Older new grad, no employment history, shy, gay, good academics

Nurses Career Support

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Hi all. Maybe this thread would best fit under some life-coaching or psychotherapy category, or something of that nature, but I could really use some advice and I'm not sure where else to go. I was raised in California and earned my first BS degree there, but went to my fatherland in Indonesia to take up nursing. After 4 years, I'd graduate from a BSN program, take the local boards, and obtain an Indonesian license. I do not intend to use this license locally, and the only reason I took the board exam was because I heard many states in the US are requiring this in order for me to sit in for the NCLEX.

I'm at a point where I need to decide which state to pursue practice. I'd prefer to return to CA, but I hear the BON there is quite strict with foreign graduates and that maybe I'd have a better chance in NY. I am a US citizen and so getting myself in the US is no problem. So this is one big question about which I need discerning. Any thoughts or advice? I am not tied down to CA, as I do not have a home there anymore, so any state is possible, though it'd be nice if I knew someone there to begin with.

That aside, perhaps my most pressing dilemma is this: I'm 32 years old, and have zero work experience. The thought of having to explain this to my prospective employers is absolutely daunting. My family wonders. My friends wonder. Those recruiters and interviewers would definitely wonder why, too. Because the fact is that I graduated at the top of my high school, at the top of my graduating class of the UC program of my first bachelors degree, as well as at the top of my nursing program in the Indonesia.

But the truth is that my being "book-smart" has been somewhat of a compensation for my general lack of confidence, ever since childhood. I remember growing up to be a painfully shy child. I was also morbidly obese. And I was (and still am) a closeted gay person.

My shyness was pretty bad all throughout my grammar school years. I had my small group of closer friends, but I'd always shy away from gatherings or parties where I might have to meet strangers. The thought of trying a summer job or any extracurriculars was terrifying, so I never did. Around my high school years I'd diagnose myself with social anxiety disorder. I'd get this confirmed by a psychiatrist who'd prescribe me celexa, which I took for only about a month before I stopped seeing her all together. I'd do my own self-medicating with self-help books and herbal remedies after that, but I guess nothing ever really worked. I'd just force myself to endure new situations and meeting new people as best I could. Sometimes it went well, other times it didn't. But the shyness has always prevented me from going up to the really "important" people, like potential interviewers, or to chat with authority figures just to schmooze and network.

I suppose my shyness was also due in part to the fact that I was morbidly obese and gay. Being a "sissy" big guy was always something I felt insecure about. In any case, after earning my first degree, I'd fix the "obese" part over 2 years with diet and exercise. Having shed nearly 130lb, I'm at my ideal body weight now and have kept that off for nearly 7 years. I am a physically fit person and this is one of the few accomplishments I am genuinely proud of.

Now about the closeted gay part. Somehow this has always inhibited the full expression of my personality, which contributes to my scarcity of close friends. It's not that I'd be "flamboyant" or obviously gay otherwise (or that I see anything wrong with this), but I feel that being closeted prevents me from really being myself around acquaintances to allow for a possible close friendship. It makes me feel insecure to have to hide this. But I am a part of a closeted gay relationship with my first and only boyfriend, now of nearly 4 years, and this is something I am also very proud of, but someday we'd both like to just be free to express our affection publicly. It's very hard to do that right now for a myriad of reasons, and if it were easier for us to come out of the closet, we definitely would.

Well...back to HS and college. I did well cus I did nothing but study. My social life sucked and I was too afraid to try internships or summer jobs. 4 years would elapse between graduation from UC and entry into my BSN program in the Indonesia. In that time I'd focus on weight loss, take up nursing prerequisite classes part time in various community colleges, and help my mother take care of my physically ill father, who had cancer. I would accompany him on doctor's appointments, drive him to and from a dialysis center, and prepare his meals. He eventually passed away which is why I traveled back to Indonesia, to bury him. For what it's worth, I had also earned CNA certification in those 4 years as a prerequisite for an entry level masters in nursing program in CA. But I was denied admission.

So I took up nursing in Indonesia. I managed to do well considering the slight language barrier, as I never really learned my native tongue too well since I moved to the US at an early age. On a positive note though, I think I do well with patients for the most part. It's the initial greetings and getting-to-know-you bit, especially with their families and friends, that I tend to struggle with. But somehow, the fact that I have some defined therapeutic relationship with them takes a little bit of the edge off from the "performance" aspect I most fear in nonprofessional, social relationships. In fact, I've surprised myself that I can establish really good rapport with patients sometimes, and part of the reason I've done so well in nursing school is because I can think outside of the box and be quite creative in my approach to establish that rapport. I've composed a list of the out-of-the ordinary measures in case I can cite them for prospective employers. In spite of my shyness, I know in my heart of hearts that I am a compassionate guy and can become a really effective nurse someday. I just need to get my foot in the door, tough out the initial jitters, and continue to learn to hone my cognitive and motor skills. I know my heart and attitude are in the right place.

In any case, the only reason I mention any of that is because I wonder if it any of it will matter in terms of explaining my lack of an employment history considering my age, or whether I should even broach them to my prospective employer in the first place. What do you guys think? I'd really appreciate any feedback. This has gotten to be a really lengthy post and there's so much more to say but I better end it here. Thanks so much for reading and for your support. :)

No, but getting a nursing job - esp. with no experience and a foreign nursing degree - in most diverse urban centers will be a challenge.

I feel like what dishes is saying is a huge long shot, and not likely to lead to a nursing position even if the OP should land a lab assistant position. (Been there, done that btw.)

OP -- You *are* facing an uphill battle. I do think that you have some personal experiences which can be turned into great interview or essay stories. But. Do you even know if your Indonesian nursing license will translate over? I'm not entirely certain that getting a nursing job in Indonesia will help. My own husband made the shift from Canada to the US and nobody would even look at his work experience because it was overseas. I'd imagine that having a language barrier doesn't help with that.

In terms of concepts behind practice I think the parallel is there. The only thing I know I would have to catch up on is the equipment/technology. But yeah it seems like a uphill battle, sigh.

I'm sorry, but what does "OP" mean?

Thanks again for the input dirtyhippiegirl.

I agree that the first step is finding out how you can get licensed in the US. You mentioned NY as an option. Best to start the ball rolling with your licensure application. I believe NY requires credentials verification from CGFNS for RN license applicants educated outside the US (see: CGFNS International — Global Credibility in Credentials Evaluation). This entire process is going to take quite a bit of time so I would consider seeking employment in Indonesia in the meantime. It may or may not mean much to a prospective US employer but if anything, it will validate the fact that you have overcome your perceived flaws and could handle the requirements of nursing.

Wow for some reason I was under the impression that NY didn't require CGFNS. But I'll look into it. Thank you juan de la cruz. :)

I would look into taking the NCLEX, and also volunteer while you are reviewing for the exam. Be sure and get references when you volunteer.

Does every state have its own NCLEX exam? If so, I guess I'd have to pick where to try to settle first. Thank you, swansonplace.

Specializes in Care Coordination, MDS, med-surg, Peds.

OP= original poster.. and yes, each state offers the NCLEX individually. There are compact states which come into play once you get your license, but every state requires NCLEX testing/passing.

Does every state have its own NCLEX exam? If so, I guess I'd have to pick where to try to settle first. Thank you, swansonplace.

Yes, we are certed by state. I know some international students go to texas. Something about the requirements and time.

A very long time ago, many Filipinas used to come to the US and work for hospitals as CNAs until they were able to pass the boards. Some were able to pass quickly, and some took over a year.

You seem to be conveying that the social anxiety is affecting your lifestyle. Since you are great at books, a great place to start is on educating yourself on it. Reading about questions you have until you get the answers you are looking for.

In the meantime, the nclex awaits.

I would love to do that except would i also be a research subject? I'm not sure what you mean. I think a lot of my social anxiety is mostly specific now to my life circumstance at being rather psychosocially delayed, if that's even the correct term. I feel insecure about being my age and supposedly successful at school but not really having anything to show for it, professionally. It's just embarrassing and makes me on edge when meeting new people.

No, you would not have to be a research subject. I am talking about working as a clinical research associate. The job duties may include interviewing research subjects, ensuring that questionaires are completed, obtaining VS and bloodwork, it just depends on the type of research. Look up job descriptions for clinical research associates and you will get more ideas.

I threw the idea out there on a hunch. I have have been a nurse for many years and have past experience working in clinical research. When I read your post, I thought about the bosses I have had over the years and wondered which one would be most likely to hire you. A boss that came to mind, is a principal investigator for clinical trials, she hired staff with diverse personalities and she would be most likely to give someone who is extremely shy a chance. She looked for research assistants who have an avid desire to learn and strongly value knowledge and have the acedemic marks to back it. Based on my experience and from meeting other researchers, my gut tells me she is not the only researcher who would consider hiring someone in your situation.

No, you would not have to be a research subject. I am talking about working as a clinical research associate. The job duties may include interviewing research subjects, ensuring that questionaires are completed, obtaining VS and bloodwork, it just depends on the type of research. Look up job descriptions for clinical research associates and you will get more ideas.

I threw the idea out there on a hunch. I have have been a nurse for many years and have past experience working in clinical research. When I read your post, I thought about the bosses I have had over the years and wondered which one would be most likely to hire you. A boss that came to mind, is a principal investigator for clinical trials, she hired staff with diverse personalities and she would be most likely to give someone who is extremely shy a chance. She looked for research assistants who have an avid desire to learn and strongly value knowledge and have the acedemic marks to back it. Based on my experience and from meeting other researchers, my gut tells me she is not the only researcher who would consider hiring someone in your situation.

I was hoping you could give me some direction also, as to a match personality wise. I am looking for an area that will match a 51+ new nursing grad. I am a little slow on learning, but am a good worker. I enjoy taking care of patients, but am awkard socially and in politically negative environments as I care not to have anything to do with them. I am not looking to go up the chain of command, but to find a nice environment that I can contribute in. I am great once I learn a skill, but am awkard while trying to learn the skill. So I was looking to find a place that was more conducive to this type of personality. Any suggestions would be great.

Specializes in Hospice.

How can you ever be happy or free while you are hiding your true self? Coming out of the closet may not be easy, you said if it were easy you would do it, but all of your other accomplishments weren't easy either, were they?

Specializes in Clinical Research, Outpt Women's Health.

Be yourself, don't mention anything personal. Just not part of the whole interview and get hired process. Concerning the no previous employment I would just say that I was in school the whole time and then caring for elderly ill parents.

Try to find a state like Nebraska that has the most need and is more welcoming to new grads.

I think you have done really well and you just need to be you and if that slowly evolves into letting people know you are gay then fine, if not, it is none of their business anyway. Do what works best for you, but your sexual orientation has nothing to do with your employability.

Yes, we are certed by state. I know some international students go to texas. Something about the requirements and time.

A very long time ago, many Filipinas used to come to the US and work for hospitals as CNAs until they were able to pass the boards. Some were able to pass quickly, and some took over a year.

I was thinking of doing that. I received CNA certification in California 6 years ago but never used it. I'm wondering if the process of getting myself recertified would require my taking CNA classes again? Or would the fact that I have a BSN degree help me work as a CNA right away? My guess is it depends on the state and/or individual healthcare institution?

You seem to be conveying that the social anxiety is affecting your lifestyle. Since you are great at books, a great place to start is on educating yourself on it. Reading about questions you have until you get the answers you are looking for.

In the meantime, the nclex awaits.

Yes it's really held me back a number of times. In high school when it was really bad I remember winning a scholarship but was too shy to go get it from some hospital that was awarding it to me because it meant I had to have lunch with some administrators. I'm terrible ashamed of it.

Since then I have really educated myself about it. Read a number of self-help books. Went through some hypotherapy audio programs. Even got one-on-one therapy for a little while. I'd get too shy to continue that, too. I also tried to participate in an experimental study to try out a new drug for social anxiety but the fact that I was exercising too much at the time excluded me.

The social anxiety is not as bad anymore ever since the significant weight loss but the anxieties resulting from the obesity are now slowly being replaced by those stemming from my being unemployed at my age even with supposedly decent academic credentials.

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