I have found that there is a big difference between the classroom and "the real world".
In the classroom: There are plenty of towels/linens.
In the hospital/LTC: We are told not to use too many towels/linens because it will short the next shift.
In the classroom: There is time for a perfectly made bed.
In the hospital/LTC: Get it done, fast. Who cares if it's not perfect?
In the classroom: Your patient is coherent, has good mobility and cooperative.
In the hospital/LTC: Your patient might be confused, has R/L sided weakness, and might spit/yell when you try to help because of problem #1.
You do need to adjust to "the real world", but don't forget basic dignity (covering, keeping a patient warm, privacy). I know that some of this gets lost d/t patient load and some
people who are there because "it's just a job." I've always tried to place myself in their shoes...
I remember on my first job when the other CNA was being so rough with the patients when wiping their bottoms. I felt badly when she thought I wasn't doing it fast enough, she took over the job and the patient yelped when she cleaned them. All I could think of, "their skin is so fragile..." OK, I'm on the verge of rambling so I'll stop.
Remember to keep the compassion you had when you started. Try to take the time for a simple caring touch, even if brief. I know it can mean so much to those we care for.