Managing Unprofessional Behavior in Nursing: 5 Tips for Nursing Leaders

Jul 23 / Teresa Sanderson, RN, CCM
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Unprofessional behavior in nursing can range from falsifying documentation to incivility, patient abandonment, and bullying. As nursing leaders, it's our responsibility to maintain a work environment conducive to excellence in practice. The American Nurses Association (ANA) Code of Ethics, Provision 6, states that every nurse is responsible for ensuring a positive work environment. Yet, we've allowed a culture of "nurses eat their young" to persist for decades.
Recent discussions have highlighted how the current nursing leadership model often promotes failure among nursing leaders. When staffing is inadequate, nurse managers and directors of nursing are forced to cover patient care needs, leaving leadership duties undone. This creates a challenging situation: How can we address unprofessional behaviors without risking the loss of another nurse?

While I don't have all the answers, I'd like to offer five strategies I've used to address unprofessional behaviors and improve workplace culture:

1. Set the Standard Early

Incorporate expectations for behavior and contributions to a positive work environment during the interview and onboarding process. Include these standards in position descriptions and evaluation processes. Be upfront about your commitment to improving workplace culture and your zero-tolerance policy for certain behaviors.

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2. Teach Assertive Responses

Educate your team on how to respond assertively to incivility with a go-to statement. For example: "I feel uncomfortable discussing others when they aren't present. I'd appreciate it if we could focus on patient care." Or: "I'm uncomfortable when you speak to me this way. Could we step back and discuss this later?"

3. Lead by Example

As a leader, set the standard for professional attire. While you don't need to wear formal business attire daily, your appearance should reflect the professional standards you expect from your team.

4. Promote Effective Communication

Train your team to communicate succinctly and professionally when giving reports to nurses, physicians, and other departments. Clear, reliable communication enhances professionalism and makes your nursing team valuable to other departments.

5. Address Issues Promptly

Call out unprofessional behavior when it happens. Provide constructive feedback on the spot, consistently and fairly. Remember, what gets measured gets improved. When your team knows you're monitoring and addressing unprofessional behavior, improvement will follow.

Nursing culture desperately needs change. That's why we've launched the "Nurses for Your Young" membership, providing a safe space for nurses to work together towards transforming the profession. Through monthly networking and continuing education events, we aim to develop the leader in every nurse.

Join us in our mission to end the "nurses eat their young" culture. Get your first month free and be part of the change we need in nursing.