What Is Wrong with These Students?

A discussion of teaching Millenials from a Baby Boomer nursing Instructor perspective. Specialties Educators Knowledge

Updated:  

Have you ever looked out at your student filled classroom to see that half are paying attention? Are they taking notes on their tablets or laptops? Don't be fooled! A close look may reveal facebook scrolling or Amazon-buying. Social media is integral to this generation's community experience.

That realization brings an understanding of their preference for a text message to a face-to-face encounter.

There is nothing wrong with social media. We do enjoy looking at baby pictures of our high school and college friends. And what does our Ex look like now? Day-to-day personal and work routines of banking, ordering goods, and emailing have thrown us right into the middle of the digital age. Our families keep in touch through texting or facetime. And we look everything up online. Times have changed!

Connecting with our millennial students' means, like it or not, we have to get on board with digital communication.

Expanding within the digital environment sets these students apart, as does a lack of confidence. Millennial students who perceive life as stressful rely heavily on their previously hovering parents or guardians to help them navigate life's challenges. As a result, the autonomous nature of the nursing profession and the emphasis on the responsibility of decision-making that can impact lives is difficult for them.

Understanding this is crucial to recognize stress and anxiety which can inhibit learning.

Millennial students are ambitious, optimistic, gravitate towards working in teams, conventional and need to feel important. Expressions of appreciation gain of these students' attention as do small recognitions.

We might have to start giving them a pat on the back for coming to class on time!

Other ways faculty can show they appreciate their millennial students

  • Learn and call them by name (you won't remember them, that's what seating charts are for)
  • Introduce yourself on the first day of class (don't assume they know who you are!)
  • Clearly outline your expectations (these students are very concrete thinkers) - give them specific rubrics and firm due dates
  • Provide a lot of feedback (oral and written)
  • Don't criticize in front of the class (you shouldn't do this with anyone)

Millennials tend towards skepticism. After all, their parents were baby boomers who didn't trust anyone over 30! Review how you present the information. What worked with older generations simply won't work with this crowd.

Nursing faculty must gain student trust, helping them become accountable individuals that collaborate in the learning process.

Tried and true instructional methods for millennials

  • Give them questions and scenarios that relate to the real world as they understand it
  • Have students share their research with classmates
  • Encourage working in small groups to solve problems
  • Make use of available technology (incorporate computer games and resources, like Socrative© in the lesson plan)
  • Ask for their help (Millennials are helpers in the strongest sense of the word)
  • Utilize all types of learning in the classroom (don't shy away from hands-on practice and demonstration)
  • Give nursing students in upper-level courses the opportunity to engage in service-learning

Millennials are diversity sensitive. 21st-century American universities and colleges have greater inclusivity. Depending on where you teach, specific unique cultural or ethnic considerations may need to be incorporated into the classroom. They are adaptable to change so long as it is fair and clearly defined. Tolerant of differences, they may appreciate your personal quirks but they expect you to do the same for them.

Working with a classroom full of Millennials isn't easy. Understanding how they differ from you and your colleagues lends to successfully bringing them to the graduation finish line.

References

Center for Teaching Innovation (n.d.) The Millennial Generation: Understanding &
Engaging Today's Learners. Retrieved from: https://teaching.cornell.edu/resource/millennial-generation-understanding-engaging-todays-learners

Lynch, M. (2016). Top four ways to engage millennials in learning environments. The
EdAdvocate. Retrieved from: https://www.theedadvocate.org/top-four-ways-to-
engage-millennials-in-learning-environments/

Specializes in Former NP now Internal medicine PGY-3.
14 minutes ago, PamtheNurse said:

Tegridy,

Lecturing is only one tool or approach to conveying the information. And yes with the technology that is available there are other ways to convey information and confirm that the information has been absorbed.

However, that has created problems for instructors, which and what do they use, where and how long, and what is allowed. Add to that the number of and varying types of portals of information and the multifaceted role required of nursing faculty are leading factors in burnout as I am sure you can imagine.

At first, participating in that environment and then witnessing it is why I got fascinated enough to want to explore if there is truly a correlation. Hence the research and survey soon to come out here in allnurses.com.

Pam the Nurse

It is hard. Education gets easier as time goes by since we have more methods to provide it but gets a hundred times more difficult at the same time since there is more knowledge out there and resource fatigue can set it. Looking forward to the survey.

Specializes in Surgical Specialty Clinic - Ambulatory Care.
On 3/31/2020 at 11:26 PM, PamtheNurse said:

IIg,

Traditionally schools have been the gatekeepers, however, in recent years that role seems to have changed. Financial pressures, chronic shortages of faculty and nurse shortages and more have been the explanations offered by schools.

Is the NCLEX is not enough? What measures could be put in place to identify the unprepared graduate?

What could experienced nurses do to reverse the trend of lowered standards?

Daisy Joyce states that "They either have the skills to learn, or they’re out." Do you agree?

Pam the Nurse

Pam,

First I would let you know I agree with tridil2000 that you are likely not educating Millennials any longer as I am a Millennial and am 39 years old.
I would like to address some of the statements in your article.

1)”Millennials tend towards skepticism. After all, their parents were baby boomers who didn’t trust anyone over 30! “

I am skeptic but I don’t think it is because my Boomer parents “didn’t trust older people.” I buck authority and am generally distrusting of upper management, Government, and organizations/corporations because I saw how my parents were treated by the corporate world. They were fired for no reasons after years of loyal service (10-15 years at a time) their 401Ks depleted while they looked for a new job and were given pittance for their experience because they lacked higher education. Then I watched as less experienced but degreed labor were hired into their positions at half the rate they had taken 15 years to earn. (So did the company really value the degree and or was letting my parents go an easy way to increase their coffers and higher educated employees just an acceptable excuse to kick out my parents?) Then my parents got new jobs and had it happen all over again. Now they are in their early 60s with maybe 40k for retirement and now having ever increasing difficulty finding new jobs because of ageist attitudes, being offered poverty level pay for all their experience, and needing to continue to work because they can’t go without health insurance.
And really I’ve seen this also play out with several of my RN co-workers who actually like bedside care and don’t want to be in management or further their education. They’ve worked at the same hospital for 15-20 years and their hourly pay is crap compared to what I was making as a new grad. The best increases in pay that I have received as a nurse have been when switching jobs with different facilities. So tell me, why should I or any employee should give a who-ha about our employer’s expectations? I am all for the attitude of my needs and life first and whatever I have left I can give to my employer for the highest price. (BTW- I didn’t start out feeling this way about my career, but it certainly didn’t take long once I started working as a nurse to see that the ‘calling’ and dutiful nature of healthcare professionals was and is being completely manipulated by the business of medicine to squeeze out as much cash from us that they can with no concern for our well being or the patient’s (aside from the expectations that have to be met to prevent a law suite.)

2) Your overall assessment of younger generations has obvious prejudice based on stereotypes and a deafening lack of understanding of how the work environment has changed from when you were coming up as a nurse and current economics. Boomers, because there were so many of them, had steeper competition for jobs. They were often having to bend over backwards to keep poorly compensated positions while the infrastructure for bargaining was being depleted at alarming rates due to stupid “Right to work” laws. Today there is a shortage of workers and a shortage of trained workers. Bargaining and unions are slightly on the up tick but companies (especially hospitals) are mostly still working on the premise that they can get away with forcing their employees to “do more with less” and then not appropriately compensate them. Younger generations are showing this attitude from their employer the middle finger. Your generation looks at that attitude as ungrateful and entitled.

Now from the time you started as a nurse until now the patients have gotten sicker, are staying in the hospital a shorter amount of time, nursing staff are being cut as low as possible and care is being provided by CNAs and less by RNs, students are being pushed through RN programs that are very substandard in hands on training compared to when you were in school and paying out their rear ends to get through these programs. Then they get out of school with all their theory but insufficient hands on experience due to a lack of instructors and/or out of concern for liability by the school. They go to work and get put in preceptorships with RNs who have to high of patient loads to teach the new grad the skills they didn’t get to learn in school, then when they are on their own, are overwhelmed, slow, and struggling with the MANY gaps in their education, us experienced nurses call them sissies (like you have in this article) and wonder why they are crying and can’t make it through a shift.

In conclusion, we give new RNs great theoretical knowledge but poor hands on experience prior to graduating a ludicrously expensive nursing program; promise them support upon hire at a facility and fail them again with RNs who can’t train them due to pseudo staffing shortages instituted by hospitals to increase profit margins; bully them once they are on their own due to their lack of ability to keep up by passively aggressively calling them entitled for wanting to have regular breaks at work, being able to eat lunch uninterrupted, to not be called every day you are off to be asked to come back to work, and giving them minimal raises each year; ....and you can’t see why none of them want to stay at the bedside and wish to only have minimal experience before starting a higher level program in hopes of appropriate pay and a better work/life balance?!?!?!?

Specializes in NICU.

Keep in mind that the millennial generation is largely considered those born between 1980 and 1995. That means the oldest are age 40 and the youngest are age 25. I think you mean the next generation, which is generation Z, those born between 1996-2015.

Specializes in Education.

KalipsoRed21,

Our college is actively teaching the tail-end of the millennials, the average age of our students is 32-34. You are correct, in the 70’s and 80’s corporate management changed employee treatment. Someone got the bright idea losing “lifers” would save money. And, true, degrees seem useless no matter the number or years of experience acquired. Why get a terminal degree when there is no financial benefit?

My stated overall assessment of generational differences is from legitimate study research data. The work environment has changed, for all nurses, not just for younger nurses. Hospital systems have become money generating corporations, the emphasis is the more work for less pay - all the better! Corporate healthcare focus is not in quality of care, but in accomplishing patient care with as few lawsuits and government penalty fees as possible. That is another topic for another day. Many states do not have unionized nurses. Many that do complain the unions have changed and no longer look out for members.

I’ll agree to disagree that some young people feel entitled and are ungrateful. I will however add this here ""The world is passing through troublous times. The young people of today think of nothing but themselves. They have no reverence for parents or old age. They are impatient of all restraint. They talk as if they knew everything, and what passes for wisdom with us is foolishness with them." (Peter the Hermit in A.D. 1274)

Also, let me explain my impression of the circumstances that patients now appear more ill. Back in the day, patients were just as ill but spent a reasonable amount of time in the hospital to recover. Patients were not forced to discharge home before they were ready. Today they are, resulting in patient ER visits in very serious condition and are often re-hospitalized. As part of my nursing practice as an educator, I regularly take students to the hospital for clinical rotations, the increased acuity of returning patients is obvious. I see the younger, more recent grads struggling to keep up. And, as you so aptly stated, modern nursing schools do not have adequate hands-on clinical practice. Education is cyclical, we moved from a focus on hands-on clinical practice of the hospital based training to university based theory and science education. I foresee a time when backtracking will happen and the curriculum focus will change from theory and science to actual patient care. Thank you for your thoughtful comments.

Specializes in Education.

BabyNP,,

The university BSN program within which I teach the average age of student is between 32-34, therefore millennial. Interestingly, with every semester the average age is rising not decreasing. Therefore, we have been teaching the millennials for some time. That and my assessment of generational differences from legitimate research data was the basis for my statements.

Thank you for your comments. My fascination with the environment of education particularly nursing education and the experience of the nursing faculty lead to my doctoral work on the topic of nursing faculty burnout. My research survey will be coming soon!

Specializes in Nursing Education, Public Health, Medical Policy.
On 4/25/2020 at 2:41 PM, tridil2000 said:

I like to see them think. I like to see them imagine and want to understand. I truly enjoy listening to them think outloud. I can see where their thoughts are developing, and redirect that thinking in real time.

I make a big deal when someone "gets it!" I act as if they just saved MY life.

Yes, I use metaphors and stories, and honestly, even memes!

Their enthusiasm keeps me going. it's symbiotic!

I also use enthusiasm, metaphors, stories and memes and I generally feel as if my students are engaged. I also use humor which helps to keep everyone in a good mood during lectures. Of course there are always a select few students who won’t engage, for whatever reason . I have done my duty to them by presenting content needed to become a good and safe nurse.

Specializes in Pediatrics, Burn/Trauma, Med-Surg, Nurse Education.

Nursing schools are not just full of millennials now! I personally think it's about who you are as a person, integrity and character when identifying issues with students in nursing school. I'm actually a millennial TEACHING multi-gen groups. I was mature and focused in nursing school 11yrs ago as a 20yo. Now as an instructor, I give clear expectations (like you mentioned), give quick feedback (constructive and encouraging), support. But at the end of the day I'm not spoon feeding anyone, period. It's not a generational problem. It's an integrity, character issue.

Specializes in CRNA, Finally retired.
On 4/24/2020 at 8:25 AM, Tegridy said:

Maybe your lectures suck and students learn more sitting at home in their own. Class time should be for test taking and hands on skills not listening to mundane lectures.

Oy vey. Maybe it's important for one to be able to sit in a chair long enough to get through a lecture and show that you have an actual attention span that isn't all jangled by electronics.

Specializes in Education.

Lecturing is as much a science-based action as it is an art. One's artistic expression is as individual as is the art viewer's experience. With the lecture, the Instructor is attempting to convey the information the students' (hopefully) are attempting to understand and incorporate into their knowledge base for future use. That is the basis of their contract. The impediments to the completion of the contract are many, too many to be discussed completely here. However, just as an artist and the art viewer have an emotional investment in their contract so does the Instructor and student, and when the contract is perceived as violated so are the emotions. Hence an outburst such as the one above.

PamtheNurse

Specializes in Education.

Megan1977 & NurseLizabeeRN,

I compliment the two of you. You both are obviously dedicated to your endeavor to educate students. It is a formidable task. My interest is in the experience of nursing faculty and the possibility of burnout. What are your thoughts on burnout and nursing faculty members?

PamtheNurse

Specializes in Pediatrics, Burn/Trauma, Med-Surg, Nurse Education.
12 hours ago, PamtheNurse said:

Megan1977 & NurseLizabeeRN,

I compliment the two of you. You both are obviously dedicated to your endeavor to educate students. It is a formidable task. My interest is in the experience of nursing faculty and the possibility of burnout. What are your thoughts on burnout and nursing faculty members?

PamtheNurse

Thank you! My thoughts are that you must have adequate support from leadership and peers, some level of work-life balance, coupled with growing a fair amount of thick skin, and an innate desire to teach amid the politics to prevent burnout. I know it's long, may even seem impossible (LOL) but I'm hopeful. For me at this time, I'm focused on professional development as I'm still fairly new to this role. I also am intentional about being mentored by a select few who have been successful and impactful in academia for a considerable amount of time (10+ years), not just nursing education.

Specializes in Education.

NurseLizabeeRN,

It sounds like you do have a doable plan. It is interesting you have mentioned "adequate support from leadership and peers, some level of work-life balance" and "an innate desire to teach amid the politics". My research variables are nursing faculty member self-efficacy, perceived organizational support, and burnout. Your other indicated factor is "coupled with growing a fair amount of thick skin" would you define that as resilience? If so there is some research that does indicate resilience does mediate burnout. Have you read any research that you arrived at these factors as part of a successful plan? There is also research (not nursing - physician) that explored the possibility of physicians as graduates actually more successful in diagnosing and treating patient than their elder counterparts. What caused you to determine to work with nursing faculty members with >10 years of experience?

PamtheNurse