1. Connect
Loneliness can affect students. Get to know your peers and join as many clubs and societies as possible – it’s really important to feel connected from the outset.
At the same time, make sure you continue with any previous connections you might have – be they spiritual, friends, family, hobbies – don’t cut them out, they’re an important part of your journey.
While on placement, peer support is crucial. Seek out the third years on your course – they’ve been in your shoes and know exactly what you’re going through.
2. Nourish yourself
The word "nurse" comes from the Latin word “nurture” meaning "to nourish”. Don’t forget the amazing job you do nourishing others – think about how you nourish your own mind, body and soul. Eat and drink well, get good sleep. The evidence is there – success correlates with sleep.
And remember: replace drinking alcohol with healthier coping strategies, be it exercise, knitting or even archery – find what works for you.
3. Focus on the best thing
When you finish a shift or day on placement, think about the best part, not the worst part. Even if the outcome wasn't what you wanted for your patient, don’t forget that sometimes just being with somebody is as important as healing someone. Being there and not talking can be the most powerful thing.
4. Don't forget who you are
It can be hard to navigate your identity as a nursing student and later as a registered nurse. We have an important role within society – as soon as you start your nurse education you take on the identity of always being a nurse first, but remember who you are.
It’s a strange pressure we don’t even think about – there’s a weight that comes with it – a social responsibility. The most important thing is to recognise it and talk about it. Share the load.
5. Write it down
Constantly record what’s going on.
A pen and paper or a digital notepad can get you out of sticky moments as you can record stuff – by keeping notes you’ll always know what you’re doing next and can refer back if needed, saving stress and anxiety after an event.
6. Take ownership of your vulnerabilities
Don’t hide any pre-existing mental health conditions or neurodiversity – own them, they're nothing to be ashamed of.
Embrace your crutches and exactly who you are in all your emotional states so you can access the support you might need.
7. Remember: struggling with essays doesn’t make you a bad nurse
Academic writing doesn’t come easily to everyone.
If you find writing essays hard it can make you think you must be a rubbish nurse which can then stress you out and avoidance strategies kick in. Just because you may find writing hard doesn’t mean you’re a bad nurse.
- Read next: Referencing rules for student nurses
8. Take time out
It’s a tough course at times. Reward yourself when things go well and take some down time when possible.
Try to get a weekend away, take holidays if you can. You can become so absorbed with your student identity you lose perspective – you can’t be on all the time.
Coach your network about what’s helpful and what you need from them: sometimes you might just need someone to listen so you can get something off your chest (without commentary).
Sometimes you have caring responsibilities, and this can be really challenging as this can mean extra time to plan, resource and navigate these responsibilities.
Nursing courses are almost all year round and don’t always factor in half terms or other holidays, so please take time to plan time together, academic time, and obviously time for yourself.
9. Keep in mind why you’re here
Hold on to why you wanted to become a nurse in the first place. You went into it to make a difference and to care and you’re caring for the most vulnerable. Keep the faith.
10. Reach out sooner rather than later
Finally...
Being a member of the RCN can be helpful in combatting stress – you’re part of a professional body that understands you and what you’re going through.
'It’s OK to not be OK'
Alisha Brown, RCN UK Students Committee Chair, says:
"Being open and honest about your mental health is not only part of the NMC code of conduct, but also demonstrates great strength and courage. These are conversations we should normalise and encourage. University is there to support you to become a registered nurse and should foster an environment where mental health can be discussed in confidence.
"Talking to someone you trust at your university, for example, your personal tutor, will enable you the opportunity to access support and receive additional help. It's time to break the stigma around nursing students speaking up about their mental health because of fears it will mean they are not fit to practice.
"Personally, speaking about my own mental health difficulties with my university and my practice placement was the best thing I could have done. I want to strongly encourage an open discussion about mental health because we all have it, and we all need support from time to time."
Seek help
If you're going through a tough time or having thoughts of suicide, it's important you tell someone. Call the Samaritans on 116 123 or visit samaritans.org. Please try to stay safe until you can speak to someone about how you feel.
You can also contact the RCN for advice here.
Further information
- RCN advice on mental health and wellbeing and counselling service.
- RCN advice on stress and anxiety.
- Find out more and join the RCN Mental Health Forum.