DiversityNursing Blog

Elitism in Nursing, a long-standing and pervasive issue, has been a source of significant problems across all areas of our profession. It often manifests as unspoken or assumed, leading to bullying, belittling, and an exclusive mentality. While experience is crucial for training and developing new Nurses, it can also breed a sense of superiority if not kept in check.

The truth is that elitism has no place in our noble profession. The key to our success lies in our ability to function as a team. By replacing elitism with teamwork, we can foster an inclusive and collaborative culture where every member is valued and respected for their unique contributions.

Read on to discover how we, as Nurses, can enhance teamwork and eradicate elitism, paving the way for a more harmonious and effective work environment.

Promote a Culture of Inclusivity: Recognizing and appreciating the importance of every Nursing role, from LPNs to APRNs, is essential to promoting a culture of inclusivity in the workplace. It is always important to highlight each Nursing role's unique contributions to patient care.

Nurses should strive to encourage a diverse workforce and celebrate the differences in each Nursing professional's background, education, and experience as strengths to be learned from rather than a source of division.

Encourage Open Communication: Encouraging open communication by ensuring that all meetings and discussions involve input from all Nursing staff levels is essential to promoting teamwork and reducing elitism. To facilitate open communication, it is important to establish systems for regular feedback so that all Nurses can express their concerns and use their voices to suggest improvements without fear of retribution.

When Nurses feel as though they can express their questions, concerns, or feedback freely without the fear of retaliation or retribution, elitism will become extinct.

Recognizing and Rewarding Teamwork: The best way to promote teamwork is to recognize and reward the team for their achievements rather than individual accomplishments. Celebrating milestones and successes as collective efforts can help further promote teamwork and emphasize the importance of teamwork over the elitism mentality.

Maintain Focus on Patient-Centered Care: To eradicate elitism in the workplace, the entire Nursing team must share the same goal of providing high-quality, patient-centered care. Collaboration and teamwork must be emphasized to achieve the best patient outcomes.

Collaboration between all healthcare disciplines is essential to creating a holistic approach to patient care. When the team works together, and all healthcare providers feel heard and respected, patients receive the best possible care.

Address Power Imbalances: Power imbalances must be addressed to snuff out the elitist mentality in Nursing. Implementing transparent policies regarding job roles, responsibilities, and advancement opportunities can help reduce the perceived power imbalances we often encounter in the workplace.

If power imbalances are noticed, proper conflict resolution is essential to ensure that issues related to elitism are addressed constructively and do not result in further bullying or belittling of other Nursing professionals.

Elitism has no place in the Nursing profession. While it may be true that some of the older generations of Nurses may ‘eat their young,’ this is not a trend we should continue as more generations of Nurses join the field. By implementing these proven strategies, we can promote teamwork, collaboration, and mutual respect, significantly improving the Nursing environment and, most importantly, patient care.

Teamwork is a fundamental aspect of the Nursing practice and is essential for providing safe and effective patient care. In healthcare, Nurses collaborate with a diverse team of professionals, including other Nurses, Physicians, Therapists, Pharmacists, and support staff.

Key Aspects of Teamwork in Nursing:

Communication

Communication is the cornerstone of collaboration, ensuring all team members are well-informed and working towards a common goal. Effective communication involves more than conveying information; it encompasses active listening, sharing relevant information, and seeking clarification when necessary.

Active listening is a main component of effective communication. Nurses must attentively listen to their colleagues' viewpoints, concerns, and suggestions. By actively listening, Nurses demonstrate respect for their team members and establish a foundation of trust. This creates an environment where everyone feels valued and encourages the exchange of ideas.

Sharing relevant information ensures all team members have a comprehensive understanding of the patient's condition and care plan. Nurses should provide clear and concise updates, including any changes in the patient's status, medications, or treatment plans. Sharing this information in a timely manner allows the team to make informed decisions and provide coordinated care.

Asking for clarification when needed is another vital aspect of effective communication. Nurses must not hesitate to seek clarification if they are unsure about any aspect of the patient's care or if they need further information to perform their tasks effectively. This proactive approach fosters a culture of openness and collaboration, where questions are encouraged, and knowledge is shared.

Nurses should convey information in a professional and respectful manner, considering the emotions and sensitivities of their colleagues. By maintaining a positive and supportive communication style, Nurses contribute to a harmonious work environment and enhance teamwork.

Collaboration

Collaboration is at the heart of Nursing practice, it allows healthcare professionals from various disciplines to come together and provide comprehensive care to patients. Nurses play a crucial role in this collaborative effort by working closely with Physicians, Therapists, and other members of the healthcare team to develop and implement care plans that address the holistic needs of each individual.

In this collaborative process, Nurses bring their unique perspective and expertise to the table, contributing valuable insights and knowledge that enhance the overall quality of patient care. By actively engaging in interdisciplinary discussions and sharing their observations and assessments, Nurses ensure that all aspects of the patient's health are considered and addressed.

Respect and Trust

Respecting each other's expertise and perspectives is mandatory for effective teamwork. Team members must acknowledge and value the unique skills and knowledge each individual brings to the table. This respect fosters an environment of trust, where team members can rely on one another and work together harmoniously.

Trust is the foundation upon which successful teamwork is built. It is developed through open and transparent communication, where team members feel comfortable expressing their thoughts, concerns, and ideas. By actively listening to one another, respecting different viewpoints, and engaging in constructive dialogue, trust is nurtured and strengthened.

Reliability is another key factor in building trust within a healthcare team. Team members must be dependable and follow through on their commitments and responsibilities. This includes being punctual, completing tasks in a timely manner, and ensuring their actions align with the agreed-upon care plan. When team members can rely on one another, they feel confident in the team's ability to deliver safe and effective patient care.

A shared commitment to patient well-being is the ultimate bond that unites a healthcare team. When team members prioritize the best interests of the patient above all else, trust is reinforced. This commitment involves advocating for the patient, collaborating on care decisions, and continuously striving to improve the quality of care provided.

Role Clarity

Each member of the healthcare team has specific roles and responsibilities that are keys to the overall functioning of the team. Clear delineation of roles helps prevent confusion, ensures tasks are completed efficiently, and contributes to a smoother workflow.

By clearly defining each team member's role, there is a greater sense of accountability and ownership over their specific tasks. This allows for better organization and coordination within the team, as everyone knows exactly what is expected of them. With role clarity, each team member can focus on their own responsibilities, which leads to increased productivity and effectiveness in delivering patient care.

Adaptability

As situations can change rapidly, team members must be able to quickly adapt and respond to emerging challenges. This requires flexibility and a willingness to collaborate on problem-solving.

Adaptability means being open to new ideas and approaches. It involves embracing change and being willing to step outside of one's comfort zone. Nurses who are adaptable understand there is always room for improvement and are constantly seeking ways to enhance their skills and knowledge.

Being adaptable also means being able to think on your feet and make quick decisions when necessary. In high-pressure situations, Nurses must be able to assess the situation, consider all available information, and make informed choices in the best interest of the patient. This requires a calm and composed demeanor, as well as the ability to prioritize and multitask effectively.

Conflict Resolution

This is an inevitable aspect of teamwork, and is needed to address conflicts promptly in order to maintain a harmonious work environment. Constructive conflict resolution involves a combination of open communication, active listening, and finding solutions that benefit both the individuals involved and the team as a whole.

It is important to note conflict resolution is not about winning or losing, but rather about finding a resolution that satisfies all parties involved. This requires compromise, flexibility, and a willingness to consider different perspectives. By finding middle ground and reaching a consensus, conflicts can be resolved in a way that promotes unity and collaboration within the team.

Continuous Improvement

This involves a commitment to consistently evaluating and enhancing the quality of patient care. By engaging in ongoing evaluation and quality improvement efforts, healthcare professionals can ensure they are providing the best possible care to their patients.

Regular team meetings provide an opportunity for team members to come together and discuss various aspects of patient care. These meetings allow for open and honest communication, where team members can share their experiences, challenges, and successes. By sharing insights and lessons learned, the team can identify areas for improvement and develop strategies to address them. Team meetings also foster a sense of unity and collaboration, as everyone works together towards a common goal of providing optimal patient care.

Feedback sessions are another important component of continuous improvement. These sessions involve giving and receiving feedback on individual and team performance. Constructive feedback allows team members to identify their strengths and areas for growth, as well as receive guidance on how to enhance their skills and knowledge. By providing feedback in a supportive and constructive manner, team members can feel empowered to make positive changes and contribute to the overall improvement of the team.

Effective teamwork in Nursing is a collaborative effort that involves clear communication, respect, trust, and a shared commitment to patient-centered care. Nurses play a central role in fostering positive teamwork and contributing to the overall success of the healthcare team.

Healthcare workers across the country are fighting tirelessly against COVID-19. They're wearing head to toe PPE around the clock. They're hot and frustrated while wearing it, and… they also lose their identity. Patients just see masks, suits, gloves, and goggles. Hospital staff wants this to change.

"Share Your Smile" and the "Button Project" are just 2 examples of a small, but positive movement. To look less intimidating to patients, healthcare heroes are attaching large photos and buttons of their faces, to their PPE.  

The goal of these projects is to eliminate or reduce a level of fear and anxiety for patients, especially children, who find comfort in seeing the smiling faces of healthcare team members.

San Diego respiratory therapist Robertino Rodriguez started the "Share Your Smile" idea. Rodriguez said, “Yesterday I felt bad for my patients in ER when I would come in the room with my face covered in PPE. A reassuring smile makes a big difference to a scared patient. So today I made a giant laminated badge for my PPE so my patients can see a reassuring and comforting smile.”

The movement is catching on amongst health care workers. Peggy Ji, an ER Doctor in Los Angeles, wrote on Instagram, "I was inspired by Robertino Rodriguez who works as a respiratory therapist in this COVID pandemic. I didn’t have a preprinted photo or a color printer so my polaroid will have to do. I wanted to bring a personal touch to caring for patients through my PPE. My hope is that our patients will know there’s a reassuring smile under this mask, and that we’re here for them."

Nurse Derek also posted a photo of himself and fellow coworkers on Instagram saying, "thought it was a beautiful way to bring ease to our patients during this stressful time. Thank you to all the healthcare workers out there for battling on the frontlines."

The Button project holds the same meaning and started at Monroe Carell Jr. Children’s Hospital at Vanderbilt.

Adelaide Vienneau, Director of the Children’s Hospital Family Resource Center (FRC) said, “When we were asked to take the lead on this project, I immediately said, ‘yes.' The FRC team likes finding solutions for staff and providing resources to assist patients and families in having the best possible experience during their health care visit. We are delighted with the anecdotal comments on how the photo buttons have been well-received.”

Any time in the hospital as a patient is a scary time for the patient. The personal connection is so important, but difficult to achieve with all of the PPE. What a simple, yet creative way to put patients at ease to feel a more personal connection with the healthcare team.

What is your place of employment doing about this? Please share with our community. Thank you!