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

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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.

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?

This might be a shock to to you, but management does not give a rat's patooti about staff.

No WAY will they assist with steering away from patient care.They want good little soldiers that take orders and do the dirty work with a smile.

If management gets a clue that Ativan is unhappy, looking elsewhere, etc. , he/she will be viewed as subversive and a potential troublemaker.

Then the beatings will begin until morale improves.

Specializes in MICU, SICU, CICU.

The managers I have come across in the last ten years are the worst hippaa violators around. She could be labeled many things for letting a bad manager know how much she is suffering right now. All she needs is a professionally worded letter asking to change her employment status or giving her resignation as of such and such date.

Thank you for the opportunity and learning experiences etc. It is her personal business and no one elses.

She needs to leave on good note, taking care not to burn any bridges, so that she can use them for a reference.

I concede with ceccia. I, like many others, am NOT suited for bedside nursing. Yes, I can go back and forth the room to give the pt a sandwich or water, or ice, pillow, etc, but what kind of bachelor/university graduate want to go to school 4 years and become someone's butler/servant? I want to use my professional knowledge, education and skills to actually do things that matter. This is the biggest reason why I am moving away from medsurg and never coming back. I had 1 yr of it and blessed to go to specialty now. Some people are just not suited for bedside care because it irritates the hell out of them; I want to do cpr, start drips and assist docs to save lives, not listen to stupid complaints every day in and out. Like other posters put it, not everyone has temperament/personality to become bedside nurse, and I know for sure I don't.

Ativan, I hope you find a job/specialty that you will click; there are so many fields where you can go with your experience. One of my friends with 4-5yrs became a unit educator/auditor, she does not bedside care and she LOVES it! After couple years in ER, I am probably going into OR, but never ms again. Hope you find your spot!

Specializes in Acute Care Pediatrics.

I will admit that I've been at the bedside for going on three years now, and I go through spells. Right now I'm in my I love my job and want to save the world phase. But there are times where I fall in to the "I'm afraid what kind of trainwreck I'm walking in to" phase. I feel like the latter comes around when there is a huge shift or change in the unit, and my backbone of peers shifts and I don't know who I can rely on, if that makes sense. I work well within a team - we are a huge "team" unit - so when we have turnover that dynamic changes. I don't know who is there and who really has my back, so to speak.

Any major changes on your unit?

I'm crossing my fingers that this is a temporary feeling for you. If not, maybe it is time to investigate office nursing?

You'll be fine once you get out of nursing.

I experienced this very situation about two years into floor nursing. I took a transfer to our hospital outpatient clinics and was ok for about another year. When the feelings returned, I completely left the hospital environment and began working/teaching in an entirely different type of nursing. I could make my own schedule, leave when my work was done and it was best of all, no stress. I have been there 21 years now and I cannot doing anything else.

I hope you find your niche in the nursing world. You sound like a great nurse who just needs to find their ideal spot. It is there, I promise.

@brighteyednursygirl what kindof nursing are you doing? It sounds great!

I provide communicable diseases education/ testing to clients in residential and outpatient drug treatment programs. I also do health histories, case management, referrals and TB testing. For me, it is really the best of all worlds. I get to spend time learning about my patients, teaching which is my true passion, keeping my skills since I draw blood and IV,s and help my patients navigate a large public hospital system when I am doing case management.

Truly, I hope you find something as rewarding as I did. It makes the world of difference.

Wow, thanks everyone for your support and encouragement! While it's good to know I'm not alone, I'm sad that this is what nursing can do to so many people like me and many others here who are clinically strong, have a desire to help people, but get burnt out by the system and many of our challenging patients/families/managers.

Just for the record, I am seeing a mental health professional, and I have had the Xanax prescription for many years (before nursing school) and rarely used it until now. Also, I have been networking and building my resume for about 8 months now and I've been applying for jobs away from patient care. No luck so far, which is discouraging, but I'll keep at it, I know it's not impossible. I just have to find a way to deal with the anxiety and bad attitude while I'm looking.

But honestly, I've only been halfway committed to getting out because... I'm afraid to leave the bedside. I'm afraid it will "ruin" my career and I'll get stuck in a dead-end job with no career path. I'm afraid I will lose all my skills and it will be impossible to go back to bedside if I ever want to. I'm afraid of admitting to people who supported me through years of nursing school that I don't like nursing. I'm afraid of leaving my current situation (where I have a flexible schedule, a pretty senior position, and a rare great boss) for an unknown. At least as new RNs, we sometimes get brainwashed into thinking that inpatient, critical care nursing is pinnacle of nursing and those who do it are bad-asses while working in a clinic or an office is demeaned as "where nurses go to die." I feel ashamed to "give up" at a relatively young age. These aren't excuses, I'm just saying this because I know there are people out there who feel or have felt like me, and some who have gotten through it to the other side and are glad they made the leap.

So those of you who have felt like me and got out- where did you go? What do you recommend? Clinic? Insurance? Public health?

Specializes in cardiac/education.

This is so depressing for me since I am only 8 months in and I have the same feelings and can't even fathom doing this for another year let alone 4 or 20! The constant unpredictability and "never finished" aspect of the work in nursing kills me. You are anxious and bust your butt all day, 14 hours many times, and STILL are not finished! I don't even mind waiting on the patients, making them happy. It's just that I can't do that AND all the other gazillion things I have to do AND get lunch AND get out on time without getting yelled at. It is like a no win situation I feel like!! I just want to clock in, put in my time, work hard, be relieved for LUNCH, and leave. I can honestly say I now miss running a cash register where I KNEW someone was coming to break me for 30 mins and two 15's.

I am actually contemplating leaving nursing to go do something I enjoy for nearly minimum wage. Is that totally insane? LOL. I don't know how I'll be able to mentally and physically take another year or so of bedside nursing. I guess I'm a wuss. :(

I read Ativan's post and felt like I was reading my own thoughts from a few years ago. I did well going into nursing, moved up into stepdown then ICU, but always felt anxious....waiting for the %$ to hit the fan. I felt like I was already invested in the career path and went to NP school, but now that I'm looking at the stress of a new role I sometimes think it might have been good to try non-hospital areas.

When I did clinicals in a pulmonary clinic, there were nurses there who just gave shots and did patient education. Regular schedule, predictability, low stress. I was a little jealous! I think you need to look at what aspects of the job make you nervous and then figure out what jobs might present fewer of those triggers. For me, I need predictability and hope to eventually have some of it as an NP. I know what you mean about critical care being seen as a bad-ass pinnacle....such bull. I could do it but didn't enjoy it as I hoped, and that's OK. As I've gotten older I've learned it's more about what fits me and my life and goals, not what looks cool or accomplished. The happiest I've ever been was working a customer service job at a great company as a temp. Had tons of energy outside of work, really lived life to the fullest then. I left that job to go back into an arena I thought should be more fulfilling and suited to my schooling. Ha ha.

Curious1alwys- I constantly fantasize about going back to waitressing/bartending, being a dog-walker, ANYTHING but what I'm doing now sounds like a relief from the stress for a while. And you're not a wuss (although sometimes I feel that way when I see other nurses who don't seem to struggle like I do). It's not normal or healthy to be beaten into the ground without a break for 12+ hours and not get burnt out.

But, even though I know this is the last thing anyone in our situation wants to hear, give it time before you quit. Try a different floor, a different shift, a different type of nursing, a different hospital. I've had jobs that are better or worse about lunch breaks, pace, getting everything done, etc. I float to every unit in my current hospital and I see wide variation in this, and, at least in my state with ratios, night shift is a much better pace and they get hour-long breaks. If/when you start feeling burnt out on just dealing with patients, it's harder to just switch units and get away from that. But the world is not kind to newer nurses looking to get out; almost every job posting I see requires at least 3 years, if not 5 or more. So, my advice is, try to find another job, but don't leave until you have something else locked up.

Oh, and as far as leaving for minimum wage, I'm all for doing something you love and downsizing your lifestyle so you can afford it! Just remember, though, that your employer is not only paying your salary, but a huge amount for your health insurance, retirement benefits, and PTO. So you will have to make MUCH more than minimum wage to make sure you can have health insurance and take a day off once in a while. Also, while the job might be fine for a while, there is not much of a career path in waitressing or retail, and you're going to want to get off your feet and retire at some point. Say what you will about the stress of nursing, there are a lot of opportunities and paths to take.

So, speaking to myself as much as anyone else contemplating a change- do it! But do it intelligently, have a plan.

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