They both have their own stresses, in my opinion.
In school, you have an instructor grilling you; working, you don't have that instructor to guide you, if your answers are incorrect. In school you're expected to know everything by heart; working, if you forget something about a med or condition you can easily look it up. In school you have less responsibility, but have homework and studying; working, you are done when your shift is over.
Some practices that I have adopted to make life easier:
1) You have time to pee. Unless a pt is coding or hemorrhaging, pts (or MDs or other professionals) can wait 2 minutes.
2) if a pt is upset about the food, I give them their phone and the number to the kitchen. Nutrition services is NOT the nurse's job -- it's the dietary dept's job. If the pt's arms and voice work, they are capable of calling, and there is ZERO reason the nurse needs to do it.
3) I will stay late to document necessary information -- I will NOT stay late to double document. If a pt was stable through the shift and all pertinent info is charted on my nursing assessment
, I won't repeat that same info in a note. (I do if I have time during the shift, just won't stay late to do it.)
4) When interviewing, I ask under what circumstances they consider mandatory OT acceptable. Good answer: "natural disasters or mass casualty situation." Bad answer: "if we get a sick call and can't find anyone." That is a bad answer because it's THEIR JOB to staff the unit.
5) Similarly, I ask what they have done to increase pt satisfaction. Good answer: "We focus on excellent and evidence based nursing care. You are professionals, and we trust you to also practice compassionate care." Another decent answer: "We have increased staffing." Bad answer: Scripting, stocking cookie dough to be baked by the nurses, having every staff member ask the pt if s/he is in pain (by every staff member I mean housekeeping, etc.), requiring the nurses to provide hand massages....... ......... or any other such "pt says jump, nurse asks how high" kind of nonsense. (Those examples btw, are things I have read on this site.)