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Nurse Relationships
Finding Allies at Work
Build your network of support before you need it.


My first year of nursing, I considered becoming a forest ranger. Nursing was bleeding my emotions.

When I first got out of school, hospitals faced a big nursing shortage—not unlike today. The unit was understaffed, and the level of responsibility quickly overwhelmed me.

Worse, I became trapped in a destructive internal dialogue. I’d constantly tell myself: I’m not doing a good enough job. I stink at this. I’m a huge failure.

I had no one with whom to process my emotions.

Snowballing Thoughts
At the time, I worked on an Oncology unit, when people were in-patient for much of their chemo. Horrifically sick, many of my patients died. Alone, I internalized my thoughts and emotions. I kept thinking, If I were just a good enough nurse, I could handle this better.

I shut down rather than going to people and admitting that I was having a hard time. But the truth was, I didn’t know whom to go to.

The head nurse quit about two months after I started, so that relationship was gone quickly. Then the new head nurse started—but it was her first job as a head nurse. She was overwhelmed, too. I don’t blame her, but her attention to the new nurses was minimal at best because of her other responsibilities.

With my confidence plummeting, my negative internal dialogue increased.

Who’s in Your Corner?
Here is an obvious takeaway from my experience: New nurses need to get proper support from colleagues who understand them. That’s priority number one.

The transition from student to professional is difficult. Student nurses may find support from a variety of sources, but as a new professional, I found it tough knowing whom I could trust. There were colleagues in the unit who couldn’t be trusted with my emotions – those who would see my struggles as weakness or incompetence, or those who simply didn’t care.

Most new nurses are hesitant to share these feeling with their colleagues. So the new nurse’s internal dialogue plays out in a negative way—and perhaps makes him or her want to quit trying.

All nurses experience feelings of inadequacy. The good news is that many experienced nurses are willing to help you work through your questions of “Am I doing a good enough job?” or “Are these realistic expectations?” or whatever you struggle with. Let’s face it, when you voice your inadequacies, they often feel less ominous—even silly, to a point.

Get Connected
So why aren’t new nurses connecting? Time constraints and the fear of being the only one feeling like Nurse Know-nothing.

The best advice is to make time for this both inside and outside of work. Extend yourselves to colleagues. Ask them to lunch or make a point of going to happy hour at week’s end. Or maybe even work-out after your shift. On especially stressful days, even 15 minutes of exercise and experiencing an emotional connection with like-minded people can effectively manage your stress.

One of the best forums is within the recent-grad program, offered by many hospitals. While the main intent of these programs may be skill-building, a side benefit is the friendships and camaraderie with other nurses. These relationships can provide much-needed empathy and become a sounding board for strategic problem-solving. It’s the perfect environment to practice asking the questions rattling around in your head that keep you from being the confident, productive nurse you can be.

Amy R. Morton-Miller is currently a nursing instructor in the associate degree nursing program at College of Lake County in Grayslake, Illinois. Though she is now a full time instructor, she occasionally works as a per diem staff RN at Advocate Good Shepherd Hospital with the help of her 25 years of nursing experience. She is also working toward her doctorate at University of Wisconsin-Milwaukee. She is a member of the Midwest Nursing Research Society, the American Nurses Association, the Wisconsin Nurses Association, Sigma Theta Tau, and the American Psychiatric Nurses Association. Remembering the difficulty of her first years as a nurse, Amy feels that helping new nurses is a worthy ambition. “I am concerned about their transition to the ‘real world’ of nursing and feel RealityRN is a great resource for the beginning practitioner.”

Read more Nurse Relationships articles



4 Responses to “Finding Allies at Work”

  1. Diane Alvy Says:

    Amy

    I loved your article and your mission to help students during their first years. I too had challenges when I went to nursing school and began working.

    I live in California and have written a resolution which incorporates support groups within all nursing programs here in California. California has the worst nursing shortage across the United States. 50% of the nurses are trained elsewhere.

    Would like to contact you to run ideas across if possible. I’ve become a member of the American Nurse’s Association and will present my resolution to their general assembly early next month. They’ve accepted a number of my previous articles

    Sounds like we share same missions. Would like to connect with you if possible. I love this website. I wonder if many students know about it.

    Sincerely
    Diane Alvy RN
    dalvy@earthlink.net

  2. Caroline Collins Says:

    Thank you for this article - I couldn’t have come across it at a better time!

    I can draw so many parallels to your descriptions, especially the comments about ‘Nurse Know-Nothing’, ‘negative internal dialogue’ and ‘feelings of inadequacy’.

    I shall do my best to take your advice and try to ‘connect’ with my more experienced colleagues as well as to ’share’ with my peer group.

    For the record, I am a recently qualified ‘mature’ Nurse (40ish!) in the UK - you see, fears cross all boundaries!

  3. Amy Morton-Miller Says:

    Glad you found the article helpful. Good luck with your nursing adventures. Take care…and hang in there!

    —Amy

  4. Michele Says:

    Wow!! This is exactly how I feel! I ask myself everyday I work, do you really think you know what you are doing? What are you doing here? I do talk but am not a very good conversationalist. I feel like I get lost even in my own conversation so I just clam up most of the time. Something I need to get over but not sure really how to strike up the conversation and again don’t always want to look like “Nurse Know-Nothing”. I’m not afraid to ask questions and so I don’t know how to do things, patient safety, but to talk about it later, I definitely feel like the big dummy and maybe it’s something I should already know.

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