Write up for insubordination12/24/2023 ![]() With the nature of patient care, it is common for orders to fall outside of what the nurse considers ethical. If ordered a task that falls outside of this zone, there is a higher chance the order be disobeyed. This means employees have in their minds what activities the supervisor has a right to ask them to do. Managerial theorists, Simon and Barnard, describe employees using a “zone of acceptance” when processing orders and directives. Surely you have heard, or even stated, these words of protest, “that is not within my job description!”. Nurses are often triggered when given a task perceived to be outside of traditional nursing work. Workplace dissatisfaction often leads to counterproductive and emotionally driven behavior that sets the stage for insubordination. ![]() ![]() We have all heard these declarations from nursing leadership, “We must do more with less”, “We must improve our outcomes” and “We need to be good stewards of the company’s money and work with what we have.'' Unfortunately, “working more with less” often takes us away from why we entered nursing and what we find most rewarding about the profession. The nursing profession is riddled with stress and dissatisfaction. Dissatisfaction, The Prelude to Insubordination Misconduct typically requires swift disciplinary action and may also have legal or criminal consequences. It is characterized by an offensive and/or unacceptable action that is purposeful and not by mistake or carelessness. Misconduct is fairly straightforward and is more serious than insubordination or insolence. Insolence is behavior that undermines a manager’s authority by swearing, making fun of and mocking them. This is because insubordination often leads to conduct violations. People often confuse insubordination with insolence and employee misconduct. Although these guidelines seem straight-forward, the unique characteristics of nursing are complex and often further muddy the waters surrounding the issue. The nurse must refuse to obey the order and doesn’t perform the task.Īn insubordinate nurse may verbally or physically disobey an order or simply ignore the request.The nurse must fully understand what is expected of them.The nurse must be given a direct, reasonable and ethical order relating to their job role.There are 3 factors that may be used to determine if a nurse is insubordinate: Defining insubordination is often tricky, especially in the nursing profession. Such refusal is often a reason for disciplinary action and possibly termination. Insubordination in the workplace occurs when an employee intentionally refuses to obey a direct, lawful and reasonable order or directive. This article will explore the definition, criteria and triggers for nurse insubordination. ![]() The unique characteristics of nursing may be a prelude to insubordinate actions and behaviors. Insubordination can result in serious disciplinary action by employers and licensing boards. ![]()
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