I am calling this blog the Silent War  – a war against caregivers, PSWs, HCAs, NAs,and various titles.  In case you didn’t know what those letters stand for – it is Personal Support Workers, Health Care Aides and Nursing Assistants.
There is indeed a silent war. Â It happens daily in our hospitals, nursing homes, retirement homes, and community. Â Anywhere that people need care – that is where you will find caregivers who do battle in this war.
I am proud to be a PSW – one of the categories listed. Â I am however disheartened by the silent war that invades the world of caregivers.
When I took my PSW program, our instructor told us how important we were to the community at large – that everywhere we went we would make a difference, we would be important to those who needed us, and that our role was changing.  I certainly found that out to be true.  I had worked as a HCA when I first began caring for others, during the 1960’s.  The job had indeed evolved and changed – and I was thrilled to be taking the upgrade to PSW and anxious to make a difference.
But, I came down to earth with a bang. Â During my PSW course myself and several classmates were picked on and made fun of by one of our instructors. Â We as a class talked together and brought our concerns to the Dean of the College. Â She had to listen to us, we were all saying the same thing. Â We wrote a letter outlining our concerns and incidents that happened. Â The instructor was removed. Â Not only was I a mature student returning to the workforce and stressed about doing a good job and graduating successfully, but I was a target. Â So were others in my class. Â That was just the beginning.
It is difficult to explain why PSWs are targeted. Â Not only were we treated like lower class citizens by a number of our preceptors, and one of our instructors, but once we graduated and were lucky enough to be hired – Â we were opening the door too much more abuse.
Even during my month of full time hands on training with several staff members in a long term care facility – I met several toxic people. Â People who should have been grateful for this chance to teach someone to fill their shoes. Â But instead they nitpicked, criticized and brought us to tears.
I decided that I would never work in a LTC.  I didn’t need that kind of abuse.  I couldn’t deal with the fast pace, the shortage of time, the amount of work, to watch my back at the same time as caring for those in need, it just all seemed more than I could handle.
Now, in case you think we as PSW students are weak and fragile people …you are wrong. Â Anyone who works in a care-giving role is generally a soft, caring, compassionate person…who does whatever they can to help those in need. Â We are the ones who want to stop at the side of the road to see if someone at an accident scene needs help. Â We are the ones who will go to the aid of anyone on the street who appears in trouble and might need a hand across the street, or inside a business, or just to ask them if they are OK. Â So many people will walk right by and never think about someone in need.
So PSWs are natural targets. Â Regardless of age, sex, race or experience – we are for the most part really nice people who want to make a difference for others.
In my school and work experience I saw plenty of nastiness.  I saw PSWs who instead of guiding, stood back, folded their arms and watched and laughed about the students making mistakes.  Instead of teaching, they embarrassed the students.  They let them down.  They didn’t bring them into their world and tell them…you are one of us now.  Instead, they kept them at arm’s length and created traps for students to fall into.
Who does that?  Why do they do that?  Your guess is as good as mine.  Although it upset me greatly to have these experiences, and I hear about them daily from other PSWs and student PSWs so I know it is happening far more often  than it should – I persevered.  I wanted to work with people.  I wanted to care for those who needed help.  I kept on going.
I graduated and began my work experience.  I was lucky enough to be the only one hired out of my class of 13 at the nursing home that we did our placement at.  But, the problems persisted.  I found that certain staff members were not to be trusted, they would keep me out of the information pool, they would not be available to me, expecting me to figure things out on my own.  Not only the PSWs but the charge nurses also did this behaviour.  If you couldn’t find help in your coworkers, you naturally go to your charge nurse.  I can tell you that a handful of nurses are awesome and come to your aid in an emergency – or will help you even transfer a resident in danger of falling or reposition someone who is very uncomfortable…but in all levels of the pecking order, for the most part, you were left to figure things out on your own, and no matter what you did, it was still wrong.
The responsibility that a PSW feels is huge – (that is, if they are worth their salt) Â PSWs do understand that they are the front line of defence and care for their clients. Â In a lot of ways PSWs are the voice of their residents and clients. Â PSWs are the first ones to see problems develop, or safety concerns, and they are trained in class to make notes, to make reports to their charge nurse, to be the eyes and ears for their clients and residents.
How good do PSWs feel when their carefully written points are given to the charge nurse and just glossed over…sometimes the PSW is made to feel insignificant because they are wasting the valuable time of the nurse. Â I get it, I really do! Â Not only are PSWs overworked and understaffed, but so are the registered staff. Â Often they are working 12 hr shifts, or doubles. Â Often they don’t get their breaks either. Â Someone falls, someone phones from the pharmacy in the middle of their meal or break, we are all doing more than we are supposed to do. Â That is why I learned in school that we had to lean on each other, help each other, just do what it takes to get the job done, no matter if you have 8 residents or 15 …you just work your shift and leave the next shift in charge of your unfinished residents or duties.
Take what you learn in class and try to put it in action in the workplace.  It doesn’t work there.  You cannot complete your assignment, no how, no way, it is just impossible to do what they ask you to do.  As a new staff member in many different workplaces I know how stressful it is to walk into a nursing home and find out that you are all short staffed, and  you are the new kid on the block and  you are not being shadowed or working side by side with a seasoned staff member..you are On your Own!  You are about to go under with the work load, the lack of information and the stress of dealing with residents who are angry at you because you don’t know how to care for them like the seasoned staff do!
This Silent War is about lack of information, lack of team spirit, and often staff members who bully and nit pick so they can get  you to what? Quit?  Complain?  Cry?  Believe me..this happens.  Try going back to work after a really bad shift and see how you feel…walking into a staff room where you know they talk about you behind your back, laugh at your attempts to do the job and not get the support and encouragement you need.
Now, as a new PSW learning the ropes…who do you go to?  You haven’t gotten enough hours to be in the union and get their backing with problems.  You haven’t made friends with seasoned and helpful staff members (there are a few! and I am grateful for all those nice people who made my learning experience so much easier) and you can’t complain to the supervisor because frankly they don’t care, and don’t have enough time to do their job of dispensing meds, treating pressure sores, giving first aid, dealing with doctors, pharmacies and family members.  If you do complain about your lack of support and insight from your peers, they will get even with you for saying anything….So, what does the new PSW do?
They will probably quit work after one or two shifts and never come back – and this is sad…very sad. Â Every other place they apply to for work will be much the same. Â They may quit being a PSW because of the toxic environment in most facilities…and yes, I mean hospitals, retirement homes etc. Â The problem is far-reaching. Â The problem is everywhere.
Or, the PSW may persevere, may make a friend who helps them learn the ropes and gives them a lifeline to hang onto.  Other PSWs will learn the job and become like the toxic people who bullied them, belittled and made fun of them, and they in turn will treat other new PSWs the same way. So this means the  horrible situation is kept going and the circle of abuse and bullying continues.
This Silent War goes on daily, hourly, and in every facility in some form or another.
PSWs are the workhorses who keep the care facility going.  PSWs are hands on with vulnerable clients.  PSWs are told to keep their mouth shut and don’t report anything or they will suffer.  PSWs become cautious, distrustful, stressed, depressed, not only emotionally affected by what happens to them in their workplace, but also physically affected by the stress and abuse that the system puts on them.
I saw many PSWs come into the workforce and within weeks or months they were off on stress leave.  Why?  Because of the Silent War.  Because PSWs don’t matter  Because PSWs are not registered or recognized.  Because PSWs are bullied and controlled by their employers, their supervisors and their coworkers.
Don’t get me wrong – there are some amazing employers, Directors of Care, Registered Staff, and wonderful co-workers, including dietary, housekeeping and laundry staff who were my best friends, who cared about the residents enough to come to me and say…”Mr. Jones is falling out of his chair” or “ Mrs. Brown didn’t eat her meal today at breakfast or lunch” or “I saw Miss Smith fall in the bathroom and get up again – can you check her and make sure she is ok?”
Or the DOC would tell us at change of shift,  “Thanks to everyone for your hard work when you are short staffed, and thanks so much for making the extra effort to give your residents comfort and support”.  Or, the charge nurse would say, “sure you can make notes on the cardex regarding the condition and incidents that happened on your shift – you are after all a PSW…and you are one of the team.  I value you and your assistance makes it easier for me to do my job.”
Those words are not heard often enough. Â PSWs deserve to be identified and appreciated in a real way. Â PSWs ARE the 24 hr support network for their clients and residents. Â PSWs DO Matter. Â PSWs do not deserve to be the victims of a Silent War. Â Nor do their clients and residents deserve to get care from PSWs who are stressed, overworked, under-appreciated, bullied, and ignored. Â The Silent War needs to be addressed. Â The Ontario Personal Support Worker Association is part of that new identity for PSWs. Â Being a registered member with Opswa is your way to help fight the Silent War. Â Together we will be one Voice, one strong group to change the situation. Â PSWs deserve to have a standardized course so that all schools and colleges teach the Same information, the Same way, and keep PSWs on the Same page.
PSWs deserve to have regulation and recognition so that they can become a recognized and respected member of the health care team.  Our clients, residents, family members deserve this too.  It’s a win – win situation.
I am grateful to those who I spent a lot of time working with who made our shift fun, who brought in treats to help make short staffed work shifts easier to bear, who came and looked for me when I was still struggling to finish my work and no one else would help.  I am grateful to the kind PSWs who were seasoned, caring, knew the little tricks and shared them, who genuinely cared about their residents, the quality of their work, and who wanted partners on a shift, not adversaries.  Because of you, I made it, because of you, our residents had quality care even without enough time or materials.  We made “lemonade” out of the lemon juice we were served up.  We supported each other and cared about not only our clients but our own mental and physical health.  I want to make it so that every PSW, every Client, every facility has good quality care, by prepared and efficient staff.  Is that too much to ask?  Apparently so.
Natrice Rese P.S.W
Communications Liaison
OPSWA
www.opswa.com