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aspiringmidwife76 1,743 Views

Joined: Jun 16, '12; Posts: 12 (17% Liked) ; Likes: 2

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  • Jun 23 '12

    I think your instinct is correct that you need to give yourself some more time and experience and gain that confidence that you need then you'll feel much better pursuing your goal.

    You don't sound like a bad nurse only that your aware of your weakness and limitations.

  • Jun 23 '12

    I think a good nurse is someone who realizes they have room for improvement and is concerned that they can always do better. We are not perfect, but the mark of a good nurse is someone who cares and strives to better the care that they give.

  • Jun 23 '12

    Maybe you will feel better if you just give yourself another year or year and a half of experience before returning to school. Sounds like you will gain good experience from this hospital position if you just allow time to take its course. Go with the flow.

  • Jun 23 '12

    Quote from purple_sage
    Hi All, Hoping I can get some insight here and some unbiased advise.

    (And please read - I am not asking here if you can be a midwife if you 'hate being a nurse' - that is not how I feel at all and, quite frankly, it saddens me to see midwives - or potential midwives - who feel that way!)

    I have been a nurse now for almost 5 years (well, I graduated 5 years ago, have only worked in the hospital for about a year and a half) and my plan all along has been to eventually go back to school and become a midwife. I have applied for programs for next fall but am starting to have my doubts.

    All of my hospital experience has been on L&D and I really love it. However, I have recently moved from working in a very large teaching hospital in a major metropolitan area (about 8,000 deliveries a year, just L&D) to a small community hospital in a rural area where I work in an MCH dept (L&D, post-partum, NICU, and peds, combined - although I just do L&D and PP). I am only working per diem at this new hospital, which I am very happy about, but, since starting here, I have felt really insecure about my skills and knowledge as a nurse. The level of autonomy for nurses at this little community hospital is so much greater than it was at my old hospital - and quite frankly the care is much better and more thorough! - but I feel like I am nowhere near as good a nurse as most of my colleagues!

    I am still terribly nervous at most deliveries, I panic when there is an emergency, and even in the day-to-day things I feel like I am just not thorough or thoughtful enough to be good. Plus, there is so much that I still don't know, but I feel like I should by now.....I don't know, it just makes me feel like I have no business going back to school to become a midwife if I can't even get down being a good nurse!

    Anyone have any advise or been through something similar?
    No, it is not possible to be a bad nurse and a good midwife. You need more experience so that you don't panic in emergencies. Give yourself another year.

  • Jun 23 '12

    First, you have only been working for a year and a half. You can't possibly know everything after only a year and a half. Give it some time. Second, why do you say that you are a bad nurse? You may not know everything, but if you don't know, are you able to ask for help and learn from that? Are you able to think critically? Have you made some serious mistakes or what?
    Your concerns seem quite normal for a new grad to me (yes, you are a new grad if you have only been working for a year and a half)

  • Jun 23 '12

    Whether abortions are in the scope of practice for a midwife would depend on the laws and regulations in your state.

    As a midwife, you have the ability to be an independent practitioner. That means you get to be the boss of your practice. You decide what services you will and will not offer. If you don't want to offer abortions, then you don't have to. Midwives are not the same as a Nurse Practitioner, and I think you may be confusing the two. As a midwife, you would be referred patients who are pregnant and want their primary provider drink their pregnancy to be a midwife. You would follow the patient through the pregnancy, delivery, and the post partum period. It makes sense that patients would come to you when they want to have a healthy pregnancy. A Women's Health Nurse Practitioner would care for women in all stages of life, but not during pregnancy/delivery. If the patient wanted an abortion, she would not be referred to a midwife, but would instead see her general practitioner or go to an abortion clinic.

    But as with any ethically controversial matter, you should be aware of your personal bias in these areas and make sure that you can counsel and refer your patients in a nonjudgmental way.

    Please know that a midwife is not a nursing specialty, like a pediatric nurse. You cannot graduate from nursing school and specialize in midwifery. To become a midwife you need several years of graduate level education and training, in addition to your RN license. Many Certified Nurse Midwife programs will require 1-2+ years of RN experience in an OB-GYN related field before you can enter the program.

    Finally, it's nice that you have an idea of where you might like to work. However, remember that you haven't even entered nursing school yet. The reality of the nursing profession is likely far different than what you currently imagine. You might start taking nursing classes and clinicals and realize that you really don't like pediatric nursing, but find a strong interest in areas that you never considered (or never knew existed) before. In nursing school, you have to learn how to take care of all different kinds of patients. The majority of your classes and clinicals will focus on adults, and a small portion will involve peds and maternity. You can specialize after you graduate from nursing school and find a job- not before you start nursing school. Keep your mind and options open during your schooling.

    P.S. A nurse that works with cancer patients in an oncology nurse. There are pediatric oncology positions, but most often pediatric cancer patients are taken care of on the general pediatrics floor.