I Don't Get the Anxiety Part of Nursing

Nurses General Nursing

Updated:   Published

I see these posts where people complain of anxiety. Crying before work, crying during work, dreading going into the hospital.

I'm just thankful that I'm not the patient. I split my weeks into what I want to accomplish. One week, it was to ensure that I checked the orders every half an hour. The next week, it was that I's and O's were okay. Focusing on one item at a time allowed me some mastery over it. Granted, it was during my orientation, but I've built on that, and I don't look at work as something to be dreaded, but rather as an experience to get it all right. I'm at that point.

Nursing is overwhelming. Focus on what you can change at this time, and those tasks that have an immediate effect on your patient. Look at your weakness, and improve it. Work is a challenge, but it's one I'm prepared for. I finished nursing school, I passed the NCLEX. I'm not going to know everything, but I will get better as I go. Much like the dreaded care plans, have a plan for yourself.

Know the areas you need to focus on. Make a list. Get good at the things you occasionally miss. The most important things. When you have that down, go to the next item.

No one expects you to know it all. It's okay that you don't. Don't cry after every shift, because really, what is that accomplishing? Nothing. Have a plan. Become the nurse you want to be in small steps. That's okay.

Specializes in Critical Care.

 

Every person reacts differently to the stress and sadness inherent in nursing.  Many nurses have anxiety because they don't want to make a mistake.  But not all people have anxiety.  For what it's worth, women have larger amygdalas so one theory is that women need to protect themselves but the end result can be fear and anxiety as that makes one hyper focused against a threat real or imagined.  It's just a theory,  but it makes sense to me.  Many women have been victims of abuse in their lifetime which could heighten this drive.  Many nurses go into it to help others and perhaps to work out trauma in their life in a positive way.

Some people don't have anxiety.  Some people don't have the same emotional reactions to life and stress.  Men tend to have less anxiety from what I've read.  And those who are sociopaths don't have fear or anxiety.  They can be calm in a crisis, cool headed.  Not saying the OP is a sociopath, but some people have less emotional reactions.  Is that how they were born or due to a trauma in their life where they learned to numb out feelings, or to cultural socialization like military training who knows.  But sociopaths have actual differences in their brain.  Again I don't know anything about the OP, just saying people respond differently and if they can harness their individual temperament for the greater good that is ideal.  Many men are in ICU and it works well to have nurses that don't have anxiety.  Again is it from birth, differences in the brain, trauma or different cultural socialization some respond with more anxiety and others with less. 

I've lived with anxiety for most of my life, even had panic attacks a few times unrelated to nursing though.  I would love to be able to trade in or switch my brain off.  Even now that I'm retired, my stress is less, but I still deal with anxiety, usually over things I feel I can't control like unexpected problems with my health, my house or loved ones.  

You said you don't have anxiety, but that you cry over the sadness of the situation.  If crying helps you cope then that is fine.  If it is getting in the way, then I would seek out therapy.  Some of your comments sound like you might be dealing with burnout and depression.  Therapy and meds can help or maybe some time off or a change of jobs might help you feel better. 

Specializes in Oncology, ID, Hepatology, Occy Health.

Missmollie,

On the one hand you admit that "nursing is overwhelming" (your words) and then you go on to claim you never get anxious, and you do it in the most disparaging way to other colleagues.

I rarely cry, though a very traumatic death did get to me recently. I don't dread going into work, though I sometimes wish I didn't have to. Certain clinical situations DO sometimes make me anxious, even now with my 38 years experience. 

I don't wish to be rude but I tend to think that anybody who claims they NEVER get anxious is either not being truthful, or doesn't take the responsibilities of being a nurse seriously enough. You say you are "blunt to a tee" and your patients tend to appreciate it. Be very careful. Some patients won't have appreciated it and have just never told you - possibly because they're too polite or some maybe even felt intimidated. I personally believe we should evaluate our patients (and families) and grade our language accordingly. I currently work in oncology where tact and sensitivity are often called for. Being "blunt to a tee" is rarely the right approach.

It sounds like you are an enthusiastic new grad who has not had many experiences in nursing. There are many things nurses become anxious about including fear of making a mistake, actually making a mistake, doctors who berate or blame you for things out of your control (sometimes even at shift change when you haven't even seen your patient yet), being overloaded and overwhelmed, having a patient who is tanking or coding, or even trying to cope with the physical aches and pains of a 12 hour shift. The list really never ends. Give it a few years and then share your perspective.

Just wanted to point out that this was posted 9 years. ago and the OP hasn't been on the site since 2021. Scolding her is probably pointless. 

Wuzzie said:

Just wanted to point out that this was posted 9 years. ago and the OP hasn't been on the site since 2021. Scolding her is probably pointless. 

I had an alert today that someone used the new "dislike" button to dislike something I wrote 3+ years ago. 😂 I confess I am somewhat curious about the reasons people interact with zombie discussions years later (especially like in the case of the dislike I received, I could not see that the discussion had otherwise become active again so it was just a case of spreading some dislike).

Weird behavior.

Specializes in prep, post-op inpt, med/surg, new school nurse.

I believe if you care about your patients not just the task list, you will feel very stressed and anxious at times.  The fact is, you will be handed assignments that you cannot do in the time allotted, and do it well, and keep the meds/treatments on time.  That is one of the most stressful things for me. I rarely cry at work, in 30 years, but occasionally I will be given too many patients who are too complex for me to safely care for, and  there are no other options. I am wondering if you are getting them out of bed and offering pain meds and teaching them, preparing them for discharge, and contacting the dietician to work on getting them high protein food they will eat?  Things that are not on a daily task list but need to be done.

JKL33 said:

I had an alert today that someone used the new "dislike" button to dislike something I wrote 3+ years ago. 😂

Actually, someone who I normally am friendly with "disliked" my comment on this thread which was odd because I didn't think it was particularly controversial.

Specializes in Oncology, ID, Hepatology, Occy Health.
Wuzzie said:

Just wanted to point out that this was posted 9 years. ago and the OP hasn't been on the site since 2021. Scolding her is probably pointless. 

I'll be honest, if a thread is brought back up to the top of the board I will often not even notice when the OP actually started the thread.

Sometimes it's good to come back to old discussions. New perspectives or things changing over the years can mean an old dicussion isn't necessarily a dead one. 

Specializes in Oncology, ID, Hepatology, Occy Health.
JKL33 said:

I had an alert today that someone used the new "dislike" button to dislike something I wrote 3+ years ago. 😂 I confess I am somewhat curious about the reasons people interact with zombie discussions years later (especially like in the case of the dislike I received, I could not see that the discussion had otherwise become active again so it was just a case of spreading some dislike).

Weird behavior.

I'm not sure the new dislike function is a positive move forward. It's to open to being abused and isn't that the reeason many other platforms have disabled it?

I'm fine with people disagreeing with me. Debate is the whole point of a forum and posters I like and respect have challenged my views and that's cool. However I do believe people should have to come back with a solid counter argument. Just clicking "dislike" and swanning off is too easy. 

DavidFR said:

Sometimes it's good to come back to old discussions. New perspectives or things changing over the years can mean an old dicussion isn't necessarily a dead one. 

I agree that old discussions have value. My point was that scolding the OP was pointless. 

DavidFR said:

I'm not sure the new dislike function is a positive move forward. It's to open to being abused and isn't that the reeason many other platforms have disabled it?

I'm fine with people disagreeing with me. Debate is the whole point of a forum and posters I like and respect have challenged my views and that's cool. However I do believe people should have to come back with a solid counter argument. Just clicking "dislike" and swanning off is too easy. 

I agree. 

Specializes in Critical Care, Procedural, Care Coordination, LNC.

I want to offer a word of caution. Firstly, I admire how you're handling everything. However, it's crucial to recognize that many nursing roles can lead to stress reactions, burnout, and even PTSD. When nurses express feelings of burnout or PTSD, they're not exaggerating. These experiences are very real, and research has shown that healthcare workers face situations that can cause moral injury and PTSD.

Most people who enter nursing didn't anticipate these challenges. Rather, the nature of the job and its environment can contribute to them. Therefore, I urge you to approach your work with caution and humility. Sometimes, life teaches us lessons when we least expect it.

If you're new to this field and don't fully understand what healthcare providers go through, I encourage you to educate yourself about moral injury and PTSD in healthcare workers. Doing so may help you understand that when colleagues reach out or express concerns, they're not playing the victim. Instead, they're victims of a flawed healthcare system that fosters environments conducive to moral injury and PTSD.

My hope is that this perspective encourages you to show compassion and empathy towards your peers who have the courage to express what they are going through. 

Resources: 
https://www.ptsd.VA.gov/professional/treat/cooccurring/moral_injury_hcw.asp
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6752815/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7366883/
 

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