Whats so Hard about Nursing School and the profession?

Nursing Students General Students

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I thought I would share my 2 cents on what I feel is the toughest part of Nursing School, and the profession......and i'll give some nice advice along the way as well....

You know, im amazed at how some students will say or claim that they never open the textbook...... that all they do is read powerpoints, and note sheets......I guess that for any student, the thing to note is, this is going to vary from school to school, every program is very different, and every student learns differently.

Some programs are "care bare schools, some programs put less of the reading responsibility on the student and more on the teachers, and others are completelyt self taught"

You know when I was in LPN school, I read everything, ....but I paced myself to 1 chapter a day.... my philosophy was

"One Chapter a day, keeps the grades of "F" away"

The Biggest thing though, no matter what was at end of the day, you have to really understand Nursing truely is its own art, and its own subject....its unique from other medical professions on that, your not just remembering whats normal and abnormal, and applying it to your patient and problem solving....what your doing is ultimately managing the patients response to illness and taking into account the entire holistic picture, the psychosocial and all, which is Nursing's most distinguishing feature a.k.a "the Nursing model"

I went to LPN School, and RT School, and I will say for me LPN School was very frustrating because of the type of NCLEX-PN style questions that have more than 1 right answer, sometimes 2 or 3 right answers and this is where you are constantly using that Nursing Process ...that ADPIE, and your remembering your ABC's and Maslow or Orem, or whatever theroist your school abides by....and of the 2 or 3 right answers, you have to pick the better one. I always criticzed this method of questioning because truthfully, ...you'll never really know if a student was right or not because you'll never know the rationale on why the student arrived there.

When I went to RT School, there was only one answer for a majority of the questions, and we were assessed from a totally different prospective,....we had NBRC style questions which are also critical thinking as all health care fields were, but instead we were assesed on treating and managing our patient. ....Personally I found the medical model much easier, and RT in general, mainly because I was better in the physical sciences, and RT is much more science orientated. Plus with Nursing, you have to know so much more such as, charting and documentation, and the psychosocial and family issues.

That dreaded Nursing model, I hated, and for me I felt like that was the hardest part of Nursing school....and you know what, some people never get it, .....thats why Fundamentals or the very first semester of Nursing School is so important, and possibly the most important level of nursing school.

If you fail Nursing,.....your not stupid, and it doesnt mean your not cut out for anything medical....I mean theres RT, X-Ray, Paramedic, Radiation Therapy, Med Lab Tech, PT.....plenty of options to go to....and dont think its your fault, ....in some cases, it could be your school, especially if you tried.....most people bash me for saying this, but personally, Im a firm believer of "theres no such thing as a bad student, just bad teacher", and if your in a program that graduates less than half of its students and has mediocre NCLEX Scores below 85%, then it could be your school.... so hope you pick a school with good NCLEX pass rates, an attrition rate of less than 40% and a good track record.

Lastly, Survival of Nursing school is not the last step......after you graduate, you have to survive the profession....and thats why I choose not to go get my RN and went to RT school instead. I know plenty of Nurses who have been in the job a while, and plenty of them want out....so be sure Nursing really is for you. If you wonder why some instructors and Nurses are so mean, and tough sometime, its for a reason...believe me I know.

I'm one of those who might open her text book the first few weeks but I eventually ditch it. I do read the ATI book cover to cover, though. I've found that the textbooks contain mostly prerequisite review. So far, Ive had at least 4 classes in which I had to seriously study fluid/electrolye balance. Did I read the 300 pages in my Med-surg book devoted to fluids/electrolytes this semester????? NO, I DID NOT!!!! lol Did I pass the test??? Yes, and with a very good grade. I have to critically think my way through reading assignments just like I do exams; otherwise, I'd NEVER get finished reading.

Specializes in PDN; Burn; Phone triage.
in my opinion, the (licensed) nurses that burn out chose this profession because of reasons other than a genuine interest in people... income, job stability, etc...

Most of the burnt out nurses that I know burned out *because* they completely embraced that selfless, compassionate, empathetic nurse archetype. Which is what I assume you're referring to because I'd wager that the majority of the world population has "a genuine interest in people." (We're social creatures, after all.)

I've been blessed in my job with the opportunity to work with a half-dozen or so nurses who have been doing critical care for 15-25+ years -- and each one will give you a variety of reasons why they went into nursing, and why they chose to stay in bedside nursing.

Specializes in Forensic Psych.

Most of the burnt out nurses that I know burned out *because* they completely embraced that selfless, compassionate, empathetic nurse archetype. Which is what I assume you're referring to because I'd wager that the majority of the world population has "a genuine interest in people." (We're social creatures, after all.)

I've been blessed in my job with the opportunity to work with a half-dozen or so nurses who have been doing critical care for 15-25+ years -- and each one will give you a variety of reasons why they went into nursing, and why they chose to stay in bedside nursing.

I totally agree with this. Burn out can come from caring too MUCH. Or people get into the profession because the have dreams of saving the world one pt at a time and have a rude awakening when they spend a whole lot of time charting pushing med carts and playing the customer service game.

Specializes in LTC, Med-surg.

I think the reason why its so hard is because there are so much information to cover in such a short amount of time.

Also, imagine learning over 500 pages of stuff and having to sit down for an exam that only has about 70 questions.

70 questions is somehow equivalent to over 500 pages of reading...

do you see where I'm coming at here?

Add to that this very exam could be worth 50% or more of your grade...

Yes...that is why I think its hard.

Yes Working is Nothing like Nursing School.......I said it, ....once you survive the school, ....dont think youre done, cause youre not.....far from it.....Now you gotta survive the profession,

Nursing simply isnt get out and make 25/hr.....people never understand how difficult Nursing really is until they do it....thats why I became an RT instead of an RN.....after working as an LPN, I saw all I needed, .....At my facility, Nurses make 3-4 more an hour, and just for the amount of crap that a RN needs to deal with, it just isnt worth it to me,

Bless the people that are doing it, because, your PT's need you

Well there are always questions where there 2 or 3 like answers in very subject and you need to pick the best one. Or the Subjectiveness. To me Nursing just relies more on this particular style of question because the nature of practice is focused on the patients response...including the psych, emotional holistic picture. ....the Medical Model is much more science based, and doesnt rely on this method as much, but its there on occasion,....but I had an easier time, because its more science and medically based.....at least thats how I intrepreted it?

The Medical Model and Nursing model are just completely different to me, based on my own expierences...... maybe I just had an easier time with it? Like I said, Nursing really is its own art and subject and is unique....to some people, its common sense, to others like me, its frustrating, and some, just simply dont get it....

The one thing about Nursing Theory and the Nursing Model is Nursing also has its own special things that are added to it like Fundamental Concepts, lifting and transferring, safety, charting, care planning and the Nursing Diagnosis....

This is not meant to be a flame, nursing diagnosis is a joke. It is like trying to reinvent the wheel. I became aware of this the first day it was brought up in nursing school. I was thinking, what the heck is this trying to do? After further analysis, all I could think of was, "trying to reinvent the wheel". Why would one describe dehydration as alteration in hydration status as evidenced by poor skin turgor or whatever?

I have a lot of respect for nurses and the nursing profession in general, but nursing diagnosis......There is no need at all for it. Just my humble opinion.

Specializes in Peds/outpatient FP,derm,allergy/private duty.
Well there are always questions where there 2 or 3 like answers in very subject and you need to pick the best one. Or the Subjectiveness. To me Nursing just relies more on this particular style of question because the nature of practice is focused on the patients response...including the psych, emotional holistic picture. ....the Medical Model is much more science based, and doesnt rely on this method as much, but its there on occasion,....but I had an easier time, because its more science and medically based.....at least thats how I intrepreted it?

Here is why I think saying the medical model is more like RT than nursing because they are both "science-based" doesn't capture the whole picture. All of that science knowledge is not learned so the doctor can name every bone in your hand or learn to read a rhythm strip. It's learned because that knowledge is crucial to his or her ability to accurately diagnose illness when the sum of science-based observations could mean 10 different illnesses or possible "right answers". It's a part of a process, just as nursing is and both encompass the patient's response as intrinsic.

I'm not sure of your familiarity with using NANDA on the job - but I do believe many people haven't had it explained very well. I would recommend that you read this page, post, #16 before you pass judgement.

Some nursing dx are silly, but should nurses throw out the only truly unique framework available to differentiate ourselves from other professions? I don't think so. It's as if nursing theory is a book that has many pages yet to be written. Let's not throw out the book, but continue the conversation.

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