Published
Some of them are satisfied:
- Acceptable salary
- Fairly stable employment
- Doing good stuff (not useless, pointless work)
However the rest off me is not satisfied. I'm bored (over-worked at the same time), under-utilised and stuck. Have not felt like a professional for a long time.
Anyone else feel like this?
One of the reasons I'm no longer in nursing education (and will probably never teach nurisng again) is because, when you say this to the administration of nursing programs, we get told that we're out of date and missing the point, which is that the point of nursing school is not to teach nursing skills but to teach "critical thinking." Ironically, I attended a hospital-based diploma school in the early '80s, before the term "critical thinking" had even been invented, but, somehow, while acutally getting a solid foundation in the actual "nuts and bolts" of day-to-day nursing practice, and excellent clinical skills, we all also came out well-prepared to think critically in practice. Now, everyone in nursing education talks all day and night about "critical thinking," but what I have seen in recent years is students and new grads who know very little about basic nursing practice or clinical skills, and also have a very hard time thinking in any sort of organized, productive way about the nursing situations in which they are placed.This is a big part of why hospitals have become increasingly reluctant to hire new grads over the last several years (and that was starting even before the economy tanked). But I won't belabor the point further -- I've made this same rant many times here over the years. :)
To get back on topic, I've found nursing a very satisfying choice for myself over the years, in terms of producing income, career flexibility and opportunities, and in personal satisfaction.
Yeah...they have trouble with critical thinking because they don't know what skills to apply- imo.
I sounds like SO much has gone wrong (I was also an 80s grad- 1985, ADN....and we busted our butts during clinicals...started giving meds the 2nd WEEK).
OMG-you read my mind. I was going to post the SAME thing. Yesterday I was anything but a nurse. Here is what I was:
1. Secretary-one admission, one discharge, new orders, d/c orders, diet changes, med changes, etc.
2. Housekeeper-empty trash, empty linens, etc.
3. CNA-had to take my own vitals, empty foleys, etc. I had to do my bath because the lazy CNA with ONE patient was "too busy."
4. Transporter
5. Food services-we now have to take trays out of rooms
6. Lastly: a nurse and person. I got chewed out by lactation for telling a mom she had to check with the MD for breastfeeding because she was taking every med under the sun. Lactation told me it was out of the scope of my practice. Ummm, hello....what happened to being an advocate for my patient the baby)??? I did not eat lunch, use the restroom or even sit down for 2 minutes to check blood types on the mother/babies of my admission who came at shift change.
I work at one of the largest hospitals in the country where almost everyone is a VIP. So basically, I am a nurse/human last because we have to have "patient sanctification" scores.
I left a great career to enter nursing. My previous job did not pay well but I had great hours.....
I graduated dec 2010. They definatelyplaced an emphasis on critical thinking but also a good knowledge base. We passed meds from the beginning and basics lyric anything our preceptor would let us do, no blood or chemo though, obviously.
My biggest obstacle is /was lack of confidence. When I get a chance iwill pick other nurses brains... Why did you do this, how did you know to do that... That sort of thing... Im doing LTC now, but do want to eventually move to a hospital.
I think that the more we are allowed to do and think through things in clinicals the more prepared we will be... Much of the problem i saw with my classmates was that they just wanted to be lectured and inclinicals they wanted to watch.... Basically some were just lazy. Nursing is not a lazy persons job.
One of the reasons I'm no longer in nursing education (and will probably never teach nurisng again) is because, when you say this to the administration of nursing programs, we get told that we're out of date and missing the point, which is that the point of nursing school is not to teach nursing skills but to teach "critical thinking." Ironically, I attended a hospital-based diploma school in the early '80s, before the term "critical thinking" had even been invented, but, somehow, while acutally getting a solid foundation in the actual "nuts and bolts" of day-to-day nursing practice, and excellent clinical skills, we all also came out well-prepared to think critically in practice. Now, everyone in nursing education talks all day and night about "critical thinking," but what I have seen in recent years is students and new grads who know very little about basic nursing practice or clinical skills, and also have a very hard time thinking in any sort of organized, productive way about the nursing situations in which they are placed.This is a big part of why hospitals have become increasingly reluctant to hire new grads over the last several years (and that was starting even before the economy tanked). But I won't belabor the point further -- I've made this same rant many times here over the years. :)
To get back on topic, I've found nursing a very satisfying choice for myself over the years, in terms of producing income, career flexibility and opportunities, and in personal satisfaction.
What you said pretty much sums it up.
I am approaching the end of my first year in nursing and it is beyond scary how little I was prepared to do this job. Neither good for one's license nor patient safety. Critically thinking doesn't help if you don't have a solid foundation to perform basic skills. One of the reasons why I decided to exit after the first year of school.
It meets some of them. Way more than my previous job as an administrative assistant. I feel like in general I'm doing important work. I like my coworkers a lot so it meets some of my social interaction needs. I'm way better paid than I was as an administrative assistant or would be in another helping people profession. I am constantly stimulated with changing priorities in the ED so it meets my "keep the ADD happy" needs. I know that if I get bored where I am, I can try a different field of nursing, so I don't feel like I'm trapped forever in the same routine. I feel mentally and physically challenged.
I'm also still pretty new though, so.....lol.
One of the reasons I'm no longer in nursing education (and will probably never teach nursing again) is because, when you say this to the administration of nursing programs, we get told that we're out of date and missing the point, which is that the point of nursing school is not to teach nursing skills but to teach "critical thinking." Ironically, I attended a hospital-based diploma school in the early '80s, before the term "critical thinking" had even been invented, but, somehow, while actually getting a solid foundation in the actual "nuts and bolts" of day-to-day nursing practice, and excellent clinical skills, we all also came out well-prepared to think critically in practice. Now, everyone in nursing education talks all day and night about "critical thinking," but what I have seen in recent years is students and new grads who know very little about basic nursing practice or clinical skills, and also have a very hard time thinking in any sort of organized, productive way about the nursing situations in which they are placed.This is a big part of why hospitals have become increasingly reluctant to hire new grads over the last several years (and that was starting even before the economy tanked). But I won't belabor the point further -- I've made this same rant many times here over the years. :)
To get back on topic, I've found nursing a very satisfying choice for myself over the years, in terms of producing income, career flexibility and opportunities, and in personal satisfaction.
I agree 150%!! Very well said!!
It sometimes seems that if there isn't an app for it there is no critical thinking being accomplished. I have a friend and colleague that is doing her PhD focus about the loss of critical thinking skills in the presence of modern technology and how to bring it back to the curriculums and bedside nursing.
Its hard and I get frustrated but my school prepred me. By our 3rd semester we were taking 4 pts on our own and during our practicum I worked 13-14hr days and nights non stop 5min break and 5 pts, all this while I was a student. I was blessed with a school and professors that didnt take the easy way out and tell us everything was going to be OK. Its hard but its everything I expected.
It also does not meet my need to be creative. I definitely need creative outlets on the outside..
I forgot about that one !!! That's something missing for me as well
Creative thinking is a professional skill and doesn't seem to be required at all in nursing - which is unfortunate as we certainly need more of it.
That probably doesn't sound like much of an endorsement for a nursing career but I'm just happy I have a job I can do and good benefits. I think we are in the age of "lowered expectations".
'Lowered expectations' is right on
Though recession aside - some of that relates to deskilling over the last decade. I should have gone into a real profession - now I feel I've left it too late.
Am really tired of seeing allied health workers overtake us - Pharmacy / OT / PT / SLT now more 'professional' than us.
I got chewed out by lactation for telling a mom she had to check with the MD for breastfeeding because she was taking every med under the sun. Lactation told me it was out of the scope of my practice. Ummm, hello....what happened to being an advocate for my patient the baby)??? .
Oh that's awful.
Who do some of these these people think they are?
xtxrn, ASN, RN
4,267 Posts
This breaks my heart.
BIG :hug: to all of you who feel like this