Navigating Disagreements with Nursing Leaders: A Bedside Nurse’s Guide

As a bedside nurse, you’re no stranger to organizational decisions that don’t quite align with your own perspectives. Whether it’s changes in workflow processes, staffing adjustments, or the new break-room rules, it’s natural to find yourself at odds with decisions made by senior leadership. However, finding a way to process and make peace with these decisions is essential for maintaining a positive work environment and fostering professional growth.

Here are a few items to consider when your perspective differs from your Nurse Manager or Senior Leaders:

Identify the Specific Situation: Take a moment to pinpoint exactly where the misalignment lies and why you disagree with the decision. Whether it’s a change in patient care procedures or resource allocation, understanding the root of your disagreement is the first step towards finding resolution.

Consider the Benefits of Acceptance: Reflect on how setting aside your disagreement may benefit both you and your team. While it may be challenging, acknowledging the potential positives of going along with an unpopular decision can help shift your perspective. For example, maintaining job stability or contributing to the overall efficiency of the unit.

Think About the Team: Consider how accepting the decision may positively impact your team as a whole. By focusing on the collective well-being, you can gain clarity on the bigger picture and find motivation in contributing to a unified front, even in the face of disagreement.

Practice Empathy: Extend empathy and grace towards your Nurse Manager or Senior Leaders. Recognize that they may have access to information or considerations that you’re not aware of. Also understand, your Nurse Leader may not fully agree with the new policy or workflow changes but they are trusting the vision of their Senior Leaders. By considering their conflicting position, you can better understand their rationale for trusting their senior leaders and also reduce your feelings of frustration.

Commit to Action: Once you’ve processed your emotions and gained clarity, commit to taking specific actions moving forward. Whether it’s adjusting your approach to patient care, supporting team members through the transition, or actively seeking opportunities to provide thoughtful feedback, acting with intention can help you navigate disagreements constructively.

By considering these steps, you can effectively process and make peace with the organizational decisions you disagree with. Remember, while you may not always see eye to eye with senior leadership, finding common ground and maintaining professionalism is key to fostering a positive work environment and promoting personal and professional growth.