Hi Nurse Beth, I've been a nurse for a little over five years now. I am bummed out because I can not seem to find my "niche" in nursing. I have worked in SNF/subacute rehab, OR, and now I am employed in a step-down unit with frequent floats to the ICU and med-surg. However, I have never been particularly happy in any of these positions. I am worried that I have spent so much time in a career that I just don't like. The source of my unhappiness stems from feeling unable to truly impact patients. In all the areas that I have worked, I mostly feel as though I simply patch the patient up or control symptoms. I don't feel as though I am actually making an impact in their care. Should I continue to look into other specialties? Or, am I a total lost cause in nursing? I do have my BSN, but I don't know how utilize it in trying to find a new position. I also feel as though I have "job hopped" too often and look like a risk to employers. Your input would be much appreciated.

Dear Burned Out and Bummed Out, You are making an impact but it's important for you to know it and believe it. What would make you feel you have made an impact? Think back to a time when you felt you helped someone else. Is it more time with your patients, more connection? Do you enjoy talking with them but don't have the time? Maybe acute care is not the right setting. Have you considered home health? How about cardiac rehab, where you work with patients and actually see their progress towards their goals? It could be that seeing patients over a longer span of time would be more ratifying for you. Are you a teacher? With 5 years of nursing experience, you could be a clinical instructor. Have you considered behavioral health nursing? There are so, so many things you could do and it's not necessary for you to feel ungratified. Without knowing you, it's a shot in the dark making suggestions but I do believe there is a niche where you can shine and feel that you are making a difference. I wouldn't worry about job-hopping. You have tried a few different settings, but you have 5 years of experience (great!) and your BSN. Many employers would be more than happy to receive your resume. Keep us posted, friend.

Burned Out & Bummed Out - Can't find my nursing "niche"

Dear Nurse Beth Advice Column - The following letter submitted anonymously in search for answers. Join the conversation! Nurses Nurse Beth Nursing Q/A

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