Has anyone else been in this situation?

Nurses General Nursing

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I'm just so lost on what I should do for the future of my career... I'm going to be brutally honest: nursing/caring for people I don't know is not my passion. My passion lies in the creative field (design, acting, writing, art). But, I was brought up by my parents to be first and foremost pragmatic and realistic, so I went into nursing for the security mostly, and to be honest, I was so introverted growing up that I didn't make a lot of meaningful friendships that could've opened up paths into other fields. All I believed were those things like (starving artist, not having any clients to support a living doing what you love, etc) that I was too scared to try anything that may not have a demand in the future.

I admire people who had the courage to pursue their passion, but I know I wouldn't be able to sleep or eat if I didn't have a way to support myself. I don't want to rely on my parents, they've done enough raising me and I don't want to burden them when I feel like I should have the means to support myself and give back to them for bringing me up. I just don't know if I made the right choice to become a nurse, but I'm at this point where I somehow ended up farther that I originally expected for myself (somehow survived nursing school, passed boards on first try, successfully landed first job in acute care), and now almost 5 months in, I'm mostly unhappy and I can't tell what it is precisely that I'm struggling with.

But in those few months, I've learned some things about myself:

I prefer patients to be medically stable. The stabler they are, the less stressful it is. I was transferred to a short term rehab inpatient unit and for the first time since I started working as a new grad, I didn't feel like I had no appetite and anxiety 1 day before coming to work, like I did when I was working on a medsurg floor before I was told to transfer to a unit with 'less patient acuity'. I was busy, which I loved, but not so busy as you would expect on a typical floor, which was where I started out.

I prefer to take care of my patients for more than 3-5 days. I want to get to know my patients, and unlike those nurses (kudos if this is you) who don't mind walking into a shift with different teams than they had two days ago, I feel very uncomfortable not knowing what to expect or what is normal with a particular patient (their 'trend'). Also, as a person, the longer I know someone, the friendlier I am and easier it is for me to interact with them. That's not to say that I'm not 'friendly' - I'm just very introverted and quiet, and no, I can mask it, but I can't change who I am.

I feel more confident with less patient sizes, but what I've found is that taking a team of 6-7 who are just really there for therapy and ready to go home is vastly different from taking a team of 5-6 who have acute issues going on and need frequent monitoring and attention. For my personality, something that cannot be changed, the latter is much more stressful and the exhaustion I feel bleeds into my life away from work. It's affected my appetite, my sense of humor, my personality, and to make matters more complicated, I already have a general pessimistic outlook on life.

On the other side, I do not want to work in a facility with a patient load of 20+, no matter how long they will stay there.

After I was told to transfer from a medsurg unit to a place with more stable patients, I was in shock and ashamed. Then I found out that the place I'm transferred to has several rns who also came from medsurg in the past, and needless to say, we bonded a lot over that. Due to my exp in my previous unit, I was able to pretty much start working on my own, even though technically they were 'orienting' me. They were pretty impressed by this. Tragically, due to business reasons, my new unit was to be closed. Even though the time I spent was short there, I genuinely liked how my patients didn't need tele or had any 'acute' problems that needed to be treated. I don't know if that is my niche, but I do know that I liked that level of care. I was involved in patient care, but not too involved. It's like the goldilock's zone, if you get what I mean.

So I was put again on a new unit and this time, it is again like how I started out, only more or less acute, and not anywhere close to being stable enough that patients don't need tele.

The admin on the new unit is aware of my history, but in case I'm looking to transfer to another unit like the one I had before, there's no other unit like it. Now all of that is going towards community/outpatient basis, even though the nurses on my old unit felt that those patients were not stable enough to be outside of a hospital, but not unstable enough that they need a bed on the floor.

Thanks for reading this, if you got this far. I apologize if I sound whiny, I'm really not trying to be. But I guess I'm looking for input/advice on what I should do. With less than a year of exp, I honestly don't know where to go or what kind of future job is right for me. I don't want a management position - I'm far from a leader. I also don't really want to go back to get more schooling, since like I said before, it's a miracle (to me) that I was able to grit my teeth and get through nursing school when it's not a field that I was born feeling passionate about.

I was thinking of dialysis nursing. It's pretty low key and you get to see patients regularly, especially if it's an outpatient dialysis center. They're walkie/talkie too.

I actually went the opposite way of you: I went from graphic design to nursing. I like what Davey Do said about channeling your artistic pursuits alongside your nursing.

I'm not sure how old you are, but once you get older, you can always leave nursing completely and pursue something you're really passionate about. Your parents gave you the best advice that worked for them, but it doesn't mean that ultimately it's for you. I trust that everything will fall into place for you!

Your talking about hospital based skilled nursing (SNF) nursing.I've worked on them for two different hospitals and yes, unfortunately most are closing. I truly enjoy this type of nursing as well. You need to shop around for positions at freestanding facilities and rehab hospitals.

Specializes in Psych nursing, DD nursing.

I have had an interest in healthcare from a very young age, so I unfortunately cannot completely relate. However, I am very artistic and love being creative. Have you considered working in a nursing home or in hospice?

Specializes in ICU.

Maybe i am missing this, but why were you ashamed to go to Medsurg?

Its true that there is an art to nursing. Coming from a creative person though, why could you not make your job creative? What was holding you back?

I find people have very different insights to what us creative. Creativity is coming up with ideas in your own mind and implementing them. Within current policy and procedure. You can be creative. You just need to get into the right mindset.

Keep your creative side alive. Just because you don't do something artistic for a living doesn't mean you give it up. With the money you make from nursing, there is the funding you need for art supplies.

After a hard day at work, you will find me at the sewing machine or bent over pattern paper designing and sewing my own clothes.

A lot of new grads feel the way you feel. I could have written paragraphs you wrote.

I guess I don't have any specific advice but to build your skills, which builds your confidence, which lets you handle almost anything.

Maybe i am missing this, but why were you ashamed to go to Medsurg?

Its true that there is an art to nursing. Coming from a creative person though, why could you not make your job creative? What was holding you back?

I find people have very different insights to what us creative. Creativity is coming up with ideas in your own mind and implementing them. Within current policy and procedure. You can be creative. You just need to get into the right mindset.

I was not ashamed to go into m/s, I was disappointed in myself for not being able to be successful as a new grad on it after orientation. The combination of fast pace, patient acuity, and team size raised some concerns from management and they recommended I transfer. My higher ups felt that all of that was 'too much' for a new grad and they suggested I transfer to another floor with more stable patients.

For someone who is still learning the current hospital's p&p, I don't think it's a wise idea to try to be 'creative' with it, especially when you're carrying the responsibility of someone's life. Perhaps we have different definitions of creativity. To me, creativity is freedom. Think of designing a presentation, painting a picture, or even writing an essay. There's a freedom in that that you can't bring into bedside care without either going against best practice, patient safety, or p&p. For someone who's grown up drawing and writing, it feels stifling that I can't do this for a living. And on my few days off, I'm still recovering from a hard shift to even get that spark.

Specializes in Oncology.

One of the very best things about nursing is the wide variety of fields. It is not one size fits all! I would be ill suited as a psych nurse. It sounds like you might be a good fit for you.

Each type of nurse having their own unique skill set is what benefits such different patient populations.

I am very sorry that you are unhappy with your situation. I think two things will help. 1. Keep things in perspective (being able to have a job, help people etc.). Also, think of 3 things you are grateful for everyday and focus on that instead of your unhappiness. It's not a magic cure, but it will help. 2. Think about your next "move" or plan for getting out of your current situation. Sounds like outpatient/psych/dialysis/case management might be more suitable for you. Focusing on your plan will help you have hope and remind you your current situation won't be forever. Eventually, you will figure it out and you'll be on your way. I do sympathize and I hope that day comes soon. Good luck to you!

I doubt anyone thinks your whinny I dont...The best part of being a nurse is the wide variety of positions and places you can work. I have married friends with kids who do travel nursing and the husband home schools the kids. For now it works for them and They all get the benefit of exploring the US. Sometimes it just takes a few different changes to find what suits you best. I loved cardiology in nursing school but I would never want to be just a cardiac nurse. Maybe a job where you see the patients a short period of time (preop, postop, one day surgery, procedural center, or even emergency room(although stressful) ) then probably never see them again would be a good fit for you. I liked it, :) Good luck....

I'm a new nurse myself (mid-life career change) and it's been a calling of mine forever, so I'm happy I'm finally doing it. As many have already said - one of the great things about nursing is there are a bazillion avenues to explore. I know that there are more administrative nursing avenues vs. direct patient care as well, so that may be something for you to explore.

Good luck on your journey! It's easy to stress yourself out trying to figure it all out right now, but try to take a deep breath and allow yourself to try a few different avenues before you completely give up on it.

Suzy

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