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/

On 4/25/2020 at 8:06 PM, whalestales said:

@tridil2000 Will you be my nursing professor? You sound great, and I'm so nervous to start in the fall

It's been a minute-

what a year, or should I say 2?! ugh - Anyway, how are you doing now?

On 5/11/2020 at 2:50 AM, KalipsoRed21 said:

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?!?!?!?

I really liked your comment, and wonder how you feel about what I call, "clinical care RNs," and not "bedside" RNs, making BANK these days! Finally after pushing them beyond burnout, beyond mass exodus, and beyond PTSD - finally, their worth is getting the attention it always deserved!! Healthcare never thought nurses would throw in the towel- surprise! Game changer! And previous nurses should have had the gumption to do this years ago!

Specializes in Surgical Specialty Clinic - Ambulatory Care.
7 hours ago, tridil2000 said:

I really liked your comment, and wonder how you feel about what I call, "clinical care RNs," and not "bedside" RNs, making BANK these days! Finally after pushing them beyond burnout, beyond mass exodus, and beyond PTSD - finally, their worth is getting the attention it always deserved!! Healthcare never thought nurses would throw in the towel- surprise! Game changer! And previous nurses should have had the gumption to do this years ago!

Thank you. I haven’t heard of clinical care RNs but I believe anything that puts the power back in the hands of actual care professionals and out of the grubby hands of hospital administrators is great! We all should just walk out these days. If the pandemic hasn’t taught healthcare workers how dispensable employers think they are then nothing will. 

Specializes in Emergency.
8 hours ago, tridil2000 said:

It's been a minute-

what a year, or should I say 2?! ugh - Anyway, how are you doing now?

Hello! I graduate in May (hopefully) 

Covid and nursing school is awful. Do not recommend. On top of the normal complaints, rules and procedures changed week to week and nobody including staff seemed to know what was going on. 

Specializes in CRNA, Finally retired.
12 hours ago, whalestales said:

Hello! I graduate in May (hopefully) 

Covid and nursing school is awful. Do not recommend. On top of the normal complaints, rules and procedures changed week to week and nobody including staff seemed to know what was going on. 

Get used to it:)  Change is a component of working in a rapidly evolving scientific environment.   Just accept it as an -ism.  The whole world is stressed out..not just nursing students.  I'm sorry you have to start your career in these difficult times.  Spend time learning how to care for yourself.  It's an important skill set.

Specializes in Former NP now Internal medicine PGY-3.
On 4/18/2020 at 11:34 PM, tridil2000 said:

Once again with the millennials. You're educating gen Z now. The millennials have kids in middle school already.

They will still be blaming millennials 200 years from now

On 1/13/2022 at 1:59 AM, whalestales said:

Hello! I graduate in May (hopefully) 

Covid and nursing school is awful. Do not recommend. On top of the normal complaints, rules and procedures changed week to week and nobody including staff seemed to know what was going on. 

Flexibility is a life skill that will be very beneficial as you begin your practice. GOOD LUCK!

Specializes in Surgical Specialty Clinic - Ambulatory Care.

Quit telling this person how great flexibility is. Good lord, this is how people die. Yes, acceptance of change is necessary. Weekly/daily change is just butt-effing dangerous. Mostly because people are just spewing their best attempt to get it right in a short time instead of slowing the eff down and getting it done right the first time. Who dies from this idea that nurses should “just deal” with excessive and ineffective change? Patients, nurses, CNAs. I would bring your attention back to a case of Ebola in Dallas years ago where a nurse “dealing with rapid change” followed all the guidelines known to her facility administrators at the time and got Ebola from the patient she was caring for because the ***ing administrators didn’t make sure she got the right PPE (Ebola care guidelines were well known and practiced in Africa, your telling me there wasn’t an agency they could have gotten a hold of to help them have the information they needed? Bull****) or instructions to use it. Then after the nurse got Ebola not only did they try to tag her with the bill for a month or so of hospitalization, saying it was her fault she got sick, but they also said that she was a crap nurse who didn’t follow instructions and that is why she got sick. (Let’s just say there was limited staff willing to care for this patient and this superstar nurse stepped up. So calling her crappy was WAY below the integrity belt.)? So screw the idea that to be a nurse you have to be good at adapting quickly. You have to adapt. But a quick half-assed fix can often cause more harm than doing nothing until the right thing is understood and appropriate policies implemented. COVID doesn’t need all this “adjustment”. Wear an effing N95 mask, gown and gloves, sanitize your hands going in and out of rooms, spend as little time in COVID rooms as you can and provide good care, get vaccinated if your doctor says you are a good candidate, and get tested/quarantine if you think you have symptoms. 

On 1/15/2022 at 12:37 AM, KalipsoRed21 said:

Quit telling this person how great flexibility is. Good lord, this is how people die. Yes, acceptance of change is necessary. Weekly/daily change is just butt-effing dangerous. Mostly because people are just spewing their best attempt to get it right in a short time instead of slowing the eff down and getting it done right the first time. Who dies from this idea that nurses should “just deal” with excessive and ineffective change? Patients, nurses, CNAs. I would bring your attention back to a case of Ebola in Dallas years ago where a nurse “dealing with rapid change” followed all the guidelines known to her facility administrators at the time and got Ebola from the patient she was caring for because the ***ing administrators didn’t make sure she got the right PPE (Ebola care guidelines were well known and practiced in Africa, your telling me there wasn’t an agency they could have gotten a hold of to help them have the information they needed? Bull****) or instructions to use it. Then after the nurse got Ebola not only did they try to tag her with the bill for a month or so of hospitalization, saying it was her fault she got sick, but they also said that she was a crap nurse who didn’t follow instructions and that is why she got sick. (Let’s just say there was limited staff willing to care for this patient and this superstar nurse stepped up. So calling her crappy was WAY below the integrity belt.)? So screw the idea that to be a nurse you have to be good at adapting quickly. You have to adapt. But a quick half-assed fix can often cause more harm than doing nothing until the right thing is understood and appropriate policies implemented. COVID doesn’t need all this “adjustment”. Wear an effing N95 mask, gown and gloves, sanitize your hands going in and out of rooms, spend as little time in COVID rooms as you can and provide good care, get vaccinated if your doctor says you are a good candidate, and get tested/quarantine if you think you have symptoms. 

Oh my. First, no where did I ever write or imply what you just typed. Do not imply I did; so let's be 100% clear on that.

Despite this angry post about our profession and infectious disease, please be assured that FLEXIBILITY, is without question, a very critical life skill in ANY industry. You cannot survive a rip current doing the same old thing.

Think of all the business owners that had to quickly pivot to online business and home delivery. Look at all the people that had to adapt to virtual learning and Zoom sessions, or risk being left behind. Look at all the people who saved and planned for a well deserved vacation, who got to the airport only to find that their flight was cancelled. Think about all the drivers who had specific routes and deliveries for years, that had to make a change to adapt to supply chain issues. Think about new parents who couldn't get diapers for weeks on end, and had a newborn baby, who found ways to manage such a crisis. Imagine Scully, the pilot whose plane lost an engine a few years ago, who unconventionally decided to make a soft, albeit crazy landing on the Hudson River. Think about the Etsy seller, who thought product X was their big hit, and invested in producing a lot of X, but it turned out that product Z is what the customer was demanding, and they had to completely redirect all their business plans and efforts overnight.

As a person beginning your adult work life, in a world where things change sometimes hour to hour in the 21st century, having the ability to be flexible and adaptable will always support your success. In the end, it is not the strongest or the smartest who survive, it is the one most capable of adapting. 

 

Specializes in CRNA, Finally retired.
On 1/15/2022 at 12:37 AM, KalipsoRed21 said:

Quit telling this person how great flexibility is. Good lord, this is how people die. Yes, acceptance of change is necessary. Weekly/daily change is just butt-effing dangerous. Mostly because people are just spewing their best attempt to get it right in a short time instead of slowing the eff down and getting it done right the first time. Who dies from this idea that nurses should “just deal” with excessive and ineffective change? Patients, nurses, CNAs. I would bring your attention back to a case of Ebola in Dallas years ago where a nurse “dealing with rapid change” followed all the guidelines known to her facility administrators at the time and got Ebola from the patient she was caring for because the ***ing administrators didn’t make sure she got the right PPE (Ebola care guidelines were well known and practiced in Africa, your telling me there wasn’t an agency they could have gotten a hold of to help them have the information they needed? Bull****) or instructions to use it. Then after the nurse got Ebola not only did they try to tag her with the bill for a month or so of hospitalization, saying it was her fault she got sick, but they also said that she was a crap nurse who didn’t follow instructions and that is why she got sick. (Let’s just say there was limited staff willing to care for this patient and this superstar nurse stepped up. So calling her crappy was WAY below the integrity belt.)? So screw the idea that to be a nurse you have to be good at adapting quickly. You have to adapt. But a quick half-assed fix can often cause more harm than doing nothing until the right thing is understood and appropriate policies implemented. COVID doesn’t need all this “adjustment”. Wear an effing N95 mask, gown and gloves, sanitize your hands going in and out of rooms, spend as little time in COVID rooms as you can and provide good care, get vaccinated if your doctor says you are a good candidate, and get tested/quarantine if you think you have symptoms. 

Who do you think said "Deal with it."  Your rant is difficult to understand except for the end.  

I think you are spreading misinformation here.

 

Sounds like you are describing Gen z and zillenials. Millennial are 30 to 45 and most raised without smart.phones and internet access until mid high-school or college. 

Specializes in Occupational Health.
Daisy Joyce said:

Still not sure why we other generations have to change to reach them.

They either have the skills to learn, or they're out.

Exactly. The reason they're in this "predicament" is lack of motivation, dedication, or whatever euphemism you wish to use to describe a less than stellar work/school ethic. Their problems are not my problems to be solved...this should have been addressed long ago. There are consequences to every choice and every act which this generation is now finding out the hard way. They are looking for excuses and rationales to justify their actions, or inactions, and when that's not enough everybody and everything needs to change in order to "accommodate" them.