These policies also help nurse managers quickly determine how to respond to a nurse’s complaint, while being backed up by administration. De Luca has some tips for nurses on dealing with these kinds of patients: 1. Nurses often have to seek out a prescribing member to put their plan in place, despite knowing the best action for the patient. Some of the issues patients reported as contributing to these feelings were: Being interrupted. Nurse Disrespecting Patient? 2012;95(4):535-40. Medical staff members should absolutely be holding ourselves to the highest bar of professional and respectful conduct. Be direct when clarifying limitations, particularly in explaining to the patient what is unacceptable and disrespectful behavior. Gessler R, Rosenstein A, Ferron L. How to handle disruptive physician behavior. Leape LL, Shore MF, Dienstag JL, et al. Added to the clarion call should be patient safety. In these studies of simulated patient emergencies, doctors and nurses working in the neonatal intensive care unit were less effective in teamwork and communication, and in … Photo by Thinkstock. Eliminate the unknown whenever possible. It really bothers me because my hospital is trying to build a successful bariatric surgery program; I just think the way she treated and interacted with this patient was rude, insensitive and perhaps dangerous. Setting structure and limits are key. Reviewing these policies empowers nurses to know when patients cross the line and what steps to take. Surprisingly, nurses appear to observe a hierarchy within their own ranks that may be just as mean-spirited, says Elaine Larson, PhD, RN, FAAN, CIC, associate dean for research at the Columbia School of Nursing in New York. 2012;87(7):845-52. Often, angry patients are rude or disrespectful to office staff or even you, the provider. Many patients felt like hospital staff gave little regard to their opinions, feelings or thoughts. Disrespect and rudeness from coworkers and superiors remains a serious problem for healthcare workers in spite of concerted efforts by the healthcare industry to … A common perception is that a lot of the bullying and disrespect that can create a toxic work culture in health care settings is directed by physicians toward nurses. The connection between disrespectful behavior to patient safety should be made explicit in our efforts, since this is a rallying point that everyone can agree on. Acad Med. The most common type of “problem” patient is the angry patient. One thing I recommend is having a family member with you. About a quarter of patients said staff didn’t treat them like adults who played an active role in their own care – or even like people at all. Incivility in nursing: unsafe nurse, unsafe patients. Perspective: a culture of respect, part 1: the nature and causes of disrespectful behavior by physicians. Travel nurses should confer with other nurses, their supervisor or nurse manager for specific questions. I feel as if one of the nurses I work with seriously disrespected a patient because of her weight. Handling difficult patients comes with the territory of your new nursing career. Knowledge gives the patients power and control. AORN J. Photo illustration by Slate. 10 expert tips for dealing with difficult patients. Being a nurse myself, I hate it when I come across a rude nurse, especially when I am the PATIENT! This unfortunately puts a shadow of lack of value for the profession and establishes roles of superiority for the prescribing party. The workplace itself often creates an environment that allows disrespect. A doctor-bully epidemic is jeopardizing both nurses and patients. We spoke to seasoned nurses to get their take on dealing with difficult patients. Use their advice to help you work with challenging patients as you begin your new nursing career. 2. Patients can be angry for a variety of reasons — some of which have nothing to do with their experience at your healthcare practice. Most nurses have witnessed or been the victims of doctor bullying.

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