Take a deep breath or 2. You are doing just fine. It is normal to feel that way. It takes a while to get the tasks of any job down pat and let me tell ya, nursing is very tasky. What area of nursing are you working in? How are they doing your orientation? Are they just sort of throwing you in with patients and a preceptor or is there relevant education too?
Personally, I find that the concept of "the big picture" in nursing is confusing, especiallly to a new grad. I find it more helpful to look at a patient like you are looking at a Bev Doolittle painting. Click on the link, and look at the pic
It is a nice, detailed pic of a Native American, isn't it? The artist is talented, isn't she? Look closer and notice that the rock formation the person is standing on looks like a bird's head. Keep looking and you will see a ram and a deer in the rocks below the escarpment. There are 34 (some sources say 36, others 40) animal and bird spirits incorporated in this pic. Some are in the rocks, some are in the trees, some are in the stars and clouds. Some are obvious, some you have to really look for, and some, IMHO, you need the guide that came with the print to find.
It doesn't matter if you don't find all 34/36/40 spirits the first time you look at the print. It doesn't matter that someone might have had to point out to you that there are pics with in the pic. It doesn't matter if you have to use the guide to find all 34/36/40 animal spirits. However, in the future, you may be looking at framed print on a wall somewhere and notice that there is a face in the trees, or hidden animals pop out and after looking at it for a few minutes, you'll think with certainty "That's a Doolittle!" and you'll be right.
As a new grad you are
, in my opinion, looking at the big picture. You see the over-all state of the pt be it respiratory distress, hip fracture, having a baby, burned, beaten, or psychotic. You see, in essence, the Native American standing on a rock formation. You also see some of the obvious things that make up the clinical picture (b/p, hr, sats, rr, level of agitation) just like in Prayer For The Wild Things, you can "see" that some of the rocks look like animals. If you have a good preceptor, they will help you to look deeper into the clinical picture and see the things that you need to see like specific symptoms or which meds are used at which doses for a particular clinical pic as well as the side effects of the meds.
If your co-workers are telling you that you are doing fine, believe them. Ask them for time saving tips with the tasky stuff and how to improve your routine. The first couple of years will be uncomfortable, but you'll get it. Welcome to nursing!