10 Things I Wish I Knew Before Becoming a Nurse

When I first started nursing school, I thought I had a pretty good idea of what being a nurse would be like. I imagined caring for patients, helping families, and making a difference in people’s lives. And while those things are absolutely true, there are also many things about nursing that no one really prepares you for.

After five years in this profession, there are definitely things I wish someone had told me before I became a nurse.

Here are 10 things I wish I knew before becoming a nurse.

1. You Have to Develop Tough Skin

Nursing can be incredibly rewarding, but it can also be tough. You may face criticism from physicians, coworkers, patients, or family members. Learning how to handle those situations professionally and not take everything personally is an important skill.

2. If You’re Very Nice, People May Take Advantage of You

Being kind is one of the best qualities you can have as a nurse, but sometimes people may take advantage of that kindness. Whether it’s coworkers asking you to take on extra tasks or always being the one to stay late, it’s important to set boundaries and learn when to say no.

3. The Basics You Learn in Nursing School Matter

During nursing school, it can sometimes feel like the information you’re learning is overwhelming or not always applicable. But those fundamentals—assessment skills, critical thinking, and patient safety—are the foundation of your nursing practice.

4. You Don’t Have to Start in Med-Surg

One of the biggest myths in nursing is that everyone has to start in Med-Surg. While Med-Surg is a great place to learn, it’s not the only path. If you know you’re passionate about pediatrics, ICU, labor and delivery, or another specialty, it’s okay to pursue that right away.

5. Your Coworkers Can Become Like Family

Depending on where you work, the people you work with can become some of your closest friends. You go through difficult situations together, support each other during stressful shifts, and celebrate wins together. Those bonds can be incredibly special.

6. Don’t Take the First Job Just to Say You’re Working

When you graduate, it can feel exciting just to land a job. But it’s important to remember that you also have value as a nurse. Look for a workplace that supports you, provides good training, and values safe patient care.

7. Don’t Be Afraid to Leave a Job That Isn’t Right for You

If you start a job and realize very quickly that it isn’t the right fit, it’s okay to move on. Even if you’ve only been there for a few months, your mental health and career satisfaction matter.

8. Training Isn’t Always Perfect

Sometimes the orientation or training you receive may not be as thorough as you hoped. This can be frustrating and stressful, but it also teaches you to ask questions, advocate for yourself, and continue learning.

9. Some Units Can Be Toxic

Unfortunately, not every workplace culture is positive. Some units may have negative environments, poor leadership, or unhealthy dynamics between staff. If you find yourself in a toxic environment, remember that there are other opportunities out there.

10. Don’t Miss Opportunities to Grow

Nursing offers so many different career paths. Don’t be afraid to try something new, explore different specialties, or pursue leadership or advanced education. Growth is one of the most exciting parts of this profession.

Final Thoughts

Nursing is an incredible career, but it comes with challenges that many people don’t talk about. The good news is that there are endless opportunities within this profession to find your place.

If you’re a nursing student or new nurse reading this, remember that your journey is unique. Take the lessons you learn, grow from them, and never stop exploring what nursing can offer you.

Your career is what you make of it.

— Alexis