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Writer's pictureBilquis Ali

Navigating Negative Feedback: A Director of Nursing's Guide to Growth and Understanding


As a mentor with years of experience guiding Directors of Nursing (DONs), I've seen just about every situation imaginable in the world of healthcare management. Recently, one of the DONs I mentor faced a difficult scenario: an employee quit and left a scathing review about both the facility and the DON.


If you find yourself in a similar position, here’s the first thing you need to do: take a deep breath and calm down. I know it’s easier said than done, but trust me, reacting emotionally will only cloud your judgment. Now that we’ve taken a moment to breathe, let’s talk about feedback—because whether it’s positive or negative, feedback is a powerful tool for growth.

The Value of Feedback: Finding the Truth


Feedback, no matter how harsh, offers insight into how others perceive your leadership and the facility. This perception, even if it doesn’t fully align with reality, reveals areas where improvement may be necessary. So, let’s sift through the feedback. Is there any truth in what was said? This can be difficult, especially when the criticism feels personal, but identifying even a small kernel of truth can provide a roadmap for improvement.


Early in my career, I quickly learned that it’s impossible to please everyone. There will always be someone who isn’t happy with your decisions, your management style, or the way things are run. And that’s okay. Understanding this helped me develop a thicker skin, and more importantly, it allowed me to focus on the bigger picture rather than getting bogged down in trying to appease everyone.

I also learned something even more crucial: the harder I tried to make everyone happy, the more likely I was to end up disappointed and upset. Overextending yourself in an attempt to satisfy every employee or resident is a recipe for burnout. Instead, I began to focus on doing what was best for the facility as a whole, knowing that my decisions wouldn’t always be popular. This mindset shift was a game changer, allowing me to lead with confidence rather than fear of criticism.

Exit Interviews: A Goldmine of Information

Now that we’ve discussed the importance of feedback, let’s talk about a key tool that can turn even the most disgruntled employee’s departure into an opportunity for growth: the exit interview.

When you have an employee who is threatening to quit or who has already made the decision to resign, don’t just let them walk out the door without asking why. Conduct an exit interview, and when you do, focus on open-ended questions. Questions like, “Can you tell me what led to your decision to leave?” or “What could we have done differently to make your experience better?” provide invaluable insights into the issues that may be bubbling under the surface.

Remember, disgruntled employees are often the ones who will give you the most honest feedback—sometimes brutally so. But it’s this honesty that can help you identify systemic issues that need to be addressed. Approach these conversations with an open mind and a willingness to listen, even if what you hear isn’t what you want to hear.

Turning Criticism into Opportunity

In the end, criticism—no matter how harsh—can be a stepping stone to becoming a more effective leader. By staying calm, seeking out the truth in feedback, and leveraging tools like exit interviews, you can turn negative experiences into positive change for both yourself and your facility.

Remember, as a Director of Nursing, your primary goal is to create an environment where both staff and residents thrive. While not everyone will be satisfied all the time, your ability to learn from every experience, even the negative ones, will set you apart as a leader. So take a deep breath, embrace the feedback, and use it to guide your facility toward continuous improvement.

 

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