Nursing students who do not understand what nursing is about - page 5

Yesterday, in post conference a students asked me when are they going to learn "real" nursing. Each student had done med pass on one or two patients that day. When I asked the student what he meant... Read More

  1. Visit  bsnanat2 profile page
    5
    I am near 40 and the only one in my class over 29 yo and the only one without a previous degree. When asked how long the others worked in their previous careers, most say a couple of years to none! Failure to launch? I think so! Many are convinced that nursing is a quick route to instant money and career success. Does this apply to all? NO, but it does apply to many of the modern nursing students. We do clinicals in many settings with students from about five different universities and this is a common thread. She was making a point about them, not you.
    Up2nogood RN, elkpark, imintrouble, and 2 others like this.
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  3. Visit  hiddencatRN profile page
    0
    Quote from bsnanat2
    Stop taking the OP's comments personally!! They are her observations about THAT particular group of students. Show some "critical thinking" people and make some intelligent replies instead of being offended. Small minds show themselves fast to be offended.
    Yeah, I also got that she was talking about THESE PARTICULAR students and that previous classes came with a wealth of different experiences. I don't think its a lack of critical thinking, just really poor reading comprehension were seeing here. Skimming and missing important details. I hope these posters are reading test questions more closely.
  4. Visit  jimboslice profile page
    3
    you have to crawl before you walk folks!!
    imintrouble, JennyMac, and jmiraRN like this.
  5. Visit  Chin up profile page
    5
    Quote from bsnanat2
    Stop taking the OP's comments personally!! They are her observations about THAT particular group of students. Show some "critical thinking" people and make some intelligent replies instead of being offended. Small minds show themselves fast to be offended.
    Thank you!!! Unfreakinbelievable!

    Oh and I am stealing your last sentence for my sig line. Peace!
    canoehead, roser13, imintrouble, and 2 others like this.
  6. Visit  MBARNBSN profile page
    9
    Quote from bsnanat2
    stop taking the op's comments personally!! they are her observations about that particular group of students. show some "critical thinking" people and make some intelligent replies instead of being offended. small minds show themselves fast to be offended.
    good point!!! also, insecure people tend to think that a negative comment about someone else or of another group includes them... these people usually think these negative things about themselves... assume others feel the same... and will become defensive when he/she reads or hears statements confirming his/her own negative beliefs.
    Up2nogood RN, canoehead, nursel56, and 6 others like this.
  7. Visit  MrWarmHearted profile page
    0
    Unfortunately some have to learn the hard way.

    Yes, being direct may be helpful as some people (especially guys) don't perceive subtleness/gentleness.

    But if they still want to be in their fantasy world and do not differentiate between nursing/PHP roles, they'll learn that the hard way.

    Another idea is that you make the students write a paper/project on the differences and the role of a nurse. (and this will be reinforced in clinicals when they actually shadow and perform some of the nursing roles).
  8. Visit  AOx1 profile page
    1
    Quote from canesdukegirl
    AOx1,

    I LOVED reading your post. Very well written, concise and to the point. Thank you for sharing.
    Thank you. It was kind of you to say so.
    canesdukegirl likes this.
  9. Visit  Grovelpnstudent profile page
    2
    The first CNA that has been in practice a long time will eat him alive if he tries to "delegate" all his work, and he will not survive long. <------ See this all the time in LTC especially when they seem to think that the CNA or LPN will clean up after the mess they just made O_o
    Chin up and casi like this.
  10. Visit  jmiraRN profile page
    2
    I think that this goes for other careers too, not just nursing. It doesnt matter if you were CEO of a company before coming to nursing, its a new career and you gotta learn it starting from scratch. If the particular student thinks certain aspects of nursing are beneath him well then he should quit his program now. He seems to be on his high horse and that certainly isnt going to get him very far. Nursing is about caring for the patient no matter how "beneath him" the task is. Its students like him that give the rest of us students a bad rap. I value my instructors and hang on to what they have to say, they have the experience and we need to learn from them!
    Fiona59 and bsnanat2 like this.
  11. Visit  canesdukegirl profile page
    9
    Quote from jmira
    I think that this goes for other careers too, not just nursing. It doesnt matter if you were CEO of a company before coming to nursing, its a new career and you gotta learn it starting from scratch. If the particular student thinks certain aspects of nursing are beneath him well then he should quit his program now. He seems to be on his high horse and that certainly isnt going to get him very far. Nursing is about caring for the patient no matter how "beneath him" the task is. Its students like him that give the rest of us students a bad rap. I value my instructors and hang on to what they have to say, they have the experience and we need to learn from them!
    When I was in nursing school, we had a student that could be described in the way the OP described her student. He was former military, was all about task and delegation (understandably so) and thought that when he got his license, he would do the "important" tasks and delegate the day to day tasks of bathing, vitals, changing linens, emptying foley bags, etc. to the aides. While he seemed to be focused on what he needed to learn, he proved to be very argumentative in class, thus taking up valuable class time to debate current nursing theory as erroneous. He came across to the instructor and to his fellow students as impatient when learning the basics of nursing practice. Needless to say, when clinical time rolled around, he was a hot mess. Unorganized, blundering, deer in the headlights, completely and painfully out of his element. He was not used to being in the trenches (no pun intended) and rather envisioned himself as a lofty sort who had no time for menial tasks. This guy BARELY passed each semester, and ended up flunking out the last semester because he could not adequately perform basic nursing skills. He left the program embarrassed and deflated. However, he returned the next academic year with a renewed humbleness about him and succeeded in graduating. As I have said before, sometimes we must fail in order to grow.
    Fiona59, Not_A_Hat_Person, Chin up, and 6 others like this.
  12. Visit  dudette10 profile page
    1
    Quote from DNS on the go
    Yesterday, in post conference a student asked me is he going to learn "real" nursing. Each student had done med pass on one or two patients that day. When I asked the student what he meant he stated that nursing is not about vital signs and passing pills, hanging IV's, etc.

    He wanted to learn "real" nursing.

    I explained to the group that the responsibilities of the nursing include medication administration, patient assessment and documentation. He then stated that those were jobs of the aide or the LPN and that he wanted to make decisions about the patient care.
    Except for the part about delegating to aides and LPNs, I get what the student was saying.

    Over and over on this site and in my school, we are told that being a licensed nurse is much different from being a student. Do you not believe that? I have passed meds, completed assessments, and documented from Clinical Day 1, but that doesn't make me a nurse. What would make me a nurse is knowing what to do with that information when the patient is completely my responsibility. From my reading, from this site, from my instructors, and from my own current experience in a preceptorship, knowing what to do doesn't even magically happen when I earn my license!

    I'm sure you are familiar with Benner's Novice to Expert model. He could have been asking from that perspective.

    The students in the class are second degree BSN candidates. The saddest part is that when we had our introduction on the first class it was apparent that most of then were "failures to launch" i.e. they never got started in their respective first career choice and where now in nursing because they perceive it as an area with opportunity. I do not understand how or why they have the perception that nursing is a leadership or decision making profession.

    In previous classes, the majority of the 2nd degree BSN students had been in other fields and wanted to make a change to nursing. Most entered nursing because their first career did not pan out or they did not have what it takes to succeed in their first career choice. A few wanted to really be a nurse but passed it up the first time around they went to college.

    My concern is that these students do not understand the healthcare system or the role of the nurse in the system. Many times I wish I had the courage to be blunt with then. I am honest with then and try to deflect them by telling them about NP training but I feel that our schools admission department should have screened out some of these students for their own sake.
    I'm interested in knowing what your early 20-somethings for whom this is a first degree answered during the introductions. In fact, I'd love to know why the very experienced nurses on this site chose nursing, especially those who went into nursing school right out of high school.
    Not_A_Hat_Person likes this.
  13. Visit  KUNursingStudent profile page
    2
    Some where, some how, someone, something is feeding into their minds that abc procedures are for LPNs, and only "real" nurses do xyz. Society as a hold is teaching these students differently.

    I am a student and I would NEVER entertain that doing any procedure would be below my standards of giving quality care even if I have to clean butts all day long. A rude awakening is set forth for them. And I really hope the OP puts his/her foot down and tell it like it is.
    Fiona59 and jmiraRN like this.
  14. Visit  KevKaboom89 profile page
    2
    I'll try to not be too long winded here but I'm a junior (almost senior ) nursing student getting my BSN (went to college out of high school) and I wanted to weigh in a little on the matter...
    "Yesterday, in post conference a student asked me is he going to learn "real" nursing. Each student had done med pass on one or two patients that day. When I asked the student what he meant he stated that nursing is not about vital signs and passing pills, hanging IV's, etc.

    He wanted to learn "real" nursing.


    I explained to the group that the responsibilities of the nursing include medication administration, patient assessment and documentation. He then stated that those were jobs of the aide or the LPN and that he wanted to make decisions about the patient care.
    "
    "...why they have the perception that nursing is a leadership or decision making profession."


    I agree that this student definitely has a misconception about the roles of a nurse, and that was definitely a moment that could have been a chance to set him straight. I as a student would appreciate a discussion about delegation (what can be delegated, not delegated, when would it be better to just do it yourself :P). However as other student's have noted we often get told in school that we are too "skill focused" and are constantly told that nursing is more than skills alone, its knowing when to use those skills to help your patients. One of my clinical instructors this past year would always remind us that we as students are learning to "think like a nurse." I know many posts had the "whole walk before you run" vibe to them, but I feel that its easier to learn that critical thinking if throughout your education you get glimpses of what good clinical judgment is and what the concepts are to making good judgments.
    I feel that nurses make decisions every day, whether or not to hold a med if it is unsafe, calling the MD when needed, or really anytime that you feel an intervention is needed on behalf of the patient. Indeed as another poster mentioned we are not the end-all-be-all of patient care, but we're certainly important, and are often the last line of defense for a patient if a mistake is made.
    Nursing is in a unique spot in my opinion in that there are opportunities for leadership within nursing on small and large scales. From leading a unit, or leading a patient education class, to administration, etc...


    "My concern is that these students do not understand the healthcare system or the role of the nurse in the system. Many times I wish I had the courage to be blunt with then. I feel that our schools admission department should have screened out some of these students for their own sake."

    I do agree here, there have been many students that academically will get into the school, but are just plain unsafe, even with repeated interventions from their instructors.
    Just my
    dudette10 and jmiraRN like this.


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