i think we do mostly agree! : )
since i am personally much stronger in analysis than in application, i just tend to find the advice "oh, you'll pick that up in no time; don't worry about it!" frustrating. especially when faced so often by the expectations of colleagues and employers that one *should* already know this and have done that. it's not my experience to hear "oh, of course you wouldn't know that/have done that yet!" more like an exasperated huff and "what are they teaching in schools these days" comment. since i'm not a quick study in regard to *feeling* competent in psychomotor skills, i tend to feel threatened by implications that i may not be meeting expectations. here are these experienced nurses who seem to expect that i should have more comfort and familiarity with a whole plethora of skills, and i not only haven't done a couple of them, but i've only done one or two of them, once or twice, ever... am i supposed to stay in that position in good faith when i know that it will take another six months to a year to really have the skills to fill my job role? that during that time, my colleagues will be burdened by my lack of experience and not only be burdened by it, but huff every time until i do finally get up to speed... i know, i need a thicker skin. : )
yes, a working nurse is likely to get this kind of experience within their first six months to a year. but i think it's a shame and a bit backwards for the newbie to have to not get that kind of experience until after they have the license and have been hired into a position that is really for someone who *already* has that kind of experience. the first six months, the newbie isn't only learning the specific job they are doing, they may be getting their first real exposure to . if nursing school only ensures that graduates are *ready to learn* to practice nursing, as opposed to *ready to practice* nursing, then a formal transition step between nursing school graduate and ready-to-hire rn would seem to be necessary - like residency for physicians.
i do see the many dilemmas with that model. i just also see many dilemmas with the current system. i don't think there are any easy answers, especially when one must factor in limited resources.