Precepting: Revisiting Ground Rules with My New Grad RN

A return to precepting.

By Suzanne D. Williams/Unsplash

There is no question that precepting new grad RNs requires a lot of extra thought, time, and energy for bedside nurses also looking to take care of our patients and their family members. But even as an introvert who finds it challenging to talk nearly nonstop for an entire 12-hour shift, I have in the past still enjoyed precepting. I’ve found it deeply rewarding to watch someone under my mentorship grow in skill and confidence as a young nurse.

When the pandemic hit and sent my young children home for distance learning, I took a break from precepting, as my capacity for additional mentoring at work had shrunk significantly.

Now that my children are back on their school campus, I am preparing to precept a new grad who is part of a cohort that went through nursing school during a pandemic with considerable limitations to their clinical experiences. As I dust off my own preceptor hat, I have found myself revisiting what I want to lay out as a foundation for my new preceptee. […]

Caring for Transgender and Gender Diverse Patients: A Primer

“You must be Olivia! I’m Sara, and I’m going to be your nurse this afternoon.”

The patient looked up, taking a deep breath before speaking. “Actually . . . can you call me Ethan? I’ve been going by Ethan for the past six months, and I use he/they pronouns.” He watched Sara anxiously.

Sara stopped short for a moment, unsure what to do, seeing the name “Olivia” very clearly in the EHR. But she noticed how nervous the patient was, and she wanted to put him—them?—at ease.

Photo by Zackary Drucker/The Gender Spectrum Collection.

Providing informed, affirming care for transgender and gender diverse (TGD) patients can seem complex, especially for novice nurses. As authors Caitlin Marie Nye and Amanda […]

2021-09-29T08:59:27-04:00September 29th, 2021|new nurses, Nursing|0 Comments

Levels of Weariness Among Nurses

I imagine that nurses throughout the world are constantly being asked “How are things at work these days?”—with the implied question being “How are you holding up with your work situation?” While my colleagues and I in our pediatric hospital have not seen an overwhelming surge of COVID+ patients come through our doors, we have certainly seen some, with an uptick in our COVID+ census as the numbers throughout the country have increased.

When I pause at this point in the conversation, the usual response I get is, “Oh, that’s so good to hear. You’re lucky.” And I agree and reflect this back to whoever I’m speaking with. My heart hurts for my fellow nurses in other parts of the nation who have been utterly overwhelmed by COVID and its cruelty. I recognize that I am indescribably lucky.

At the same time, though it’s hard to articulate why, even nurses who haven’t been hit by the surges seen in other hospitals bear layers of deep weariness by this point in the pandemic. […]

What Would It Have Helped to Know as a New Nurse?

An incomplete record of starting out as a nurse. 

When I think back on my first year as a nurse, I always say two things to myself: “I wish I had written more,” and “I wish someone had given me a more realistic how-to manual.” I try to remember patients from back then. What would I have shared, had I written about each one?

I was never not writing about something (sometimes what I wrote was published on this blog), but over time, as I moved away from bedside care and into administration, I wrote differently: policies and program plans, research protocols and systematic reviews. Although I rarely worked directly with patients anymore, their positive outcomes continued to motivate my every word.

I like to think my writing has grown with me. I’ve learned the power of the active voice; the structure required for the APA Writing Manual. 7th edition; and the deepening of understanding that comes from reading and reflection. But I will always wish for more writing—of any kind—from that first year. Even a scribble to jog my memory. This nursing birth of mine, like any birth, began my nursing life in a very specific way. I was challenged and tested, understood and got lost, and, tragically, […]

2023-01-30T10:34:04-05:00October 22nd, 2020|new nurses, Nursing, nursing career|0 Comments

‘Didn’t You Used to Be a Nurse?’: Finding the Nurse Within

The author of the Reflections essay in AJN‘s September issue, Kathleen Resnick, confronts a question many nurses must confront at some point: what is it to be a nurse?

And a related question: what is the essence of nursing work? If you can no longer work as a nurse because of physical constraints or for another reason, are you still a nurse?

Writes Resnick in “A Different Kind of Nurse“:

My nursing career was spent in hospitals, working mostly in critical care as a bedside nurse, then in management. I worked hard and my work was a large part of my sense of self-worth. I loved patient care and the satisfaction of making a difference. As a manager, I felt my  primary mission was to enable those I served to do their best work. . . . I was somebody. Now what am I? An acquaintance asked me, “Didn’t you used to be a nurse?”

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