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Gaining Confidence
"I Made a Mistake!"
How nurses can get beyond the goof-up.


Nurses are human—we all make mistakes. But knowing how to deal with mistakes is what will make you a better nurse. Despite what your fears tell you, it is possible to live through, and benefit from, a mistake. Here’s how:

Avoid mistakes in the first place.
This is a statement of the obvious, but it’s better to avoid mistakes than to learn how to deal with them. So stay focused and don’t rush. Remember the basics you learned in nursing school; you’re better prepared than you think. Trust your instincts and use common sense. Ask for help when you need it. Get over your fear of looking stupid if you ask a question—because it’s smart. Especially during your first few years, you need to double- and triple-check everything.

Don’t cover it up.
If you do make a mistake, very simply, don’t cover it up. Immediately report it to your preceptor or supervisor – and rectify it. If someone tells you what you should have done or reprimands you, don’t get defensive. You’ll benefit from listening. If you can learn from the situation, you’ll know how to avoid letting the same thing happen again. But don’t be too hard on yourself. Everybody’s human.

Also, keep in mind that the patient is your first priority. If you cover up a mistake, you could be jeopardizing patient care and safety—and even your employer’s reputation. There could be legal issues involved, as well.

Don’t blame others.
When someone in authority comes in and asks who made the mistake, it’s easy for a nurse to blame another nurse. Shifting blame is a classic defense mechanism that humans use when they feel threatened. But you have to own your mistakes, learn from them, and move forward. That’s how you grow and become a better person. Each of us should be a work of art in progress.

On the other end, if a nurse is ever falsely blamed, he should stand up for himself.

Talk it out.
I know a nurse who made a mistake at work. It did not result in harm to the patient, but she had a great deal of difficulty getting over it. She carried a huge amount of guilt around with her. I recommended that she speak to some competent, experienced nurses about it--people she could trust and who would be able to reassure her.

Sometimes you really have to talk to another nurse. Your spouse or a friend might say, “Oh, don’t worry about it.” They mean well, but they don’t really understand what could have happened. Nurses have a unique understanding of other nurses. That’s why so many nurses forge such close relationships with each other. You speak the same language. They might even say, “You know, the same thing happened to me once.” And that helps to put things into perspective—nurses need to know they’re not alone.

Also, don’t rule out professional help. It’s not common for nurses to need it, but sometimes people have trouble keeping things in perspective. If something happens and you can’t work through something, there’s nothing wrong with getting help.

Mistakes happen, but don’t make the mistake of not learning from your goof-up. Accept critique, grow from it, and share your experience with others. You might help others avoid the same pitfalls.

Donna Cardillo, RN, MA, has been referred to as the ‘guru’ of career development for nurses. Donna is a professional keynote speaker, author, consultant, and coach. She is author of "Your 1st Year as a Nurse –Making the Transition from Total Novice to Successful Professional" from Three Rivers Press. Her accomplished career combines over 20 years of clinical, managerial and business experience, not to mention her stint as professional singer. She also operates Nurse Connections, a free online newsletter (http://www.nurse-power.com/). Donna’s clinical experience includes emergency and psychiatric nursing. Donna received a diploma in nursing from Holy Name Hospital School of Nursing and holds a BS in Health Care Management from St. Peter’s College and an MA in Corporate and Public Communication from Monmouth University.



3 Responses to ““I Made a Mistake!””

  1. Mr Ian Says:

    A significant topic but I feel the content only skims the surface of the issues that I hear and read about frequently. I think any (decent) nurse would readily admit to mistakes and seek to resolve them in the fashion outlined above. However, there is a far more complex and underlying issue that prevents/deters nurses from doing so and that is namely the ‘blame culture’ that runs rife thru the administrata.
    It is enough to admit to a mistake in itself, especially as a novice, because of the guilt/fear of potential or real harm ensuing. However, the consequences of admitting to such errors still provokes a fear of becoming “employment-challenged” when some DoN or manager reacts to is in a malevolent way.
    Do nurse managers now work from the premise that “an error shared is an error repaired” or still from the edict of “an error shared is best dealt with by writing up the nurse and covering your own butt in case it happens again”?

  2. christian Says:

    this article helped me a lot from what im going through.I made a mistake.fortunately there was no harm that happened to the patient.God Bless Us All!

  3. LizFeelsGood Says:

    I have just started working new area and made a (pretty stupid) mistake at work and damaged a piece of equipment. I immediately reported it to the senior nurse on duty and called maintenance to come and repair the damage.

    The really suprising thing is that I have subsquently been repeatedly praised - maintenace even wrote a compliement about me to administration because apparently (according to the maintenace guy and the senior nurse) I am the first person to actually own up to making a mistake which damaged equipment rather than just trying to hide the damage so as to avoid being blamed.

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