I once worked with a physician who I believed was refusing to treat patients in pain because they were "drug seeking" (Editorial, July). Along with a few other nurses, I took this issue to the administration. We were told that they would bring the complaint to the physician and not to concern ourselves any further. We were basically told that our job was to do as the physician ordered and not question his judgment.

Nurses sometimes turn a blind eye because they fear punitive repercussions if they stand up. Nursing leaders can help by building positive relationships with staff so that staff feel comfortable going to them with patient care issues that reflect poorly on the quality of nursing care. Improving education on effective leadership styles may help nursing administrators understand how to deal with staff complaints in a way that can address both patient safety issues and organizational needs.

Julia Alvis, BSN, RN

Cambridge, MD