877-336-8429 | Nursing-WCU.com West Coast University 9250 NW 36th Street, Doral, FL 33178-2431 *Generally, once admitted, you will not have to apply for or wait for nursing courses to become available, however, students admitted under the “Developmental Education Pathway” will be admitted conditionally and will be subjected to additional application requirements. See westcoastuniversity.edu/ florida/BSNadmissions.html for detailed information. For graduation rates, median debt of graduates completing these programs and other important information, visit westcoastuniversity.edu/disclosures. Our focused Bachelor of Science in Nursing degree program is designed to be completed in as little as 39 months—to help give you both the proficiency and leadership skills to advance your career: • Hands-On Technology—with a technologically advanced multi-lab Simulation Center to help you succeed • No Wait Lists or Secondary Applications*—classes start every 10 weeks. • WCU’s accredited BSN and LPN-BSN programs are approved by the Florida Board of Nursing. WCU is institutionally accredited by the WASC Senior College and University Commission and the University’s nursing programs are accredited by CCNE. Not all programs are available every term Licensed by the Florida Commission for Independent Education, License No. 5014. WASC: 985 Atlantic Avenue, #100, Alameda, CA 94501, 510-748-9001, www.wascsenior.org. Commission on Collegiate Nursing Education (CCNE) One Dupont Circle, NW, Suite 530, Washington, DC 20036, 202-887-6791, www.aacn.nche.edu/CCNE/reports/accprog.asp It’s Easy To See Why So Many Nurses Are Flocking To Lee Memorial Health System! Experienced RNs PCU, Critical Care, OR, ED, Med/Surg Certified Nursing Assistants All positions require 2 years’ acute care hospital experience. Generous hiring incentives for qualified candidates! In today’s uncertain healthcare environment, it’s unusual for an organization to launch an aggressive growth strategy. But that’s exactly what you’ll find at Lee Memorial Health System! For immediate consideration, and to upload your resume, visit LMHSNursing.org/FNA Drug/Tobacco–free workplace. EOE
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