Starting your first nursing job after college is an exciting time. It’s when all your late-night studying starts to pay off and you begin to feel the satisfaction of making a difference in patients’ lives. But it’s also when you can run into challenges that you never expected to face. What I’ve learned in three years of working with nurse residents is that most of the time, these challenges have more to do with communication skills than clinical ones. Whether you’re having trouble connecting with patients, adjusting to the pace of work, or getting along with your team members, here are some tips to help.