“They Call Us Doctor, and We Call Them By Their Names”

Just stumbled on a blog post written by a first-year resident who calls himself “Anonymous Doc.” He raises a good question about why nurses and doctors are referred to in such different ways:

I don’t think I’ve talked about this before, but the doctor/nurse divide is weird. One of my intern friends called me the other night and said there’s a nurse he likes, and in theory wants to ask her out, but doesn’t think he should. It would be awkward, he’s like her superior… he doesn’t feel comfortable doing anything. And maybe he’s right. But the whole dynamic is weird. They call us doctor, and we call them by their names– and sometimes not even. At one of the hospitals, there’s this strange custom where the nurses all go by Miss or Mister and their first names. So I’m Dr. Lastname and they’re Miss Jenny or Mister Steve. It’s bizarre. Miss Jenny sounds like a kindergarten teacher. Maybe. And some of the residents use these names when they talk about the nurses to each other, like– “did you give the order to Miss Amber?” “did you tell Miss Jeanette?” Are we children? I feel like we’re colleagues, and we should all just call each other by our first names. Like colleagues do. Patients can call us Dr. Whatever, but I don’t feel like I need the nurses to treat me like a superior, and I also don’t want to treat them like they’re my nursery school teacher.

2016-11-21T13:20:10-05:00January 15th, 2010|career|10 Comments

Nurses Express Concerns About Colleagues’ Commitment, Training

Back in November AJN clinical editor Christine Moffa posted a short anecdote. She told how she’d been at a training to give H1N1 vaccinations and encountered another nurse with apparent contempt for learning the basic facts about the virus. While it’s obvious that you can’t generalize about the state of an entire profession based on one stranger’s off-the-cuff comment, the responses to this post do indicate that the anecdote touched a nerve in some readers and that other nurses have also had similar experiences with their colleagues. Here are some brief excerpts from longer comments:

From Naomi: “If I fail a class by 1 point and go to the director of my nursing program demonstrating my professionalism, critical thinking, and self responsibility i would get a pat on the back and a registrar’s form in the hopes that I could repeat the class if there are enough seats. My 3.8 GPA allowed me gain admission into my nursing program not my professionalism, critical thinking, and self-responsibility even though those are key qualities for a good nurse.”

From Nursevon: “I am a faculty member in an undergraduate BSN program at a university in the midwest. I have become increasingly discouraged in my job as an educator. The focus of students is very short-sighted: typically on points and grades. As hard as I try to instill professionalism, critical thinking, and self-responsibility for one’s own learning, I frequently come away profoundly discouraged.”

From Richard Crosby: “Hearing a new nurse explain a drug or […]

Lab Coats vs. Scrubs: Do the Clothes Make the Nurse?

By Jay Swanson, BSN, RN, OCN

Within a nurse’s career there are many opportunities for advancement, new jobs, or a change in shift. Most startling is the move from “working the floor” to “desk job.” When I left the floor to work in a job more focused on patient education, I was treated differently. I had worked on the same unit for five years; I was an informal leader on the floor and the chairperson of the floor management council, an elected position. I am not saying that I was well liked, but I was at least trusted.

During the first few months in the new job I felt that the coworkers I had known and worked alongside wouldn’t talk to me or look at me. Had I sold out? Was I less of a nurse?

It’s true, I no longer work 12-hour shifts, or weekends or holidays. I spend most of my time gathering resources and providing educational support for our oncology patients, and I get to leave work more or less when I want (usually after 5 pm).

Yes, all that’s true . . . but what I really blame is the lab coat. I believe the lab coat suddenly put me in a different category from those who wore scrubs. How do I know? When I did wear scrubs to work one day, I was treated differently, as if all of a sudden I was “one of them” again.

So what is it about the coat? Too close to physicians or other […]

Nursing Yet Again the Most Trusted Profession. So What?

By Shawn Kennedy, MA, RN, interim editor-in-chief

I was catching up on my reading over the weekend and came across a press release issued December 9 by the ANA (American Nurses Association). It noted that “[f]or the eighth consecutive year, nurses have been voted the most trusted profession in America according to Gallup’s annual survey of professions for their honesty and ethical standards. Eighty-three percent of Americans believe nurses’ honesty and ethical standards are either ‘high’ or ‘very high.'”

Laudable for sure, but I keep wondering: does this matter to anyone but us? In the past eight years, has this designation helped nurses get to the policy table? Has it made key decision-makers realize that in addition to being trustworthy, nurses are also smart, skilled professionals who can be the key to cost-effective, quality care?

It’s really amazing (in an appalling sort of way): the groups among those with the lowest trust ratings—politicians and lawyers—dominate when it comes to making key decisions about health care (and about everything, actually). And we wonder why things are the way they are?

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Required Reading: Nurses as Champions of Patient Safety

Photo from otisarchives4, via Flickr

By Diana J. Mason, PhD, RN, FAAN, editor-in-chief emeritus of AJN. Mason is a member of the National Advisory Committee of Kaiser Health News.

I was delighted to see Kaiser Health News publish a superb commentary by nurse researcher Mary Naylor and health economist Mark Pauly on why nurses are the key to patient safety and quality, the barriers that interfere with nurses being these sentinels, and what can be done to address these barriers. It should be required reading by all policymakers, CEOs of health care organizations, and trustees.

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2018-03-13T10:44:44-04:00December 11th, 2009|career, nursing perspective, nursing research|1 Comment
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