[1mg.epi]

Good morning SHORTBUS!

Hay bud I understand what you say about the broken window theory. I have studied it in environmental psy.

And yes, it sure does apply to nursing. If you do not take care of the problems and fix them when they start, they become the norm and part of the organizational culture. Once that happens the wrong becomes the norm. I have seen nurses get in trouble for attempting to change unit cultures and fix problems. Why? Because they were acting out of the norm even though the norm is disfunctional.

The only why to change a disfunctional culture, is to have new management and use a Macavelion management style. DO IT RIGHT OR OFF WITH YOUR HEAD. It all starts with management or should I say Leadership.

If your are in an organization that is disfunctinal, GET OUT.

[Anonymous]

So are you saying leave a sinking ship..How does leaving fix the problem? Do you suppose those other nurses are gonna say..OMG he left I better do my work???? Apathy.. And you think people would work in a dictatorship?


Wow that surprises me of you...



WR,,, three commas for Becca

You paint a very negative picture of nursing.. That we are no better than low life who would break windows just because they can..We still don't know from the theorists that the up standing people of Palto Alto trashed that car. I don't see that at all.. I say if you expect nothing you get nothing.Is that your expectation of your fellow nurses.. Yes, there will always be lazy no good nurses.. We are human, remember. And you don't win if you just leave because the next place you go you'll find another one. I see it in travel nursing. Having worked from Maine to Cali and several places in between and ya know what... they don't last long.. I think good always wins... You just have to be strong..

JMHO..BTW...

There's another theory... You catch more flis with honey than vinegar...................

[1mg.epi]

Ya, leave a sinking ship if you like you license or you like beating you head agents the wall.

[Anonymous]

The license losing thingy is a cop out... OMG..How do you lose your license because a nurse on a day you didn't work didn't change a dressing or a CNA didn't change a bed???


So leave but don't lump the rest of us into a barrel we don't belong in....

WR,,, three commas for Becca

Ever hear of an incident report?

[1mg.epi]

I GIVE UP!!!!!!!!!!!

[Anonymous]

If every nurse who said she didn't want to WORK some where and I believe that's what it amounts too most of the time,, we'd have a real nursing shortage.. How do you account for all the nurses still working someplace that another nurse was a afraid of losing her/his license left??? Are they all wearing rose colored glasses or stupid??? I don't think so...

So are you saying you haven't heard of an incident report??


WR,,, three commas for Becca

[Anonymous]

I suppose you "guys" believe that violent video games or TV programs don't cause violence.. $$$$$$$$$$$$$ talks..



WR,,, three commas for Becca

[trier]

Boy how I agree. I was working in a nursing home and asked someone to feed another patient their thickened fluids. She doesn't want it,she said. I told her to go back and try her on thickened water with cordial and I will be along to see how you're going! I hate laziness. This person does 2 showers to everyone elses 6. I am only a Nursing assistant but in my last year of nursing degree. I hate picking up the slack for others but I want the job done..so guess who does it. Because to me it's more than just a wet sheet, or a feed and sometimes these old people just don't have any other comforts. In six years of nursing I actually reported two nurses because I wasn't sure which one was the lazier
and I was fed up with carrying them the entires shift.thinks aren't much different in Aussie.
trier

[Shelly Levitt]

Your analogy to the "broken window theory" and some of the unacceptable practices in LTC was an interesting one. True the DON and administrator set the tone. They have to lead by example. They have to have a monitoring system that provides feedback. It is the DON's and the Adminstrators responsibility to communicate to the staff what is acceptable and what is not and to impose consequences as well as positive feedback as they see fit. The supervisors of every shift need to do walking rounds and check the residents. They need to communicate to the staff any problems they might find and offer suggestions so that they can be corrected. Then they need to go back and make sure the problem was addressed. If an LVN for example is not doing her treatments the person in charge needs to follow the discipline policy outlined in the employee hand book. Most problems develop for one of two reasons the number one issue is understaffing and the other one is lack of supervision.

[1mg.epi]

This is so correct. Some one must set the standard to what is acceptable and enforce it with consequences. NO Matter WHAT THE SITUATION. This can also apply all the way down from children up to communities. IF the standards are set and enforced people will understand what is accepted. But then, you always have that 10% theory. That is some thing I learned in the USMC. No matter what, you will have 10% of people, in any culture (LTC, Hospital, School, Unit or Department.) in non-compliance of the accepted behavior.