Culture of Nursing: A Factor in Nurses’ Health and Safety. Lee an Hoff, PhD, RN Barbara Mawn, PhD RN Ainat Koren, PhD, RN Karen Devereaux Melillo, PhD, APRN, BC Carole W. Pearce, RNC, PhD Kathleen Sperrazza, MS, RN PHASE in Healthcare Research Team. .
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Culture of Nursing: A Factor in Nurses’ Health and Safety
Lee an Hoff, PhD, RN
Barbara Mawn, PhD RN
Ainat Koren, PhD, RN
Karen Devereaux Melillo, PhD, APRN, BC
Carole W. Pearce, RNC, PhD
Kathleen Sperrazza, MS, RN
PHASE in Healthcare Research Team.
Supported by the National Institute of Occupational Safety & Health, Grant #R01-OH07381, “Health Disparities Among Healthcare Workers”
“Right that’s life…and they come into the hospital and you’re there to serve them. And that's what they expect because that’s the way they were taught – that a nurse is there to meet your every whim and need.”
“Even our orthopedic patients….they go to rehab…we don’t see them get better; we send them home in pain because we don’t have the beds. So it’s more of ‘Oh, ok you’re stable – see ya!’ and that’s what it’s become – a rotating door.”
“In the OR time is money, time is money. The faster you work, a lot of doctors say ‘Hurry up, hurry up. I have office hours at one o’clock. What’s taking you so long?’ They don’t realize that we have just a lot of cleaning to do while the patient is waking up, need to set up for the next case…a lot of pressure to go, go, go…maybe a little faster than you should have and then you get hurt and you say I’m not going to do that again. But the bottom line is money sometimes I guess.”
“When I returned back to work…lifting very heavy patients, turning and repositioning…I cannot do it (reposition correctly) because if I bend it, it will dislocate. So I am putting myself at risk, I understand…but I love nursing so I would not change anything.”
“There is resentment. I will tell you firsthand. I’m not telling you everyone but there can be resentment when the person coming back loses his abilities. Not everyone is always ok.”
“If you’re on the floor and you’re seeing the same patient, you might be filling out a report that he swung at me 25 times during the course of his admission because you are going to face that patient the next day and the next. You’d be doing nothing but filling out reports!”
“ I don’t think people report because they have to work with these people. You have to go back into that department and you don’t know how you’re going to be dealt with. It’s not always good.”
“Patients with alcohol withdrawal – I don’t want to put my staff at risk so I will take those patients. I can take a hit. I’ve taken many hits. I do know that it is a risk of the job, And most of the time it’s not an intentional thing. They don’t know. So it does go unreported unless they break skin or something that you have to be tested for. But it is a hazard of the job. Most nurses know it going in when they go to nursing school.”
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