My Reflections on Nursing

Nurses General Nursing

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Disclaimer: I'm an RN student, not yet a practicing nurse. Pick apart the following thoughts as you will.

I really love how well-respected the nursing profession is by the public. When strangers ask me what I'm studying, one of the most common responses is "That's such an honorable career!". I have never told a person I was going to be a nurse and got a negative response like "Oh, one time I was hospitalized and..." or "Oh, you're gonna have to clean up poop!"

One of the main reasons I chose nursing as my career is because I didn't want to just be a number cruncher for some corporation. I didn't want my job to solely entail making someone else a profit. Will I be working for a corporation once I'm employed by a hospital? Yes. Will money be going into administration's pockets as a result of my work? Yes.

However, what will I SEE through my work? Not cash flowing, or projected profits. I will see a mother of 3 cry when she's told she has terminal breast cancer. I will hear a child laugh after weeks of being on life support in intensive care. I will feel genuine touch when I hold the patient for whom I am their only source of comfort. I will laugh with relieved parents when they realize that bump on their first toddler's skin isn't cancer, it's just a mosquito bite. I will be someone's confidant for 12 hours, my ears being the first on which their secrets have landed. I will be trusted with the most personal information about a person. I will have the chance to watch the tear-jerking embrace of a husband to his wife, who he thought wasn't going to make it through the evening.

Is real life a movie? No. I'll get vomited on. I'll probably get fecal matter on my shoes once.. or twice... or more than that. I'll get yelled at by someone physically dependent on narcotics because the doctor wouldn't believe their reported symptoms of pain. I'll be called incompetent by people who have never stepped foot inside a college. I'll have my hours cut because there aren't enough patients on the floor to care for. I'll have to care for drunk drivers, child abusers, rapists, drug addicts, pretentious people who think the world owes them something, and any type of personality the human brain can come up with.

The most rewarding thing, though, will be going home after every shift and thinking, as I lie down exhausted from working 12+ hours straight, about how many lives I positively affected that day, and how many people will never forget the way I cared for them. And on days that I'm driving home wondering WHY I didn't go into an desk-and-chair profession, I hope that this side of me will surface and think about what a difference nurses make in peoples' lives every day.

Specializes in LTC Rehab Med/Surg.

It's been 20 years, but I still remember feeling bitter and betrayed, when I stepped out into the world of nursing as a new grad.

What I was taught, was NOT what I was faced with in the real world.

Nursing school did not prepare me for the realities of nursing.

The first job is crucial. Not just the facility, but the nurses you work with.

I hope the OP maintains her optimistic attitude.

Thank you for sharing your thoughts with us. Very well written piece. Good luck in all that you do!

Specializes in PACU, presurgical testing.

Sjalv, please don't get too defensive, okay? I'm 2 years in, and I'm stuck somewhere between your post and the replies that sound harsh but are most likely well-intentioned.

I went into nursing as a ministry. Truly. It's a 2nd career for me, and I am there because I want to be. I could have written your post myself, and on many days I still could. But it is hard work. Really. Hard. Work. It will push you in ways you cannot imagine right now. It will challenge every one of those statements you made and make you wonder if you should have just been a janitor because the trash doesn't talk back, take drugs on the way to the hospital, or have a family! :)

Now, this DOES NOT MEAN that you shouldn't become a nurse or stay a nurse once you're out. We just want to make sure you know that there are going to be days when you feel like you didn't actually help anyone and pray to God that you didn't make anyone worse. You will have times that you go home crying in your car and don't sleep at night because you are so worried about that patient you sent home or handed off to someone who you don't know. Other nurses that you respect will occasionally look at you as if you are the stupidest creature on earth, and you know what? They'll be right for that particular situation! Some patients are just going to be mean, angry, ungrateful, "noncompliant," and impossible to help, and you'll have to help them anyway.

If you know those days are coming AND that it is normal to feel that way, you are more likely to withstand the hard parts of the job and continue helping your patients with all the devotion and commitment you have now. It would truly be a waste to come in with your mindset and then be lost from nursing if you got blindsided by the realities. I know you have listed out some of the possible scenarios, and it's great that you have thought about it to that extent (i.e., I don't think you are coming in blind!). What you may not anticipate (and again, this is OK!) is how those situations will make you feel.

The other challenge is that having bad days at work is just part of life, no matter what job you have; a bad day in nursing, though, is not the same as having a bad day in another type of job. My husband is an engineer and works like a slave, but he has said often that if he screws up, it is an inconvenience for his team and for his career, but it is unlikely to hurt anyone. That's not true for you, and you need to be prepared for that responsibility to hit you like a ton of bricks.

Now the good stuff: nursing matters. What we do matters. You may not always feel that way, but it is always, always, always true. When you look in that patient's eye and tell them you are there for them, to take care of them, it matters. You will be there for some very intimate moments and will have the power to make those moments easier or harder for that patient. The day will come when you make the right call for the patient or teach someone else about what you do, and it will be AWESOME. Also, at some point in the future, when you decide your first job isn't really tapping your strengths anymore or challenging you or otherwise working out, you can CHANGE to another type of nursing! If you were a doc, you'd need to go back for another residency, but as a nurse, you have more chances to move laterally into other areas and build on your experience. These are all good things.

I guess my advice is to keep it about the patient. Everything: what you're learning in school, what you learn in your orientation, and what you do on the job when you eventually get out! :) When you have a crap day, think of what you could have done better, and then do that next time. Don't lose your love of people that is so clear. Rise above negativity and politics, and do your job. If negativity and politics make that impossible, find a different job.

I hope this helps. Nurses tell it like it is; we just do. (Wait until you care for a retired nurse or else a patient whose RELATIVE is a nurse! Yikes!) We want you to know what you're getting into, and maybe we wish someone had told us these things when we were starting out. Some nurses wish they had gone into another career; I'm not one of them, but there are days that I yearn for my cushy days in IT when I made more money (20 years ago!) and wasn't responsible for someone else's life!

Good luck to you. I hope you find the right place to use your skills and compassion to truly help your patients. Keep the faith.

Specializes in ED, Medicine, Case Management.
Hey, thanks for the encouragement. I have actually been a member of AllNurses since I was even accepted into nursing school, and haven't conveniently skipped over the negative threads (of which there are many). I do understand, however, that people come to the Internet to vent way more often than to tell others about the positive ongoings in their life and career. Notice my post didn't only highlight positive aspects and expectations, but negative ones too.

As a student, I have a couple of thoughts. My first is that your post was well written and clearly conveys the passion you will bring to your practice. I applaud you for being so positive and feeling so strongly about your chosen career. My second is that you specifically requested people "pick apart" your thoughts as they will. One cannot extend such an invitation expecting only the positive. Some very seasoned, respected nurses chose to comment back with the reality of nursing as they have experienced it. It was not meant to mock or discourage you, but rather to educate you about the profession you have chosen.

Best of luck to you!

Yeah give it a month of working. I felt this way too when I graduated and I've been working for 4 months and I'm super jaded.

Do I still have shifts where I go home feeling fulfilled? Sure. But most of them I go home exhausted and wondering when I can just win the lottery already.

It's all about the bottom line. How many pressure ulcers can we prevent, not for the patient, but for the hospital so we don't get dinged. It's easy to get jaded. Just wait.

Specializes in Critical Care, Education.

Welcome to the Tribe - I am very glad you have joined us.

Every profession has its peaks and valleys, but I can't think of another that would have given me the rewards I have received from Nursing. There are so many moments that stand out. Like the time that a "stranger" came up and hugged me at the supermarket ... turned out that I was 'the ICU nurse" who helped her cope with her mother's sudden and unexpected death from CVA the previous year. Honestly, I couldn't remember the actual patient and I certainly couldn't recall doing anything extraordinary - but to her, the events were indelibly embedded in her memory for the rest of her life. It continues to humble me.

Welcome to the Tribe - I am very glad you have joined us.

Every profession has its peaks and valleys, but I can't think of another that would have given me the rewards I have received from Nursing. There are so many moments that stand out. Like the time that a "stranger" came up and hugged me at the supermarket ... turned out that I was 'the ICU nurse" who helped her cope with her mother's sudden and unexpected death from CVA the previous year. Honestly, I couldn't remember the actual patient and I certainly couldn't recall doing anything extraordinary - but to her, the events were indelibly embedded in her memory for the rest of her life. It continues to humble me.

Aw that's awesome.

Specializes in CVICU.
As a student, I have a couple of thoughts. My first is that your post was well written and clearly conveys the passion you will bring to your practice. I applaud you for being so positive and feeling so strongly about your chosen career. My second is that you specifically requested people "pick apart" your thoughts as they will. One cannot extend such an invitation expecting only the positive. Some very seasoned, respected nurses chose to comment back with the reality of nursing as they have experienced it. It was not meant to mock or discourage you, but rather to educate you about the profession you have chosen.

Best of luck to you!

Hi. I appreciate your feedback! I did not expect only the positive. Like I said, I have been a member of this forum for several years. I know what the tone of most posts are and I knew I would get people saying "just wait". I think the only post I specifically called out was the one saying "What is this some pre-employment essay?" which is not constructive criticism, it's a bitter taunt. If I were only expecting the positives, I would not have posted it, as I don't fish for compliments :)

Specializes in CVICU.
Sjalv, please don't get too defensive, okay? I'm 2 years in, and I'm stuck somewhere between your post and the replies that sound harsh but are most likely well-intentioned.

Hi! I understand the negative viewpoints just as well as the positive ones. Of course, I can't relate to them because I'm not yet a practicing nurse, but I've seen the same tune sung over and over again on AllNurses. Not to say it isn't valid or real, because obviously it is since thousands of threads have been made over it, but I just meant to say that I feel like I've prepared myself mentally by having read countless of experiences of practicing nurses. I can't begin to count how many threads I've read that begin "I'm a new grad and I am so overwhelmed ...". I know those days are coming and, thanks to this forum, I feel like I've read what it'll take to get through them. I am a very young student, but definitely not ignorant about the realities of this profession. :)

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