Monthly Archive for April, 2009

Nursing Student Fears

Nursing Student-a-Phobia

i_student_2This is an affliction so common that even people outside of nursing schools have heard of it, simply from their associations with nursing students. No, nursing student-a-phobia is not an irrational fear of nervous nursing students with needles. This is a term that I have invented that refers to the paranoia that strikes all nursing students during their medical and science courses that makes them say – “I think I HAVE that disease! I have all the symptoms – I’m certain I won’t make it to sophomore year!”

I have the utmost sympathy for the nursing pathophysiology professors who, for generations now, have had to deal with these post-class hurricanes of hysteria. I mentioned in previous blogs, how incredibly academic and studious nursing students generally are. Combine this passion for information with the anxiety of nursing school and the result is that every headache is a brain tumor and every bout of stress related heartburn is stomach cancer.

This is in no way to callously disregard those nursing students who actually do suffer from serious medical conditions.  In fact, a woman in my nursing class found a lump in her breast and was diagnosed with breast cancer while it was still in the early stages, thanks in part to her medical awareness stemming from nursing school.

I’m talking about the rest of the students in the class. The ones who absorb every last detail of every condition they learn about, seemingly by osmosis sometimes due to the heavy reading requirements. Nursing school is not for the faint of academic heart. Even the most prepared students find themselves overwhelmed by the demands of a nursing school curriculum, especially in the beginning.

The subsequent stress and lack of sleep can produce many different symptoms, such as sleeplessness, headaches, digestive problems and other signs and symptoms that often mimic more serious disorders. To their enormous credit, nursing professors graciously handle nursing student-a-phobia with patience and humor as they gently reassure each student that they are most likely not dying of a condition that almost exclusively afflicts the tropical populations of South America.

As a freshman nursing student, shooting pains in my left shoulder sent me screaming to health services, certain that I was having a heart attack. The calm, wise physician on duty reassured me that I had simply strained an axial nerve in my shoulder – from carrying my heavy backpack of nursing textbooks around campus!

Complementary But Alternative Medicine

Time to Brush Up on Complementary Medicine

i_art_therapyOnce referred to as “alternative”, many methods of complementary medicine have made their way into private health insurance plans, family medicine offices and nursing textbooks. That’s right. In today’s nursing curriculum texts students are likely to see informational boxes about gingko biloba and acupuncture side by side with more traditional therapies such as pharmaceuticals and surgery.

The once solid wall separating eastern from western medicine has become a barely visible line. Savvy healthcare consumers, doing their homework on the internet, have taken control of their health, utilizing treatments and complementary therapies that work, and are often more cost effective – versus simply looking to their doctor for the magic pill.

What does this mean for today’s nursing students? First of all, there is the awareness that alternative medicine is no longer considered alternative (correct term in medicine is now “complementary”). This is especially important when it comes to respecting the beliefs of your patients, starting as a student nurse. Speaking of your time as a student nurse, what better time is there to research complementary therapies than during nursing school?

Some complementary treatments worth looking into:

  • Music Therapy
  • Pet Therapy
  • Hypnosis
  • Guided Imagery
  • Aromatherapy
  • Sound Therapy
  • Qigong
  • Biosync

Yes, these are in fact actual medical treatments and not services listed on the rainbow colored handout of that strange folk healer downtown. However, another good reason to research these topics and others like them is to ensure that your patients aren’t doing any potentially dangerous mixing and matching with mainstream treatments that could lead to adverse reactions. Having a solid understanding of the effectiveness and evidence based research surrounding each treatment is also vital to the credibility of any clinical provider.

Overall, the days of complementary therapies being considered “soft” research paper topics by nursing students, are fading fast. As the collective medical mind of providers, students and patients continues to broaden, good medicine will be a combination of what works best, what regimen the patient is willing comply with, what is safe and what is in the best interest of the patient.

Questions for Nursing School Recruiters

i_student_3During these challenging economic times, when job seekers are braving lines for hours just to submit their resume, nurses and nursing students are bound to be envied. Nurses are being courted by hospitals and other employers with sweepstakes opportunities to win new SUVs, cash bonuses, vacation time and gift cards.

As aspiring nursing students, you are in high demand by nursing school recruiters. Even the staff shortage and resulting waiting list is not enough to lessen your value as a future nurse. Chances are, if you are a qualified applicant there is a spot for you at a highly regarded ADN or BSN program somewhere.

This brings us to the all important college fair where you have the opportunity to interview nursing school admissions representatives and they get to do the same. Instead of losing sleep, look at these face to face meetings as reconnaissance missions where you can gain valuable information and increase your odds of receiving an acceptance letter.

As you flit from table to table, hopefully picking up some good “swag” (freebies with the school’s logo on it), don’t forget your mission to gather information. Here are some questions that you might bring up in conversation with nursing school representatives.

  • What is the instructor to student ratio in lecture classes? Clinicals? (a great indicator of how personalized your learning experience will be; average is 10 to 1)
  • What percentage of your students graduate?
  • What are the highest graduate degrees held by your faculty? (MSN is minimum, some nursing instructors hold doctorates)
  • Additional academic and research accomplishments coming from your school of nursing? (an emphasis on research and grants means the most cutting edge course curriculums for you)
  • How has your school added value/special courses/programs to your curriculum (versus the minimum requirements for this degree)?
  • What advice do you have for me in terms of applying for and preparing for your program?

It is important, as in any interview, to let the conversation flow naturally. Ask your questions but without continually cutting off the school recruiter in the process. If you become a student at their school, this may very well be the first impression you make.

Choosing a College Minor

Choosing College MinorNursing students are a notoriously studious bunch (note how I chose studious versus nerdy), myself included. A nursing education is extremely comprehensive on its own, covering cellular, chemical, physiological, mathematical, psychological and every other type of science with the possible exception of nuclear physics. Although now that I’ve said it, there is bound to be a dean of nursing in some BSN or MSN program somewhere who is considering a curriculum change.

Understanding the human condition, medical norms, abnormalities and treatment modalities, results in a heftier course load than most of your friends in other majors will ever experience. I was always a little envious of the free wheeling “undecided” majors, hanging out in the student union without a care in the world.

Therefore, when my freshman career advisor asked me what I was going to minor in, I didn’t exactly do back flips across the quad. My advisor reeled off some of the “typical” nursing minors such as psychology, sociology, nutrition, and other courses of studies that matched up perfectly with the nursing curriculum. I swear I was not trying to be intentionally difficult when I chose none of the above.

As a result, I’m pretty sure that I was the only music minor, if not that then the sole flute performance minor, in my nursing class. I approached my decision from a different perspective, asking myself what I truly enjoy doing, do well, and therefore would like to study further. In case it’s not obvious, college is THE best opportunity to explore subjects you are passionate about studying.

If as a nursing student you are eager to expand your knowledge in complementary areas such as psychology, sociology and such than by all means, go with that. Choosing your minor, electives and even extracurricular activities is your opportunity to spread your wings outside of the structure and demands of the nursing program. Have fun with it!

For instance, my major “extracurricular” activity during nursing school was volunteering as an EMT. This ended up being a perfect complement to my nursing education, exposing me to first responder, trauma and other medical incidents that my fellow nursing students would not experience until after they graduated and only if they worked in critical care.

When designing your curriculum each semester, listen to your career advisor and discuss your decision with peers, instructors and family.  However keep in mind that as a student, you are in the driver’s seat (often for the first time). Everything that you study and every experience you have during school will shape who you are – whether you want it to or not.

The Cost of Nursing School

Be Prepared for the Costs of Nursing School

Cost of Nursing SchoolUnless their last name happens to be Trump, collecting enough money for a college education is a challenge that all high school students face. During the current economic downturn, when one or both parents may be unemployed or at risk for it and budgets are tight, fund raising for the future is more difficult than ever. In addition to the rising cost of tuition, aspiring nursing students need to budget for more and costlier textbooks than most other majors, lab and clinical fees, uniforms, a stethoscope and all the other requirements of a program comprised of both clinical and hands-on training segments.

What About Financial Aide

The time tested financing options for a college education still apply: financial aid, work study, grants, student loans, scholarships and other monetary awards. It also doesn’t hurt to review your family tree for any rich aunts and uncles who might be suffering from an overflow of cash.

Aside from that, high school and college career counselors are excellent resources for finding the more traditional financing resources in your area. However with the current level of competition for every penny of college money available for the pinching, it is up to you, the future collegiate to do your homework and put your research cap on like you never have before. High school students these days, unlike when I was in this position, have the benefit of the all-knowing internet to power their research efforts. The money is out there – you just have to fight for it a little harder, based on current events.

I helped contribute to the expenses of nursing school by working part-time as a CNA (certified nurse’s aide), an endeavor that supported my studies while helping to pay the bills. Contact local home health and CNA agencies to find out if they have the “clinical to CNA reciprocity” that allows nursing students, typically juniors or seniors, to automatically certify as a CNA due to their clinical experience, rather than requiring separate certification.

If all else fails, I recently read that in Great Britain, nursing students received a federal stipend from the government to help pay the bills while they train to become a nurse. With all the bailout and stimulus controversy here in the states, perhaps this is not the best time to write a note in the presidential suggestion box about implementing a nursing school stipend here to prevent a mass nursing student exodus.

Related Topics:

How to Afford Nursing School

Nursing School Competition

Leader of the Pack

Nursing School CompetitionCongratulations, you have decided to pursue a career as a nurse! As you probably know, nursing is one of the few recession proof careers in these challenging economic times. The growing need for nurses to care for the steadily increasing population of aging baby boomers makes your decision to don the metaphorical white cap and dress (translation: colorful scrubs) an extremely important one.

However, you most likely also know by now that the nursing shortage is paralleled by a shortage of nursing school professors. This means that aspiring nursing students can look forward to a healthy dose of admissions competition when applying to nursing programs, whether your goal is an ADN or a BSN. Just like many of your other fellow students in other disciplines (including in those industries not facing shortages), this is the time to focus on what separates you from your fellow applicants.

Many of my fellow high school graduates seemed surprised when, at our graduation ceremony, I swept the nursing scholarships awards. I had good but not stellar marks in science, but overall I was known more for my writing abilities than my bedside manner and medical pedigree.  What they did not know, is that for the past two years I had been volunteering at a local hospital as a “candy striper” (I believe the politically correct term is patient care volunteer?). The scholarship committee had taken note.

While I’m not suggesting that every aspiring RN is required to log time as a hospital volunteer, I would like to emphasize the important of doing something – anything – to separate yourself from the pack of others competing for your nursing school spot.

Grades: Science and math grades are obviously very important, since as a nursing student you will find yourself immersed in stimulating subjects such as biochemistry, pathophysiology and medication dosages. Overall GPA is also key because it shows a capacity to learn and study.

Extracurricular Activities:
Hospital, hospice, and nursing home volunteering, babysitting, pet-sitting and anything else that reveals the all important care giving gene.

The Essay/Cover Letter: Dreaded by many and embraced by few, this is actually a fantastic opportunity for you to shine a light on your accomplishments, special traits, why you want to be a nurse (hint: don’t say “the money”) and how you can contribute to the rapidly changing face of health care.

Nursing school can be a challenging endeavor and with the limited flexibility in nursing student to instructor ratios, recruiters are out to increase the odds that the students they accept will make it through, graduate, and make valuable contributions in the field of nursing. Keep this in mind as you complete your nursing school applications.

Is Nursing For You?

Is Nursing for You?

Is Nursing For You?There is no one right path into the field of nursing. I learned this from experience, as I’m sure many other nurses have.  Somewhere around junior year of high school, I combined an innate need to nurture with a love of science and a writer’s natural curiosity about the human condition and voila – suddenly I was an aspiring nursing major.

Some people know what they want to be when they grow up at an early age and at the other end of the spectrum, some decide to study nursing in their fourth or fifth decade. My point is that no matter how you find yourself in nursing school, regardless of your personal motivation, the most important thing is to trust in your decision, move forward and embrace the learning experience in front of you.

But what if you aren’t sure? Like me, perhaps you have a love of science, health and caregiving and are perplexed by the many options available in the healthcare field other than nursing that also utilize these traits. There is a distinctive set of skills, traits and career characteristics that, for me, separate nurses from the rest of the equally valuable pack of healthcare providers.

Love of Medicine: Seems more like a medical school goal, right? Remember this: If a nurse executes a faulty order from a doctor, she/he is also likely to be named in the lawsuit. Nursing programs, particularly BSN ones, are extremely heavy on the science. You must love to learn the finer details of medicine.

Critical Thinking: Nursing is not regurgitating information; it is applying a vast bank of medical knowledge to unique patient situations and implementing the best possible solution to the problem at hand. It’s interesting that nursing school exams and subsequently the national boards are in multiple choice format, when the situations confronted by a nurse are the exact opposite. If you are a natural born problem solver and generally think quick on your feet, nursing is for you.

The Nurturing Gene: As far as nursing has come in terms of medical knowledge and additional responsibilities, the Florence Nightingale requirement remains at the heart of nursing. If you love caring for others, understanding what people need, doing your best to provide it and working at the most personal level of human connection, than run don’t walk towards your nearest nursing school recruiter!