Last week I had the opportunity to speak at a local university to a group of senior nursing students.
14 of them, about a month out from graduation, full of hope and just ready to be done! (we've all been there!)
It's crazy because the woman who invited me to speak, and runs the program, is the same person who hired me for my first hospital job at 18! Crazy full circle moment for me. She's been following my message and reached out in December saying this was something that needed to be brought to more tables. And duh, did I agree! 😎
I walked in ready to talk about burnout prevention as they prepared to step into their hospital roles. And of course we talked about it but not without having a side chat about something that's so freakin' important.
The eat your young, bullying culture that lives inside of hospital walls. Pause for a minute because how fucking awful is it that these amazing souls are still students and already experiencing this so heavily?!
It started because I asked the class if anyone had already experienced burnout in their program. They all nodded. I asked if anyone wanted to share what that felt like.
One student spoke up.
She said she felt hopeless. She said she had to sit with herself and ask whether this was a life worth living. I had visible chills as I remembered that feeling all to well and also remembered this is why we have to talk about these things.
She hesitated before she said it. She said, I don't want to bring down the mood.
And that ripped my heart in half. Because that right there is another problem. We have gotten so used to shoving everything down that even in a safe space, in a room full of peers, she still felt like she had to apologize for being honest about how she was feeling.
She is months away from graduation. She hasn't even started yet. And healthcare has already made her question herself that deeply.
Burnout made her feel this way. The toxic culture that is healthcare made a young woman feel like it wasn't worth it anymore..
I am so done with the eating your young mentality. I am so done with hearing "I've been here 25 years so I know better than you." Um, hell no you don't. Experience doesn't make you mightier than someone and it damn sure doesn't give you the right to make someone feel like they don't belong. Ever.
I looked at that class and I said: If you remember nothing from today please remember this. It doesn't matter who you're working with. It doesn't matter how long they've been there. You deserve to be there just as much as that person.
You could hear a pin drop.
Why the hell aren't we saying this stuff more often?! Why the hell aren't we preparing and offering support to more humans before they step into the brutal reality that is the healthcare system?! They need to hear the realities of burnout so they can prevent. They need the resources so they never have to feel alone before, during, or after a shift.
If we want to change healthcare for the better, it starts from those students entering the field just as much as those who have been clocking in for shifts for years.
Unfortunately bullies are everywhere. But in a world where every disagreement is seen as "hostile confrontation", it's hard to determine exactly what to do when someone does step out of line.
Tip #1
I had a coworker try to pull seniority on me and yell at me in front of a patient. She told me, well actually screamed at me, to go to lunch because she was in charge. (what does her years of experience have to do with my lunch time?!)
I looked at her and said thank you. And I went and got the next patient. That's it. No need to be nasty like she was. No need to get upset. But there was a need to let her know (in a polite way if you can!) that I wasn't responding to that kind of treatment.
She never brought it up again. She never talked to me like that again.
These hospital bullies keep pushing because they think they can get away with it. The second you make it clear they can't (not by blowing up, not by matching their energy, just by not flinching!) they move on. 👋
Now, that doesn't always work. I've been in situations where I did everything right. I was professional, I set limits, I sent the emails, I had the conversations.. and it still didn't change. So I took myself out of the situation. Sometimes you do have to look in the mirror and ask yourself "is a job at this hospital worth putting myself in an unhealthy environment for the foreseeable future?!"
Because here's the thing. When you leave, that bully is still going to be there. Still miserable. Still projecting their stuff onto whoever walks through the door next. And you?
You're going to be somewhere better, living a life you actually want. It may seem scary at first but I assure you, there is greener grass out there! I have tons of resources on making the transition into a new place easier inside of the Healthy in Healthcare community.
Tip #2
Harry Potter fans, where ya at?! Dumbledore said: "Happiness can be found even in the darkest places, if only one remembers to turn on the light." (are you a true potterhead if that line doesn't give you chills?!)
Picture a pitch black room. Put one candle in the middle of it. You're going to see light. Doesn't matter how dark the room is.
You are that candle. And when you keep showing up that way, you're going to light someone else up too. Now there are two candles. The room is twice as bright. Brightness always wins.
That's not me telling you to be a pushover. There's a difference between being kind and being a doormat. You can be a light and still hold your ground. In fact, doing both is exactly what changes the culture.
If you are the bully of your department while simultaneously complaining about how healthcare needs to change? You need to go look in the mirror. You are the problem you're complaining about.
But if you're reading this, that's probably not you. You're the one dealing with that person. And I just want you to know, you don't have to stay stuck in it forever! You get to decide how long it's worth it.
Healthcare is changing. Slowly. But the people actually doing the work are starting to speak up. And I've never been more proud to be part of that. 💗
Welcome!
I'm Mary
The Healthy in Healthcare gal!
After spending over a decade in the hospital setting, I got sick of waiting for better support and created it myself!
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