MAJOR Career Decision, Public Health?

  1. Hi All!
    I am a recently new RN, Licensed in July of last year. A little background about me; In nursing school I really did not like my hospital rotations, however when I got to my Public Health rotation, I loved it! I had a sigh of relief as I had found something I might be interested in. Fast forward to almost a year after graduation, I am 7 months into working on a PCU full-time, night shift and I the most miserable I have ever been. I am not fulfilled or happy with what I am doing. I now experience anxiety and am quite possibly depressed, crying most of my days and have lost a ton of sleep. I am now on Acutane from the stress acne I have developed and my quality of life is horrible. Recently, I interviewed with a non-profit in the area helping developmentally disabled children and adults in my community. This job has the schedule I desire with full-time benefits. I was offered the job but given a few weeks to think about it as they have a temp. RN in the position right now. I would be leaving a big name hospital and be taking a slight paycut (still allowing me to pay my bills and be comfortable). Because this position is in the community I believe it will be good experience and provide me with a step in the right direction towards becoming a public health nurse. However, I wanted to make sure there are career opportunities in the public health field specifically in southern California. I want to make sure I still have options to further my career in the future as I am getting a lot of pressure from my parents to stay with this other big company I am working for right now. Any tips? Follow my heart or follow my brain? I am stressing right now and any help from any nurses especially those who have taken the PHN road would be greatly appreciated. Thank you all so much in advance!!
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    About KRN20188

    Joined: May '18; Posts: 1
    from CA , US


  3. by   Everline

    Firstly, I am not in California, so I can't speak to how things are there. Sorry.

    As to the rest, you really have to think about what your goals are and where you want your career to go. I knew I wanted to be a public health nurse when I was in nursing school, but my school was heavily focused on hospital nursing and strongly pushed us in that direction. My first nursing job was in a hospital and I was probably just as miserable as you are now. Most people told me to wait it out. The first year is really hard for most new nurses. I believe that to be true. And I think it probably is better to at least stay a year at that first job. However, I did not. I stayed 7 or 8 months and then I moved to an outpatient nursing job and got my life back.

    It is important to note here that I did not have a goal of ever being a hospital nurse again. My goal was to become a public health nurse and I took the outpatient job as a step in that direction. I eventually became a public health nurse and intend on doing this in some capacity for the rest of my nursing career. Public health is quite broad and there are a lot of different things a nurse can do. Most of the nurses I know in this specialty have done several different things over the years, working in different clinics and with different populations. But in general, while you will probably get great working hours and excellent benefits, you are not going to be making the big bucks and your opportunities outside of public health might be limited.

    You have to ask yourself what "furthering" your career means to you? Any specialty you go into can have its limitations if your nursing goals are outside of it. And remember, most nursing jobs are stressful in some capacity and moving to another job puts you in that brand new learner's stage again that can be so uncomfortable. Good luck to you whatever you decide. Public health nursing is my passion and I love it. I hope you find your passion too! There is no reason to be miserable when nursing offers so many different opportunities.
  4. by   babeinboots
    Hi! I'm also a fairly new RN that works in acute care, almost 7 months in at a busy L&D unit. Although I love my job and coworkers, I know my body cannot handle the schedule, stress and physical demand of the job forever. I recently started the process of obtaining my PHN cert in hopes of becoming a PHN in the maternal newborn community. I would also most likely take a small pay cut but the schedule and benifits are totally worth it to me.

    My plan is to keep my acute care job PRN so I can keep my skill sharp and have the option to return to acute care full time if I want to later. Can you go Per diem at your current job? A specialty change is definently a big decision and I understand your hesitation but life is too short to be miserable. It's your life, not your parents. Good luck!
  5. by   terfernay
    Hello! I've been a nurse now for about 4.5 years and my career started off very similar to yours. My dream in nursing school was to become an L&D nurse and then a CNM. My first hospital job was as a mom baby nurse and even though I loved working with the population of women and babies I hated working in the hospital. It's a very stressful and chaotic unpredictable environment and it was taking a serious toll on my mental health as well. I stayed there for about 1.5 years trying to stick it out because it was "my dream job" and all my friends and coworkers told me it would get better with time. It was very hard for me to leave because I thought I was giving up on my dream but I did eventually find a PHN position doing maternal child health and have been working here for the last 2.5 years. It has been such a great learning experience working with families in the community and very rewarding! I really do appreciate the perspective PHNs get because they work with people in their homes and communities vs just in their hospital room. My mental health and work life balance is a lot better as well. Going into public health is a career move that I never anticipated but I think I've become a more well rounded nurse because of it. I've decided it's time for me to think about my next career move and will now be starting WHNP school in the fall and truly believe the experiences I've accumulated from working with women in both the in-patient and community settings will be an asset in my NP career. Basically what I'm trying to say is you never know where your career will take you and the beauty of nursing is you can always change specialties as long as you're willing to try something new. If you're able to I'd recommend staying at your current job at least one year just because the first year with any job is especially difficult and reach out to coworkers, mentors, employee assistance, etc for support but if you absolutely cannot stand going to work and it's negatively affecting your mental health then it's not worth it! You can always find a new job as a nurse and all nursing experiences will contribute to your knowledge and expertise in your new role whatever it may be. Good luck with your decision!