DiversityNursing Blog

A positive workplace culture is essential for Nurses to provide excellent patient care. In addition, a positive workplace culture on Nursing units can positively impact job satisfaction, staff retention, and patient outcomes.

Unfortunately, in some Nursing units, bullying is tolerated, silently condoned, or completely ignored. This leads to a toxic culture and an unhealthy workplace. There is an age-old phenomenon among some Nurses called “Nurses eating their young.” This form of bullying has been viewed as a rite of passage for new Nurses, but in the end, it has resulted in devastating effects on unit morale. It can have a long-lasting impact on the self-confidence of new Nurses.

The good news is most Nursing units offer a culture of support and positivity. And thankfully, the culture of “eating your young” is slowly dissolving. Nurses see coworkers more often than family due to working long hours, overnights, or holidays, so having support and camaraderie with your colleagues is very important.

Here are some ways you can help support Nurses on your unit to increase morale and create a positive Nursing culture.

Make Friends with Your Co-Workers

Nursing can be stressful, and Nurses often experience intense situations at work. Bonding with coworkers and developing friendships can reduce stress and create a more positive work environment. After all, only Nurses can understand what other Nurses go through. Why not make friends with your Nursing colleagues so you have someone to share all the joys and struggles of the job?

Be a Role Model

The best way to encourage a positive work culture in your unit is to model positive, encouraging behavior. For example, always lend a hand to a fellow Nurse with a heavier patient load or praise a co-worker for a job well done – it’s a great way to spread positivity.

Small acts of kindness are also great ways to role model good behavior on your Nursing units. Acts of service can be as simple as answering a call bell for a fellow Nurse or offering to cover your coworker's patients so they can take their lunch break. When Nurses choose to be positive, show compassion, and respect for their fellow Nurses, we can experience a happier work environment and improve the culture of our units. 

Acknowledge Strengths

Recognizing positive behavior and a job well done is the best way to motivate your colleagues and spread positivity. Feeling valued at work encourages staff members to perform their best and go the extra mile. Empowering Nurses by appreciating everything they do goes a long way. Say thank you to your co-workers when they help you out or compliment them when a job is done well.

Have Fun!

Nurses often deal with life and death circumstances, so saying ‘have fun’ can seem a little insensitive. However, having fun at work is excellent for your mental health and can help reduce stress both on and off the job. Finding humor and laughing with co-workers can lighten the stress Nurses carry on their shoulders throughout the day. Other ideas to try on your unit could be to plan a day to match scrubs, a theme day to celebrate a holiday, or plan a potluck so everyone can enjoy a snack on their lunch break. 

Nurses are kind and compassionate with their patients. They should act the same way to their coworkers. You have the power to create an encouraging, positive culture. So go out there and spread positivity because happy Nurses provide the best care to their patients.

Nurse gig shifts refer to temporary or short-term Nursing assignments that are often offered through staffing agencies or online apps. These shifts can range in length from a few hours to several weeks or months and are often taken by Nurses who are looking for flexible work arrangements or who want to supplement their income.

Gig shifts can be beneficial for both Nurses and healthcare facilities. Nurses who work gig shifts have the flexibility to choose when and where they work, and they can often earn a higher hourly rate than they would in a traditional full-time position. Healthcare facilities can use gig shifts to fill staffing gaps or to cover unexpected absences, ensuring that patient care is not compromised.

According to The Wall Street Journal, embracing gig apps is one way hospitals and health systems are looking to provide flexibility and fill vacancies. This includes Providence Health.

Providence added gig Nurses last year and has filled 13,000 shifts for Nurses and other medical roles, Mark Smith, who oversees workforce analysis, staffing and optimization for the organization, told The Wall Street Journal. He also told the publication the health system plans to expand gig work from 12 hospitals and Nursing homes to 19.

“We make sure the Nurses who work through the app are thoroughly vetted and have the licenses and certifications required to work on the Nursing unit they’re receiving training to work on, just like our own caregivers do,” Smith explained. “At Providence, we’ve found that Nurses taking assignments through the app fill six shifts per month.”

Among the apps hospitals are adopting are ShiftKey, which lets Nurses bid for shifts, and CareRev, which lets hospitals raise and lower their rates for different shifts. 

However, there are also some potential drawbacks to working gig shifts. These can include inconsistent work schedules, lack of benefits, and a lack of job security. Nurses who work gig shifts may also miss out on opportunities for professional development and career advancement that are more readily available in traditional full-time positions.

Overall, whether or not you should pursue gig shifts depends on your personal goals and priorities. It's important to carefully consider the pros and cons of gig work as well as research potential employers and platforms before accepting any assignments.

Congratulations on starting your Nursing career! Here are some pieces of advice that may help you as a new Nurse:

Never stop learning

Nursing is a constantly evolving field and there are always new things to learn. Attend continuing education classes, read Nursing journals, go to Nursing conferences, join Nursing associations, and stay up-to-date on the latest research.

Get to know your teammates 

Don't hesitate breaking the ice, introduce yourself, others are probably wondering who this new person is! Once you get to know everyone, try keeping a close group of people you can rely on and talk to when need be. Every one needs a helping hand or shoulder to lean on time and again. 

Sara Lentz DNP, MSN, RN, CNL at Heritage Dignity Health said, "Get to know everyone you work with, from the top to the bottom of the organizational structure. It doesn’t matter if someone is cooking, providing bedside care, or a chief — everybody is there for a common goal and a part of your work family.”

Don't be afraid to ask questions

As a new Nurse, it's okay to not know everything. Ask your colleagues and mentors for help when you need it.

Mary Erickson, RN, Clinical Care Leader at Sanford Health said, "Even after 34 years in the ICU, there is still plenty for me to learn and there will be for you, too. A Nurse who asks a lot of questions and continues to expand their knowledge and expertise will undoubtedly provide good, quality care to patients."

Be organized

Nursing can be a busy and demanding profession, so it's important to be organized. Develop a system for keeping track of your tasks, and prioritize your to-do list. Try taking notes or use a Nursing report sheet, so you can ensure you're always on top of your game.

Stay calm

One of the most important things a new Nurse can do is to remain calm under pressure. When difficult situations arise, it is a Nurse’s job to provide a sense of calm for their patients and their families.

Develop good communication skills

Effective communication is essential in Nursing. Learn how to communicate clearly and effectively with your colleagues, patients, and their families.

“Look at your patient so you notice their nonverbal communication. Find ways to assess fine motor skill where they don’t notice it. For example, when working home health have them reach for pen when signing paperwork. My assessment begins the minute I enter their room or when they open the door. Use ALL of your senses! Actively listen to patients and their family," says Nurse Kay.

Take care of yourself

Burnout in Nursing is common as it's a physically and emotionally demanding job. It's critical you take care of yourself. Get enough rest, eat a healthy diet, enjoy your social life, exercise regularly, and find ways to manage stress.

Be compassionate

Don’t ever forget, you're in the profession of caring. It's important to be compassionate toward your patients and their families. Treat each patient as an individual, with their own unique needs, fears, and preferences.

Build a support network

This career can be challenging, so it's important to have a support system of colleagues, friends, and family members who understand what you're going through.

“Being a Nurse will change your life. It changes your outlook on a lot of things--makes you more passionate about some, thankful for some and just down-right mad about others,” Nina Vella, RN, at St. Edward Mercy Medical Center said, adding that the best part of being a Nurse is “getting to genuinely make a difference in someone’s life. When a patient tells you ‘thank you for saving my life,’ you can’t help but to be proud. When you get to watch a patient that you didn’t know would live or not walk out of a hospital and know that you are a part of the reason they can live again, you can’t explain the feeling!”

Nursing is a rewarding profession that allows you to make a real difference in people's lives. With compassion, great communication skills, an inquisitive and confident nature, a good support network, and a commitment to stay healthy both mentally and physically, you will become an excellent Nurse and make a positive impact on the world.

Patients become difficult for many different reasons. They sometimes become challenging due to diseases that affect their reasoning, like dementia or Alzheimer’s. Other times, patients can become verbally or physically abusive due to high-stress situations or unmet wants or needs. Regardless of why some patients become difficult, Nurses can help handle and diffuse difficult patient interactions with these 5 helpful tips.

Stay Calm

It may be challenging to stay calm when dealing with a problematic or irrational patient, but controlling your emotions is one of the most important things you can do during a confrontation. Reacting to a patient with anger can only escalate the situation and make it worse.  

When dealing with a difficult patient, remember in most cases, they are only being difficult to get their needs met and not to cause trouble. However, other times, patients may be misdirecting their feelings of fear or uncertainty onto you, and it is our job to help them navigate their feelings and de-escalate the situation. Some Nurses have found practicing meditation and yoga helps to develop healthy coping methods and strategies to navigate stressful patient interactions.  

Control Your Body Language

It is only natural to become defensive during a controversial situation. Your body language can often speak louder than spoken words. When interacting with difficult patients, it is important to evaluate your nonverbal communication and ensure it is portraying the right message. You should also avoid standing with your arms crossed, as it can be interpreted as rude or standoffish. Learn to control your facial expressions, gestures, and posture during difficult interactions to help diffuse the situation.  

Listen

When a patient becomes loud or argumentative, it’s natural to respond with anger and defensiveness. In these times, it is essential to remember that the patient is coming from a place of needing to be heard. Whether their request is reasonable or not, we as Nurses must listen to their concerns or complaints.

If you set aside your own feelings about the situation and listen to what the patient is saying, you may be able to get more insight into the situation and come up with a better solution to the conflict. Many times, you may not need to come up with a solution for the patient. They just need someone to listen to them and feel heard. We have to remember, patients are usually in a vulnerable state when being cared for and can be scared, frustrated, or hurt. Listening is one of the easiest ways we can connect with our patients and help them to heal both physically and mentally.  

Have Empathy

Empathy is one of the most important traits of a Nurse. When dealing with difficult patients, it is important to remember they are going through a tough time, and they may be displacing their anger onto you as their Nurse. Make sure you always try to put yourself in your patient’s shoes to better understand where they’re coming from. Patients are only human. They want to be heard and understood. If we connect with them through empathy, it will help to diffuse many uncomfortable situations.  

Set Boundaries

As Nurses, it is our job to provide for the wants and needs of our patients, but it is important to do so within your set boundaries. Sometimes, patients demand things that are unreasonable. Make sure they understand the limitations of your role. As a Nurse, it is important to find the balance between meeting your patient's needs and also standing your ground and not letting a patient push you around. Some patients may try to take advantage of your kindness so it is important to set boundaries and stick to them.

Unfortunately, every Nurse has had the unfortunate experience of dealing with a difficult patient. Next time you find yourself in a challenging situation with a patient, keep these helpful tips in mind so you can get back to providing your patients with exceptional Nursing care. 

Emergencies can happen anywhere and patients need to be transported to facilities via ambulance or flight. This is when Critical Care Transport Nurses (CCTNs) are needed.  

These Nurses travel with patients on the ground or in the air, providing dire medical care until they reach their destination. It is fast paced work often in smaller, more confined areas with limited equipment and tools.

“Critical care transport encompasses any type of critical care patient who needs to be moved from one facility to another to a higher level of care,” says Wanda Keaton, MHA, BSN, RN, CCRN, CFRN, Nurse Manager of Critical Care Transport at Cleveland Clinic. “We can transport these patients by ground in a mobile ICU, in a helicopter or in an airplane.”

The motto of the Cleveland Clinic critical care transport teams is “no patient too sick, no patient too far.”

CCTNs can work in a variety of settings such as:

• Government agencies
• Hospitals
• Independent transport companies 
• International medical organizations
• Long-term care facilities

The majority of their time is spent in:

• Ambulances
• Airplanes 
• Helicopters
• Ships specially outfitted for critical care transport

"Is it stressful and scary? Yes! Do I love every minute of it? Absolutely!" -- Alice Benjamin, APRN, MSN, ACNS-BC, FNP

Successful CCTNs should posses a range of skills such as:

• Advanced Nursing knowledge
• Excellent communication skills
• Ability to deal with stress and keep calm
• Confidence in your knowledge, training, and abilities
• Physical endurance
• Ability to adapt to changing circumstances
  
  

How to become a Critical Care Transport Nurse:

• Earn an Associate degree in Nursing (ADN) or a Bachelor of Science in Nursing (BSN) degree

• Pass the NCLEX exam to receive RN licensure

• Earn your advanced life support certification

• Gain experience in Emergency, Med-Surg, or Critical Care Nursing

• Consider becoming certified 

Nursing Certifications to consider:

• BLS – Basic Life Support
• ACLS – Advanced Cardiac Life Support
• CFRN – Certified Flight Registered Nurse
• TPATC – Transport Professional Advanced Trauma Course
  
  

The average Critical Care Transport Nurse salary in the United States is $91,700, according to Salary.com. 

“All of our Nurses feel like they learn something new every day,” says Keaton. “There’s never a dull day for a Critical Care Transport Nurse.”

To learn more about this field, visit Air & Surface Transport Nurses Association

Performance anxiety and low confidence can be common among new Nurses as the field can feel intimidating. For your new journey, here are helpful tips to boost your confidence and help you to become the strong and resilient Nurse we know you can be. 

Find a Mentor

Mentors can be beneficial as they offer advice, guidance and support. They ease the transition to practice for new graduate Nurses, re-entry Nurses, and Nurses new to a specialty area.

Andrea Tran, an RN and lactation consultant cautions new Nurses to choose experienced Mentors who also have a knack for teaching. "They will tell you to let them know if you have any questions and ask you if you want to watch or participate in something you haven't done before or haven't yet mastered. They will make you feel good about your progress."

Knowledge is Power

Consistently learning and growing your knowledge will make you feel more confident in your decisions. Always ask questions if you're unsure about something. There are numerous training courses and opportunities for improving your skills. 

Don't Compare Yourself To Others

It's normal to feel the need to compare yourself to others but it's important to remember every Nurses' path is different, every shift is different, and every experience is different. Your team members are exactly that, your team, not your competitors. Learn from them but also be proud of the skills you have and the work you do. 

Stand Up For Yourself

Unfortunately, we know bullying exists in the Nursing profession, but you don’t have to succumb to it. Being bullied can affect your self-esteem big time. Bullies feed off of low self-confidence and a passive communication style. Hold your head high, make eye contact, and stand up for yourself by speaking with a strong sense of self. Believing in yourself is a powerful tool! 

Spread Positivity 

Positivity is contagious and it feels good to lift others up. When you spread positivity, you’re creating a warm and inviting environment. Not only will people gravitate to you they will in turn feel better and spread that positivity further, boosting morale and confidence for all. 

Don't Seek Validation From Others

Sometimes Nursing can feel like a thankless job. Remember why you're here - to care for others. If you're looking for a 'job well done' as approval for your hard work, you might be let down. It is important to recognize and appreciate yourself internally for your contributions and all that you do for others. 

It’s imperative Management recognizes staff for the incredible work Nurses do. But recognition is different from approval. Validation should come from within and not from others. 

Self Care

Being a Nurse can have physical and emotional affects from stressful working conditions. Self-care and healthy lifestyles are crucial. Nurses should seek out help from their mentor, a therapist, or other trusted colleagues if they are feeling distressed. It is essential to be mindful about eating healthy, getting enough sleep  and maintaining routines. Positive affirmations and healthy rewards for your hard work are needed. 

In your Nursing career, have you experienced self-esteem issues? What helped you overcome those difficult times? Please share with us in the comment section below.

The Gallup polls are in and for more than two decades, Nurses have achieved the highest ethics rating from Americans.

According to the findings, the 79% of U.S. adults who now say Nurses have “very high” or “high” honesty and ethical standards is far more than any of the other 17 professions rated.

Nurses have topped the list every year except one since they were added to the annual ratings in 1999. That was in 2001, when firefighters earned a record-high 90% rating in the wake of the 9/11 terrorist attacks.

"Nurses have earned the trust of the American people by putting patient safety above all else," said Katie Murphy, a practicing ICU Nurse, and President of the Massachusetts Nurses Association. "The public has seen Nurses give everything to their patients during the COVID-19 pandemic while fiercely advocating for improvements to care quality and access."

Nurses, medical doctors and pharmacists remain the most ethically revered professions of those measured by Gallup.

Professions to earn the lowest ethics ratings were Car salespeople, members of Congress and telemarketers. 

Many people look forward to the holidays, however it can be a stressful time for Nurses working through the holiday season and missing festivities. Here are several tips to help make working through the holidays a little brighter.

Holiday Feast

Take time during a shift to fuel up with some yummy foods. Have everyone bring in their favorite meal or side dish, holiday treat, or order some take out. 

Work Fun

Organize a secret Santa with your unit or you may also consider planning a holiday party outside of your work setting. It’s nice to take the time out to blow off steam and enjoy your co-workers’ company. 

Decorate

With permission from your manager, decorate your work station, the hallways or even yourself with some holiday swag. Hang up paper pumpkins and turkeys. String twinkle lights and set up a holiday tree. Just be sure to be sensitive and inclusive of everyone’s holidays, not just your own. 

Celebrate On A Different Day

If you can't celebrate a holiday on the actual date, pick another day that works for your family or friends. Being with the people you love is what's important, no matter the date. 

Spread Holiday Cheer

This season is all about giving and as you know, giving makes you feel good. Try giving small gifts like scented hand sanitizers, cards, or decorative trinkets to your coworkers. Brighten patient's day with a note, little ornament, or holiday craft. 

Stay Connected

Make the most of your breaks during your shift. If able, FaceTime or Zoom with friends and family, follow their posts on social media, or ask someone to share videos of the holiday gatherings with you. Utilize available technology to stay as connected as possible. 

Silver Lining

Focus on the bright side, there may be benefits to working a holiday shift, such as extra pay or the next holiday off. You may also, hopefully, get to enjoy a slower work pace or less traffic during your commute.

Remember You're Important

Healthcare will always be 24/7 and someone must be there to care for patients. You're saving and changing lives by showing up to work. During the holidays that care can mean the world to a patient especially if their family or friends aren't able to visit or stay long. What you do as a Nurse is so important, don't you forget it! 

A career as a Nurse Case Manager gives you the opportunity to make a huge impact on patient's lives and develop rewarding relationships.

The Case Manager's (CM) role is centered around working with patients and their families to make sure they are provided with appropriate health care providers, resources, and services so they receive the proper care they need. 

Primary responsibilities include:

• Evaluating a patient's medical history

• Acting as a liaison between patients, health care providers, and health insurers

• Creating care plans and scheduling appointments

• Educating patients and their families on relevant health-related matters

• Keeping track of health outcomes and suggesting possible treatment changes

“Because Nurses are trained to work on interdisciplinary teams and understand how to deal with patients’ psychosocial needs, they are the perfect choice to manage their care,” says Tracy Towne, PhD, faculty member at Purdue University Global School of Nursing. “It’s a more holistic approach to care and services, and it is an incredibly valuable role when it comes to supporting those with chronic illnesses.”

You’ll also be able to choose which area you would like to specialize. According to Western Governors University, some of the most common Case Management Nursing specializations are:

• Patient specialty—focuses on a specific patient population such as the elderly (geriatrics) or children (pediatrics).
• Service specialty—focuses on a specific service area such as hospice, home healthcare, or rehabilitation.
• Duration specialty—focuses on the length of patient care such as short-term injury rehabilitation or long-term illness management.
• Disease specialty—focuses on patients suffering from a specific disease or chronic illness such as diabetes, cancer, substance abuse, or mental illness.

Choosing to become a CM is a great choice for Nurses, since it is less physically demanding, has great pay, and is in high demand. 

According to Zippia, CMs in the Nursing field are expected to rise nearly 16% over the next ten years. This increase is due to the growing elderly population as well as a rise in those with chronic illnesses. 

The estimated average salary for a RN Case Manager is $107,568 per year in the United States, according to Glassdoor.

Becoming a Nurse CM requires a Registered Nurse (RN) license. It is more common to switch to case management later on in your RN career.

This role requires experience so it is suggested you advance your career with certification programs. Certifications aren't mandatory for employment, but they can increase your pay and make you more eligible for future job opportunities.

Interested in learning more about Case Management? Check out these resources:

Case Management Society of America

National Association of Case Management

American Case Management Association

The Higher Education Case Managers Association

Nursing is a profession that requires compassion as well as expertise, making it both an art and a science. Empathy and compassion are critical characteristics of an excellent Nurse. These qualities help us to connect with patients on an individualized basis and improve patient outcomes.

Nurses must also be educated, motivated, and have a strong understanding of evidence-based practice. Nurses must find a unique balance between using their heads and hearts, as well as the balance between the art and science of Nursing to provide our patients with the highest quality care.

The Art of Nursing

Florence Nightingale was the first to coin the phrase, the Art of Nursing. She understood that Nursing is a profession in which physical tasks must be adapted into individualized patient care, making Nursing an educated art form. Empathy and compassion are at the forefront of what makes Nursing an art. Although compassion and empathy are similar concepts, they are vitally different and often confused with one another.

Empathy is the ability to feel the emotions of others. As Nurses, we care for patients when they are most vulnerable. When patients seek medical attention, they can often be fearful, sad, or even angry. To care for these patients respectfully and efficiently, Nurses must be able to empathize with patients to facilitate a strong Nurse-patient relationship to promote healing.

Compassion is the ability to feel the emotions of others while experiencing a desire to help. Nursing is a helping profession and to be an excellent Nurse, you must genuinely want to help others. The task-oriented approach to Nursing can sometimes challenge Nurses to maintain a human connection to our patient. Still, we must always strive to connect with and understand our patients to ensure they are cared for comprehensively. The emotions behind why we do the things we do is what makes Nursing an artform.

The Science of Nursing

The science of Nursing is the ‘why’ behind the tasks we carry out daily. The Nursing profession is built on evidence-based practice. Evidence-based practice collects, processes, and implements research findings into clinical practice and improves patient outcomes.

As Nurses, we strive to provide our patients with the best care possible, so we must ensure that our actions and tasks are well researched and have been shown to improve the health and safety of our patients. This is what the science of Nursing is all about, having a reason behind our actions and an understanding that our interventions improve the outcomes of patients.

Education is also at the foundation of the science of Nursing. To become a Nurse, we must complete coursework that prepares us to meet the diverse needs of our patients and become safe healthcare professionals. Nursing coursework includes detailed education on the intricacies of the human body, disease processes, health policy, and hands-on instruction to develop clinical skillsets.

The nursing curriculum has been well studied and tailored to ensure that new graduate Nurses can provide safe patient care. We know that Nursing programs are effective in producing safe healthcare workers because we have been able to research and understand what education and skills are needed to produce safe novice Nurses.

Once a Nurse has graduated from a Nursing program, they must complete continuing education courses to continue to improve their knowledge and skills. And as medicine is constantly ever-changing, Nurses can never stop learning and growing.

The Nursing Profession

Nursing is not just a career option. It is a true craft where individuals must be able to incorporate evidence-based practices into compassionate and individualized patient care. It is truly a scientific art that must be carried out precisely and efficiently for our patients to receive the highest quality and most up-to-date care.

Nursing is as much of a science as it is an art. The science of Nursing explains a Nurse’s daily work and why tasks are performed, while the art of Nursing is centered around the human connections needed to truly be an effective Nurse.

The art and science of the Nursing profession is ever evolving as we are continually developing new healthcare interventions and continuing to improve upon our human approach to healthcare.

Nursing is a delicate balance of skill, expertise, compassion, and empathy. Without each other, the Nursing profession would not be the respected profession it is today.