Health, Wellness, & Self-Care
Professional Development
Health, Wellness, & Self-Care
Professional Development
Health, Wellness, & Self-Care
Professional Development
Health, Wellness, & Self-Care
Professional Development
7 Signs of a Toxic Workplace + Mental Health Tips for Nurses
7 Signs of a Toxic Workplace + Mental Health Tips for Nurses
Nov 22, 2024
Lindsey Gram, RN
Toxic workplaces aren’t just frustrating—they can harm your mental health and career. But the good news? You have the power to take actionable steps to protect yourself and even thrive in the face of workplace toxicity.
A toxic work environment in nursing can have devastating effects, impacting mental health and leading to nurse burnout. And it is extremely harmful in a high-stakes field such as healthcare. From unmanageable patient ratios and difficult coworkers, to leadership who thinks self-care is a cold pizza or coffee coupon, it's no wonder nursing burnout has risen to peak levels.
Nurse burnout is a huge problem, with more nurses affected than not. One survey by the American Hospital Association reveals that about two-thirds, or 62%, of nurses report experiencing burnout. And in younger nurses, this number leaps up to 69%.
So what can we do about it? While we can’t always control the hospital politics, break room drama, or the never-ending charting, we can control how we respond to it. It’s all about finding ways to protect your mental and emotional health despite the difficult situations that accompany a toxic environment.
This guide explores how to protect yourself in a toxic work environment with actionable strategies for nurses. No fluffy advice, no wellness clichés– just real talk and a little humor to help you power through those tough shifts.
How Nurses Can Recognize the Signs of a Toxic Work Environment
So, how do you know if your nursing job is blurring the lines between an inherently challenging and stressful profession and into a toxic dumpster-fire territory? Recognizing these signs early can help you manage nursing burnout symptoms before they escalate:
High turnover rates: A revolving door of nurses and healthcare staff is one of the surest warning signs. For example, if several nurses on your floor have left within months, it’s worth noting.
Unrealistic workload: Overwhelming expectations, unsafe patient ratios, and huge demands with no change in sight. In a toxic workplace, you consistently aren’t given the time or resources to do what is expected or do it well.
Hostile environment: Do you feel uneasy at work or like you are walking on eggshells? A toxic workplace often includes recurring conflict, disrespectful behavior, or even abuse.
❗According to the American Psychological Association, 31% of workers in client/patient service roles—like nursing—report experiencing verbal abuse, significantly more than manual laborers (23%) or office workers (22%). While physical violence is less common, it still affects 6% of those in these high-stress roles. These numbers highlight the very real risks nurses face in hostile work environments.
Constant negativity: Consistently dealing with negative feedback, criticism, pessimism, and lack of recognition while receiving little help or assistance from your leadership is another sure sign.
Poor communication: Toxic communication is harmful– to nurses and patients. Watch out if leadership is not clear or transparent with their messages or simply not there at all. Unclear information and expectations also count.
Lack of support: This might look like constant denial of PTO requests or no access to Employee Assistance Programs (EAPs). Little to no meaningful access to mental health services, ineffective support, and minimal personal well-being resources are often found in toxic workplaces.
Fear of speaking up: Nurses do not voice their concerns for fear of criticism, unfair treatment, or retaliation. At a healthy workplace, you should feel psychologically safe and empowered to speak up.
Recognizing the red flags of a toxic work environment is the first step in protecting your mental health as a nurse. Remember, toxic workplaces can have a lasting impact on nurse mental health, contributing to stress and emotional exhaustion.
Protecting Nurse Mental Health in Toxic Work Environments: Practical Tips
Now, let’s get started with what to do if you are currently working in or find yourself in a toxic workplace in the future. Here are our top 4 strategies:
Set Boundaries
Defining and sticking to personal boundaries is one of the most effective ways to protect yourself. Here’s how you can start:
Say no to extra shifts when you’re feeling overwhelmed or overworked.
Avoid answering work emails or calls when you’re off the clock unless it’s an emergency.
Set clear limits with coworkers and leaders about what tasks you can reasonably take on.
Prioritize your well-being by recognizing when to take a step back to recharge.
Practice saying no without guilt, reminding yourself that boundaries protect your energy and effectiveness.
Boundaries aren’t selfish; they’re essential for showing up as your best self for patients, coworkers, and yourself!
Build a Support Network
Finding allies on your unit can make a huge difference. One of the best parts of being a nurse is that you are never alone! Having someone to talk to who simply “gets it” helps you feel less isolated.
Start by building a network of supportive coworkers who understand. This can be a formal peer support group or an informal venting session with a caring colleague. Support can be a deep, supportive conversation– but it is often a quick, knowing glance or lighthearted interaction.
Confiding in your coworkers, sharing a meme, cracking a joke, and knowing that someone has your back through the best and worst shifts can make a toxic environment more bearable.
Practice Self-Care Outside of Work
Taking care of yourself outside of work is non-negotiable. Make time for activities that recharge your batteries—whether that is getting outside, diving into a hobby you love, spending time with family, friends, pets, or anything else. Regular physical activity helps release stress and boost your mood, while hobbies allow your mind to disconnect from work and focus on something you enjoy. Don’t hesitate to schedule these self-care moments just like any other work shift!
Joining supportive groups, like the Rubie Nurse Community, can provide a safe space to vent and find camaraderie. Use our network to find your people, lean on each other, and let the friendships lighten the load!
Utilize Employee Resources:
Don’t hesitate to explore and use all of the resources available to you– they are literally a part of your job benefits! Reach out to a leader or HR to find out what is available to you. Many healthcare employers offer resources aimed at supporting your mental health. Here are some to look for:
Employee Assistance Programs (EAPs): EAPs may offer counseling or therapy for you and possibly members of your family. Depending on your EAP, your employer may completely cover the cost of your sessions or provide them at a reduced cost.
Telehealth or teletherapy may be offered by your employer.
Paid time off (PTO): You’ve worked hard for and earned your PTO. Absolutely do not hesitate to use it for mental health days!
Stress-management workshops, mindfulness, or resilience training.
Subsidized gym memberships.
Discounted wellness apps or subscriptions.
Remember, accessing the resources available to you is a sign of strength, not weakness. Taking care of your mental health is a powerful way to sustain your nursing career and well-being.
Practical Tips for Handling Toxic Interactions at Work
Next, let’s focus on managing toxic interpersonal interactions. Your relationships with coworkers and leaders can have a profoundly negative or positive effect on you and your work as a registered nurse– here are our top tips for dealing with them when they turn toxic.
Stay Professional
When dealing with a toxic individual, staying professional is key (even if you may want to throw your report sheets or clipboard! Seriously, we’ve all been there). Remember– the patients and situations surrounding you demand a cool head.
When an interaction gets tough, take a deep breath, stay polite, and focus on what you can control– which is your response. When tensions rise, maintain your composure. If you need support, don’t hesitate to route your concern to a coworker, leader, or supervisor you trust.
Document Incidents
It’s increasingly important to document toxic interactions with coworkers, just as well as you document your patient care! Leadership and HR often cannot escalate an issue or take action unless it is documented in writing. Think emailing a supervisor or using your employer-provided incident reporting system. Solid documentation and a paper trail can be your best friend in proving, managing, and resolving toxic interactions– and defending yourself, if needed.
Communicate Effectively
Conflict resolution and effective communication are a part of any career, nursing or otherwise. And it doesn’t have to involve snide comments, yelling, or a passive-aggressive post-it note.
Stay calm, remain professional, and clearly say what you need to say. Keep your tone respectful but firm. If you’ve been treated unfairly- you don’t have to quietly “take it” or suffer. Address it, but not in a way that makes another person feel attacked.
It can be helpful to think about what you say before saying it or practice beforehand if communicating in high-stress situations doesn’t come naturally to you.
Checklist: How Nurses Can Transition from a Toxic Workplace
Leaving a toxic workplace is never an easy decision, but sometimes it’s the healthiest choice for your mental health and career. If you’ve tried to address the issues without improvement and your well-being is suffering, it may be time to move on. Here’s how to recognize when it’s time and how to prepare for the transition.
Is It Time to Leave?
Not all challenges at work mean you need to leave, but certain red flags are clear indicators that staying might do more harm than good:
☑️ Chronic Stress and Burnout: If you’re consistently exhausted or emotionally detached—even after breaks or PTO—it’s a sign that the environment is taking too much from you.
☑️ Physical Symptoms: Stress-related issues like insomnia, frequent headaches, or weight changes often reflect the toll a toxic workplace takes on your body.
☑️ No Support or Resolution: If leadership or HR dismisses or retaliates against concerns, it’s a sign that meaningful change is unlikely.
☑️ Feeling Stuck: When you’re unable to grow professionally or personally in your current role, it might be time to explore new opportunities that better align with your goals.
Making a Smooth Transition
Before making the leap, consider these steps to ensure a smooth and strategic exit:
☑️ Assess Your Financial Readiness: Review your savings, expenses, and financial obligations to ensure you can handle a temporary gap between jobs if needed.
☑️ Update Your Resume and LinkedIn Profile: Highlight your most recent accomplishments and ensure your profile showcases your skills and expertise. Check out our resume tips here!
☑️ Network Discreetly: Connect with trusted peers, mentors, or professional groups to learn about new opportunities without raising red flags at your current workplace.
☑️ Identify Key Resources: Join the Rubie Nurse Community for access to career resources, emotional support, and tips for navigating your next step.
Self-Care During Transition
Changing jobs can feel overwhelming, so prioritize self-care during the process:
Use PTO or mental health days to recharge and focus on your transition plan.
Break your goals into small, manageable steps to keep momentum without burnout.
Seek support from friends, family, or professionals to stay emotionally balanced.
Walking away from a toxic workplace is a powerful act of self-care and professional growth. With careful planning and support, you can find a workplace that prioritizes your well-being and helps you thrive.
Prioritizing Nurse Mental Health as a Non-Negotiable
Nurses are the heartbeat of healthcare, so please make sure you take ample time to rest and recharge. You’ve chosen an incredibly rewarding, yet challenging and demanding career path– which is often made more difficult by toxic workplaces, colleagues, leaders, and administration. Remind yourself of why you chose this profession in the first place, use these tools, and lean on your support system when things get tough.
Remember, nurse mental health is non-negotiable. This guide has provided you with actionable advice on how to protect yourself in a toxic work environment while prioritizing your mental health and career.
💎 Take one small step today—whether it’s setting a boundary, joining the Rubie Nurse Community, or revisiting your career goals. Your mental health is worth it!
Toxic workplaces aren’t just frustrating—they can harm your mental health and career. But the good news? You have the power to take actionable steps to protect yourself and even thrive in the face of workplace toxicity.
A toxic work environment in nursing can have devastating effects, impacting mental health and leading to nurse burnout. And it is extremely harmful in a high-stakes field such as healthcare. From unmanageable patient ratios and difficult coworkers, to leadership who thinks self-care is a cold pizza or coffee coupon, it's no wonder nursing burnout has risen to peak levels.
Nurse burnout is a huge problem, with more nurses affected than not. One survey by the American Hospital Association reveals that about two-thirds, or 62%, of nurses report experiencing burnout. And in younger nurses, this number leaps up to 69%.
So what can we do about it? While we can’t always control the hospital politics, break room drama, or the never-ending charting, we can control how we respond to it. It’s all about finding ways to protect your mental and emotional health despite the difficult situations that accompany a toxic environment.
This guide explores how to protect yourself in a toxic work environment with actionable strategies for nurses. No fluffy advice, no wellness clichés– just real talk and a little humor to help you power through those tough shifts.
How Nurses Can Recognize the Signs of a Toxic Work Environment
So, how do you know if your nursing job is blurring the lines between an inherently challenging and stressful profession and into a toxic dumpster-fire territory? Recognizing these signs early can help you manage nursing burnout symptoms before they escalate:
High turnover rates: A revolving door of nurses and healthcare staff is one of the surest warning signs. For example, if several nurses on your floor have left within months, it’s worth noting.
Unrealistic workload: Overwhelming expectations, unsafe patient ratios, and huge demands with no change in sight. In a toxic workplace, you consistently aren’t given the time or resources to do what is expected or do it well.
Hostile environment: Do you feel uneasy at work or like you are walking on eggshells? A toxic workplace often includes recurring conflict, disrespectful behavior, or even abuse.
❗According to the American Psychological Association, 31% of workers in client/patient service roles—like nursing—report experiencing verbal abuse, significantly more than manual laborers (23%) or office workers (22%). While physical violence is less common, it still affects 6% of those in these high-stress roles. These numbers highlight the very real risks nurses face in hostile work environments.
Constant negativity: Consistently dealing with negative feedback, criticism, pessimism, and lack of recognition while receiving little help or assistance from your leadership is another sure sign.
Poor communication: Toxic communication is harmful– to nurses and patients. Watch out if leadership is not clear or transparent with their messages or simply not there at all. Unclear information and expectations also count.
Lack of support: This might look like constant denial of PTO requests or no access to Employee Assistance Programs (EAPs). Little to no meaningful access to mental health services, ineffective support, and minimal personal well-being resources are often found in toxic workplaces.
Fear of speaking up: Nurses do not voice their concerns for fear of criticism, unfair treatment, or retaliation. At a healthy workplace, you should feel psychologically safe and empowered to speak up.
Recognizing the red flags of a toxic work environment is the first step in protecting your mental health as a nurse. Remember, toxic workplaces can have a lasting impact on nurse mental health, contributing to stress and emotional exhaustion.
Protecting Nurse Mental Health in Toxic Work Environments: Practical Tips
Now, let’s get started with what to do if you are currently working in or find yourself in a toxic workplace in the future. Here are our top 4 strategies:
Set Boundaries
Defining and sticking to personal boundaries is one of the most effective ways to protect yourself. Here’s how you can start:
Say no to extra shifts when you’re feeling overwhelmed or overworked.
Avoid answering work emails or calls when you’re off the clock unless it’s an emergency.
Set clear limits with coworkers and leaders about what tasks you can reasonably take on.
Prioritize your well-being by recognizing when to take a step back to recharge.
Practice saying no without guilt, reminding yourself that boundaries protect your energy and effectiveness.
Boundaries aren’t selfish; they’re essential for showing up as your best self for patients, coworkers, and yourself!
Build a Support Network
Finding allies on your unit can make a huge difference. One of the best parts of being a nurse is that you are never alone! Having someone to talk to who simply “gets it” helps you feel less isolated.
Start by building a network of supportive coworkers who understand. This can be a formal peer support group or an informal venting session with a caring colleague. Support can be a deep, supportive conversation– but it is often a quick, knowing glance or lighthearted interaction.
Confiding in your coworkers, sharing a meme, cracking a joke, and knowing that someone has your back through the best and worst shifts can make a toxic environment more bearable.
Practice Self-Care Outside of Work
Taking care of yourself outside of work is non-negotiable. Make time for activities that recharge your batteries—whether that is getting outside, diving into a hobby you love, spending time with family, friends, pets, or anything else. Regular physical activity helps release stress and boost your mood, while hobbies allow your mind to disconnect from work and focus on something you enjoy. Don’t hesitate to schedule these self-care moments just like any other work shift!
Joining supportive groups, like the Rubie Nurse Community, can provide a safe space to vent and find camaraderie. Use our network to find your people, lean on each other, and let the friendships lighten the load!
Utilize Employee Resources:
Don’t hesitate to explore and use all of the resources available to you– they are literally a part of your job benefits! Reach out to a leader or HR to find out what is available to you. Many healthcare employers offer resources aimed at supporting your mental health. Here are some to look for:
Employee Assistance Programs (EAPs): EAPs may offer counseling or therapy for you and possibly members of your family. Depending on your EAP, your employer may completely cover the cost of your sessions or provide them at a reduced cost.
Telehealth or teletherapy may be offered by your employer.
Paid time off (PTO): You’ve worked hard for and earned your PTO. Absolutely do not hesitate to use it for mental health days!
Stress-management workshops, mindfulness, or resilience training.
Subsidized gym memberships.
Discounted wellness apps or subscriptions.
Remember, accessing the resources available to you is a sign of strength, not weakness. Taking care of your mental health is a powerful way to sustain your nursing career and well-being.
Practical Tips for Handling Toxic Interactions at Work
Next, let’s focus on managing toxic interpersonal interactions. Your relationships with coworkers and leaders can have a profoundly negative or positive effect on you and your work as a registered nurse– here are our top tips for dealing with them when they turn toxic.
Stay Professional
When dealing with a toxic individual, staying professional is key (even if you may want to throw your report sheets or clipboard! Seriously, we’ve all been there). Remember– the patients and situations surrounding you demand a cool head.
When an interaction gets tough, take a deep breath, stay polite, and focus on what you can control– which is your response. When tensions rise, maintain your composure. If you need support, don’t hesitate to route your concern to a coworker, leader, or supervisor you trust.
Document Incidents
It’s increasingly important to document toxic interactions with coworkers, just as well as you document your patient care! Leadership and HR often cannot escalate an issue or take action unless it is documented in writing. Think emailing a supervisor or using your employer-provided incident reporting system. Solid documentation and a paper trail can be your best friend in proving, managing, and resolving toxic interactions– and defending yourself, if needed.
Communicate Effectively
Conflict resolution and effective communication are a part of any career, nursing or otherwise. And it doesn’t have to involve snide comments, yelling, or a passive-aggressive post-it note.
Stay calm, remain professional, and clearly say what you need to say. Keep your tone respectful but firm. If you’ve been treated unfairly- you don’t have to quietly “take it” or suffer. Address it, but not in a way that makes another person feel attacked.
It can be helpful to think about what you say before saying it or practice beforehand if communicating in high-stress situations doesn’t come naturally to you.
Checklist: How Nurses Can Transition from a Toxic Workplace
Leaving a toxic workplace is never an easy decision, but sometimes it’s the healthiest choice for your mental health and career. If you’ve tried to address the issues without improvement and your well-being is suffering, it may be time to move on. Here’s how to recognize when it’s time and how to prepare for the transition.
Is It Time to Leave?
Not all challenges at work mean you need to leave, but certain red flags are clear indicators that staying might do more harm than good:
☑️ Chronic Stress and Burnout: If you’re consistently exhausted or emotionally detached—even after breaks or PTO—it’s a sign that the environment is taking too much from you.
☑️ Physical Symptoms: Stress-related issues like insomnia, frequent headaches, or weight changes often reflect the toll a toxic workplace takes on your body.
☑️ No Support or Resolution: If leadership or HR dismisses or retaliates against concerns, it’s a sign that meaningful change is unlikely.
☑️ Feeling Stuck: When you’re unable to grow professionally or personally in your current role, it might be time to explore new opportunities that better align with your goals.
Making a Smooth Transition
Before making the leap, consider these steps to ensure a smooth and strategic exit:
☑️ Assess Your Financial Readiness: Review your savings, expenses, and financial obligations to ensure you can handle a temporary gap between jobs if needed.
☑️ Update Your Resume and LinkedIn Profile: Highlight your most recent accomplishments and ensure your profile showcases your skills and expertise. Check out our resume tips here!
☑️ Network Discreetly: Connect with trusted peers, mentors, or professional groups to learn about new opportunities without raising red flags at your current workplace.
☑️ Identify Key Resources: Join the Rubie Nurse Community for access to career resources, emotional support, and tips for navigating your next step.
Self-Care During Transition
Changing jobs can feel overwhelming, so prioritize self-care during the process:
Use PTO or mental health days to recharge and focus on your transition plan.
Break your goals into small, manageable steps to keep momentum without burnout.
Seek support from friends, family, or professionals to stay emotionally balanced.
Walking away from a toxic workplace is a powerful act of self-care and professional growth. With careful planning and support, you can find a workplace that prioritizes your well-being and helps you thrive.
Prioritizing Nurse Mental Health as a Non-Negotiable
Nurses are the heartbeat of healthcare, so please make sure you take ample time to rest and recharge. You’ve chosen an incredibly rewarding, yet challenging and demanding career path– which is often made more difficult by toxic workplaces, colleagues, leaders, and administration. Remind yourself of why you chose this profession in the first place, use these tools, and lean on your support system when things get tough.
Remember, nurse mental health is non-negotiable. This guide has provided you with actionable advice on how to protect yourself in a toxic work environment while prioritizing your mental health and career.
💎 Take one small step today—whether it’s setting a boundary, joining the Rubie Nurse Community, or revisiting your career goals. Your mental health is worth it!
Toxic workplaces aren’t just frustrating—they can harm your mental health and career. But the good news? You have the power to take actionable steps to protect yourself and even thrive in the face of workplace toxicity.
A toxic work environment in nursing can have devastating effects, impacting mental health and leading to nurse burnout. And it is extremely harmful in a high-stakes field such as healthcare. From unmanageable patient ratios and difficult coworkers, to leadership who thinks self-care is a cold pizza or coffee coupon, it's no wonder nursing burnout has risen to peak levels.
Nurse burnout is a huge problem, with more nurses affected than not. One survey by the American Hospital Association reveals that about two-thirds, or 62%, of nurses report experiencing burnout. And in younger nurses, this number leaps up to 69%.
So what can we do about it? While we can’t always control the hospital politics, break room drama, or the never-ending charting, we can control how we respond to it. It’s all about finding ways to protect your mental and emotional health despite the difficult situations that accompany a toxic environment.
This guide explores how to protect yourself in a toxic work environment with actionable strategies for nurses. No fluffy advice, no wellness clichés– just real talk and a little humor to help you power through those tough shifts.
How Nurses Can Recognize the Signs of a Toxic Work Environment
So, how do you know if your nursing job is blurring the lines between an inherently challenging and stressful profession and into a toxic dumpster-fire territory? Recognizing these signs early can help you manage nursing burnout symptoms before they escalate:
High turnover rates: A revolving door of nurses and healthcare staff is one of the surest warning signs. For example, if several nurses on your floor have left within months, it’s worth noting.
Unrealistic workload: Overwhelming expectations, unsafe patient ratios, and huge demands with no change in sight. In a toxic workplace, you consistently aren’t given the time or resources to do what is expected or do it well.
Hostile environment: Do you feel uneasy at work or like you are walking on eggshells? A toxic workplace often includes recurring conflict, disrespectful behavior, or even abuse.
❗According to the American Psychological Association, 31% of workers in client/patient service roles—like nursing—report experiencing verbal abuse, significantly more than manual laborers (23%) or office workers (22%). While physical violence is less common, it still affects 6% of those in these high-stress roles. These numbers highlight the very real risks nurses face in hostile work environments.
Constant negativity: Consistently dealing with negative feedback, criticism, pessimism, and lack of recognition while receiving little help or assistance from your leadership is another sure sign.
Poor communication: Toxic communication is harmful– to nurses and patients. Watch out if leadership is not clear or transparent with their messages or simply not there at all. Unclear information and expectations also count.
Lack of support: This might look like constant denial of PTO requests or no access to Employee Assistance Programs (EAPs). Little to no meaningful access to mental health services, ineffective support, and minimal personal well-being resources are often found in toxic workplaces.
Fear of speaking up: Nurses do not voice their concerns for fear of criticism, unfair treatment, or retaliation. At a healthy workplace, you should feel psychologically safe and empowered to speak up.
Recognizing the red flags of a toxic work environment is the first step in protecting your mental health as a nurse. Remember, toxic workplaces can have a lasting impact on nurse mental health, contributing to stress and emotional exhaustion.
Protecting Nurse Mental Health in Toxic Work Environments: Practical Tips
Now, let’s get started with what to do if you are currently working in or find yourself in a toxic workplace in the future. Here are our top 4 strategies:
Set Boundaries
Defining and sticking to personal boundaries is one of the most effective ways to protect yourself. Here’s how you can start:
Say no to extra shifts when you’re feeling overwhelmed or overworked.
Avoid answering work emails or calls when you’re off the clock unless it’s an emergency.
Set clear limits with coworkers and leaders about what tasks you can reasonably take on.
Prioritize your well-being by recognizing when to take a step back to recharge.
Practice saying no without guilt, reminding yourself that boundaries protect your energy and effectiveness.
Boundaries aren’t selfish; they’re essential for showing up as your best self for patients, coworkers, and yourself!
Build a Support Network
Finding allies on your unit can make a huge difference. One of the best parts of being a nurse is that you are never alone! Having someone to talk to who simply “gets it” helps you feel less isolated.
Start by building a network of supportive coworkers who understand. This can be a formal peer support group or an informal venting session with a caring colleague. Support can be a deep, supportive conversation– but it is often a quick, knowing glance or lighthearted interaction.
Confiding in your coworkers, sharing a meme, cracking a joke, and knowing that someone has your back through the best and worst shifts can make a toxic environment more bearable.
Practice Self-Care Outside of Work
Taking care of yourself outside of work is non-negotiable. Make time for activities that recharge your batteries—whether that is getting outside, diving into a hobby you love, spending time with family, friends, pets, or anything else. Regular physical activity helps release stress and boost your mood, while hobbies allow your mind to disconnect from work and focus on something you enjoy. Don’t hesitate to schedule these self-care moments just like any other work shift!
Joining supportive groups, like the Rubie Nurse Community, can provide a safe space to vent and find camaraderie. Use our network to find your people, lean on each other, and let the friendships lighten the load!
Utilize Employee Resources:
Don’t hesitate to explore and use all of the resources available to you– they are literally a part of your job benefits! Reach out to a leader or HR to find out what is available to you. Many healthcare employers offer resources aimed at supporting your mental health. Here are some to look for:
Employee Assistance Programs (EAPs): EAPs may offer counseling or therapy for you and possibly members of your family. Depending on your EAP, your employer may completely cover the cost of your sessions or provide them at a reduced cost.
Telehealth or teletherapy may be offered by your employer.
Paid time off (PTO): You’ve worked hard for and earned your PTO. Absolutely do not hesitate to use it for mental health days!
Stress-management workshops, mindfulness, or resilience training.
Subsidized gym memberships.
Discounted wellness apps or subscriptions.
Remember, accessing the resources available to you is a sign of strength, not weakness. Taking care of your mental health is a powerful way to sustain your nursing career and well-being.
Practical Tips for Handling Toxic Interactions at Work
Next, let’s focus on managing toxic interpersonal interactions. Your relationships with coworkers and leaders can have a profoundly negative or positive effect on you and your work as a registered nurse– here are our top tips for dealing with them when they turn toxic.
Stay Professional
When dealing with a toxic individual, staying professional is key (even if you may want to throw your report sheets or clipboard! Seriously, we’ve all been there). Remember– the patients and situations surrounding you demand a cool head.
When an interaction gets tough, take a deep breath, stay polite, and focus on what you can control– which is your response. When tensions rise, maintain your composure. If you need support, don’t hesitate to route your concern to a coworker, leader, or supervisor you trust.
Document Incidents
It’s increasingly important to document toxic interactions with coworkers, just as well as you document your patient care! Leadership and HR often cannot escalate an issue or take action unless it is documented in writing. Think emailing a supervisor or using your employer-provided incident reporting system. Solid documentation and a paper trail can be your best friend in proving, managing, and resolving toxic interactions– and defending yourself, if needed.
Communicate Effectively
Conflict resolution and effective communication are a part of any career, nursing or otherwise. And it doesn’t have to involve snide comments, yelling, or a passive-aggressive post-it note.
Stay calm, remain professional, and clearly say what you need to say. Keep your tone respectful but firm. If you’ve been treated unfairly- you don’t have to quietly “take it” or suffer. Address it, but not in a way that makes another person feel attacked.
It can be helpful to think about what you say before saying it or practice beforehand if communicating in high-stress situations doesn’t come naturally to you.
Checklist: How Nurses Can Transition from a Toxic Workplace
Leaving a toxic workplace is never an easy decision, but sometimes it’s the healthiest choice for your mental health and career. If you’ve tried to address the issues without improvement and your well-being is suffering, it may be time to move on. Here’s how to recognize when it’s time and how to prepare for the transition.
Is It Time to Leave?
Not all challenges at work mean you need to leave, but certain red flags are clear indicators that staying might do more harm than good:
☑️ Chronic Stress and Burnout: If you’re consistently exhausted or emotionally detached—even after breaks or PTO—it’s a sign that the environment is taking too much from you.
☑️ Physical Symptoms: Stress-related issues like insomnia, frequent headaches, or weight changes often reflect the toll a toxic workplace takes on your body.
☑️ No Support or Resolution: If leadership or HR dismisses or retaliates against concerns, it’s a sign that meaningful change is unlikely.
☑️ Feeling Stuck: When you’re unable to grow professionally or personally in your current role, it might be time to explore new opportunities that better align with your goals.
Making a Smooth Transition
Before making the leap, consider these steps to ensure a smooth and strategic exit:
☑️ Assess Your Financial Readiness: Review your savings, expenses, and financial obligations to ensure you can handle a temporary gap between jobs if needed.
☑️ Update Your Resume and LinkedIn Profile: Highlight your most recent accomplishments and ensure your profile showcases your skills and expertise. Check out our resume tips here!
☑️ Network Discreetly: Connect with trusted peers, mentors, or professional groups to learn about new opportunities without raising red flags at your current workplace.
☑️ Identify Key Resources: Join the Rubie Nurse Community for access to career resources, emotional support, and tips for navigating your next step.
Self-Care During Transition
Changing jobs can feel overwhelming, so prioritize self-care during the process:
Use PTO or mental health days to recharge and focus on your transition plan.
Break your goals into small, manageable steps to keep momentum without burnout.
Seek support from friends, family, or professionals to stay emotionally balanced.
Walking away from a toxic workplace is a powerful act of self-care and professional growth. With careful planning and support, you can find a workplace that prioritizes your well-being and helps you thrive.
Prioritizing Nurse Mental Health as a Non-Negotiable
Nurses are the heartbeat of healthcare, so please make sure you take ample time to rest and recharge. You’ve chosen an incredibly rewarding, yet challenging and demanding career path– which is often made more difficult by toxic workplaces, colleagues, leaders, and administration. Remind yourself of why you chose this profession in the first place, use these tools, and lean on your support system when things get tough.
Remember, nurse mental health is non-negotiable. This guide has provided you with actionable advice on how to protect yourself in a toxic work environment while prioritizing your mental health and career.
💎 Take one small step today—whether it’s setting a boundary, joining the Rubie Nurse Community, or revisiting your career goals. Your mental health is worth it!
Toxic workplaces aren’t just frustrating—they can harm your mental health and career. But the good news? You have the power to take actionable steps to protect yourself and even thrive in the face of workplace toxicity.
A toxic work environment in nursing can have devastating effects, impacting mental health and leading to nurse burnout. And it is extremely harmful in a high-stakes field such as healthcare. From unmanageable patient ratios and difficult coworkers, to leadership who thinks self-care is a cold pizza or coffee coupon, it's no wonder nursing burnout has risen to peak levels.
Nurse burnout is a huge problem, with more nurses affected than not. One survey by the American Hospital Association reveals that about two-thirds, or 62%, of nurses report experiencing burnout. And in younger nurses, this number leaps up to 69%.
So what can we do about it? While we can’t always control the hospital politics, break room drama, or the never-ending charting, we can control how we respond to it. It’s all about finding ways to protect your mental and emotional health despite the difficult situations that accompany a toxic environment.
This guide explores how to protect yourself in a toxic work environment with actionable strategies for nurses. No fluffy advice, no wellness clichés– just real talk and a little humor to help you power through those tough shifts.
How Nurses Can Recognize the Signs of a Toxic Work Environment
So, how do you know if your nursing job is blurring the lines between an inherently challenging and stressful profession and into a toxic dumpster-fire territory? Recognizing these signs early can help you manage nursing burnout symptoms before they escalate:
High turnover rates: A revolving door of nurses and healthcare staff is one of the surest warning signs. For example, if several nurses on your floor have left within months, it’s worth noting.
Unrealistic workload: Overwhelming expectations, unsafe patient ratios, and huge demands with no change in sight. In a toxic workplace, you consistently aren’t given the time or resources to do what is expected or do it well.
Hostile environment: Do you feel uneasy at work or like you are walking on eggshells? A toxic workplace often includes recurring conflict, disrespectful behavior, or even abuse.
❗According to the American Psychological Association, 31% of workers in client/patient service roles—like nursing—report experiencing verbal abuse, significantly more than manual laborers (23%) or office workers (22%). While physical violence is less common, it still affects 6% of those in these high-stress roles. These numbers highlight the very real risks nurses face in hostile work environments.
Constant negativity: Consistently dealing with negative feedback, criticism, pessimism, and lack of recognition while receiving little help or assistance from your leadership is another sure sign.
Poor communication: Toxic communication is harmful– to nurses and patients. Watch out if leadership is not clear or transparent with their messages or simply not there at all. Unclear information and expectations also count.
Lack of support: This might look like constant denial of PTO requests or no access to Employee Assistance Programs (EAPs). Little to no meaningful access to mental health services, ineffective support, and minimal personal well-being resources are often found in toxic workplaces.
Fear of speaking up: Nurses do not voice their concerns for fear of criticism, unfair treatment, or retaliation. At a healthy workplace, you should feel psychologically safe and empowered to speak up.
Recognizing the red flags of a toxic work environment is the first step in protecting your mental health as a nurse. Remember, toxic workplaces can have a lasting impact on nurse mental health, contributing to stress and emotional exhaustion.
Protecting Nurse Mental Health in Toxic Work Environments: Practical Tips
Now, let’s get started with what to do if you are currently working in or find yourself in a toxic workplace in the future. Here are our top 4 strategies:
Set Boundaries
Defining and sticking to personal boundaries is one of the most effective ways to protect yourself. Here’s how you can start:
Say no to extra shifts when you’re feeling overwhelmed or overworked.
Avoid answering work emails or calls when you’re off the clock unless it’s an emergency.
Set clear limits with coworkers and leaders about what tasks you can reasonably take on.
Prioritize your well-being by recognizing when to take a step back to recharge.
Practice saying no without guilt, reminding yourself that boundaries protect your energy and effectiveness.
Boundaries aren’t selfish; they’re essential for showing up as your best self for patients, coworkers, and yourself!
Build a Support Network
Finding allies on your unit can make a huge difference. One of the best parts of being a nurse is that you are never alone! Having someone to talk to who simply “gets it” helps you feel less isolated.
Start by building a network of supportive coworkers who understand. This can be a formal peer support group or an informal venting session with a caring colleague. Support can be a deep, supportive conversation– but it is often a quick, knowing glance or lighthearted interaction.
Confiding in your coworkers, sharing a meme, cracking a joke, and knowing that someone has your back through the best and worst shifts can make a toxic environment more bearable.
Practice Self-Care Outside of Work
Taking care of yourself outside of work is non-negotiable. Make time for activities that recharge your batteries—whether that is getting outside, diving into a hobby you love, spending time with family, friends, pets, or anything else. Regular physical activity helps release stress and boost your mood, while hobbies allow your mind to disconnect from work and focus on something you enjoy. Don’t hesitate to schedule these self-care moments just like any other work shift!
Joining supportive groups, like the Rubie Nurse Community, can provide a safe space to vent and find camaraderie. Use our network to find your people, lean on each other, and let the friendships lighten the load!
Utilize Employee Resources:
Don’t hesitate to explore and use all of the resources available to you– they are literally a part of your job benefits! Reach out to a leader or HR to find out what is available to you. Many healthcare employers offer resources aimed at supporting your mental health. Here are some to look for:
Employee Assistance Programs (EAPs): EAPs may offer counseling or therapy for you and possibly members of your family. Depending on your EAP, your employer may completely cover the cost of your sessions or provide them at a reduced cost.
Telehealth or teletherapy may be offered by your employer.
Paid time off (PTO): You’ve worked hard for and earned your PTO. Absolutely do not hesitate to use it for mental health days!
Stress-management workshops, mindfulness, or resilience training.
Subsidized gym memberships.
Discounted wellness apps or subscriptions.
Remember, accessing the resources available to you is a sign of strength, not weakness. Taking care of your mental health is a powerful way to sustain your nursing career and well-being.
Practical Tips for Handling Toxic Interactions at Work
Next, let’s focus on managing toxic interpersonal interactions. Your relationships with coworkers and leaders can have a profoundly negative or positive effect on you and your work as a registered nurse– here are our top tips for dealing with them when they turn toxic.
Stay Professional
When dealing with a toxic individual, staying professional is key (even if you may want to throw your report sheets or clipboard! Seriously, we’ve all been there). Remember– the patients and situations surrounding you demand a cool head.
When an interaction gets tough, take a deep breath, stay polite, and focus on what you can control– which is your response. When tensions rise, maintain your composure. If you need support, don’t hesitate to route your concern to a coworker, leader, or supervisor you trust.
Document Incidents
It’s increasingly important to document toxic interactions with coworkers, just as well as you document your patient care! Leadership and HR often cannot escalate an issue or take action unless it is documented in writing. Think emailing a supervisor or using your employer-provided incident reporting system. Solid documentation and a paper trail can be your best friend in proving, managing, and resolving toxic interactions– and defending yourself, if needed.
Communicate Effectively
Conflict resolution and effective communication are a part of any career, nursing or otherwise. And it doesn’t have to involve snide comments, yelling, or a passive-aggressive post-it note.
Stay calm, remain professional, and clearly say what you need to say. Keep your tone respectful but firm. If you’ve been treated unfairly- you don’t have to quietly “take it” or suffer. Address it, but not in a way that makes another person feel attacked.
It can be helpful to think about what you say before saying it or practice beforehand if communicating in high-stress situations doesn’t come naturally to you.
Checklist: How Nurses Can Transition from a Toxic Workplace
Leaving a toxic workplace is never an easy decision, but sometimes it’s the healthiest choice for your mental health and career. If you’ve tried to address the issues without improvement and your well-being is suffering, it may be time to move on. Here’s how to recognize when it’s time and how to prepare for the transition.
Is It Time to Leave?
Not all challenges at work mean you need to leave, but certain red flags are clear indicators that staying might do more harm than good:
☑️ Chronic Stress and Burnout: If you’re consistently exhausted or emotionally detached—even after breaks or PTO—it’s a sign that the environment is taking too much from you.
☑️ Physical Symptoms: Stress-related issues like insomnia, frequent headaches, or weight changes often reflect the toll a toxic workplace takes on your body.
☑️ No Support or Resolution: If leadership or HR dismisses or retaliates against concerns, it’s a sign that meaningful change is unlikely.
☑️ Feeling Stuck: When you’re unable to grow professionally or personally in your current role, it might be time to explore new opportunities that better align with your goals.
Making a Smooth Transition
Before making the leap, consider these steps to ensure a smooth and strategic exit:
☑️ Assess Your Financial Readiness: Review your savings, expenses, and financial obligations to ensure you can handle a temporary gap between jobs if needed.
☑️ Update Your Resume and LinkedIn Profile: Highlight your most recent accomplishments and ensure your profile showcases your skills and expertise. Check out our resume tips here!
☑️ Network Discreetly: Connect with trusted peers, mentors, or professional groups to learn about new opportunities without raising red flags at your current workplace.
☑️ Identify Key Resources: Join the Rubie Nurse Community for access to career resources, emotional support, and tips for navigating your next step.
Self-Care During Transition
Changing jobs can feel overwhelming, so prioritize self-care during the process:
Use PTO or mental health days to recharge and focus on your transition plan.
Break your goals into small, manageable steps to keep momentum without burnout.
Seek support from friends, family, or professionals to stay emotionally balanced.
Walking away from a toxic workplace is a powerful act of self-care and professional growth. With careful planning and support, you can find a workplace that prioritizes your well-being and helps you thrive.
Prioritizing Nurse Mental Health as a Non-Negotiable
Nurses are the heartbeat of healthcare, so please make sure you take ample time to rest and recharge. You’ve chosen an incredibly rewarding, yet challenging and demanding career path– which is often made more difficult by toxic workplaces, colleagues, leaders, and administration. Remind yourself of why you chose this profession in the first place, use these tools, and lean on your support system when things get tough.
Remember, nurse mental health is non-negotiable. This guide has provided you with actionable advice on how to protect yourself in a toxic work environment while prioritizing your mental health and career.
💎 Take one small step today—whether it’s setting a boundary, joining the Rubie Nurse Community, or revisiting your career goals. Your mental health is worth it!
©Veritas Labs, Inc 2024