By The Gypsy Nurse

July 11, 2018

36552 Views

ADVERTISEMENT

Why Nurses Eat Their Young! – A Nurse Perspective

The following is a Guest Post via Erica MacDonald

After reading The Gypsy Nurse’s Post Nurses ‘Eat Their Young?’, I wondered if anyone had a different opinion than me on the cause of this phenomenon.

A nurse “eating their young” is an almost accepted form of bullying by many nurses (the ones that participate). Most don’t admit (even to themselves) that they are eating their young but cleverly try to disguise their bullying actions by positioning their attitude/behavior toward the new nurse as “helping” or “providing an educational opportunity.” People who have worked in other careers agree that they have encountered this phenomenon in other jobs. However, they are shocked at the prevalence that it occurs in nursing.

young

Personal experience

Indeed, I have personally experienced it and seen it done to others. So the question is, “Why would educated and professional nurses engage in such poor behavior?” I believe there are two main reasons this attitude prevails in nursing. The first reason is… High school never ends! Refer to the subject of Social Psychology. Social Psychology attempts to explain behavior such as cliques and groupthink.

Cliques and Group Think are the underpinnings of the complicated social culture of high school and most workplaces.

So when nurses form a clique that accepts it is the “cultural norm” to eat their young, even those who don’t agree to keep quiet, not to upset the status quo. The irony of it all is that we are consistently voted America’s most trusted profession. Yet, we can not even be trusted to treat each other with kindness and respect. It is really quite sad that this shallow Group Think occurs among such talented and educated people!

What spurs this to become the social norm

So the question remains, “What spurs nurses to allow this to become the social norm in their group?” This brings me to my second reason for such an attitude to prevail in nursing. The profession of nursing in our society is synonymous with sacrifice. This sacrifice starts in nursing school and continues into the workplace.

Think back to nursing school. First, nursing program acceptance can be similar to the rush of winning the lottery because it is such a competitive process. Then you realize that your nursing professors are on a mission to “weed” people out and make sure only the strongest students pass their classes. They want to eliminate the “weak links” because nursing is a high-stress, academic, and moral science (and the school’s pass rates are public for the entire world to see). As a nursing student, you begin to study with intensity, stop socializing, working out, and attending family functions. But it is all good! You rationalize that nursing school doesn’t last forever, and it is worth the ….SACRIFICE!

eat their young

You pass NCLEX and breathe a sigh of relief.

and say to yourself, “I can live again!” Then you begin the long struggle to find a job. But wait! You finally find a job and discover it is in the specialty you are not interested in, and you will have to work nights. Again, you encounter SACRIFICE! But hey, I have a job to pay bills (often large student loan bills).

Some nurses discover that adjusting to the night shift is impossible. The longer they stay on nights, the more dysfunctional their life and sleep become. If you have young children, they make comments such as “All you do is sleep.” You and your children are on opposite schedules, so to them, it seems like you are sleeping their lives away. Also, you work weekends, odd hours, mandatory overtime, on-call, and miss holidays/special events with your family.

Furthermore, some patients and their families can be complicated and unappreciative even when you do the best you can with poor staffing ratios. Not to mention you’re often dealing with burnout if you are working in a high-stress critical care area. By the way, you have not eaten, drank water, or went to the restroom during most of the shifts you work. Don’t forget the nurse bullies! The years pass, and you lose track of the numerous sacrifices you have made in the name of nursing.

Erosion of empathy and self-confidence

So, the continuing atmosphere of sacrifice can contribute to the erosion of your empathy and self-confidence. Then enters a new nurse when stars in their eyes about the wonderful profession of nursing. You are unhappy with your situation and treat the new kid on the block just like you were treated; badly in the name of “education.” Or maybe you are a competitive type of person and want to maintain your status in the workplace you have earned. Or, unconsciously, you perceive a new nurse as a potential future threat. So you decide to test the new nurses and see what they are made of. Let’s mold a new nurse into a super nurse of steel!!

I think this is a general scenario of how nurses come to engage in nurse bullying.

Admittedly, some work environments are more accepting of new nurses than others. I realize that my example borders on the dramatic. Or does it? I have informally interviewed a large number of nurses during friendly conversations; the recurring theme is usually sacrificed. Sacrifice is the fertile ground that bullying behaviors come to seed in.

The nursing profession has decided to combat nurse bullying is similar to the approach we take in preventive care, awareness, and education. Nurse bully experts are focusing on the workplace. All over the country, hospitals are waking up and requiring education for their staff to prevent nurse bullying in the workplace.

However, since you can not control others’ actions, only your own nursing education specialty needs to step up to the plate. Nursing schools have just as much responsibility as the workplace. They have a moral obligation to help students pass the NCLEX and prepare them for workplace success.

Nursing schools should address, in their curriculum, this phenomenon and the tactics that new nurses should employ to fend off the “wolves.” Self-confident new nurses armed with the knowledge and concrete actions to defend themselves could be a deterrent for bullies. At least they won’t be blindsided when entering the workforce. We need happy nurses who want to stay in the nursing profession to care for patients and deal with the changes in healthcare.

What do you think? Is there another explanation for this phenomenon? What is your solution to the problem?

About The Author:

Author: Erica MacDonald is an MSN-prepared nurse whose mission is to empower nurses through self-employment by providing them with education and motivation. Erica blogs at http://www.selfemployednurse.com, and you can connect with her via Facebook at https://www.facebook.com/SelfEmployedNurse

young

By The Gypsy Nurse

July 3, 2018

12864 Views

ADVERTISEMENT

Violence in the Workplace: A nurses perspective

Violence in the workplace is not tolerated. Most professions will protect their workers from workplace violence.  Nursing, however, is very different.  How can you be protected from the violence that confused, drugged-out, neuro-damaged patients will ultimately give you?  You can’t.  It’s a simple fact that nurses will be assaulted at one time or another during your career.

The National Institute for Occupational Safety and Health (NIOSH) defines workplace violence as any physical assault, threatening behavior or verbal abuse occurring in the workplace. Violence includes overt and covert behaviors ranging in aggressiveness from verbal harassment to murder. (NIOSH 1996)

Violence in healthcare

Violence in healthcare is such a formidable issue that OSHA has put together a complete policy to address it.

Head Nurse, a fellow nursing blogger posted about an incident that occurred to her in the workplace.  “Well That’s Never Happened Before” She puts a funny spin on the experience but the reality can be scary and potentially dangerous.

I’ve been assaulted on many occasions as a nurse.  Once a young confused patient grabbed my stethoscope (that was around my neck) and proceeded to nearly choking me to unconsciousness with it.  Needless to say, I never wear my stethoscope around my neck anymore.

I’ve been punched, kicked, spit on, pinched so many times that I can’t even count them.  This is just the physical violence that I’ve encountered.  I haven’t even mentioned the verbal assaults that I’ve received not only from patients and family members but doctors and co-workers as well.

According to the Bureau of Labor Statistics, the healthcare sector leads all other industries, with 45% of all nonfatal assaults against workers resulting in lost workdays in the US. (BLS, 2006).

Why aren’t nurses and healthcare professionals protected better?  We aren’t allowed to utilize restraints except for extreme circumstances and at that, it takes a ridiculous amount of steps to obtain. It’s unethical to simply ‘drug’ a combative patient.  What is being done to protect us as nurses from violence?

As a healthcare worker, have you been assaulted by a patient or family member?  What are your thoughts on what can be done to protect nurses in the workplace?  Do you feel that violence is just ‘part of the job’ and accept it?

By The Gypsy Nurse

June 15, 2018

17686 Views

ADVERTISEMENT

Disability Insurance- What Every Travel Nurse Needs to Know

Guest post by: Kyle Richert, Lifetime Financial Growth, LLC

“The $3-9 million or more you’ll likely earn over the course of your medical career is surely an asset worth insuring…”

Most people know they need to insure their life, their car, and their home or condo. But they often overlook insuring their most important asset – their ability to earn an income. Your income is the primary source of funding for a lifetime of things, from basic necessities to the hopes and dreams you have for yourself and those you love. The $3-9 million or more you’ll likely earn over the course of your medical career is surely an asset worth insuring.

disability insurance

What a nurse would earn over a 35-year career, starting at $55,000 and getting 4% annual pay raises

But what would happen if your income stopped because you were too sick or injured to work? Without a paycheck, how long could you pay your rent and utilities, buy groceries, make student loan payments, etc.? In all likelihood, your life would be thrown significantly off course.

Before you say this could never happen to you, consider the fact that 1 in 4 of today’s 20-year-olds will become disabled before they retire.1 And if you’re thinking that most disabilities are the result of freak accidents, you’re in for a surprise. The vast majority of disabilities, about 90%, are caused by various forms of illness, including cancer, mental disorders like anxiety and depression, muscle and back problems, and heart disease.

What to Look for in a Disability Income Policy

Disability income insurance (DI) can help replace your income if you become too sick or hurt to work. It provides a buffer against the unexpected. Should disability strike, DI provides income that can be used to keep your household running as well as to help you adjust to your changed circumstances. While it’s common to have some disability coverage through your employer, these types of policies typically have taxable benefits and will only cover you under certain conditions. Supplemental coverage, in most cases, is necessary.

But before you go shopping for a DI policy, you need to know what features to look for to get income protection you can count on:

How Disability is Defined

The definition of Total Disability outlines what constitutes being totally disabled.

  • If a policy defines Total Disability as the inability to return to work in any occupation, then it would typically pay benefits only if you were unable to perform any job, either your own or a job in a new field or occupation.
  • If you are unable to work as a nurse but are able to work as a telemarketer, the insurance company would no longer consider you disabled – benefits would stop.
  • If the policy defines Total Disability as an inability to work in your own occupation, it typically pays benefits if you cannot perform the duties of the occupation you were engaged in prior to becoming ill or injured.
  • If you are unable to work as a nurse, a benefit is paid. Period.

Coverage for a Partial Disability and/or Recovery

A policy’s Partial Disability benefit provides protection in the event of partial disability or during a recovery period.

  • Typically is payable in an amount that is proportionate to the loss of income suffered due to sickness or injury.
  • Prior to a disability, you were earning 50,000 per year working full-time as a nurse. Now, due to your sickness or injury, you can only work part-time, earning 25,000. The insurance company would pay you the difference.
  • Supports your financial recovery while you recover physically.
  • Not available with most group plans.

Flexibility to Tailor Coverage to Your Specific Needs

Both now and in the future, options (also called “riders”) like these let you:

disability insurance

Portability

Most nurse practitioners expect to change jobs or employers multiple times during the course of their careers.

  • You can take individual DI coverage with you when you change jobs.
  • Group Long-Term Disability (Group LTD) plans typically are not portable.

Cancellability

To avoid the possibility of losing your coverage just when you need it most, choose a policy that’s both non-cancellable and guaranteed renewable to age 65—with premiums also guaranteed until age 65.

  • With group or association group coverage, you run the risk of being dropped and left unprotected at a time in your life when, due to your age or a change in your health, it would be very difficult to qualify for coverage from another provider.

Timing

It’s important to note that the cost of individual disability insurance is age-based, so you can lock in a lower rate by buying now while you’re young and healthy.

As a nurse, you’ve made a significant investment of time and money to build your career with the promise of financial security and the other rewards your profession provides. But should you become too ill or injured to work, that promise evaporates. To ensure you have adequate protection for your greatest asset, consider supplemental disability insurance.

Say Hello to Kyle On Facebook

1 U.S. Social Security Administration Fact Sheet, October 2015.

2 Council for Disability Awareness 2014 Long-Term Disability Claims Review.

3 Restrictions and limitations apply. The amount of additional coverage available will be financially underwritten based on the amount of disability insurance you have or are eligible to receive, as well as your income at the time you apply.

Registered Representative and Financial Advisor of Park Avenue Securities, LLC (PAS), Securities products/services and advisory services are offered through PAS, a registered broker-dealer and investment advisor. Financial Representative, The Guardian Life Insurance Company of America (Guardian), New York, NY. PAS is an indirect, wholly-owned subsidiary of Guardian. Luttner Financial Group, Ltd. and Lifetime Financial Growth, LLC are not affiliates or subsidiaries of PAS or Guardian. PAS is member FINRA, SIPC

By The Gypsy Nurse

February 11, 2018

9224 Views

ADVERTISEMENT

Ask A Travel Nurse: Contract Cancellation?

Contract Cancellation:

Gypsy,

One of my big concerns is the possibility of contract cancellation. From your experience, how often does this happen? How does the Travel Nurse respond to the event? I would appreciate your insights on this issue.

Jeff 

Thank you for reading The Gypsy Nurse. You have taken the first step on your journey to becoming A Gypsy Nurse.

Jeff,
There is always the possibility of a canceled contract. I’ve had this happen on several occasions.  Once before I even left and once during the contract.  This is one reason why it’s important to have a good savings cushion in place before traveling.  Another thing to keep in mind when it comes to cancellations is your company.  If you work with a good/reputable agency, they should be able to find you another position quickly should a contract be canceled.

Here is some practical advice on how to handle a canceled contract and the possible implications: My Contract Was Cancelled…Now What? 
 
I hope that this helps to answer your questions.

I love hearing the opinions of my readers.  Your opinion could be the perfect solution for someone.  Please share your thoughts below in the comments.  Do you have a question for me?

Do you have any travel nurse questions you would like asked? Our Gypsy Nurse mentors have great insight into many topics.  Click here to submit your questions here.  Another great option is to reach out to our Facebook group.  There are thousands of members, and many can answer your questions as well.

Have you had a contract cancelled as a travel nurse? How did you handle it, what did you do? Comment your tips below.

By The Gypsy Nurse

February 5, 2018

12666 Views

ADVERTISEMENT

10 Travel Nursing Mistakes I Made

Travel Nursing MistakesI made a lot of mistakes early in my travel nursing career.  I’m going to share my top 10 Travel Nursing mistakes.  Knowledge is the key to success. We’ve all heard it before and I’m going to share mine.

I was uneducated and unprepared for the life of a Travel Nurse.

I headed out on my first Travel Nurse Contract without having any idea what I was doing.  I ended up surviving but it could have been much smoother if I had only done a little research before I left home.

I had no idea what my wants and needs were.

All I knew when I left for my first contract was that I wanted to get ‘outta Dodge’.  I didn’t think about what I needed or even wanted out of travel nursing.  I took the first job offered and off I went.

I choose to leave home to begin travel nursing without a financial cushion.

Unfortunately, this was not a lesson easily learned for me.  I did this time and time again and always ‘swore’ that it wouldn’t happen again!  I was once on contract in San Diego and the company wasn’t paying me correctly or on time and I ended up canceling the contract and having to call my Dad for help to get home.  Talk about degrading!  Don’t let this happen to you…have a financial cushion.

I didn’t keep track of my paperwork and was disorganized.

Trying to find the paperwork needed for the agencies was sometimes a nightmare in the beginning.  I had some things stored on my computer, some in paper format and none of it in the same place.  Submitting to a new travel nurse staffing agency was always a daunting process.

I didn’t research travel staffing agencies well enough.

See #3!  If I had researched the agency, I would NOT have been put in this situation.  There were warning signs (that I choose to ignore) and after the fact I found out that this was a common issue with this particular company.  If only I had researched better prior to accepting the contract; perhaps I could have avoided this situation.

I totally over-packed.

When I left home for my first contract, I had a 4-door Explorer packed to the gills!  I don’t think I could have found room for an additional teaspoon.  I didn’t know what to expect from the housing so I brought everything! Couple this with having to unload all of it and unpack and I quickly learned to down-size.

I didn’t know what questions to ask in the interview.

Not knowing what to ask can make the first few days/weeks on contract even more stressful than it has to be.  I had no idea what resources I had, what the patient mix would be, etc.  Ask questions!

I had no idea how to negotiate a contract or even what should be included in my contract.

I mentioned in a previous article that anyone pursuing a career in Travel Nursing should work as a car salesman first.  I really am not kidding!  Your negotiation skill will be very important and you MUST use them.  If you don’t negotiate, companies will offer you the bare minimum.

I didn’t scrutinize the contract before I signed.

Even though we had agreed during the interview that I would have x day off for a personal reason…I didn’t make sure that it was noted in my contract.  I ended up missing an event that was quite important to me because of this. 

I didn’t listen to what ‘experienced’ travel nurses were telling me.

This is perhaps the most important lesson that I have learned.  LISTEN.  If everyone tells you that company A is a company with a bad reputation for something….they probably know.  Listen and take to heart what other more experienced Travel Nurses have to say.

Are you an experienced travel nurse?  What lessons did you learn the hard way?  Share them in the comments!

By The Gypsy Nurse

September 25, 2017

19617 Views

ADVERTISEMENT

Travel Nurse Bonus: Sign-on Completion and Referral

Many travel nursing companies offer bonuses, including sign-on, completion, and referral bonus, as well as other incentives.  These bonuses can be good, bad, or anywhere in between.  To figure out the good and bad of a bonus, you must first know why the bonus is being offered for the particular contract.

Most of the time, “bonuses” are gimmicks to get your attention, to entice you to sign on the dotted line.  I question and scrutinize a position if it offers a bonus of any kind.  If it sounds too good to be true. . . well, you know the drill.

Why do hospitals offer a Sign-on Bonus?

  • The most common reason for a sign-on bonus is difficulty filling positions.  If a hospital is having difficulty filling a position to the point that they are offering huge bonuses, the contract may be dangerous or license threatening.
  • The mass exodus of staff.  This sometimes occurs when there has been a recent change in management, policies, or other internal issues.
  • Opening of a new unit, ward, or wing. This is probably the best of the bonuses, but it too can come with issues. When a hospital opens up a new unit, ward, or wing, it can be full of problems, from non-functioning or non-existent equipment and supplies to a lack of management.

Why do hospitals offer Completion Travel Nurse Bonus?
The most common reason for a completion bonus is due to previous experience of travelers that do not complete the contract. I personally avoid these like the plague.

Why do agencies offer referral bonuses?
This one is simple. Travel nurse staffing agencies offer referral bonuses to make money. Every traveler they have on the contract is making them money. This is the entire reason that travel nurse staffing agencies exist. I have received a few of these during my travel nursing career. I would caution you to make certain that you feel that you can stand behind the company or recruiter if you refer them to another traveler. Don’t give a referral just for the bonus.

Keep in Mind

  • Bonuses are taxed at a different rate (higher) than your hourly pay.
  • Find out when the bonus will be paid out. A sign-on bonus may or may not be paid with your first check. A completion bonus will not necessarily be paid on your final paycheck; sometimes, these take several weeks.
  • Some bonuses are negated if you call in a shift and do not make up the hours. Make sure that you know all the details.
  • Please don’t make any assumptions when it comes to bonuses. Ask.

I always recommend that you research the Travel Nurse staffing agency.  Trust in your company can sometimes be much more priceless than any bonus.

Have you worked a position with a bonus?  What was your experience?  Was it ‘all that glitters, is not gold,’ or was it a good experience?

By The Gypsy Nurse

September 2, 2017

7525 Views

ADVERTISEMENT

Ask A Travel Nurse: Can I expect Compensation for Pre-Employment Testing

Gypsy,
Are travel companies required to reimburse you for orientation/hospital education? Specifically, I’ve been given education/assessment assignments on Healthstream.com and it’s proving to be rather time-consuming; I figure it’s going to take me at least 4 hours to complete. Is it an unrealistic expectation to reimbursed for this time?

Thank you, Jessica, RN ASN

Jessica,

Thank you for reading The Gypsy Nurse. You have taken the first step on your journey to becoming A Gypsy Nurse.

Unfortunately, it’s not required nor is it common for travel companies to offer compensation to a traveler for pre-required testing/paperwork.   This is no different from any other pre-employment paperwork in their eyes.

Having said that…  There have been occasions where I have asked my recruiter if I could get some compensation for the time spent (especially if I can prove the time or the hospital is requiring an exorbitant amount of extra online tests).  This has worked on some occasions but I have never gotten fully compensated for all the hours spent doing online pre-employment testing.  I once received a visa card and another time I was compensated for an additional $50 bonus on my first check. So in summary; it’s not required or expected but it never hurts to ask.

I love hearing the opinions of my readers.  Your opinion could be the perfect solution for someone.  Please share your thoughts below in the comments. If you have any questions please share them in our network group.

(Disclaimer:  Please note that this is the Author’s opinion only.  I do not provide career counseling, legal or medical consults.  If you require any of these, please search out the appropriate resources)

By The Gypsy Nurse

July 20, 2017

7328 Views

ADVERTISEMENT

Ask A Travel Nurse: Choosing a Travel Nurse Company?

Gypsy,
What travel companies have you had the most success with … and the least? Any recommendations?

Thank you, CardiacRN



CardiacRN,

Thank you for reading GypsyNurse and contacting me.  Choosing a travel nurse company can be so frustrating. However, when you find the company(s) that you love, the search will be worth it!

I have worked for a variety of companies from the large nationally known ones to the smaller family/nurse owned ones.  I will not give a specific company recommendation on this site.

Choosing a travel nurse company (and recruiter) is a very personal thing. A lot of the success between traveler and recruiter/agency relies on common ground. Does the agency provide the benefits that are important to you? Are they available? Do they have contracts where you want to go? These are all questions that are specific to each individual travel nurse.

My general preference has been for a smaller company.  I like the personal attention, the fact that I only deal with one person for everything and I get to develop a more deep relationship with the recruiter.

If your struggling with finding a company, you might want to read Step #7  (Research Travel Nurse Companies) in my Travel Nurse Guide. Additionally, once you’ve narrowed down your choices, you can ask for feedback on our Travel Nurse Network group on Facebook.

Additional Resources


Find your Next Travel Nurse JOB


 

By The Gypsy Nurse

May 10, 2017

14430 Views

ADVERTISEMENT

Nurses Going A Step Beyond Camaraderie

I discussed a question (with one of my colleagues) posed by one of my readers about being forced into resignation from a job that she loved to avoid a wrongful termination due to trumped-up accusations.  After a long discussion on the subject,  she agreed to address this issue in a post.  Below you will find one experienced nurse’s explanation of what she feels is wrong with the Nursing Profession and why building camaraderie is important.

We, as nurses, have failed to realize our own value. I am not sure if it is because we are a predominantly a female profession if it’s because, as females, we are new to the professional workforce, if it is because nurses often care about others more than their career, or if it is because of the tendency for women to be passive-aggressive in nature and that we throw each other under the proverbial “bus.”

You will never hear of these things happening to the doctor.  Doctors stand together as a unifying force, even though their numbers are far smaller than that of nurses.  That is why I think it is important to build nursing camaraderie and then take it one step further.  Nurses as a profession are 2,737,400 (2012) strong.  Without nurses, all patient facilities would be at a stand still.   The doctor’s offices would close.  No school can function without a school nurse.  Some companies have nurses on staff, and all insurance companies rely on nurses every day.  But, we as nurses often forget that we are a profession and that we stand stronger in numbers than almost any other profession.

When we consider how physicians are treated with a collective number of around 661,400 (2008);  It is not their education or numbers that make physicians a force to be reckoned with.  It is only that they demand the treatment they receive; and, as a whole, will not tolerate anything different.  On the other hand, nurses see opportunity in their co-worker’s failure, and return is treated the same. How many times have you heard a fellow nurse make a derogatory remark and truly be happy at another nurse’s misfortune because they didn’t like the other nurse? The message that nurses inadvertently send to nursing management is that the nurses will tolerate that behavior and even encourage it because they judge fellow nurses on their social life, clothes, or any other issue that is not directly related to the nursing profession.  We are all guilty of this to some extent, and we are treated the way we deserve.  Not literally but metaphorically.

When those in the nursing profession realize as a whole that we ARE a profession and deserve to be treated as such… strike that…. DEMAND that we be treated as such; our work environment will dramatically change.  But it takes all nurses or at least the majority to behave like a profession and not behave like high school cheerleaders.  It is a tough pill to swallow, but we will get what we expect, and we are judged by management according to our actions.  It is hard as a nurse to stand up to management.  Yes, we will have to lose our jobs on principle.  We have to encourage other nurses to do the same and shatter that glass ceiling that continually holds nurses back.

Many nurses are so excited to become a manager to get off the floor that they are willing to throw the nurses they manage under the proverbial “bus” to stay off the floor.  Many Unit managers enjoy having no patient load… In return, they will appease upper management and throw their nurses under the proverbial “bus” to not have to take a patient load themselves.  Then the floor nurse, either hoping for a promotion or just because they don’t like that “Nurse Mary Jane” is skinny… happily throw fellow nurses under the proverbial “bus.”  As long as this behavior happens, we can’t quite blame the top executives sitting in the corner office; can we?  Change starts from within.  Each nurse is responsible for how ALL nurses are treated.  Once we all stand strong and demand a good work environment, sheer numbers will guarantee our true success in being seen as a professional, not a glorified waitress, housekeeper, and pill pusher.

The opinion on camaraderie voiced above is a powerful one. What are your thoughts? Do you think that the back-stabbing, ‘eating-our-young’ attitudes in nursing can be changed? Are you willing to leave a job based on principle? Are you willing to take the next step past simple camaraderie? Do you agree with the author above? Disagree? Share your thoughts below.