Quote from Peglu
I am new here and looking for a little encouragement. I am 5 months away for finishing FNP program. Problem is that I am severely lacking confidence. I have a great deal of experience (18 years ER nurse), and a GPA of 3.86, but am having difficulty transitioning into the role of primary care giver. I do a mean assessment, but then my brain shuts off. After 3 months of clinical, I still feel the need to go present my findings to the attending, and let them finish the case. Any suggestions on how to get past this and become more independent? Mid term clinical eval in one week; I gotta get movin. I know I know what to do, but I seem to spend a lot of energy worrying about if I am doing it the same as the attending. Is this normal? Does it pass? How can I progress from this point? HELP! Ready to give up.
What is going on? It sounds like you have the case of the nerves and graduation blues. Listen to me, get a grip and relax. Take a deep breath and slowly exhale about ten times. Close your eyes and do ten neck rolls to each side. Stretch your your body for twenty minutes and make sure you have a good stretch as well.
Okay, Take each step one at a time. Do not worry what is next and what you had completed. Just concentrate on the step you are performing and the patient. You have the ability to complete the task in the amount of time given. When you are stuck just remember you have resources that will be helpful to resolve your issues. Use your resources wisely and efficently for your cofusing issues. Go to the resources and present the problem, the labs for the problem, the dx, and the plan for the problem and your resources will be able to guide you through it. You have to learn to practice independently due to the fact the skills you had obtain as a nurse and through your clinical practices. If you feel that you need to have more clinical experience my suggestion if apply to a residence program or go to a teaching hospital or find a family practitiioner to assist you in your lack of skills and self-esteem.
In addition, when you enter a practice, they will train you according to their style.
You need to understand eveeryone feels some type of nervousness, fearful of missing something, questioning what did they do by choosing this career and most of all, knowing they are liable for their patient's care. If anyone tells you that do not get the case of the nerves near the time of graduation and/or after graduation - they are not being truthful at all. Now, if you see several of brown spots on their pants than you have it good cause they just crap their pants. It is a joke, laugh...ha ha ha ha.
You will do fine and you can always get addition clinical time if you need too. That is why I am a for residence programs for me and to give me the extra time to sharpen my skills and confidence.
You need to finish up strong, with a strong positive attitude and lots of self-esteem and pass any exam prior to graduation. Stop worrying about tomorrow and yesterday, and concentrate on today matters and everything will fall into place. Also, you have what it takes to get into the program and to make it through the program. Do not waste the money and knowledge due to the case of nerves. Just finish up, set goals each day at clinical and build up it each clinical time. Oh, watch "House" their are characters on the show that question their abilities as well as doing a review of their career and self. Therefore, jump back into the saddle and ride off into the sunset.
Start the goal of independence, today and present your case in a timely fashion to your clinical instructor and listen as they explain the numerous of options for you.