Overcoming Anxiety and Building Confidence in Nursing Internships - Psychiatry

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Hello, Doctor: I have studied nursing in both a five-year junior college and a two-year technical program.
My internship journey has not been very smooth, and I have relied on the support of friends, teachers, and classmates to get to this point.
Although I managed to overcome some of my anxiety and nervousness during the final internship of my two-year program this year, I still struggle with a lack of confidence and set high expectations for myself, which makes me fearful of change and accepting challenges.
My family says I have grown a lot during this last internship, and I do feel I have improved somewhat, but I still sense something is off and lack a tangible feeling of progress.

On Monday, when I reported to the unit, I received a lot of information about the department and quickly familiarized myself with the environment.
I observed and learned alongside a senior nurse.
However, since she was off for three days afterward, I also took those three days off.
On Monday, the senior nurse reminded me to study at home, and she did so more than once.
Yet, during these days of rest, I felt very down and began to fill with negative emotions, similar to how I felt in the past.
I worry about whether I will be able to endure the probationary period and question if I am truly suited for clinical work.
I find myself completely immersed in these feelings, knowing I should be studying, as I will definitely be unprepared for my next shift if I don’t.
However, my mood remains poor.
I wonder how you adjusted your mindset when you first started as a new staff member.
Thank you!

Lin, 20~29 year old female. Ask Date: 2017/07/05

Dr. Liang Sunyuan reply Psychiatry


Hello: When you first enter the workforce, there will indeed be a challenging adjustment period.
Whether it's facing challenges, receiving criticism, or being overwhelmed, just focus on learning what you need to learn; these experiences hold their own value.
Thinking this way may make the adjustment a bit easier.
Wishing you a smooth transition into your work environment soon.

Reply Date: 2017/07/05

More Info


Overcoming anxiety and building confidence during nursing internships can be a challenging journey, especially for those who are sensitive to stress and self-doubt. It’s important to recognize that you are not alone in feeling this way; many nursing students and new professionals experience similar feelings of anxiety, especially when transitioning into clinical settings. Here are some strategies that may help you navigate this period more effectively.


Understanding Your Anxiety
First, it’s crucial to understand that anxiety is a normal response to new and challenging situations. In the context of nursing, where the stakes can be high, it’s natural to feel overwhelmed. Acknowledging your feelings without judgment can be the first step toward managing them. It’s also helpful to identify specific triggers for your anxiety—whether it’s the fear of making mistakes, the pressure to perform, or the fear of judgment from peers and supervisors.


Building Confidence
1. Preparation and Knowledge: One of the most effective ways to combat anxiety is through preparation. Familiarize yourself with the materials and protocols relevant to your internship. Create a study schedule that allows you to review essential topics and skills regularly. This proactive approach can help you feel more competent and confident when you are on the floor.

2. Set Realistic Goals: Instead of aiming for perfection, set achievable goals for yourself. This could include mastering a specific skill each week or improving your communication with patients. Celebrate small victories, as they can significantly boost your confidence over time.

3. Seek Feedback: Constructive feedback from mentors and peers can be invaluable. Don’t hesitate to ask for guidance or clarification when you’re unsure about something. Most experienced nurses appreciate when interns seek help, as it shows a willingness to learn and grow.

4. Practice Self-Compassion: Be kind to yourself. Understand that everyone makes mistakes, especially when they are learning. Instead of being overly critical, treat yourself with the same compassion you would offer a friend in a similar situation. Remind yourself that growth comes from experience, including setbacks.


Managing Anxiety
1. Mindfulness and Relaxation Techniques: Incorporate mindfulness practices, such as deep breathing exercises, meditation, or yoga, into your daily routine. These techniques can help reduce anxiety and improve your focus. Even a few minutes of mindfulness can make a significant difference in your emotional state.

2. Connect with Peers: Building a support network with fellow interns can provide a sense of belonging and reduce feelings of isolation. Share your experiences and feelings with them; you may find that they share similar struggles. This camaraderie can help alleviate anxiety.

3. Professional Support: If your anxiety feels overwhelming, consider seeking support from a counselor or therapist. Many educational institutions offer mental health resources for students. Professional guidance can provide you with coping strategies tailored to your specific needs.

4. Limit Negative Self-Talk: Pay attention to your internal dialogue. Challenge negative thoughts and replace them with positive affirmations. For example, instead of thinking, “I will fail,” reframe it to, “I am learning and improving every day.” This shift in mindset can help reduce anxiety and build confidence.


Embracing Change
Change is an inherent part of growth, especially in a demanding field like nursing. Embrace the challenges as opportunities for learning. Each experience, whether positive or negative, contributes to your development as a nurse. Remember that it’s okay to feel uncomfortable; discomfort often precedes growth.


Conclusion
In summary, overcoming anxiety and building confidence during your nursing internship is a process that requires patience and self-compassion. By preparing adequately, setting realistic goals, seeking feedback, and practicing mindfulness, you can navigate this challenging period more effectively. Remember, it’s normal to feel anxious, and with time and practice, you will find your footing in the clinical environment. Embrace the journey, and don’t hesitate to reach out for support when needed. You are capable of becoming a skilled and compassionate nurse.

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