Registered Nurses Display Moral Courage When They Stand Up for Patients and the Profession of Nursing

Friday, March 20, 2009 by Lucia D. Wocial, PhD, RN, CCNS, Clarian Nurse Ethicist
A nurse recently told me a story. I am honored that she trusted me enough to tell me.  She is a nurse with moral courage who is willing to do the ethically “right” thing, even though it is not easy. With her permission, I get to retell the story here and hope that you will find courage to do the right thing, even when it is difficult. The identities have been disguised to protect the privacy of the individuals in the story.

N typically gets along with most of her colleagues. However, she does not get along with A, one of the other nurses. N believes that A is not engaged in her work, socializing more with her peers than caring for patients. When the two work together, the atmosphere is tense, but the two nurses are able to maintain a professional working relationship.

N accidentally discovered A falsifying a document in a patient’s record. She immediately brought it to the attention of her charge nurse who assured N it would be handled appropriately. After the incident, N naturally had a heightened sense of alertness to A’s interactions with patients. Much to her dismay, a similar incident happened within a few weeks of the first. This time N made sure her nurse manager knew.

Shortly after this, N’s nurse manager mistakenly attributed the report to the known interpersonal difficulties between the two nurses. N knows that other members of the team have concerns about A, but feels like she is the only one sharing concerns. N feels unsupported and disheartened that her motives have been questioned and that the behavior she witnessed from A has been tolerated, particularly when the behavior had direct consequences for patients.

N took time off to consider what to do. After returning to work, she took a chance and told her story to her nurse manager’s supervisor. She felt listened to and believes something will happen, even though she can’t know if the individual is in corrective action because that is private information. 

N knows it’s important to continue doing the right thing, even when she doesn’t feel the support of others. N says she will give A the benefit of the doubt, but continue to report behaviors inconsistent with expectations for nurses.

N’s actions exemplify moral courage. She is standing up for patients and professional nursing. I am proud N is a nurse colleague.

One nurse with moral courage is not enough. I hope others follow her lead and report situations like this whenever they happen – even if the report is met with skepticism or doubt. Doing what is right, especially when it is unclear if your actions make a difference, makes the action all that more courageous.

Lucia Wocial, PhD, RN
Clarian Health Nurse Ethicist

To show your courage at Clarian, visit Jobs for Registered Nurses


Comments for Registered Nurses Display Moral Courage When They Stand Up for Patients and the Profession of Nursing

Tuesday, April 7, 2009 by Brenda:
I feel very disheartened by this story. Here is a nurse who displayed professionalism and responsibility to a patient and it took her going through her charge nurse, her nurse manager and finally her managers supervisor to be heard! In times of this nursing shortage, maybe some accountability should be expected of these three people who for no excuse ignored her. It is a clear violation to falsify a patient record and this nurse had every right to report it, even if she did it with malice toward the other nurse. My coworkers have a right to dislike or like me AND a responsibility to report illegal behavior. Maybe retention would be improved if these people in roles of supervisory positions didn't decide why something happens, but rather do something and leave their personal feelings out of it. I believe the "moral" of this story is too often personality conflicts interfere with the professional behavior of nurses. Too often we are quick to "eat our young" vs. welcoming them with compassion and willingness to help. Here is a perfect example of at least two nurses in supervisory positions who did just that. If I were that nurse, I would consider leaving that unit out of fear that falsifying documents isn't taken that seriously nor is she and her concerns might be chalked up to anything other than the facts she brought to light.
Wednesday, April 8, 2009 by Lucia D. Wocial, PhD, RN, CCNS:
Brenda, I can understand why you may be disheartened by this story. It certainly is troubling that it took so much effort to get the issue addressed. Consider this however: Everyone knows the "right" answer in this case. Being the one to confront the offending individual and enforce the rules is not easy, and requires some skill. Keep in mind, a one-time offense is not the same thing as a pattern, and the witnessing nurse had reason to believe others had concerns but had not reported them. Sadly, seeing someone do something like this may not be enough "evidence" that it happened, particularly when the individual caught denies it. Nurse supervisors may be faced with a "she said, she said" situation. The moral I hope people get from this entry is this: It takes courage to be the one to change the culture in a nursing unit. If you leave, you are running away; you will not help anyone grow and learn from the situation, including yourself, the charge nurse, and the nurse manager. Correcting unprofessional behavior is everyone’s responsibility. -- Lucia

Leave a comment





Captcha