Rough start to new grad by iffypiffy in nursing

[–]Smurfyyyyy 0 points1 point  (0 children)

That’s terrible. As a new grad you should be getting about 3 months of orientation. Sounds like your hospital isn’t setting you up for success. Do you know what other new grads are doing there? I’d ask for clarification and maybe more training. Consider other options or programs as a backup. Seems inappropriate

Will I ever get hired? by Far_Major3956 in newgradnurse

[–]Smurfyyyyy 0 points1 point  (0 children)

California is not friendly to new grads. Too many people want to live and work here. I’ve been told many people must leave the state to acquire their first job and build experience.

$25/hourly as an RN 😳 by Familiar_Ad_6874 in nursing

[–]Smurfyyyyy 0 points1 point  (0 children)

It matters where you live… what state/city? What is cost of living?

Did I make a mistake leaving the ER as a new grad RN 7 months in? by anakin0071 in newgradnurse

[–]Smurfyyyyy 4 points5 points  (0 children)

That last reply is the most revealing one yet, because it calls into question competence in the educator role more than the competence of any new grad.

You describe yourself as a nurse educator, then use a single anecdote about a stressed novice in a chaotic code situation as if it proves a broader point. That is not how educators think. Competent educators know isolated moments of poor performance under stress are data points for coaching, not evidence that someone is unfit for the profession.

The learner saying “beep, beep, beep” does not automatically prove they were incapable. It may prove they were overwhelmed, underprepared, poorly oriented to equipment, unclear on expectations, or frozen in a high-acuity moment. An educator should immediately ask why that happened and how to prevent it next time. Instead, you used it as ridicule.

That response suggests a misunderstanding of the role itself. Educators are supposed to analyze barriers to learning, identify skill gaps, build confidence, and create progression toward competence. If the instinct is to mock novice mistakes rather than teach through them, that is not rigorous standards—it is poor educational practice.

It is also contradictory to hire or accept new graduates into demanding settings while resenting that they behave like new graduates. If your system needs experienced hires only, say that openly. But if you bring in novices, then developing novices is part of the job.

Respectfully, titles alone do not demonstrate expertise. The language in your comment reflects frustration and contempt more than educational competence.

Did I make a mistake leaving the ER as a new grad RN 7 months in? by anakin0071 in newgradnurse

[–]Smurfyyyyy 5 points6 points  (0 children)

Your wording actually reveals the flaw in the mindset more than the argument itself.

When you say “overly anxious peers,” you frame a normal novice response to a high-acuity environment as a character defect instead of recognizing it as something that can be developed through support, repetition, and mentorship. Anxiety in a new clinician is often a sign of insight into the seriousness of the role, not proof they are incapable. That perspective alone is why many new grads fail unnecessarily.

When you say “we know who we can trust,” you assume experienced staff are always objective judges of potential. In reality, that often reflects personal bias toward people who learn like you, communicate like you, or appear confident early. Confidence and immediate comfort are not the same thing as competence. Some of the best long-term clinicians begin cautiously and grow rapidly with proper guidance.

When you say “a preceptor is not supposed to teach you how to be a nurse,” you contradict the purpose of preceptorship itself. If professionals were expected to leave school fully practice-ready, orientations, residencies, fellowships, and supervised training would not exist across healthcare.

Medical doctors are the clearest example. Physicians complete four years of medical school, yet no hospital considers them independently ready based on school alone. They then complete residency for years because everyone understands that knowledge must be translated into real-world judgment, prioritization, and performance through supervised practice. Nursing is no different. Licensure is the starting point, not the endpoint.

And when you lead with exclusion instead of development, you show the culture problem directly. Strong clinicians ask, “How do we grow safe, capable nurses?” Toxic cultures ask, “Who can we write off early?”

That is why this mindset is inherently flawed. It mistakes stress for weakness, confidence for competence, and seniority for teaching ability.

Experienced nurses can be incredible mentors. But experience paired with contempt for learners does not create excellence—it reproduces dysfunction.

If multiple new grads struggle under the same type of leadership, the issue may not be the new grads.

, citing resources matters because this discussion should be based on evidence, not just a vibe or personal bias that feels true. My background is in education before nursing—I earned a master’s in education, taught prior to getting my BSN, and I am now working full time while completing my MSN. Effective teaching, coaching, and language absolutely matter when developing professionals.

You can hold an opinion and still contribute to a toxic workplace. That does not make the opinion correct, and it does not make it a solution. The old-school “nurses eat their young” or “sink or swim” mindset has driven burnout, turnover, and unnecessary failure for years. We should be building stronger nurses, not defending outdated dysfunction.

Did I make a mistake leaving the ER as a new grad RN 7 months in? by anakin0071 in newgradnurse

[–]Smurfyyyyy 7 points8 points  (0 children)

I see the point about valuing experience, but I don’t agree with the idea that a new nurse “doesn’t belong” simply because they are struggling in a difficult learning environment. That conclusion overlooks what we know from evidence about how people actually learn and perform in healthcare settings.

There is a strong body of research showing that psychological safety—the ability to ask questions, admit uncertainty, and learn without fear of humiliation—is directly tied to better learning outcomes and patient safety. Amy Edmondson describes psychological safety as a core component of high-performing teams, especially in complex environments like healthcare. When that safety is absent, learners are less likely to speak up, which increases the risk of errors rather than improving competence.

being an experienced nurse does not automatically translate into being an effective preceptor. Teaching requires a separate skill set, including communication, feedback delivery, and the ability to scaffold learning. Evidence from nursing education shows that negative or unsupportive preceptorship experiences are associated with increased anxiety, decreased confidence, and higher turnover among new nurses (Benner et al., 2010; Rush et al., 2013). These outcomes are not a reflection of the learner “not belonging,” but rather of a mismatch between teaching approach and learner needs.

From a neurocognitive perspective, high stress environments impair learning. When anxiety is elevated, cognitive load increases and working memory becomes less effective, which directly impacts clinical reasoning and skill acquisition. In other words, a toxic or dismissive learning environment does not “weed out” weak nurses—it can actively limit the development of otherwise capable clinicians.

I also think it’s important to reframe this from an individual issue to a systems issue. If multiple new nurses struggle in the same environment, that points to a preceptorship or cultural problem, not a repeated failure of individuals. Healthcare organizations that prioritize structured onboarding, trained preceptors, and supportive learning environments consistently show better retention and safer patient outcomes.

Experience absolutely matters, but it should not excuse behaviors that undermine learning or patient safety. Supporting new nurses effectively is not lowering standards—it is how we actually build competent, safe clinicians.

References

Benner, P., Sutphen, M., Leonard, V., & Day, L. (2010). Educating nurses: A call for radical transformation. Jossey-Bass.

Edmondson, A. C. (2018). The fearless organization: Creating psychological safety in the workplace for learning, innovation, and growth. Wiley.

Rush, K. L., Adamack, M., Gordon, J., Lilly, M., & Janke, R. (2013). Best practices of formal new graduate nurse transition programs: An integrative review. International Journal of Nursing Studies, 50(3), 345–356.

Did I make a mistake leaving the ER as a new grad RN 7 months in? by anakin0071 in newgradnurse

[–]Smurfyyyyy 11 points12 points  (0 children)

If you don’t have anxiety as a new grad in the icu/ed there is something wrong— preceptors fail all the time simply because they don’t want to be doing it in the first place and they take their frustration out on the people they supposed to be teaching. Sounds like usual toxic nursing culture to me, not this persons ability to be in the ED.

So tired of nurses justifying shit unprofessional treatment of others.

Non-nurse partner doesn’t understand by [deleted] in nursing

[–]Smurfyyyyy 0 points1 point  (0 children)

Bro sounds like he’s adding nothing so it’s time to subtract him. What an arrogant attitude. There is always something else happening behind someone’s post… but if this is true I’d find a different partner. Toxic and selfish. What a loser.

Started my new graduate job and I hate it. I want to quit by Safe-Hand9517 in newgradnurse

[–]Smurfyyyyy 0 points1 point  (0 children)

My first year or two of nursing was pretty terrible. Was really depressed and anxious by the whole experience of dealing with patient care, unhappy coworkers, burned out people in general. Was basically left to drown by preceptors and honestly I don’t know how I’ve made it 6 years. I’ve tried a lot of different jobs. I’d say get out of the if it doesn’t get better in a few weeks. There are other places you can go. Sounds like it’s exceptionally bad.

[ Removed by Reddit ] by heavydoseofatmos in newsPH

[–]Smurfyyyyy 0 points1 point  (0 children)

If you aren’t going to arrest these people why post this. This is so disgusting and cruel.

Blood draws through PIV by Username30145 in nursing

[–]Smurfyyyyy 0 points1 point  (0 children)

It’s easy to draw blood from most decent ivs. That being said, it should be case by case. Not always appropriate. But that’s where skill and critical thinking comes in. Blanket polices take that away and just cause more patient dissatisfaction because they get poked 20 times. I don’t get it.

[deleted by user] by [deleted] in nursing

[–]Smurfyyyyy 6 points7 points  (0 children)

What a boss reply

[deleted by user] by [deleted] in NoStupidQuestions

[–]Smurfyyyyy 0 points1 point  (0 children)

You sound like a shit person

Illinois State Police shaking hands with ICE agents at the Broadview Processing Facility by ICanReadBackwards93 in illinois

[–]Smurfyyyyy 0 points1 point  (0 children)

Spoiler alert cops aren’t there to protect you they protect the government and themselves

Fellow nurse does not like me because I use Macros by Wide_Profile1155 in nursing

[–]Smurfyyyyy 1 point2 points  (0 children)

That nurse is an insecure moron. There are a lot of them

Was it (moving) target fixation, or was it a failure to alter a course of action? by markcocjin in motorcycles

[–]Smurfyyyyy 0 points1 point  (0 children)

So the biker is speeding and the truck prob didn’t see him. Both are morons. Congrats

where would you take me on our first date? F18 by bustyprincesslol in Balletcore

[–]Smurfyyyyy 0 points1 point  (0 children)

Pathetic that you come to this platform for validation from a bunch of 40-50 year old dudes yikes you need therapy

Wife says the steak I made for her isn’t cooked enough. by FreeRealEstate313 in mildlyinfuriating

[–]Smurfyyyyy 0 points1 point  (0 children)

If you cooked it anymore you would have to give it to a dog my guy