Rethinking my nursing motivation

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Hello everyone,

Lately, I have been doing a lot of soul searching as to why I am so unhappy in my current job on a med-surg floor. Here's what I've concluded regarding my own influences:

I may have gone into nursing with a biased outlook. I entered nursing school as a true calling, for the sole purpose of helping people- for making a difference in their lives. The other positives I have found are the money, the respect I feel for what I do, the availabity of alternative scheduling, and the vast opportunities nursing has to offer. I feel there will always be a nursing job for me. I like learning skills, attaining new knowledge and performing medical interventions; I enjoy being in an intelligent profession.

Overall, I care a great deal for people and I want to help them to help themselves and to recover from whatever illness they suffer, or ease them into a painless death when it comes to that. I love the idea of wholistic nursing care. I love smiling on a job-well done where I truly connect with a patient. I love going home and feeling I made a difference somehow. I love a spiritual day's work.

Herin lies my dilema; In working as a nurse now for 6 months, I have discovered how much stress and demanding work this is. I may have overestimated my abilities to help people. I could be the most charismatic nurse on the planet, bend over backwards to teach them and help them, but in the end, I haven't made much of a difference. I'm beginning to believe that nursing doesn't allow for life-altering interventions. I feel like a drug-dealer with many of my patients, I feel like a waitress with others, I feel like a useless remote control for everything they don't feel like doing and I happen to be there. I feel my kindness/generosity is often taken for granted with many patients. There are the few and precious patients who do not act in this way, but they are far outweighed by those who demand more.

I'm ranting now but these are true feelings surfacing that I didn't realize would affect my career so strongly. Has anyone out there faced these types of feelings and lived to tell a tale of happiness? Is there no area of nursing I can truly feel I'm doing God's work or will I have to settle for the concept that nursing is just a job? Or was I seriously misinformed and overly zealous about what nursing could be? (I am transfering to a hospice unit in a few weeks in hopes I can be the type of nurse I started this journey to become.)

Please, any responses welcome, I would love to hear them.

Reaching for hope,

JacelRN

Specializes in Operating Room,, Plastic Surgery.

if you are not happy on med/surg, find another job.. Hospice or Home Health nursing sounds like a better fit. the hours can be better to.also you really can make a difference as a home heath nurse.. I know I did it for 2 years, and loved it... but my true calling is in the OR

Good luck and God Bless

Marci

Specializes in ER.

I think you've summed up what has frustrated me about nursing over the years. I got older, was more able to say no (politely) to those taking advantage of me, and moved among departments so I found a spot, and a staff that I liked.

I think you've hit the nail on the head....what you've said is what many nurses are frustrated about. It seems people in general are getting more demanding, less appreciative....harder and harder to deal with. They want what they want, and they want it now...kind of reminds me of a 2 year old, only these are adults! And although all kinds of surveys state that people really respect nurses, I don't see that demonstrated by their behavior towards them. I hope your new job works out better for you. Keep praying about it and searching, and you'll find the right job for you, one that makes you feel fulfilled. :)

Specializes in Med-Surg.

Good luck in whatever you do. A lot of us med-surg nurses get to that point out of school. The trick is to find some peace of mind.

For me some days it's the little things I have to concentrate on. Some days I'm happy knowing I made a big difference. Some days I'm happy if I get out without killing anyone...seriously.

But know this if nothing else, you are helping people and making a difference in their lives.

Some people call what your experiencing reality shock. I'm not sure about that, but I hope if helps to know we all go through that at one time or another.

I'll stop now before I ramble on. Best wishes to you. Hang in there. We need nurses like you who actually care.

(P.S. I left work today saying to the day shift. "I feel like a drug pusher shooting people up." I won't go into it because we have strong opinions about pain managment here, but you know what I mean.)

One thing that has helped me over the years is to realize that by making my contribution, I am helping, even if I don't see the end result. Some place down the line, I figure, my clients will either unwittingly incorporate some of what I tried to share with them, or they may actually have an "ah-ha!" moment and think, "so that's what she meant!"

We never know. I choose to believe that no pebble can hit a pond without causing ripples, someplace.

I'm glad for this post, though. I too am a nurse with a calling, and tend to overestimate my tolerance, energy, strength, etc. This is a good wakeup call for me.!

Good luck, and peace to you.

Specializes in Hemodialysis, Home Health.

ahh, Jacel, Jacel....

I can so totally understand where you're coming from. For truly idealistic ppl (and I am one of them), reality hits harder. I am in total agreement with your hopes, your zeal, your preconceptions about nursing.. the hunger to learn more, the ability to perform all those wonderful nursing skills and use sound judgement... an outlet for the truly caring parts of yourself and fulfilling that desire/need to give of yourself...the whole ball of wax.

But know that we cannot "change the world". If we make a difference in just ONE patient's life every so often, consider it a blessing. For that person and for you. And find that place of contentment in your heart knowing that regardless of THEIR responses (or lack thereof).. that YOU have given your all.

I like knowing that I have given of myself to the fullest, am grateful for that opportunity, and let it go at that.. it is up to the other to "receive" it.. some do and some don't. That is out of my control, so I refuse to worry about it or allow it to bother me.

I, too, would think that hospice is indeed a better fit for you. There you can give your best, be the caring individual I believe you are, be kind and gentle and make a difference. You may not see any "end results" there, either, and often your patiets may not even be conscious or alert enough to even see/know what you are giving of yourself... but that's ok.. YOU KNOW. As does the family.. there, too, is a great opportunity to care, comfort, nourish.

Although nurses so often do not receive the positive feedback we desire and often need to keep us going, my personal reward is knowing that I have indeed been the best nurse I could possibly be for that day.. I have done what I was meant to do. I was given the opportunity. That's plenty to be grateful for right there. :)

Specializes in Emergency/Trauma/Education.

We never know. I choose to believe that no pebble can hit a pond without causing ripples, someplace.

Thanks for this statement Chris.

Thank you all so much,

I just woke up after working last night and when I read all your posts, I cried. :crying2: I guess I had so much emotion inside and no real outlet for it. I talk to my coworkers and every once in a while I get a true friend who will tell me they too have felt this way, but it mostly just turns into a complaining session about managers, holiday schedules, bonuses, etc.

While those things are important to people (and me sometimes), I am searching for the higher purpose. I realize I may never reach it, as many of you have said. But to strive for it and believe I may be that pebble in the pond is a relief. If no patient ever gets what nursing is really about for many of us, I may have to settle for God's knowledge. Maybe I was looking in the wrong place all along.

Thank you for reafirming there are others out there like me who view this as more than a job. Thank you for the kind words and redirection. I guess I just needed a virtual hug and an acknowledgement that yes, this does happen to the best of us and yes, there is a way to live through it.

Tweety, I wanted to hear you ramble when you mentioned it (About the reality shock). If you feel up for it, I'll listen. Perhaps its what any of us need, just someone else out there saying "Yeah, I felt that way too!"

Love you guys and gals,

JacelRN

Jacel,

Your words have really hit home for me..which is weird because I haven't even started working (New graduate nurse). I've been feeling this way only after having experienced clinical rotations. I feel that if I stop now, my husband and family would look at me like I was crazy. I'd also feel guilty for all the effort and $$ I put in my education. I want to do good, but I feel there are forces against me (demanding schedules, unpleasant coworkers, liability, pretentious MDs. Also failed NCLEX after first attempt.

I'm going to continue, just as I think you should. It's important to find your niche. I can't wait to hear about how much you enjoy the gift you provide your clients and how much better you feel when you return home.

Good Luck to you and thanks for the post. You helped me realize some things I'm experiencing and where I need to go.

Fizz

It sounds like lots of newbies are in the same boat. On my floor we are loosing the new nurses left and right. I have been a nurse for about 10 months now and I decided to go back to school for a non nursing related advanced degree.

I am on a med/surg floor and its taxing at best-but then there are those days when a pt is able to tell you how much you helped them and then for that moment things make sense. I wish you luck in you endavour- there is a fit for eveybody and that is one of the best things abt nursing- the ability to move and change.

JacelRN, you described the plight of nurses perfectly.

But you know what? If I ever have to have a nurse ~ I HOPE IT'S YOU.

(edited to add: I meant in a hospital - I FORGOT you're going to hospice!) :chuckle

You will do very well there, I predict.

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