My 6 Biggest Nursing Career Fears As An Experienced RN

My 6 Biggest Nursing Career Fears As An Experienced RN

I recently wrote an article about my #1 biggest nursing career fear.

It was a hard post to write.  It brought up a lot of emotions for me, but also helped clarify new career goals that I needed to set for myself.

At first glance, it may seem to some that I did that to torture myself.  But there was a method to my madness.

I recently began a comprehensive writing and website development course that will take me at least 12 months to complete.  And one of my first assignments was to write about a significant fear that I have that pertains to my current writing niche.

As a nurse mom blogger who writes about finding ways to help nurses take better care of themselves, I put a lot of thought into this.  And I have concluded that one of the ways I want to take better care of myself is to NOT work as a floor nurse for my entire career.

Unfortunately, the wear-and-tear is starting to break me down.  I am afraid that what was once a cerebral challenge is beginning to turn into full-fledged irreparable nurse burnout.

Never let feat decide your fu

Never let your fear decide your future:  my 2021 nursing career fear mantra

As a nurse blogger who frequently blogs specifically about the topic of nurse burnout, I have worked very hard to find solutions for my exhaustion.

My #1 reason for starting a website was to create an outlet for my own overwhelm and fatigue as a nurse and new mom.

Over the last two years, I have spent nearly every minute of my free time researching and exploring possible solutions for these struggles.  Then I write it all out clearly as I can with the hope that I can help myself and (hopefully) other nurse moms in my position.

And voila, it works!  For a while, anyway.

But, sadly, I eventually find myself feeling burned out again.

So, in the spirit of continuing the blogging assignment I mentioned earlier, I am going to dive in and open up about all of my fears about my nursing career.

It saddens me to think that I may not be a direct patient care nurse for much longer.  The healthcare system needs great nurses. But I will always be a nurse, and as I like to say, a nursing practice can take many forms.

My biggest fears as a bedside nurse:

#1.  I fear physical injuries from years of nursing.

nurse neck injury

Nursing career fear #1:  physical injuries on the job

There is alarming evidence now that even proper lifting techniques expose nurses’ spines to dangerous forces.

Also, chronic back pain in the nursing population is a common ailment. An evidenced-based review at the Texas Women’s University reported that estimates of chronic low back pain among nurses range from 50%-80%.

Many non-nursing professionals may be alarmed to hear that after only seven years as a bedside nurse, I am already feeling the wear-and-tear of being on my feet all day.  I already have chronic back pain.  My legs and feet ache for days after a 12-hour shift.

I do a lot of yoga as a preventative measure, and it helps tremendously.  But as soon as I have another busy shift with a heavy patient load, the pain returns.  Especially when I work with total-care patients.

#2.  I fear a life of burnout and constant exhaustion.

Nurse tired sitting in hospital hallway

Nursing career fear #2:  years of chronic exhaustion

I have written many times about my fatigue as a nurse and have even come up with several solutions to beat my nurse burnout (at least temporarily).  But if I’m being honest, the only way I even recover from burnout is just not to work at all.  It is incredible how much better l feel after stepping away from bedside nursing for a week.

Admittedly, I have created a few of my own unhealthy habits to cope with my nursing career.  This is why one of my goals this year is to start taking simple steps to help keep my stress in check so that I don’t end up becoming a patient myself.

I realize now more than ever that, to care for others, I must take care of myself first.   And the only proven way I have been able to do that thus far is to step away from the bedside and practice nursing in a different realm.

#3.  I fear verbal abuse and violence.

Stop violence against nurses

Nursing career fear #3: violence against nurses in the workplace

Abuse against nurses is prevalent.  Nurses are expected to put up with levels of abuse that would NEVER be acceptable in any other professional setting.  I have been cussed at more times than I can count, in just about every colorful way you could imagine, for just doing my job.  And guess what?  Not one single abusive patient or family member as EVER been asked to leave the hospital.  Sadly, it appears that nurse abuse is acceptable and that nurses must deal with it as a part of the job.

Here is a recent example:  I had a patient verbally assault me in the vilest way possible when I brought them their scheduled life-saving anti-rejection medicines.  I explained that I was there to help them, and calmly asked the patient several times to stop using vulgar language at me.  Finally, I told them I would find them a different nurse and left the room.

Tearfully, I told my charge nurse, who supported me and assigned the patient a different RN.  I found out later that the patient was so offended that I refused to be their nurse, that they filed a complaint against me.  I also found out later that there were several other nurses in the days prior who had been putting up with the same verbal abuse.

Even worse, violence against nurses is prevalent (especially emergency room nurses), and it usually isn’t even routinely tracked.  I have been lucky not to find myself the victim of direct physical violence as a nurse as of yet.  Many nurses have not been so not fortunate.

#4.  I fear not having more earning potential.

To do list; make more money

Nursing career fear #4: not reaching a higher earning potential

Working for an hourly wage kind of sucks.  I am very driven, and I have a great work ethic.  But no matter how hard I work as a nurse, I’m just not going to make any higher (or lower) than my hourly wage.  I could work more hours, but I am already experiencing a lot of nurse burnout, and I have a family to take care of as well.

I often think about how nice it would be to get paid more for working harder.  And I want the opportunity to earn a better living.  Especially because we live in one of the most expensive cities in the US, and it’s only getting more expensive.

#5.  I fear to have a terminal position with no growth opportunity.

nursing career growth

Nursing career fear #5: not growing professionally in my career

There are opportunities for nurses who want to move into administrative roles or become nurse practitioners if you are willing to go back to graduate school for a master’s degree or Ph.D. in nursing. (When you work in the UC system in California, you MUST have a Masters Degree In Nursing to move into administration.  No exceptions).

However, my bachelor’s degree in nursing was already my second college degree as I am a second career nurse  (I have a prior BA in journalism).  Not only was going to nursing school in my early 30’s the single hardest thing I have ever done in my life, but it was also extraordinarily expensive.  I know a few nurses graduating with over $100,000 in nursing school loan debt (I don’t have it in me to tell them they will likely never pay it off on a nurse’s salary- at least not in California).

In addition, I have a family now with two toddlers who need me – and I’m already a working mom.  So, I could spend a ton of money going back to school, spend almost no time with my family, have a whole bunch of brand new student loan debt, and have a terrible quality of life for the next 3+ years.

And quite honestly, the idea of being a hospital administrator doesn’t even sound very appealing to me.  Not to mention, many nurse practitioners are making less then bedside nurses.  Thus, I have a hard time seeing the benefit in more school at the moment.

#6.  I fear not putting my own needs first.

Make your dreams bigger then your fears

Nursing career fear #6:  putting my own needs last

In my first career, I was a medical device salesperson because I wanted the opportunity to make a significant amount of money.  A decade later, I became a nurse because I genuinely wanted to help people and save lives.  I wanted to do something that was so much bigger than myself.

I was proud to become a nurse, and I still am.  However, this profession revolves around constantly putting other peoples’ needs first.  And it must, because our patients’ lives often depend on it.

But I have a family to care for too. And as a mom of young children, I often feel that I am in constant “survival mode.” This leaves very little time for self-care.

Nothing to Fear but Fear Itself

Thinking about the things I fear most is probably my least favorite thing to do.  In reality, I am a non-confrontational person and it feels unnatural for me to do a deep-dive into the things I am most afraid of.  Especially listing them one-by-one and publishing them on my website!

But, if I can’t be honest with myself about what I feel in my gut when it comes to my nursing career, then how am I supposed to grow and create a better future for myself and my family?

As a busy working mom, I hardly have time to think about myself as it is.  It would be a lot easier to pretend my fears didn’t exist and stay super busy until my kids turn 18 and go off to college.  But making big life changes is hard, even when they are the best thing for you.

Plus, I would be well into my 50’s by then!

And I don’t have time to waste on being afraid!

Do you have any fears as a bedside nurse?  Please leave a comment below!

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Additional articles by Mother Nurse Love:

3 Reasons Why Nurses Quit

3 Reasons Why Nurses Quit

Why do nurses quit the profession?

Nursing is the most trusted profession in America and has been considered so for decades.   Yet, nurses are burning out at a rate unparalleled to any other profession.

It turns out that nurses may not be getting the same respect and care that they give to their patients and employers.   As a result, many nurses are looking for alternative ways to practice nursing or are even leaving the nursing professional altogether.

I became a nurse as a second career.  Nursing called to me because I genuinely wanted to help people, and I thought that a nurse’s schedule would work better for me as a mom.  Now, seven years into my nursing career, my passion for nursing is still high.

Yet I, like many other nurses, struggle with burnout.  I have even started looking outside of patient care for alternative ways that I can practicing nursing to deal with my struggle.

Sad and tired nurse (This post may contain affiliate links.  You can find my disclosure page here.)

Reasons Why Nurses Quit

#1.  Not having control over work schedules

Hospital nurses are expected to work all hours of the day and night, holidays, and weekends.  And on top of that, many nurses don’t even have control of their schedules (unless they work per diem – which has been a game-changer for me). I can’t tell you how many times I have missed Christmas, Thanksgiving, New Year’s parties, Easter Sunday, Fourth of July weekend, and so many other special events with my family.

Now that I have my own kids, missing these events is so much harder for me, especially if I have to work on one of their birthdays.  This past Christmas, I was lucky enough to NOT work on Christmas Day, but I worked the entire two weekends before, the two days before Christmas, and the day after Christmas. I missed several Christmas parties, and I was so tired on Christmas day that I could barely keep my eyes open.

Thankfully I am not working graveyard shifts anymore, but if I did I would have quit being a nurse a long time ago.  Working night shifts literally made me feel like I was going to explode.  I felt sick all the time, I was in a constant fog, and I even started to get a little depressed.

Here is an idea that can help:  Work per diem or switch to another nursing position that requires a more regular 9 to 5 work schedule such as occupational health or the Cath lab.

#2.  Bullying in the workplace

You have probably heard the phrase “nurses eat their young.”  That is just a clever way of saying that there are many experienced and burned out older nurses bullying less experienced nurses.  It’s also a primary culprit as to why nurses quit working inpatient care.

I remember one of my own experiences with bullying very clearly. When I was a new nurse grad, a nurse I gave report to at shift change would question everything I had done for my patients that day, and drill me about why I didn’t do things differently.  Her attitude was awful, and I could tell she hated her job and being on the unit.  She had been there for many years, and she treated several other new nurses the same way.

There were days where my shift had gone great – until I had to deal with her at the very end.  Then I left the hospital feeling defeated and inadequate just because of some unhappy, grumpy nurse. I did my best to hold my ground and keep my reports as simple as possible.

Eventually, (and thankfully) she quit and we never had to deal with her again.  Things got better for me, but unfortunately, there are still nurses “eating their young” who are lurking within the hospital.

Here is an idea that may help: I took a course called “Crucial Conversations” during my second year as a nurse, and it was so helpful for me.  It taught me how to deal with difficult situations with other co-workers. Sometimes addressing a bully head-on or finding a way to avoid them entirely is the best way to handle the situation.

#3.  Abusive patients or family members

By and large, most patients and family members in the hospital treat the medical staff respectfully.  However, that is not always the case.

In my seven years career as a nurse, I have been kicked, swung at (thankfully never hit head-on!), had a full urinal thrown at me, been cussed out, and told I should “kill myself.” And that’s just the tip of the iceberg.  There are patients who, despite having full capability to execute all activities of daily living by themselves, take advantage of nurses and other medical staff by asking that everything is done for them.  It’s as if we have nothing to do all day except be a personal butler.  At least it can feel that way sometimes. I’d rather not be a character from Downton Abbey, though!

Often when people are in the hospital, it is because they are sick and need to be there.  Nurses are happy to bend over backward to give the best patient care we can for those patients.  Unfortunately, some people take advantage of the caregivers, and over time, it leads to decreased morale and, ultimately, burnout. This is another big reason why nurses quit the profession.

Here is an idea that can help: Nurse abuse is never okay and can be traumatizing for nurses.  Communicate with management any time a patient or family member is abusive.  Ask for help.  Call security if you feel threatened.   Ask for another assignment or take turns with other nurses giving care to extremely difficult patients.   Talk to staff, family, and friends to help talk out your experience. All of these things can help make dealing with difficult patients and their families a little easier.

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If you are considering leaving the nursing profession altogether, here are a few ideas to help rekindle your nursing career:

Are you a nurse struggling with burnout and considering leaving the nursing profession?  What experiences lead you there.  Please leave a comment!

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