Dear Nurse Beth Advice Column - The following letter submitted anonymously in search for answers. Join the conversation!
You touch on several important issues that nurses face—inadequate staffing, the lack of pensions for most nurses, and the complete disconnect between administrators and the front line. Some nurses work in toxic work environments and don't even know it.
Versions of unsafe understaffing that are the reality across hospitals everywhere.
Units are staffed with a percentage of newbies that is too high. Just yesterday, my niece was discharged from the hospital, and the RN took so long to carefully remove the IVs and slowly take off the Tegaderm patch that it was painful for her, and I wanted to jump up and help. He was kind, but I could sense his fear.
I'm not saying he's incompetent. I'm saying he's a novice nurse and that administration sees him and an experienced nurse like yourself as equals, which is absurd.
Hospitals don't value nurses like you enough to retain them. On the contrary, you were pushed to the edge of a nervous breakdown.
It's exciting that you have a new opportunity!
How to frame it:
"I've spent many years in nursing, including working in a fast-paced, high-stress environment. Over the years, I've honed my ability to stay calm under pressure, manage competing priorities, and lead a team to ensure patients receive the best care possible."
"I've been in leadership positions where I managed staffing, patient assignments, and worked to create systems that improve patient outcomes—skills I'm eager to bring into this new role."
How to frame it:
"I've always prioritized keeping my nursing knowledge up to date, and I'm excited to continue learning and growing in a new area of nursing."
"I have a lot of experience, but I'm really excited to dive into [specific area of nursing] because it matches my passion and long-term career goals."
How to frame it:
"Having spent time in a challenging work environment where communication and teamwork weren't always easy, I've really honed my emotional intelligence. I've seen how crucial it is to build positive relationships and create a supportive team vibe. I'm confident these skills will be super valuable here."
How to frame it:
"I've really enjoyed working with and mentoring many nurses during my career. Along the way, I've learned some important lessons about being adaptable, working together, and leading by example. I'm looking forward to bringing those experiences into this new role and helping to improve patient care and support our team!"
How to frame it:
"I've really enjoyed my career so far, and after some thought, I've decided to take a step back from my last position. I'm looking for a role that fits better with where I'm at now in terms of my goals and values. I want to find a position where I can use my skills and make a real difference in a friendly, team-oriented environment."
How to frame it:
"I'm really excited about this position because it's the work I've always wanted to do. It fits my personal and professional values, and I think it will let me use my experience while also helping me grow in a new direction."
Additional Tips and Must-Reads
First impressions matter. Sometimes interviewers decide within moments whether they're going to hire you or not. Dress for success- choose an outfit that feels comfortable and professional. You want to look confident and polished. Read What to Wear to Interview
Are you prepared for behavioral interview questions? Read How to Prepare for Your Interview
There's a right and wrong way to answer What's Your Greatest Weakness?
Practice, Practice, Practice: Rehearse your answers to common interview questions (e.g., strengths/weaknesses, why you left your last job, your most significant accomplishments) so you can respond confidently and naturally.
Prepare questions. Research the organization. Have a few thoughtful questions ready about the role, the team, and the company's culture. This shows you're genuinely interested in the job and have done your research.
For your interview, don't say anything negative about your previous employer.
Finally, go in with a positive mindset and a firm handshake. You got this!
Best wishes,
Nurse Beth
Thank you for your response and validation. Appreciate you.
Nurse Beth said:I do not want to work for that organization anymore. Ever.
To the person who wrote this: Congrats on getting out of there. 👍🏽
And good luck with the job search!
Published
Hi. I have recently resigned/retired from my previous job as a charge RN on an extremely busy and high acuity unit. The reason that I did so is unimportant but if I did not do it, I think I would've had a nervous breakdown. That is not a joke. The combination of 7:1 nursing (I've actually had up to 10 patients as the charge nurse).
Patients coming to us that really should be going to a step down unit. The amount of tasks the charge nurse has to accomplish in one night shift along with taking care of up to 10 patients, the staff and the other 30 patients is criminal and our night shift is filled with novice nurses, recently off orientation and when I do have a senior nurse with me as the charge nurse, they float him or her to the ED. Upper management has no clue and when we have a meeting with them and they ask you, "what can we do better?” Followed by, "please don't say staffing".
No one says a word. The work environment is toxic and no one has your back. Not one person. Apparently, my Night Shift nurses are devastated that I left so abruptly and I'm not coming back.I am 66 years old, single and I cannot live on my pension or Social Security so I need to go back to work. I do not want to work for that organization anymore. Ever. I want to do something completely different and happily I have an interview next week. My question is, what tips can you give me on how to ace this interview as an older nurse, because I really do need a job (the hiring manager will not be privy to this). And this is actually the type of nursing I've always wanted to do, but never had the opportunity to do so. Help!
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