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^^^^^ Not quite. Many nursing students or new nurses will start their posts off by asking what field/specialty or position offers the highest amount of pay for the least amount of stress. I'm not trying to find the holy grail, I know that might mean a pay cut and I'm fine with that. I figured I'd give a little background information to help see what might better fit my personality type. I'm not looking for stress-free, just something that is lower stress. I'll try to be as concise as possible....
BACKGROUND: Recently graduated and licensed, BSN-RN, working on a med/surg floor for a few months now (
Time management- It's an acquired skill that I am still struggling with, as I assume most new-grads are, but I feel like I get flustered easily when something unexpected happens -which is completely opposite to my personal life where I can throw myself into completely unexpected/unknown situations, improvise and thrive. In the clinical environment, however, if something happens that I didn't plan for (patients being extra needy when I'm in the room, IVs going bad or being pulled out since we have to do our own IVs, IV pumps or other equipment not functioning properly, etc) I take too much time trying to solve the problem and then start worrying about how much time I'm wasting or how behind I'm getting and then my capacity to critically think decreases.
Other stressors- I don't want to become bitter or dislike people because of how whiny, needy, deceitful or otherwise difficult they can be. During nursing school rotations, all the nurses on any unit I had ever visited looked haggard and aged and I know it's because of the stress. I've been noticing I have less patience at home lately as well. Lately I've been starting to look at my patients and their needs as a series of tasks, hoping they don't need anything extra so that I can get my other stuff done. I don't want that, I truly care about people which is why I question whether or not I'm right for this environment, that my patients deserve someone better and that I should just step aside and let someone more capable take my place. I don't feel like I'm able to perform the care I want to deliver. I feel like I just complete a series of tasks until the shift is over. Additionally, I'm visually impaired and although I have found ways to accommodate myself, it does slow me down a little.
Strengths- I have been told by professors, clinical instructors, and preceptors that I have excellent written and verbal communication skills; I speak to patients with empathy, I'm good at quickly establishing rapport, I am bilingual, I don't mind a potentially threatening environment (like the prison or psych), I'm compassionate, I don't mind physical labor (although repositioning bariatric patients in bed is not ideal) and I'm willing to learn/try anything.
Goal: I'm simply looking for a lower stress area of nursing that is attainable for a new grad with only a few months under his belt. I know that some specialties that are lower stress pay less, I'm okay with that (within reason of course). I'd like something that is full-time or close to it, that I can at least make about 35-40k a year and lower stress than what I'm doing now.
Areas that I've considered
Psych and/or behavioral health- I was good at it in school (the class portion anyway, I didn't have a very good clinical; not a whole lot of patient interaction)
urgent care- seems like it might be nice, but they probably wouldn't take a new grad
school nursing- seemed very low stress during my clinical, but not my first choice
OR- I read a post saying it was nursing's best kept secret even though you really have to know your stuff. I wonder if being visually impaired would be more troublesome here since there are likely many pieces of equipment that look nearly exactly the same, I don't know.
ICU- I don't really consider this low stress, but since a lot of my stress comes from time management, maybe not juggling as many patients might help? I don't know, I was pretty intimidated by it in school so who knows.
Community health/clinic- So far this is what I've been gravitating towards the most lately. most patients are non-emergent, I can do a lot of patient teaching and therapeutic communication, I'm bilingual and I can feel good about impacting my community. Downside is that other than maybe vaccinations, I don't get to keep my clinical skills up, which I might be okay with, I haven't decided.
Home health- I've heard a lot of mixed things about this.
CDC- a long time ago, a recruiter came to my college talking about how RNs work for the CDC in a different role than the bedside; haven't looked much into in since. Maybe someone out there knows and can shed more light?
Cosmetics- Yes, I know I want to help people, but if this provides me the best work-life balance, I'd be willing to consider it. I've heard some people making more in cosmetics than the hospital, then I could always volunteer on my off days to get my fix for helping people
Hospice- Another one I've heard mixed things about.
Correctional- I enjoyed a rotation there in school, but most of the prisons are so far from me that they would not be my first choice. I already drive an hour to work because of traffic (and it's only 30 min away).
Doctor's office- This one is highly dependent on the individual office which makes it hard to pin down. Most likely the lowest pay.
Occupational health- not sure if this is a niche thing that might be hard to get into
Pharmaceutical/medical sales- Another one that I hear is hard to get into
Insurance companies- Another one that probably requires years of experience.
Well, sorry for the novel. I'm interested in what you guys have to say
Do not do home health it is NOT low stress, unless perhaps you are willing to only work part time or PRN.
I worked 11pm to 7am in a state psychiatric facility as the charge RN on my unit, and that job, for me, was quite easy and mostly low stress. The only time it was ever stressful... and this could be QUITE stressful... was when someone would wake up and decide to start "going off". And occasionally, you would have those patients who never slept... if you could find a way to keep them occupied, you were good.
Otherwise, I swear I did a lot of sitting around and reading.
I definitely appreciate all of the input and encouraging words (and even hugs :)).
To clarify, however, despite all recommendations to stay, I'm 90% sure I'm leaving the hospital environment which is why I ask that you continue to procide your best opinions onlower stress jobs Please!
I know your ability to deal with the stress improves as time goes on but I can't live like this. I don't have the nerves to last me until it gets better, and I've even seen experienced nurses on my floor get super stressed, so I know the stress won't ever completely be behind me. I'm aware that this is just the nature of the field, which is why I lean towards something outside the hospital.
Maybe I have an anxiety disorder that only surfaces in the clinical/hospital environment, or maybe I'm just maxed out on coping mechanisms (there is A LOT of chaos in my personal life right now, among which, not having time to grieve multiple recent close deaths). Maybe a combination of both.
As a side note, tothose who were encouraging me to stay in the hospital, I'm considering giving it another try at another hospital which MIGHT be better. At mine we can have up to 6 Pts vs 5 max at the other, and at my hospital we have to start our own IVs vs IV team at the other (which for me, IVs are a significant source of stress because I'm awful at them) and the other is a Magnet hospital. This other place was my first choice but I didn't get in right out og school. If I don't like it there, I won't like it at any hospital. My only worry is that if I don't end up liking it there, I 'll have a contract and can't leave.
We'll see, THAT residency program doesn't start until Spring, so I may not be able to wait that long to get out of my current job. If any of the behavioral health or public health jobs I've applied to offer me a job before that, I'm inclined to take them.
Am I the only one who just wants to give OP a big ol' hug???
I certainly don't want to give him a big ol' hug. Actually I'm irritated. Nursing students have been warned time and again that this is a STRESSFUL field. Every nursing job I've ever had has been stressful and difficult in one way or another. Nursing IS NOT easy. Everyone and their brother wants to be a nurse now, but without the awful patients, or the difficult time-management, or the hard ratios and bad management.
I've been a nurse for 23 years and it is a taxing career, but with amazing rewards at times. So the newbies now want 'less stressful' careers? Forget about it or get out of nursing. I'm a horrible diabetic with rheumatoid arthritis, but I still work and carry my weight. Welcome to nursing, it is what it is.
And for those that think psychiatric nursing is easy, think again. Want 50 patients that are constantly trying to self-harm, commit suicide, or create chaos? Yeah, it's really stressful.
And I don't mean to sound like a witch and I also have dealt with anxiety and personal stress (who hasn't), but this is nursing. We've all had to learn how to handle the stress or leave the field.
Each time I see a post from a potential, want-to-be nurse who wants no stress, but high pay, and actually expects that to happen even before they are nursing students or nurses-----or brand-spanking-new grads, I just have to fall back on an old Southern saying in my mind: "Bless their hearts". And you southern folks know exactly what that really means.
I certainly don't want to give him a big ol' hug. Actually I'm irritated. Nursing students have been warned time and again that this is a STRESSFUL field. Every nursing job I've ever had has been stressful and difficult in one way or another. Nursing IS NOT easy. Everyone and their brother wants to be a nurse now, but without the awful patients, or the difficult time-management, or the hard ratios and bad management.I've been a nurse for 23 years and it is a taxing career, but with amazing rewards at times. So the newbies now want 'less stressful' careers? Forget about it or get out of nursing. I'm a horrible diabetic with rheumatoid arthritis, but I still work and carry my weight. Welcome to nursing, it is what it is.
And for those that think psychiatric nursing is easy, think again. Want 50 patients that are constantly trying to self-harm, commit suicide, or create chaos? Yeah, it's really stressful.
And I don't mean to sound like a witch and I also have dealt with anxiety and personal stress (who hasn't), but this is nursing. We've all had to learn how to handle the stress or leave the field.
Please don't misunderstand and jump to conclusions, making knee-jerk accusations. I simpy stated "less-stressful", not "no stress", and not "low stress". We all agree that like, pain, stress is also subjective. I clearly define parameters as to what I find stressful, and whar I do not. Psych (what limited experience in it that I have) I found to be a more manageable type of stress, not easy. Let's also agree that floor nurses are not the be-all-end-all of nurses, and there are plenty of specialties that don't involve medsurg skills. I understand the frustration of your comment, however misplaced it might be.
Each time I see a post from a potential, want-to-be nurse who wants no stress, but high pay, and actually expects that to happen even before they are nursing students or nurses-----or brand-spanking-new grads, I just have to fall back on an old Southern saying in my mind: "Bless their hearts". And you southern folks know exactly what that really means.
i completely agree. I am not looking for maximum lay and minimum work. I'm aware that I will have to take a pay cut in order to find my happy medium.
As an update, after leaving he hospital, I received multiple offers for community health and mental health positions. I ended up deciding mental health (since it was higher paying than many of the community health options).
To clarify my position, I was never looking for easy, but a more manageable level of stress based off of my perception of what I find most stressful. Don't mistake me for some kid fresh out of school who hasn't experienced life. This is a 2nd career for me; I'm a grown man who knows what works and what doesn't. I know high levels of stress are part of healthcare culture. If there is one thing, however, that the multiple recent deahs in my family have taught me, it is that life is too short to spend it being miserable. Even worse, to shorten it by being stressed all the time. Just a difference in outlook on life. Just my $0.02, YMMV
HouTx, BSN, MSN, EdD
9,051 Posts
Am I the only one who just wants to give OP a big ol' hug???
Based on his concerns and stressors, I think that he desperately needs a good clinical mentor... Someone to reassure him that he IS making the right decisions & providing great care. Someone to overcome all the negative self-talk. New nurses often feel that they have to live up to ideals & levels of perfection that are pretty impossible for anyone to meet. Our job (as experienced staff) is to help them realize how well they are doing - build their confidence & help them feel good about what they're doing.
Just want to make a plea to my "tenured" colleagues... let's resolve to step in and nurture our young ones, beginning with OP.