Do you have any experience with or thoughts about interprofessional or team competencies?
Interprofessional is the name of the nursing game. That’s how we’re trained, to work together, with other professions and with patients and communities. Understanding the training and scope of practice of the professionals we work with is so important for a respectful and effective working relationship.
How do you remain motivated and follow your passions when you continue to hear no? When you’re qualified but not given opportunities?
My philosophy has been to always look for different paths and go into interviews thinking the interview is for the interviewer. They may or may not offer her the job but if they don’t they’d be missing out. And if they don’t offer her a job it’s clear that their philosophy and goals aren’t aligned with hers as an applicant so that would be a draining place to work anyway.
I am a nurse who graduated early, I’m in my early 20’s, and I’m finding it hard to feel competent moving up in my career. I’m often scared of what the older nurses would think though I believe I’m competent, any advice?
It was difficult when I got a job in critical care, I was told I only got it because it was a workplace accommodation, I didn’t deserve it, shouldn’t be there etc. It was hard to hear and made me work twice as hard so I could feel less vulnerable to these criticisms. It was hard to put those opinions to the side but confidence came as I worked and studied. Speaking of those who may be critical, “They’re going to be there whether you are or not so you might as well do your thing, just go for it!”
How long did you work in acute care before you felt confident to do ICU?
I worked medsurg for 3-4 years before my ICU training but that shouldn’t discourage people from applying earlier. When I graduated from nursing school students were able to do their practicums in ICU’s and get jobs when they were done.
How do you feel about OSCE’s for NP licensure?
I did it and survived. But given an individual has trained and been tested on theory and clinically at an accredited institution I don’t think it’s necessary.
Do you think having a pass fail system in our nursing education undergraduate and graduate programs would create a culture of support?
This has been debated for so long, yes in an ideal world it probably would. It would be a tough transition because the whole academic world is built around grades - your undergrad grades matter if you want to move forward to graduate studies. In order to qualify for scholarships, bursaries, other funding...you need grades. Those same grades don’t usually matter when you apply for a job but…
You mentioned the word competent a few times, what are your thoughts about competency based nursing education in Manitoba, similar to medical schools in Canada? Would that be a step in the right direction re: CRNM RN/NP competencies?
Yes, I think that there is a competency based foundation under the current nursing education system though it does feel overshadowed sometimes.
Are there any times when you miss being a bedside nurse now that you’re an NP?
Sometimes when the weight of diagnosis and decision making feels bigger or more burdensome yes but that’s what the training was for. The hard work is more mental than physical these days so the toll is a bit different but still there.
As a new grad, new to the acute setting, I feel there is a lack of mentorship, I find that junior nurses are pushed to be in charge after only 3 months… how do new grads access mentorship and get the backbone to say, “I’m not ready”.
Yes, being in charge is a big weight. One piece of mentoring is identifying who you connect with and sharing with them your admiration for their work, or the way they handle situations with patients, family or colleagues. These might not be the nurses who have students all the time. It’s okay to tell these nurses you’ve noticed and admired their work and ask if they’ll have coffee with you and you could ask them questions or ask them to tell you about strategies they’ve found useful for managing their workload / time / professional relationships.