New nurses often experience challenges when applying their training in the workforce. Nursing graduates may struggle with workload and time management or feel unprepared in their abilities, especially when floated to units outside their specialty.
The phenomenon of performance anxiety among new nurses has been well-documented by both healthcare researchers and veteran nurses. This article features useful tips from experienced nurses to help graduates reduce stress and build confidence as they begin their nursing careers.
1. Time Management and Organizational Skills
New nurses often cite an overwhelming workload as a major source of stress. While veteran nurses agree that time management comes with experience, they recommend certain strategies to deal with long shifts and demanding patient responsibilities.
Dr. Phyllis Morgan, a professor in Walden University's MSN program with 29 years of nursing experience, stresses the importance of developing time management skills in the first six months. She recalls, "I really had to learn…how to prioritize patient care and organize my day so I would not end up working 3-4 hours after my shift ended."
Understanding time management in nursing comes with experience, according to Megan Furlong, a level IV neonatal intensive care nurse. While new nurses possess the clinical skills to succeed, she cautions that they "have to find the order that works best for utilizing those skills. It generally takes 1-2 years to truly find your 'flow' and feel comfortable."
2. Find an Experienced Mentor
Mentors play a crucial role in helping new nurses translate the skills acquired in nursing school to the realities of patient care. However, finding the right mentor can be challenging.
Andrea Tran, an RN and lactation consultant cautions new nurses to choose experienced mentors who also have a knack for teaching. "They will tell you to let them know if you have any questions and ask you if you want to watch or participate in something you haven't done before or haven't yet mastered. They will make you feel good about your progress."
Morgan emphasizes the importance of finding mentors who can provide guidance about moving into leadership positions, especially for minority nurses. She cautions that while these nurses possess "the knowledge and skills to lead, ...there is always that part of moving up that career ladder that requires a really good mentor with knowledge and experience.'
3. Lifelong Learning
Nursing graduates may not want to think about studying once they enter the workforce, but, as Furlong points out, "All nurses are on a lifelong journey of learning." Quality nursing depends on ongoing professional development and continuing education.
Tracy Jones-Darnell, a faculty member in the RN-BSN program at Walden University, cites the importance of broadening skills by gaining post-nursing school experiences. She specifically advises new nurses to "work on a medical surgical floor for at least one year to develop your skill set. You will encounter a variety of patients who have cardiac, respiratory, renal or orthopedic conditions that other units do not treat."
She also cautions nurses about their responsibility to look things up rather than rely on coworkers when they must deal with an unfamiliar diagnosis or procedure. She reminds nurses that they are "legally liable for their own patients, and if something untoward happens to a patient, then the nurse who is responsible will have to face the consequences."
4. Connect with Professional Organizations
Membership in professional organizations helps nurses to continue lifelong learning and stay abreast of developments in healthcare and nursing practice. Joining an organization that represents a nursing specialty or population practice area can foster professional development by providing information for continuing education credits, specialty certifications, and employment opportunities. Membership also serves as an important vehicle for networking with colleagues and learning about developments in evidence-based practice, licensure and certification requirements, and other healthcare industry changes.
Many organizations sponsor national or regional conferences that bring nursing professionals together from across the country or internationally to share research about best practices and innovations. Most professional associations offer continuing education credits for nurses who must periodically renew their licenses and certifications. According to Morgan, some of the most prominent nursing organizations providing these benefits include "the American Nurses Association and National League for Nursing, as well as minority nursing organizations, such as the National Black Nurses Association and Chi Eta Phi Sorority, Inc."
5. Take Time for Self-care and Healthy Living
All nurses must learn to handle the physical and emotional effects of stressful working conditions. They may experience chronic exhaustion, injuries from lifting patients, or psychological trauma when confronting serious illness and death on a daily basis.
"The physical aspect is only half of the strain a nurse experiences," says Jones-Darnell. "Many nurses…have developed depression from losing patients daily, or…become numb to death and dying. Caring for those who are in need without regard for oneself is the emotional burden of nursing."
She cautions nurses to avoid self-medicating through risky behaviors, such as smoking, overeating, or relying on alcohol or other addictive habits. At the first sign of emotional overload, nurses should seek out help from their mentor, a therapist, or other trusted colleague.
Nurses must commit early in their careers to positive self-care and healthy lifestyles. This may entail strategies like becoming more mindful about eating healthy, getting enough sleep to maintain energy and focus, and establishing exercise routines or engaging in yoga or meditation.
6. Build Self Confidence
Nursing school alone does not teach everything a nurse needs to know to be successful. The tips offered here -- time management, finding a mentor and supportive colleagues, expanding knowledge, skills, and professional connections, and making time for self-care -- provide a roadmap for building confidence and alleviating self-doubt.
Experienced nurses like the ones cited here stress the importance of developing a positive mindset, avoiding defensiveness, and maintaining faith in their own talents. Becoming a successful nurse follows a learning curve. Confidence builds over time as the experience gained from everyday practice informs and builds on the skills and training acquired in nursing school.
Morgan reminds us that nursing is a noble and highly regarded career. "Confidence comes from within and nurses have to believe in themselves. They have to know that they are certified and licensed as a nurse for a reason, and the reason is that they are prepared to provide safe, competent, and quality healthcare."
Meet Our Contributors
Megan Furlong is a level IV neonatal intensive care nurse who specializes in caring for infants with congenital heart defects. She graduated with her BSN in 2014 and is certified in neonatal intensive care and lactation counseling. Megan is also the founder of Bright & Baby, which provides virtual resources and classes for expectant and new parents.
Tracy Jones-Darnell, Ed.D., RN, CNE, faculty member for Walden University's RN-BSN program, holds more than 24 years of nursing experience. She is a registered nurse with clinical expertise in medical-surgical nursing and nursing administration, and her professional interests include curriculum development, accreditation, nursing research, leadership and nursing faculty job satisfaction.
Dr. Jones-Darnell has more than 11 years of experience in teaching in both associate's (ADN) and bachelor's (BSN) degree programs. At Walden, she teaches courses in nursing leadership, nursing research, and issues and trends in nursing, and is a subject matter expert in the College of Nursing's Tempo Competency-Based Learning™ program. Dr. Jones-Darnell also worked with the Accreditation Commission for Education in Nursing for six years as a program evaluator.
Phyllis Morgan, Ph.D., FNP-BC, CNE, FAANP, faculty member for Walden University's master of science in nursing (MSN) program, holds more than 29 years of experience in nursing. Dr. Morgan has been a certified family nurse practitioner (FNP) for several years, and is senior core faculty and academic coordinator for the FNP specialty at Walden. She also currently works as an FNP for CVS Caremark Minute Clinic in northern Virginia.
Dr. Morgan's areas of research focus on African American men's and women's health issues. She has published several research articles, presented at national and international conferences, and written grants focused on health disparity issues among African Americans.
Andrea Tran is an RN and lactation consultant (IBCLC). She has been working with expectant and new moms and babies for over 26 years. She currently blogs about all things breastfeeding at Breastfeeding Confidential.
The first step for new nurses feeling incompetent is to believe in yourself and understand this process takes time. Be comfortable with feeling vulnerable. Observe, listen, be kind and approach each patient like they were your own family. I'm not going to lie.Is it normal to be scared as a new nurse? ›
Don't be alarmed you're not alone; in fact, these feelings are actually pretty normal. Most nurses report experiencing anxiety within the first few months of orientation or within their first year in the profession.How do new nurses get less anxious? ›
12 Tips From Nurses for How to Soothe Anxiety
- Incorporate Regular Exercise Into Your Routine. Exercise plays a significant role in stress management. ...
- Find a Fulfilling Community Outside of Work. ...
- Create a Calming Morning Routine. ...
- Create an Uplifting Commute to Work.
While new nurses possess the clinical skills to succeed, she cautions that they "have to find the order that works best for utilizing those skills. It generally takes 1-2 years to truly find your 'flow' and feel comfortable."How long should a new nurse be oriented? ›
Generally, new to practice nurses receive three to four months of orientation for general medical surgical nursing. Critical care nurses would receive six to eight months in a progressive orientation. Hospital and unit orientation are considered essential for any new to practice nurse.What do new nurses struggle with the most? ›
All these new nurse struggles I have listed – exhaustion, anxiety, and feeling like nursing is too hard – are common to the nursing profession. You might even say that they are nothing more than the “signs and symptoms” of being a new nurse. The key is to never let these feelings defeat you.How long does new nurse anxiety last? ›
Find The Right Rhythm
Others may prefer to get started on medication passes right away. Some nurses document their assessment findings immediately, while others document when they have more time later on. It's normal to take approximately six months to a year to become fully comfortable in a role and form a routine.
The Magic Number? In about six months to a year, you'll get comfortable with the skills such as starting IVs, drawing blood, accessing central lines, doing your head-to-toe assessments, charting, giving medications, and talking with doctors. You'll be doing those things so often that it will become second nature.Why do student nurses lack confidence? ›
Student confidence to perform in the clinical setting is affected by many factors including lack of experience, fear of making mistakes, difficult patients, discomfort at being evaluated by educators, demeaning experiences, lack of support by nursing personnel, dealing with emergencies, issues related to death and ...How do new grad nurses survive? ›
- Hydrate, hydrate. You'll be busy from start to finish of your shift. ...
- Nutrition matters. Some days you get a meal break, some days you don't. ...
- Strive for balance. As you begin your new career, it can be easy to live and breathe nursing. ...
- Never stop learning. ...
- Once more: Be patient with yourself.
Therefore, a nurse should focus on making positive changes rather than focusing on problems. Another way to improve confidence in the clinical setting is by complimenting others. Confidence can lead to positivity or negativity. If someone has the confidence to compliment others, he/she is positive (Yang et al., 2015).What is professional confidence in nursing? ›
Professional confidence is also defined as an internal feeling of self-assurance and comfort, as well as being tested and/or reaffirmed by other nurses, patients and friends (Crooks et al., 2005). Key Points. • Professional confidence is associated with clinical competence.