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RE: Nurse to Patient Ratios

by Sybil I'm a NICU nurse here in Saudi and usually the ratio should be 1:1 for ventilated and 1:2 for stable...

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RE: Why do nurses "eat their young"

by SassyRN I totally agree but again its all in the attitude I believe---I am and hope to always be a sponge no...

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by 4bdnfruit LOL I have threatened many times to retire and sell socks @ Saks!

RE: Why do nurses "eat their young"

by 4bdnfruit I believe "eating our young" implies we don't coddle new nurses. I started nursing 15 years ago and ...

 
Last Updated Feb 2010
Integrating New Nursing Grads

Do you remember what it was like to be a new nursing graduate?  One day you were a student, and ‘poof,’ one day 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.  Beyond this article, 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.

To help your new staff not only survive but thrive, communication, patience and empathy need to be evident.  While you are busy with your own case load, consider a small amount of time and energy well invested by helping them.  You can help 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 grueling, taxing, challenging shift.

Nurses, please leave a comment below sharing your thoughts on this article! 

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.

 

 

 

 

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Thank you for writing this article!! I am a 42 yr old LVN student, in my 4th of 5 terms. Finally, my clinical site is an acute care facility, ER, ICU!! This is so exciting for me! Seeing it, not just reading/listening about, is where I'm getting my education. I have the best clinical instructor, but I'm learning from the RNs! I have worked with many, they've been warm & friendly, answered any questions I had, etc... I appreciate their kindness so much. Then I had a few that really pulled me in, let me do produres with them, asked ME questions, such as "Why do we..When do you check for...." etc. Guess what, I didn't know the answers - I do now & will never forget! They didn't wait for me to ask them, (we are intimidated!) they asked me, explained why, what & when. They went out of their way to TEACH me. I appreciate that so much! That's where I'm getting & retaining my nursing knowledge & skills! From the RNs!! (and techs, RTs,CNAs even some Drs.) 1st day at new clinical facility, I was assigned to the ER, (been waiting for this day to come for so long, the ER!!! ) The RN I was told to work with was not thrilled to have a student & asked me a few times, "Are you sure you don't want to someone else, I've got this entire isle?" I knew he did not want a student to slow him down and told him "Look I will stay out of your way & just observe or I'll do anything you want, if you would just guide me through it. I WANT to learn. He let me stay & actually warmed up to me almost instantly. When I told him I'd never done a cath, he said "Lets go do one, then" I did a few that day, learn ECG's, heart monitors, wound care, took a pt to CT, Radiology, etc. the entire time the RN asking me why, when, what if.....etc. I LEARNED MORE in that 1 DAY, THEN I HAD IN AN ENTIRE PREVIOUS TERM!!!(seriously) The experience left me on Cloud 9 for the next two weeks!! I finally felt like a nurse!! I dont believe I would have gotten so much out of it if I would have been assigned to another RN. The same guy/RN who first tried to shake me, ended up being such an amazing teacher & somehow made me forget about my inhibitions, gave me confidence, let me be a nurse! I will never forget this RN as long as I live and will always be grateful to him for the knowledge he gave me. I know RNs are overworked & understaffed, and often don't have time to deal with students, but please try to remember, we a scared, uncertain & have an instructor who will write us up if we don't get it right!! So please try to give even a little bit of your knowledge to us, so we can be good nurses too, one day. We don't want your jobs, we want you to be our mentors! We need you. :)

From: Kim B
2/2/2010 5:03:22 PM

Hello, I am presently working at a career college for nurses. I can not understand for the life of me why some nurses continue to "eat their young", as some might say. I remember when I was on the floor as a charge nurse and student nurses were in the facility, and I had to orientate newly hired nurses.  I enjoyed the opportunity to share the knowledge and the experience that I had acquired throughout the years of practicing. Let me just say this as my final words...You hungry nurses, the new nurse you do not have time for may be the one you have to take care of you one day. Yvonne H.

From: Yvonne H
2/2/2010 10:02:25 PM

Great article! Thank you so much! I'm starting my first job as an RN next week, after months of searching. I am so excited but also I could feel some form of anxiety forming because I don't know what I'm going to deal with. I'm just hoping and praying to God that the nurses will be very supportive just like what you listed above on how they can make a difference in the nursing profession. This is very positive, and timely for me. I realized that I need a lot to learn to be an experienced nurse and I will be forever grateful for the nurses who will be willing to guide me and patient with me in the process, and I will try my best not to be a pain in the neck.

From: Ayang B
2/2/2010 10:57:57 PM

I enjoyed the article. I am a New Grad that is currently in my 6th week of orientation. I have been extremely lucky to be working for a wonderful organization that believes in nurturing their new employees as opposed to "eating their young". The positive reinforcement I receive on a daily basis from my preceptors had made me more confident in my practice and has enabled me to excel.

From: Kristina H
2/4/2010 7:32:46 PM

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