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Integrating New Nursing Grads

Last Updated 12 05, 2011


Do you remember what it was like to be a new nursing graduate?  One day you were a student, and ‘poof,’ you were a nurse.  Expectations ran high and responsibilities ran even higher.  The cushion of ‘just being a student’ and having your instructor ultimately be responsible is gone in an instant.  Do you remember the anxiety, fear and unsure feelings of those first few months?

When you are well into your own career and overloaded with your own patients, it is easy to forget what it was like in the beginning.  But wait, we need your active participation to help us integrate our new staff, now more than ever! In a profession that is one of the most trusted and respected in the world, it is embarrassing that we have a phenomenon known as ‘nurses eating their young’, the well known but little talked about, epidemic of senior nurses making work life even more challenging for their young counterparts.  I am hopeful that the general public is unaware of this as it would be rather embarrassing for us!

Why do you think this exists?  Do we feel that new grads must ‘pay their dues,' that because no one supported us, we don’t need to support them?  Is it our own insecurities? Are we worried they have newer, fresher knowledge, and that they will want our jobs?

Whatever our reasons, whether conscious or not, many of us are hurting rather than helping our new nurses integrate into our institutions.  With the shortage of nurses so prevalent, wouldn’t it be in OUR best interest to help these ladies and gentlemen through their first and possibly most challenging year in the profession?

Dr. Judy Boychuk Duchscher, RN, PhD, has made her life’s work helping new nurses transition into the workplace.  Her compelling research and tools for integration can be found on www.nursingthefuture.ca.

What’s in it for you?  Well, supporting the profession, giving back to the nursing community and doing the right thing for starters.

Help your new staff not only survive but thrive with proper communication, patience and empathy.  While you are busy with your own case load, consider a small amount of time and energy well invested by:

  • Validating where they are coming from. “I remember how hard it was to be new.”
  • Make yourself available for questions or venting. “Would you like to have a coffee together?”
  • Enthusiastically include them in social activities outside of work. “Come with us, you can ride with me!”
  • Anticipate their needs. “Are you comfortable doing that procedure on your own?”
  • Be ultra-patient with their questions
  • Let them accompany you when you have a unique assessment, but don’t tell them everything.  Let them assess. “Do you notice anything unusual about Mrs. Jones today?”
  • Praise and compliment. “Good job on that!”
  • Trying to keep their assignments/units consistent for at least the first 4 months.
  • Do not schedule them as the sole nurse for breaks or for high acuity patients, and have seasoned staff close at hand.

If you  can help a new nursing grad transition, not only will you likely have a fan for life, but you will be contributing to the profession; they will be more likely to pay it forward when they are senior staff, and you will be helping patients/residents/clients by ensuring that they have competent, capable and confident care.

You will be making a difference, and isn’t that what nursing is all about?  Share your experiences with other nurses in the Decompression Room - a non-judgemental, supportive outlet to decompress after a gruelling, taxing, challenging shift.

Nurses, please leave a comment below sharing your thoughts on ways we can support our new nurses.

About the Author: Stephanie Staples is a personal growth & wellness speaker, nurse & coach who helps healthcare professionals live their lives to the fullest!  Email her for a complimentary Quality of Life Assessment.

Click here to read more on Stephanie Staples.

Nurses, if you enjoy writing on nursing career, education or lifestyle related issues and are interested in becoming a NurseTogether.com contributor, please click here.

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Recent Comments (there are 5 comments)

How about looking at it from the other perspective as well? There is a bullying that happens for older nurses as well. New Grads have a very entitled air about them thinking that they know everything and that the knowledge of older nurses are antiquated. This type of attitude is not conducive and can rub older nurses the wrong way as well.

Posted By: Betty N on 11 09, 2010

This fostering attitude would be lovely in thectrabsition into ICU territory. Even if a seasoned nurse enters that realm, it's important to be supported versus quelched when you're already down and the learning curve (in unit culture and skill) is steep. Help us help you and our patients...

Posted By: M W on 11 09, 2010
As a new nurse just finishing my "first" shift of a new graduate position, I feel that even though new nurses may try to act like they "know" what they're talking about, let us. Were the ones testing out a new role, proving to ourselves that we have the knowledge/skill/judgement to do this. Support us, dont get offended. We dont have the social support that you have established on the floor, and have not yet proven to ourselves that we can successfully integrate oursleves into nursing. Were not trying to prove to YOU that we are "know what were doing", were trying to prove it to OURSELVES. Let it go and be nice because believe me, we're stressed and scared that we just wont adjust or be accepted in this new role.
Posted By: Rachel K on 6 10, 2011
I remember when I was a Nsg. asst. So many RN's would have what I referred to as RN itis. I swore I would never do that to LPN's or to students or new Grads. Where I work we have been so blessed that almost every student who comes to us for training, return to us as a Grad. We treasure these young ones, and also learn from them. You are never too old to learn, if you allow yourself to. We have a small Rural Hospital, and the young ones who come to us want to learn, and us oldies are so happy to have them, and their fresh outlook, it is a JOY to have them around. Their enthusiam is contagious. Come on Ladies get with the program, we need the newbies. Enjoy them before they become as Jaded as some of us.
Posted By: Mickie H on 8 07, 2011
I think the best thing we can do to help new grads is HIRE them.
Posted By: Louise B on 12 14, 2011
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