I know I shouldn't let it get to me.

Nurses General Nursing

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So I had a rough start to my first nursing job which I started September 2015.

My first week on the job was plagued by a gums-deep tooth infection which catapulted into a skull-cracking headache, and because of it I missed three days of work. After dental surgery, I developed a 103 degree fever, two more days missed. This wasn't exactly the smooth initiation into the field I fantasized about the months preceding.

The physical illnesses subsided, but my issues with low self-esteem and low confidence endured. And man were they on full display. I questioned everything, things as simple as how to get a clean urine sample from a Foley, to what a Kelly clamp was. I'm particularly ashamed of the latter. Things just felt like they weren't clicking -- what exactly was an appropriate reason to page the doctor? How do I know when the team will be rounding? When do I need to consult the social worker versus the case manager? I felt like a complete idiot, and my mantra every morning was how much of a failure I am and how this would be confirmed by my performance that day at work. It was a super unhealthy mindset, and I think everyone around me noticed.

Fast forward to now. Seven months on the job, and my beliefs surrounding my quality of work have become significantly more positive. I have spent time outside of work reviewing literature and procedures, and I feel more confident. I go through most of the 12 hour shift feeling comfortable with the care that I am providing. My patients really like me, my manager has told me that the nursing staff has given positive feedback regarding my work. But the other day at the nurse station, a fellow RN told me that a lot of the staff believed that I wouldn't make it when I first started on the floor. She said that I seemed chronically ditzy and unsure of myself, and that everyone was worried about my lack of nursing ability. She followed it up by saying that I actually turned out to be a good nurse.

I don't know -- all I can think about is the negative. Everyone around me was questioning my ability - and it's just taking me back to those days of questioning my own abilities, and it's supporting my fear that I'm just not talented enough at nursing. People around me have told me that being good at this job comes with time and experience, "at least a year", they always say.

How are they so much more confident than I am? The other nurses that started the same time as me seem so sure of themselves and their work. They are confident and the carry themselves with pride. I feel like a withering kale salad without dressing next to their juicy steak goodness.

Any tips on how I can boost my confidence will be much appreciated. I need it today, guys. :(

Thank you so much Hollybobs! Reading encouraging comments like this one is so much more uplifting than you all could ever imagine.

Specializes in EMS, ED, Trauma, CEN, CPEN, TCRN.
Good luck on your new job, and congratulations! If you don't mind me asking, what new job are you starting? What specifically makes you nervous about it?

I will be switching from a bedside role to an educator role, and it's just something I haven't done full time before. Like everyone else, I want to do a good job. :)

I was reading through old posts and cannot believe that it's already been a year since I wrote this post! Thank you, Pixie.RN, for your encouragement. I ended up staying on that same unit and learning TONS. My confidence in my abilities got so much better. And next week I start a new job at a level 1 trauma ED.

How did the new position work out for you? Any advice for a just starting out ED RN (with 1.5 years of neuro stepdown experience)?

Specializes in EMS, ED, Trauma, CEN, CPEN, TCRN.
I was reading through old posts and cannot believe that it's already been a year since I wrote this post! Thank you, Pixie.RN, for your encouragement. I ended up staying on that same unit and learning TONS. My confidence in my abilities got so much better. And next week I start a new job at a level 1 trauma ED.

How did the new position work out for you? Any advice for a just starting out ED RN (with 1.5 years of neuro stepdown experience)?

I am so glad everything worked out for you, and congrats on the new position! I love what I am doing, it's worked out even better than I hoped.

As far as the new job: be prepared to feel like a new grad all over again! Anyone who is new to the ED setting (especially a Level 1) is going to feel slow and not so shiny at first, even experienced nurses from other critical care specialties. But you have seen the value of giving things time to work out, so just be a sponge, absorb the learning! I hope you love it!!

" a fellow RN told me that a lot of the staff believed that I wouldn't make it ". That is not a fellow RN, that is a mean- spirited individual.

The fact is, we were all unsure what we were doing. We were applying book-learning .. to a VERY complicated skill.

The other nurses were not more confident, they just didn't let the anxiety show as much as you.

As you are already moving on up.. I have a feeling you will do just fine.

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