instructor says nursing is not for me..

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First of all I apologize for the long post!!

So I passed my first semester with good grades. (mostly A's with B being the lowest) The clinical teacher in our first semester said my skills are better than most people's, I just lack self-confidence, that I am going to be a good nurse.

It is now second semester and we are doing our clinical at retirement residence. I participate in group discussions, and for our presentation to the residents, I spent the greatest amount of time and took the biggest part of it (I was actually interested in the topic and wanted to give residents the most useful and interesting information). My marks in other subjects are also very good.

Yesturday I learned that our coordinator of the program wants to talk to me. I had no idea what it would be about, and so i was slightly nervous. It turned out I was nervous for a reason. The coordinator said that the clinical instructructor is very concerned with the way I act in clinical, and that at the moment I am failing it.

Her reasons are that I do not "mingle" with residents, for instance I do not talk to them in the mourning and afternoon. That she constantly has to encourage me to talk to residents (I remember she mentioned it once, in a matter of fact way, and I asked her what I should talk to them about), ..That I do not know how to talk to people at all (instructor told my coordinator that "I actually once asked her if I should invite the patient to get his blood pressure taken when we were doing the blood pressure clinic!").

I do realise that the two things that I said were kind of silly, but I did not realise that that would put me on a contract, and would mean that nursing is not for me (the coordinator said that), since the clinical instructor never showed any signs of being upset and never told me anything about .. well.. anything.. Whenever she talked to me she was always smiling, not a hint that there was anything wrong. And now the coordinator telling me that I should probably switch from nursing, that she is questioning if nursing is for me, that I am on the point of failing, and if I don't change a 100% i will fail. I also mentioned something about psychiatric nursing, and she said I won't be able to do that since I don't know how to talk to people.

It is true that I am a bit shy, and unless a conversation has purpose and direction to it it is hard for me to know what to say.. (to make a small talk about nothing in particular in other words).. But is being outgoing really the most important thing in nursing?

I am polite, and sensitive to other people, as well I have great interest and knowledge in the areas of nursing i am interested in which I am willing to apply to help patients.. And as i said I do not have a problem obtaining specific information, if the conversation has some sort of purpose.. The instructor said however that no patient will let me do a procedure or give me any information unless I first build a "trusting relationship" with him/her.

So my question is--Is small talk essnetial for nursing?? ( i mean, I always introduce myself, I am always polite and I always ask patients how they are and all that, I just find it kind of awkward and even sometimes inappropriate (just for myself) to ask them questions about their life, their family, their health, if there is no specific reason for asking such questions.. Efficiency, rationality, reasonability, logic and relevancy are all the core aspects of my personality which will be hard to change.

So to sum this up--I am bad at small talk, and at converations without purpose and/or specific direction, should I be a nurse, or is my coordinator right?

Specializes in OB.

Orlette - a suggestion for you: Make an appointment with the coordinator who spoke to you. Let her know that you have been thinking over what she said and really trying to find ways to improve as you are totally committed to continuing this program. (Okay, so a little soft soap is a good thing). Then ask her if there is another student she would consider as a great example of communication skills and ask if she would facilitate you observing this student to see how she does it.

This serves two purposes: First, it shows that you take criticism in the proper light and it also may give you good examples to compare to your own demeanor.

Specializes in Community Health/School Nursing.

The only time I found that small talk was not needed nor encouraged was while I was working as a nurse in a prison.

Otherwise, I ask my patients about their day, family, health, doctor, compliment them on their clothes, shoes, hair, ask about grandchildren, children, wives, husbands........you get the picture. Now, don't get me wrong, I don't grill the patients about ALL of these "conversation starters" but they give me a platform to jump off from.

Specializes in Neuro ICU/Trauma/Emergency.

Being personable is going to be your best attribute, and weapon of success within the nursing field. You have been warned! Different nursing settings require you to become a chameleon for your patients. Being in an Assisted living facility or SNF requires a person who is personable & engaging. Small talk is definitely necessary for dealing with the geriatric population or MRDD population. You'll learn, your personality is what makes a successful nurse from an average nurse..Regardless of your skill set.

Specializes in MedSurg, OR, Cardiac step down.

Communication is key.....

Specializes in nursing education.
i just read a great book on how introverts (me) work, and you say you don't like "small talk", which could mean pointless conversation to pass time.

If you are an introvert, and you are not the life of the party, it is not that you do not like talking to people, but, as an introvert, you value another kind of conversation. Not pointless "small talk" but conversation that goes somewhere, that is about important things in life, and what is important to you and the other person.

While you may view the chatting as pointless small talk, it will often turn into something meaningful, and you will learn more from strangers than you thought you would. Try to view the small talk in this light, and you may be surprised at how small talk with a stranger can be the best part of your day.

Exactly!

Listening is an overlooked skill. Not the talking. Do just enough talking to get the other person to say what is really on his or her mind.

Specializes in Cardiac.

I do agree with her that pts will not trust you to teach them or perform procedures on them unless you have built a relationship through talking to them and taking care of them in the proper manner, but I think it is in extremely poor taste that your instructor told you that nursing may not be for you just because you're somewhat awkward in clinical!

Being comfortable around pts takes time and experience. It took me about a year and a half not to stutter and develop debilitating flop-sweat while talking to or doing certain aspects of care with my pts!

Give it time, and DON'T GIVE UP!

Specializes in All Icus x Nicu/ Shock Trauma/flight nur.

Dear Orlettta,

Nurses aren't born nurses. We learn to become nurses, it's a process. I have to say that I think educators who "opine" in your second semester that your not cut out to be a nurse don't know what thier talking about. What they have a crystal ball? It takes time to become comfortable in a clinical setting. Only you know how much you want to become a nurse, so I encourage you not to pay too much attention to theses cheap shots from educators. When I was really sick, the last thing I wanted was a chatty Kathy for a nurse.

Secondly, at the rate patients are being moved in and out of facilities you hardly have time to get thier name right let alone time for a conversation about thier lives. There is nothing wrong with you, and don't let other people try to control your behavior, be true to yourself.

You have no reason to defend youself, as long as you are doing your work and getting the grades, don't worry about it. One final thought, the main focal point in conversation is directing the conversation to be "theraputic". If this type of behavior continues with this same instructor I would go to the Director of your nursing program and ask for a meeting with her and this instructor. I'm picking up on the vibe that this instructor nay have some issues with power, and could enjoy intimadating students with a limited amout of clinical exposure. If this continues you will be putting more engergy into pleasing this instructor which takes time and energy away from your patient. Let us know how you get along. What you have described has no place in nursing education. Hang in there and don't ever let anyone take your dreams away from you. Beleive in yourself and not in what other peoples opinion is of you!

FLTNRSE

Specializes in ICU/PACU.

Give your instructors what they want. Act if you have to. I know all to well about being shy and people assuming the wrong things about me. My 2nd semester in nursing school, my instructor said the same thing you mentioned. She said I "lack self confidence". That was really hurtful to me. What does she know about my self confidence? I completely lack it? I think nothing of myself? It really bothered me. 3rd semester of nursing school, the toughest instructor/semester, believed in me. She didn't go out of her way to say nice things to me, but I felt like she didn't dislike me. It meant the world to me.

In a nutshell....my 1st and 2nd semesters of nursing school, both clinical instructors did not like me. They didn't believe in me. It was my personality, and that's the bottom line. I may not be as likeable as everyone else, but I have feelings and goals and wanted to become a nurse just like everyone else. It hurt me so much. I think I gained 40 lbs in nursing school, from feeding myself with food to make myself feel better. 6 years later, I'm an awesome nurse and I could run circles around those same instructors:) And some of the students in my class, who were always the most liked, etc...some of them aren't even in nursing anymore! I've worked at some of the top hospitals in the nation and am damn good at what I do. Keep at it and stay strong. Play the game and do what the instructors want, but believe in yourself and never let anyone bring you down.

Specializes in PDN; Burn; Phone triage.

Eh. What sucks is that your schooling got brought into it. I think that people - in general - would be surprised at how many patients value a respectful silence. "Small talk" is a two-way street. Medical care is tiring. Hell, telling your story over and over again to nursing staff who are trying to make "small talk" is tiring, too.

ME too lol. If we were already proficient at all these skills...then obviously we wouldn't pay the money to go to nursing school to learn them.

I wouldnt worry. Keep working on it..youll get better..their is always room for improvement

Specializes in Emergency.

Since you're in nursing school and under the "rules" of your school and particularly your clinical instructor, then you have to abide by them. and show them that you can do it.

It's taking a personal interest in others like you would to a friend - or a person you would like to know better. Yes, it is a bit weird at first - for a new person/nursing student (or "stranger" as you say) to get "friendly" but you have to do it. it will help you for the future. Plus, it will keep you in the program (and you may want to be friendly/engaging - especially when you notice the instructor listening in;)

Meh. Sounds a bit like you've got a wacko instructor. You got to just play the game and get it done. Nursing school is just something to be endured.

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