Addressing the Struggles of New Graduate Nurses

Jul 16 / Teresa Sanderson, RN, CCM
Empty space, drag to resize
As an experienced nurse, it saddens me to see that 33% of new graduate nurses are leaving the profession entirely within their first two years. This is a staggering statistic, considering the significant time, energy, and financial investment required to become a nurse. It's clear that we need to address the challenges faced by these new nurses and provide them with the support they need to thrive in their careers.
When I started my nursing journey, I was fortunate to receive hands-on clinical experience under the guidance of my instructors. We practiced procedures on real patients and were thoroughly drilled on proper techniques. However, nursing education has changed dramatically since then. Due to increased litigation and concerns about medical errors and adverse patient outcomes, many nursing schools and healthcare organizations have limited the clinical experience of nursing students. As a result, new graduate nurses often lack confidence when entering the workforce because they haven't had sufficient practice performing procedures on real patients under supervision.

In addition to confidence issues, new nurses struggle with time management and organization. Each unit has its own workflow and schedule, and it can take time for new nurses to acclimate to these routines. Critical thinking and decision-making skills are also put to the test, as new nurses find themselves in life-and-death situations where their decisions directly impact patient outcomes. Communication skills, particularly when giving nursing reports, can be another area of difficulty for new graduates.

Moreover, managing stress and anxiety is a significant challenge for both new and seasoned nurses alike. Nursing is an inherently stressful profession, and the COVID-19 pandemic has only exacerbated these pressures. New nurses need to be trained and empowered to manage their own stress and anxiety so they can sustain long and fulfilling careers.

Lastly, self-advocacy and assertiveness are crucial skills for new graduates. It's okay for them to ask for help or guidance when performing a procedure for the first time. We need to create an environment where new nurses feel comfortable articulating their needs and seeking support when necessary.

As a nursing community, it's our responsibility to address these challenges and provide new graduates with the tools and resources they need to succeed. We must create a safe space for nurses to connect, learn, and grow together. By intentionally developing the leader in every nurse, we can transform nursing culture and put an end to the harmful tradition of "nurses eating their young."

I encourage all nurses, both new and experienced, to join me in this mission. Together, we can create a brighter future for our profession and ensure that every nurse has the opportunity to thrive in their career.