Patients, families and physicians look to nurses for a lot of things: intuition, compassion, strength, knowledge and—certainly neither last nor least—calm when things really (sometimes quite literally) get messy.
Of course, that’s not to suggest that the best possible care can only be achieved in the absence of fear or panic, which are just two staples in a nurse’s wide-ranging emotional diet. It simply means that a nurse’s fear of failure must, in time, be defeated by a stronger desire to help, along with hard-earned skills and the confidence to execute those skills.
Needless to say, conquering on-the-job (or even in-class!) anxiety can be a process—but it’s doable. Below, with the help of a few of your fellow nurses, Kati Kleber offers a handful of advice that you can use to finally start taking fear to task:
After being in the field for a while, I’ve noticed a common theme: anxious nurses. We see people die during a normal day at work. Our normal day is someone’s last. At any moment, someone’s heart can stop and we’re responsible for restarting it. Someone can stop breathing and we’ve got to know what to do to get air back into their lungs. No wonder we’re anxious!
Many nurses struggle with anxiety, whether it’s something that was there before nursing school, developed in school or after being in the field for a bit. Using various social media outlets, I asked to see if anyone who struggles with it had any words of wisdom. The response was amazing—there is some really good stuff here, guys.
Below is advice for nurses from nurses who work at the bedside. This is real and practical advice…not from a research study in research-y language, from a pamphlet or from a doctor who doesn’t know what it’s like to be a nurse. It’s from us.
Here are some themes that I’ve noticed across the responses:
Most professors/universities are pretty strict about test reviews, but I just tell them that I have anxiety and reviews help me, and they are eager to help. I swear by reviews. I always do all right on my first test, but once I see what the prof is looking for, and where/why I made my mistakes, I do much better on the next ones. My very first nursing midterm in first year, I got 57 percent (not even close to a nursing pass), went for a review and received an 87 percent on my next one. It has worked so far throughout my three years of nursing (one more to go!) and I have been able to ace most of my classes.”
Powerful Nursey Quotes
These are all from messages I received directly from bedside care providers.
“Don’t let people minimize your anxiety. It is real, and it is something we anxious people have to deal with…but you can overcome it; it doesn’t have to define you.”
“Anxiety isn’t going to stop you from being a great nurse. If you love what you do, you will find ways to be the best nurse you can be…and passion overcomes anxiety. Your patients will see that you care before they see that you are anxious. Just breathe.”
“Don’t feel ashamed of your anxiety. Yes, there are people who won’t get it who will judge you. They aren’t nice and they aren’t worthy of your time. Try to ignore them and turn to someone you trust who accepts your problems. I find it easier to have someone I trust who knows about my struggles. It makes me feel safer and that will make my anxiety easier to handle.”
“Dealing with the life-or-death situations we see as nurses can really help us put our own lives in proper perspective. I know it has helped me a lot in realizing that a lot of the things that used to give me anxiety (and still sometimes do) are truly not worth worrying about. When I was a new grad nurse, I really worried for a while that even though I loved my new career, the anxiety might ‘do me in’ in the long run, but it’s actually turned out to be quite the opposite. I think being a nurse has actually encouraged me to become a less anxious person. Or maybe I’ve just better learned to handle it.”
A Few Stories
However, now six months post-grad, I am working as a cardiac step-down nurse in a prominent teaching hospital. All is possible! I think so many people have anxiety and some don’t even really recognize that ‘feeling’ as anxiety itself. I still get anxiety, but being able to recognize it and tell myself ‘This will pass. You’ve felt this before and it’s not something that will hurt you’ helps immensely…that and my dog. Hope this helps someone!”
The nurse got the IV started and we got her some pain meds, and the situation progressed normally from there. I went around to the other side of the bed and tried to catch her attention so the doctor could reset the kneecap. I told her a joke and she laughed, and then she realized the doctor was done and she didn’t feel any pain, and she wasn’t scared anymore. She turned to me and said, ‘Thank you.’ That felt so awesome. That was the first time I had made a decision that was entirely my own, based on what I thought I could do for a patient. That was the first time I knew what it felt like to be a nurse instead of just a student.
Now I know we don’t do what we do for the thank-yous, but from then on, every time I got stressed over a test, angry at one of my instructors, afraid at a new clinical site, or frustrated and ready to give up, I thought of that little girl squeezing my hand and thanking me, and suddenly it was all worth it, and whatever anxiety I was feeling would melt away. Find your moment. That was mine.”
Here is a blog post about nursing and OCD written by another nurse blogger that I found really helpful, interesting, well-written and insightful. Check it out here!
I hope this helps those of you who struggle with anxiety. Whether you’re preparing for nursing or you’re post-graduation or on the job, remember that anxiety does not define you and will not keep you from being a fantastic nurse. You work your butt off to help your patients—please do the same for yourself.
Is there anything we missed? Do you have a great story about your walk with anxiety in nursing? Please share below!
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