What advice to give?

Specialties Educators

Published

I am currently teaching a theory and clinical class for one year BSN students. All the students are college graduates and they have decided to enter into nursing.

In the clinical site, the students are being exposed to the nurses and to the various staff members who have morale issues related to the hospital's staffing and other cutbacks.

To summarize my issue, the students have entered into nursing assuming it was an easy ride to a job that pays a living wage. Now that jobs are tight and the work environment is more complex then they assumed, several of the students are now expressing doubts about taking on serious debt (the tution and fees for the program are over 80K) to get a degree in a crowded and competitive nursing job market.

One student told me that she has "haggled" before and now needs a check. She expressed concern when she saw how hard the nurses and the aides worked and is upset that she may not get a job to her liking when she graduates. Other students fear they will not get a nursing job. Stories about the reality of other fields (working for free (interning), working for very low wages, freelancing, etc) are a constant theme among the students.

Most of these students are average ability and intelligence but have a strong sense of entitlement. When I asked the question of "would you be in nursing school if your first planned career had worked out?", most said no and the others did not answer. I was shocked that not even one student wanted to be a nurse. Nursing was a job with easy access to a job and a good wage. A few saw nursing as "something to do" until the economy turns around. The mentality is not the same as my community college students or my career ladder students who want to care for the patients.

Having been in nursing education a long time,my guess is that most of these students would be in and out of nursing in less then 3 years. My fear and now the fear among the students is that they may not get the chance to get an acute care job and the training that goes with it.

Nursing requires dedication and humility. Neither characteristic is present with this group of students.

My question is what do I say to them to quell their fears? From my limited exposure to them, they are not nursing material...they do not like to follow directions or like to be told what to do. Several of them have master's degrees in various fields.

I am torn because I see this group as not making it in nursing. Academically, they will pass and get through the NCLEX without major stress. It is an unwelcoming job market that awaits then as they hold very unrealistic view of their abilities and of what nursing is about.

It is sad that as a department, we must take in the students and train them even through it is not in their best interest to waste their time or have them take on more student debt. Tution pays the instructors' salaries and benefits.

Advice, ideas or suggestions?

I would not spend a lot of time or energy on this. It is not your job to choose the students based on their genuine interest in nursing. The school admissions process saw to that. All you need worry about is presenting the nursing information and experience they need to graduate. That is enough to keep you good and busy.

Specializes in ER/ICU/STICU.

Why are you feeding into their entitled attitudes by holding their hand and trying to find out some inspirational speech to give them that will change their minds. These are big boys and girls who think they are going to get an easy education, get a decent paying job without little work. Well from your post it now seems like they have an idea that will not be the case. If they want to continue, let them. Your job as an educator is to teach them, not change their reasons for wanting to be a nurse. These are they type of people that only last a few years in this profession anyway. If they want to waste 80k than that is on them.

Stop treating them like little kids and treat them like nursing students and adults.

Specializes in Trauma Surgery, Nursing Management.

OP, I think that you have touched on this subject before in your threads. I am guessing that you are simply frustrated and need to vent.

Since these nursing students have an 'entitled' attitude, let it be. Let them be proud-who cares, really? You have a class to teach. Teach the material as best you can, then let them find out on their own how difficult nursing school is. The best reality check for them will be experience.

I understand your wanting to enlighten your students on the realities of nursing as a profession. That is part of your job. Teach it, then let it go. If these students don't really WANT to be nurses, they won't last long in this profession anyway. Can you imagine what their first day will be like with a preceptor who has been a nurse for a number of years? They bring on the know-it-all attitude, and they will learn the realities of nursing in a hurry.

I see that this has been a major issue with you for some time now. I don't understand why you are worrying so much about it. So you have a bunch of snotty students...you can't change a person's character. You CAN expose them to good sound nursing theory. Don't give yourself an ulcer over something that is clearly out of your control.

You pose the question, "is it morally right to have these student take out loans for over 80K and consume one year of their life when the job market is so tight?"

You further state that most of these students are second career nursing students. By that fact alone, I assume that these adults have researched the nursing profession/trends/employment opportunities prior to putting that 80 grand on the table when they enrolled in your nursing school. The morality of the situation is not your concern. You can't control the job market, can you? These are ADULTS. If you were talking about youngins, then I would understand your dilemma.

For what it's worth, that is my advice. Teach to the best of your ability. Let the rest go.

Specializes in NICU, Peds.

What I struggle with understanding is how nursing schools are continuing to make money if the job market really is that bad. Is it not widely known that there is a surfeit of nurses in the US?

(It's different here in NZ - nursing seems to be very different here. Nursing schools are few and far between, places in them are competitive, it's a lot cheaper, we all come out qualified as RN's with a 3 year Bachelors degree, and if you aren't an RN, you aren't a nurse. Health care is free unless you want to pay for private health care, and all public hospitals run a "New Graduate" programme so many new grads get jobs in a hospital ward.)

Back to topic, I say be honest about the job - both the joys and the hardships. Then stand back and let these grown adults make their own decisions.

Specializes in Med/Surg, Ortho, ASC.
What I struggle with understanding is how nursing schools are continuing to make money if the job market really is that bad. Is it not widely known that there is a surfeit of nurses in the US?

No, oddly, the media continues to tout the imaginary nursing "shortage" and Nursing continues to rank in the Top 10 "stable jobs in demand" lists.

Specializes in Certified Med/Surg tele, and other stuff.
I would advise they take their sense of entitlement and flush it down the toilet. Nursing is ANYTHING but easy, and I am in awe of the fact that executive directors without nursing degrees are the ones determining the staffing ratios. Quell their fears? Nope. Let experience teach them. I just hope it leads them away from healthcare because I don't want them determining my patient load.

Amen!!!:yeah::yeah::yeah::yeah:

Specializes in Cardiac.
nursing ain't for immature wimps.;)

truth! these students will be weeded out of nursing, one way or another.

Specializes in Vents, Telemetry, Home Care, Home infusion.

moved to the nursing educators & faculty for educators perspective and advice.

Specializes in Critical Care, Education.

Very interesting thread. The OP's observations & assessment are accurate - validated by hiring managers in my organization. Their bad experiences with ABSN new grads have resulted in outright rejection of these applicants now. New grad 'churn' (high turnover) is bad enough without trying to deal with their hubris. If nothing else, they should be warned about lecturing fellow new grads, preceptors & more experienced colleagues about their lack of career development & career advancement (srsly).

These students will be the type of nurses that we all hate working with the healthcare facilities. They will whine, complain, bring down morale, and be unhappy with the profession. You are correct in that when something else comes along, most will probably leave nursing. This really creates a revolving door effect in nursing. Nursing used to be a calling and a career but not anymore. As a nursing instructor, I know that it is difficult to teach students who have such "entitled" attitudes. All you can do is provide quality nursing instruction and how that some will see what a great profession nursing can be. The rest may just be doomed to failure and leave nursing (which will be a good thing).

Specializes in Neurosciences, cardiac, critical care.

I'm a recent ADN grad, and this rings pretty true with my experience so far. I worked at a hospital as a nurse tech (basically a CNA) for 1 1/2 years during school, and was assured of a job there upon graduation. Turns out, they decided they'd rather have someone with a BSN (they'll be Magnet soon), no matter if it was an ABSN or online program. It's taken me awhile to get over the initial bitterness, but there's still a bit of resentment. I'm sure there are good students in every program (and bad!) but it would make me nervous to work with/be cared for/have a loved one cared for by someone with only 12 months of clinical experience. I understand that there is a minimum number of clinical hours that are required before taking the NCLEX, but I feel that it takes a bit longer to actually turn into a nurse. I have a previous bachelor's, and as one of my favorite teachers used to say, "Nursing school is about taking your brain and turning it 180 degrees so that you can think like a nurse". Incidentally, she also did a great deal for me by knocking down some of my hubris. I think I've become a MUCH better nurse by realizing what I don't know, and how awesome I'm not (yet =P).

That was a fair amount of random thoughts loosely strung together, but it seemed like a sympathetic crowd. I have faith that in the end, the ones who love nursing will shine through and touch patients' lives, and the ones who are in it for the paycheck will be stuck behind a desk filling out paperwork. I got a job in a better unit than my previous hospital could've given me, by the way =D

Specializes in Behavioral Health, Show Biz.

so...my advice?

if you're not willing to work your butt off in order to succeed and flourish, then you need not apply/continue.

and, have a good life.

leslie

AMEN!!!

:yeah:

Well said.

+ Add a Comment