I dread going to work- not a new grad. Has this happened to anyone else?

Nurses General Nursing

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I've been a nurse for about 4.5 years. During the past year or so, I've started to dread waking up in the morning and going to work, so much so that I can barely sleep the night before without taking Xanax. The anxiety even creeps into my days off, as I subconsciously count down the hours until I have to go back and start to get depressed about it. During stretches of a couple days off, I'm generally pretty productive and happy.

I've seen a lot of people post about dreading going to work when they are new nurses and overwhelmed with the learning curve. I did not have that as a new nurse. Even when I felt overwhelmed, I felt OK about going to work, even excited. Now, even though I'm more experienced, I have developed anxiety about what types of patients and families I will have to deal with, whether I'll be humiliated by any doctors that day, whether I'm going to be able to get everything done, whether I can physically and mentally make it 12 hours, and whether I'll be able to remember to document everything, etc. All the stresses of the job, I pre-worry and obsess over. When I'm at work, my anxiety isn't even that bad.

Has this happened to anyone else? I suspect it's burnout. Has anyone been able to get through this? I take vacations and plenty of days off, I only work 3 shifts a week, never overtime, we have a great staffing ratio and pretty consistent breaks at my hospital. I'm feeling like my only option, for my sanity, is to get off the floor. I could try another hospital, another unit, another type of nursing, but honestly, I've worked in 3 different hospitals and multiple different units, and I find it to be all about the same.

Specializes in Anesthesia, ICU, PCU.

I've got 1 year, but I don't think it takes 10 years of trudging along in a bedside RN position to realize that you're going to get dumped on, you're going to be overworked, and you really have to have the right attitude and conviction to be happy as a bedside nurse. It seems logical to me to take those extra years (of your life, which is the only one you have by the way) and devote them to pursuing something that suits your personality, values, abilities and morals. For me, nursing suits my desire to do good and help others -- but if it's going to suck those values out of me for the sake of corporate greed then I really don't think it's worth it.

I think now is the time for some serious introspection. What will interest you and give you happiness. At the very least, what will you be able to tolerate enough to allow you to explore interests or have happiness in your free time. Only you can decide this.

Specializes in Pediatrics.

I say it's time for a change for you. Life is way too short to not be happy, or at least complacent with your job. Look at me, one year into bedside nursing and I know for a fact that it will never be for me. Too much drama, politics, needy/aggressive patients and families. So I applied for an outpatient job and got it! I'm already feeling excited again for work, and working for a different population than before (was in med/surg, now heading to pediatrics). Sometimes you just need a change. There's nothing wrong with that, there's a reason why there are so many venues for nursing :)

Specializes in Peds/outpatient FP,derm,allergy/private duty.

Yes, I've experienced it and yes, switching to a different-kind of stressful (predictable vs unpredictable) job helped! I agree with those who suggested getting some outside help. I don't know who prescribed your Xanax, we don't give medical advice around here, but I'll just comment that I know a number of people who got themselves in much worse circumstances by relying on pharmaceutical interventions. One of the hallmarks of anxiety that needs to be treated by the professional is that which causes intrusive thoughts that disrupt your daily life.

Wishing you all the best and can totally relate to what you are feeling!

Specializes in Tele/PCU/MedSurg/Travel.

I, too, can totally relate, Ativan. I just recently left floor nursing after being a floor RN for about 4.5 years. Even when I was nervous about doing a good job (which was often!), I really enjoyed my first few years on the floor. After I started to occasionally dread going to work, travel nursing for a year broke me out of my routine, and I enjoyed the change. When I took a permanent PCU position after a year of traveling, feelings dread and anxiety about work came on hard, almost immediately. I realized I was burning out on floor nursing, and I began looking for a non-hospital job.

I've been at this new position for about a month. I don't know if I'll love it, but my stress level is considerably lower. If I miss patient care, I will think about returning to inpatient nursing. For now, I'm trying to take care of myself. I hope you will consider other job options, even if you don't want to leave floor nursing forever.

Specializes in LTC Rehab Med/Surg.

Try to find another, less stressful way to be a nurse.

The older you get with no experience except floor nursing, the harder it will be to get a chance at another position.

I'm in the same boat as you without the Xanax.

I've got 1 year, but I don't think it takes 10 years of trudging along in a bedside RN position to realize that you're going to get dumped on, you're going to be overworked, and you really have to have the right attitude and conviction to be happy as a bedside nurse. It seems logical to me to take those extra years (of your life, which is the only one you have by the way) and devote them to pursuing something that suits your personality, values, abilities and morals. For me, nursing suits my desire to do good and help others -- but if it's going to suck those values out of me for the sake of corporate greed then I really don't think it's worth it.

I think now is the time for some serious introspection. What will interest you and give you happiness. At the very least, what will you be able to tolerate enough to allow you to explore interests or have happiness in your free time. Only you can decide this.

So well said. I wish I could like it many times over. You are saying.. "life is too short for this BS".

You are spot on.

I hope the OP reads it and takes it to heart.

I'm not glad any of you are feeling this way, but I am relieved to know others do feel the same. I never used to have any problem going to work but it seems in the last 5 years or so (out of 19 nursing) I developed this type of anxiety. I could never figure out what it was all about. Once I was physically at work the anxiety dissipated but the night before or day of...forget it. What helped a little was making sure all three of my days were scheduled together because then I was only super anxious before the first shift. After realizing that worked (I figured it was because I was so tired from work, I knocked out to sleep and didn't have time to be anxious), on the day before I had to return for my shifts I tried to thoroughly exhaust myself. At any rate, I have to agree with many of the other people...might be time for a change of scenery. I've been off for medical for several months and the prospect of returning to nursing is almost nauseating but I can't imagine what else I would do. Currently trying to find something I can use my nursing background with that doesn't deal so much with face to face interactions and I'm thinking of returning to school for an entirely different field. I figure if something that takes up such a huge part of our time is causing that much unhappiness and grief...it is so not worth it. Whatever you do, good luck and know you are not alone!

I'm sorry that you are experiencing this! That is the cool think about Nursing! There are a million different types of jobs that you can try! ((Hugs))

Specializes in Pedi.

I could have written this post myself when I was working in the hospital. I'd been at my job for 4 1/2 years at the time. Handing in my resignation was the best decision I ever made. I am much happier now and have no thoughts of going back to the hospital.

You don't necessarily need to escape bedside. Perhaps just a different change of pace.

Specializes in MICU, SICU, CICU.

Ativan,

you have given it a fair chance and now it's time to find out what is best for you. We have all hated hated hated a job. Would you like to go work in a greenhouse, be a flight attendant, a plumber or electrician, or water the flowers at the Home depot or work as a pet groomer or work in a bookstore or a library?

Take a leap of faith and do it. Imagine what it would be like to be happy at a job!

Go per diem or minimal part time while you sort this out. At least you can keep your health insurance that way and be an internal candidate if they have a great position open up.

Kind regards and keep us posted,

Maggie

Specializes in Critical Care/Vascular Access.
The LAST thing Ativan needs to do with this information is give it to management.

Think about what they would do with it.

I'm not sure I follow your rationale. I didn't necessarily mean go into great detail about their anxiety and personal issues, just give enough info to let them know you would like to steer away from patient care. If you have good management they will be understanding and helpful. If you don't have good management then don't tell them.

Why is that a bad idea?

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