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Tales From an ED Nurse

Leader or Teacher or Both?

Published March 15, 2009 7:52 PM by Lorettajo Kapinos
    In recent months, I have been experiencing an increasing level of angst at work.  I have searched high and low for an answer, but have come up with nothing.  I considered all the recent changes that have been instituted in our ED.  I thought maybe it was related to family changes at home.  Then, I blamed the patients.  All of these thoughts circled through my head, until a conversation the other day forced me to take a hard look at myself.
    The ED itself was rather calm that day.  Patients were coming and going at a reasonable pace.  A few co-workers and I chatted about general topics.  The atmosphere was light.  I shouldn’t have had my defenses up, but I did.
    The conversation turned to who was going to be in charge.  I thought I didn’t care, but when I wasn’t elected, I found myself irritated. This was exactly the same feeling I had been carrying with me for so many months.  My brain rattled into a steady stream of thoughts.
    For days, I mulled this over.  The thought of being in charge scares me. Why does it bother me so much when I’m not chosen to lead?  I don’t see myself as a leader.  Maybe I want to.  
    I began contemplating the idea of leadership.  I visualized being responsible for patient flow, problem solving, and follow through. I thought about the parts of my job that make me happy -   sharing information, showing the way to care for family members and answering questions.  I like to teach, not lead.
    My brain began to further process this.  I asked myself questions.  Do I need to give up what I love in order to make myself feel more valuable by leading? Or, is it possible for me to be a leader as a teacher?  IS teaching the same thing as leading?
    The answer to all of these questions appeared to me, in all places, in a line from one of my daughter’s favorite picture books, Pinkalicous:  “You get what you get, and you don’t get upset.”  I don’t have a hard outer shell.  I am not good at making decisions with confidence.   But, I am good at understanding how patients and families feel.  I can reach out and touch others through education.
    That’s when it occurred to me.  Teaching IS leading.  It may be different from a charge nurse who makes formal decisions, but it is just as valuable.  I am just as valuable.  This acknowledgement gave me the relief I was looking for.  Through this entire struggle, I have learned a lot about myself and what I want out of my career.   
    I want to share knowledge with my patients.  I want to help them and their families cope with the situations they are experiencing in the ED.  I want to accept teaching as a form of leading because sometimes we can’t change what we get, even when it makes us upset.  I don’t have to be just a leader or just a teacher.  I can be both.

posted by Lorettajo Kapinos

2 comments

I was telling my 13 yr old dtr. how a rose is beautiful and so is an iris; that neither is diminished next to each other. How uniqueness can be LIVED. Then I went to work and had a very similar experience to yours....and am trying to absorb my own advice!

Brigette Godwin Young, ED - RN, BFMC March 15, 2009 10:36 PM
Greenfield MA

As a leader, I can say you too are a leader. ... your reverance for others and your committment to patients is key. Teaching is a method of leading knowing that others will follow your word. Being a leader means others will follow you..otherwise, if no one follows your simply out for a walk alone. Keep faith in yourself and others will see it and follow..

Celeste Surreira, Emergency Dept - Director March 15, 2009 9:09 PM
Atlanta

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    Lorettajo Kapinos, BSN, RN
    Occupation: Registered Nurse
    Setting: Western Massachusetts
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