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Nursing: You Wanna Know What I Think?

Micro-Management Has No Business in Nursing

Published June 11, 2012 8:27 AM by Pat Veitenthal
It has unfortunately become necessary recently for me to research the term "micro-management." I wanted to be sure I understood exactly what it was so I could be capable of identifying it correctly if I see it.

Turns out, I sure can, and with complete confidence. Now, since this is a blog, and not a research paper, I'm not citing my sources for you, but you can find exactly the same thing I did by just doing a Google search on micro-managing. From psychology to The Harvard Business Review, the bottom line is, it's NOT a good thing. Listen to some of these quotes;

 1) "Last week I wrote about scaring your employees into submission, this week, I have a few words about squashing them into non-thinking androids. A style of leadership that is cousin to the technique of fear; a management approach that keeps a tight reign on everything. That is, no one but you decides anything. This inefficient management style is known as "micro-managing," a petty approach to managing every detail of your business-even to the preposterous notion of an inventory control of paper clips."

2) "The notion of micro-management can be extended to any social context where one person takes a bully approach, in the level of control and influence over the members of a group. Often, this excessive obsession with the minutest of details causes a direct management failure in the ability to focus on the major details."

3) "Nursing Leadership who micro-manage can kill the creative and proactive spirit."

4) "If you are in the unfortunate position of being managed by a micro-manager you are likely dealing with a very insecure person plagued by perfectionism and narcissism. People who have difficulty delegating and trusting those who work for them are like an anxious mother who watches over her children so much she creates tense, unhappy children."

Micro-management has no business in nursing. It destroys teamwork, self-esteem, and autonomy. And when recognized, administration has the ultimate responsibility for stopping it immediately.




 

 

posted by Pat Veitenthal

4 comments

Fear seems to be the major component of Micro-management. Right now there is fear on the part of Administration/Management that there won't be enough money to support their jobs. Bedside nurses are ESSENTIAL, and the work is hard. And we are being required to have a BSN. Yes the economy is strained, but folks STILL get sick and need specialized care. Nurses need to be allowed to do their job without constant interference from the pencil-pushers and numbers-crunchers. I'm glad I'm retired but I'm terrified that if I need Hospitilization or Home Care it won't be at a level I can trust.

Barbara, ICU - RN- Retired June 11, 2012 5:27 PM
Baltimore MD

As usual, you hit the nail right on the head!  Nurses worked so hard for autonomy and now everything has been taken away.  I was fortunate in that I could just retire, but for the younger ones, that isn't an option.  I don't know what it will take to wake management up, but it will not be pretty when it comes.  Unfortunately, patient care suffers as nurses try to figure out how to dance on a tightrope.  

Kathleen June 11, 2012 4:18 PM
Warrenton VA

Unfortunately this seems to be the way of 'modern' management and it is the least efficient way to go - but do the managers see that? NO! It is affecting staff across almost every profession unfortunately and the managers are too blinkered to see the inevitable problems that lay ahead. The staff can, but have been put into positions where they are too scared, and / or just generally unable to do anything

As Tom said, it effects patients through no fault of the nurses and auxiliary staff. How are they supposed to give 100% when they are being 'bullied' by these kind of bosses?

Jill June 11, 2012 11:31 AM
U K

Micro-management in any field has profound negative effects on morale and teamwork. In nursing, unfortunately, an added downside is that the patients ultimately suffer at the hands of discouraged, disheartened, unhappy nurses. Believe it or not, "hands-off" management can be way more effective!

Tom June 11, 2012 11:04 AM

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About this Blog


    Pat Veitenthal, BSN, RN
    Occupation: Per diem nursing supervisor and cruise ship nurse
    Setting: Community hospital and cruise ships
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