“GENERATIONAL ISSUES AND HOW THEY AFFECT THE DISCIPLINE PROCESS” Donna H. Mooney, RN, MBA Director of Discipline North Carolina Board of Nursing Presented

“GENERATIONAL ISSUES AND HOW THEY AFFECT THE

DISCIPLINE PROCESS”

Donna H. Mooney, RN,

MBA Director of Discipline

North Carolina Board of Nursing

Presented at the 2004 CLEAR Annual Conference

September 30 – October 2 Kansas City, Missouri

Presented at the 2004 CLEAR Annual ConferenceSeptember 30 – October 2 Kansas City, Missouri

Societal and Environmental Factors

• Introduction to Concept• Why this is an Issue• Observations with Licensees

– In Education– In Practice– With Discipline


What are the Generations?

• Traditionalists 1922 – 1943

• Baby Boomers 1943 – 1960

• Generation X 1960 – 1980

• Millennium 1980 – 2000


Generational Influences

TRADITIONALISTS• The Great Depression• The New Deal• World War II• The GI Bill• Birth of Social Security



TRAITS OF TRADITIONALISTS• Patriotic• Loyal• Fiscally Conservative• Faith in Institutions• Paternalistic• Strong Family Structure

– Mother At Home


Generational InfluencesBABY BOOMERS

• Booming Birthrate• Economic Prosperity• Expansion to Suburbs• Vietnam, Watergate• Civil Rights Movement• The Kennedy Years• Woodstock• Haight-Ashbury



TRAITS OF BABY BOOMERS• “Me” Generation• Flower Children• Lack of Discipline• Idealistic• Conspicuous Consumption• Questions Authority• Women’s Liberation


Generational InfluencesGENERATION X

• Sesame Street, MTV, “TV”• Divorce• End of Cold War• Acceptance of Drug Use• Advent of Computers• Birth of 401K’s• Acceptance of Women in the Workplace• AIDS, Crack Cocaine Pervasive• “Rap” and Violence on TV



TRAITS OF GENERATION X• Techno Savvy• Culturally Diverse• Independent• Entrepreneurial• Unstructured Living – Wants their

Space• Sexually Open• Defies Authority



MILLENIUM• Fall of Berlin Wall• Expansion of

Technology• Roller Coaster

Economy• Latch Key Kids• Columbine (Guns

in Schools) • Death Keel to

Social Security

• Multi-Million Dollar Salaries

• Natural Disasters• Continued

Acceptance of Drugs and Violence

• Hip Hop• Women as Leaders• 911



TRAITS OF MILLENNIUM• Independent Thinkers• Independent Spenders• Cyber Literate• Lack of Social Graces / Skills• Health Conscious• Globally Concerned but Locally

Apathetic


What does this Mean?

We have a group of Baby Boomers trying to teach traditional values

and principles to a group of Generation X’ers to function in

the Millennium Era.

No wonder we’re so confused!


How does the Mixing of the Generations Affect the Investigator

and the Discipline Process? TYPES OF COMPLAINTS BY GENERATIONS AND

PREDICTED BEHAVIORS• Abandonment• Falsification of Patient Records and

Documentation Errors• Patient Abuse• Falsification of Employment Application or

Documents Seeking Nursing License• Practicing with Lapsed License/Without a License• Substance Abuse• Fraud



and the Discipline Process? DURING THE INVESTIGATION

METHODS TO USE DEPENDING ON THE GENERATION

• When in the Process Licensee is Notified

• Gathering of Data• The Interview



and the Discipline Process?

THE SANCTIONONE SIZE DOES NOT FIT ALL

• Determining Appropriate Sanction• Monitoring • Remediation vs. Punishment• Fairness and Equity


Challenges to Bridging Generational Issues

• The Generation of Most Regulatory Board Staff

• The Generation of Most Board Members (The Decision Makers)

• Finding Common Ground to Communicate


Challenges to Bridging Generational Issues

• Public Perception does not Lend Itself to Creativity in Fashioning Outcomes/Sanctions

• Recognizing our Differences and Allowing for Varying Expressions of Satisfaction or Compromise

• Board’s Authority does not Lend Itself to Allow for Creativity in Determining Appropriate Remedy


Generational Issues and How they Affect the Discipline Process

• Donna H. Mooney, RN, MBADirector of DisciplineNorth Carolina Board of NursingPost Office Box 2129Raleigh, North Carolina 27602Phone: (919) 782-3211 ext 226Fax: (919) 781-9461Email: [email protected] Website: http://www.ncbon.org