When Clinical Nursing Students Are Bullied by Staff Nurses

A disillusioning experience.

In this month’s Viewpoint column, clinical nurse instructor John Burkley describes a disturbing incident in which his clinical nursing students were treated with dismissiveness and rudeness by a nurse on a unit to which they’d been assigned. The students ultimately left this early encounter with hospital nursing—which took place at a teaching hospital—with varying degrees of disillusionment.

Nurses may need to develop a certain inner resilience to handle the physical, emotional, moral, intellectual, and organizational challenges of their profession. But bullying won’t help them develop it.

Alienating future nurses does lasting harm. What can be done?

As Burkley notes, negative clinical experiences can have a formative influence on aspiring nurses—they “are alienating, contribute negatively to learning, and should not be tolerated.”

Unfortunately, while many nurses are welcoming and supportive of clinical students, such incidents of subtle or overt bullying appear to be common. Drawing on his own experience as well as current literature, Burkley offers a few possible ways nursing schools and teaching hospitals can address this issue. […]

When a Family’s Faith in Healing Collides with a Busy Hospital Unit’s Pressures

Illustration by McClain Moore for AJN/all rights reserved.

What happens when a family of strong religious faith is determined to continue praying for a young father’s healing even after he dies of a terminal brain tumor in the MICU? The room is needed for other patients; a nursing student and her preceptor cared for the patient during his final hours of life and are now expected to provide postmortem care.

It’s a tricky, somewhat tense situation, and initial reactions among the nurses in the hospital vary. Melody Sumter, the author of this month’s Reflections  (“A Place for Faith: My First Experience of Cultural Competence in Nursing“), was the nursing student assigned to the patient, who left behind a young wife and 10-month-old child.

Looking back on the event, Sumter recalls her competing sympathies at the time, and the way she was gratified to learn that the nursing staff at last found a way to honor the wishes of the patient’s family and also see to their responsibilities to other patients. Writes Sumter:

Seeing this family practice their faith was encouraging for a young nursing student like myself—as was the nursing staff’s acceptance and […]

What Do You Wish You’d Learned in Nursing School?

Dietetics class for nurses, 1918/Cornell University Library/via Flickr Dietetics class for nurses, 1918/Cornell University Library/via Flickr

By Christine Moffa, MSN, RN, clinical editor

While I was going through nursing school I imagined that our clinical rotations would prepare us for the reality of working in a hospital. I was very eager to graduate and get my first job. Had I known that I was in for the hardest year of my life, I probably would have changed majors. I was hired to work the night shift in the float pool of a children’s hospital. That is a bad idea right there and I wish someone was there to talk me out of it. But on top of that, I found it difficult to express by opinion when residents and nurses with more experience did not heed my concerns about patients who were decompensating. And calling the attending in the middle of the night did not seem like a good option. I wish I had been told in nursing school that the nurse supervisor is a great resource to go to in times like these.

We often hear stories of what a shock it is for a nurse to finally start a nursing job after finishing school. Is there anything nursing schools could do to change this? What do you wish you’d learned?

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