Is it proper for a Nurse to accept gifts/token from clients?
By mcjeannie
@mcjeannie (703)
Philippines
December 27, 2007 1:51pm CST
I remember my heydays practicing as a nurse in the gulf area.I worked as a staff nurse in the VIP/Royal Suites.Most of my patients are well off and it is a tradition for them to give tokens and gifts to the nurses who took care of them.Although in our vows, being a professional nurse, it is improper to accept gifts.I did refused gifts given to me, monetary and expensive items, several times but my clients get upset and most of them have cardiac ailments.And there was one time one of my client nearly had a acrdiac arrest because of being upset.To make the story short, I was in a position to be forced accepting such gifts.
If you're on my shoe, would you do the same.Please share your views about this or better yet share your experience similar to mine.
4 people like this
8 responses
@byfaithonly (10698)
• United States
28 Dec 07
I'm not nor ever have been a nurse so can't speak from experience but I can see both sides - I can understand the patient wanting to thank you for your care but at the same time see the ethics behind not accepting such gifts. I think in the case where a patient is getting upset with your refusal possibly offering to give the gift to a charity or someone in need might help to calm the patient or accepting it and then giving it to your supervisor to deal with or ask advice.
@mcjeannie (703)
• Philippines
28 Dec 07
Our unit did that. My headnurse implemented the centralized tip.It worked with the cash gifts but not in precious gift items.
2 people like this
@sudiptacallingu (10879)
• India
28 Dec 07
My take on this is that most of us take our job quite seriously and try to execute it in as professional a manner as we can (otherwise we would just be booted out lol). Vows or no vows, the proper execution of a job is a reward in itself and on top of that is the salary that we get every month. However, on top of it, if one is in such a sector where daily interaction and service to individuals is a part of routine, then people who you serve, tend to depend on you a lot. If they in any way feel that your actions have enriched their stay and experience it should indeed by a matter of further pride to you. Some express this positive feeling in words, some in cash, some in kind. The cash part I myself don’t like, it somehow demeans your professional expertise but the kind part I don’t mind accepting. Its not as if they are bribing you to get any work done, no, they are appreciating your efforts, your efficiency, your dedication and how else are they supposed to do so other than gift you something which you will cherish? And it does feel nice to have a show-case full of mementoes of appreciation from various people. It does give you a sense of fulfillment, a sense of satisfaction with own self.
2 people like this
@mcjeannie (703)
• Philippines
28 Dec 07
That is also how I see it, in a positive way.I see my self worth and satisfaction with the efficient service I executed to my clients.
There are clients though that their way of appreciating for a job well done cheapens its meaning when done in an"Over acting" way, which makes me irritated as I know in the end they ask favours not within the domain of your practice.
1 person likes this
@JoyfulOne (6232)
• United States
28 Dec 07
I used to think it was unprofessional to accept gifts or tokens from clients. But then when I was taking care of this elderly Dr for almost a whole year as he progressively went downhill, his wife insisted that I have something to remember them by. Nothing expensive, just a token of their appreciation so I would remember the time I spent with them getting through it all. They were of a different culture, and for me to refuse their hospitality, and token, they would have been highly offended. Sometimes a gift has to be refused, especially if it's costly, or you realise that there's an alterior motive behind the nicety. I'm not sure, but I believe each and every instance should be taken case by case, and in your heart you'll know if it's the right thing to do.
@ethanmama (1745)
• Philippines
28 Dec 07
I'm not a nurse but a doctor, and once in a while, an appreciative patient has sent tokens to me. I have also given such tokens as a patient or a patient's companion to show my appreciation. I don't think it's really improper if you didn't go out to solicit such gifts and they were given voluntarily by the patient as a gesture of appreciation. Believe me, people think it's an insult if their gift is refused.
2 people like this
@mcjeannie (703)
• Philippines
28 Dec 07
You are right Doc,I have one patient whom I refused her gift and she felt insulted.So, I ended up accepting the gift anyway.
2 people like this
@Ngippol (567)
• Philippines
28 Dec 07
I think it's alright as long as there are no strings attached. But I believe it all depends on your conviction.
Gifts given wholeheartedly are not bad. But we need to discern which giver has other intentions! Accept my gift!
@mcjeannie (703)
• Philippines
28 Dec 07
Yes, I agree with you.Clients' motive is the foremost consideration in accepting gifts or token.I am extra cautious of clients giving me gifts if I know they expect something in return from me.
2 people like this
@mcjustin (82)
• United States
28 Dec 07
Is it really a "vow" that nurses can't accept a gift from a patient? I just never heard of that. Anyway, I've heard the same thing from nurses who have worked in Middle-East countries. I don't see anything wrong with accepting a little gratuity every now and then. As long as you can keep your relationship strictly professional, go ahead mcjeannie...quietly and graciously accept the gift.
2 people like this
@mcjeannie (703)
• Philippines
28 Dec 07
In the "Nightingales" vow, nurses should always be service oriented to the sick, and in the actual work our superiors make it a point we don't ask favours(like gifts and tokens) to our patients.
The hospital I worked in the gulf area made a policy about"tip" or gift giving to nurses.It is actually not allowed to accept it, but the department head themselves couldn't control it as even the Royal families give gifts to nurses who took care of them.In the end, our headnurse ask the consensus of the staff and a centralized tip was agreed upon.That all tip/gift should gathered as one and distributed equally to all.It didn't materialize as other staff hoard what they received.
1 person likes this
@dianne17k (587)
• Philippines
28 Dec 07
My mother's a nurse based in the middle east as well so I'm familiar with the gift-giving thing to nurses. My mother worked in a public hospital and some patients would hand her simple gifts probably to thank her for her services. Patients favor my mother more than the other nurses because she was very involved with her work. I don't think there's anything wrong in accepting those gifts because some would find it offensive to turn them down. My mother would take whatever was given to her and share it to the rest of the staff in her department.
1 person likes this
@mcjeannie (703)
• Philippines
28 Dec 07
Your Mom must have been an excellent nurse.That is a good gesture there of sharing her blessings.Makes perfect sense as nurses work as a team, so must the blessing shared in the same way.
2 people like this
@mcjeannie (703)
• Philippines
29 Dec 07
Now, your response kinda' made me think...Would you mind if I ask why cash gift is not included?
@mcjeannie (703)
• Philippines
29 Dec 07
Well you know in a way you are right.But somewhat in the place that I worked, everbody accept gifts but mostly a tip.In 2003, I was on my annual vacation and when I came back, an envelope waiting for me with my name on it was given to me by the officer on duty of the Royal Suites...It is the admin who held it.A thanks of apppreciation from one of my patient...I was thrilled,just imagine, even on vacation the patient didn't forget the good service I rendered.
I know what is in your mind, When I will say to you I accepted it...Everybody accepted it.And it was a big amount too.The patient is so kind and one of the richest on that place.I know he doesn't have any motive so like all the others, I gladly accepted.
It also occured to me that a tip is a good reflection of a customer satisfaction from an excellent service rendered.
@johndur (3052)
• Pasig, Philippines
29 Dec 07
well you see you cant call cash as gift it must be called a tip,or a donation or reward.and besides,since you are a professional i won't be thinking of someone who is a professional to accept money as a gift from anyone except for material things.since you know how much they have spent paying the doctors fee,i guess nurses doint accept cash gift instead they would prefer n kind.