I do... RN (7 yrs) now in Graduate school to be come an NP. My stutter is quite mild but comes in waves that can border on moderate.I worked ER most of my career but now that I am in Graduate school I need more flex so I work in home health, both adult and pediatric for the past 2.5 years. If you are a nurse then you know that the most important things when it comes to competent nursing are Assesment, and Education which involve being able to communicate extremely efficiently and accurately. I wouldn't say there were "hardest challenges". When I am at work I assume a role/persona that makes it easy to communicate efficiently. But I will give you a few that can cause challenges and how I coped: 1. **Giving report**. At shift change, people want to get a very succinct report that can get them started early. I circumlocute a lot and this doesn't help. So I do a few urgent morning tasks like taking vitals, emptying bags, giving pain meds and even morning meds, and even a quick head-to-toe exam. This gives the on-coming nurse more time to listen because I've taken the care of the patient. I always do a bed side report and direct many questions to the patient themselves if they are competent- involve the patient in their care. One big thing was introductions so if I couldn't say a nurses name, there was good chance that they would introduce themselves at the bedside if I played it right. 2. **Phone reports and telephonic orders**. IN the ER you have to call the unit the Patient is being admitted to give report. Some nurses are true type A personalities and are very busy- ICU nurses I'm looking at you- they want all the information quick! Sometimes it was bad, sometimes not so bad. Instead of a transporter, I would take the patient up myself if possible and give a bedside report and help them get the patient settled in. They liked that. The fax is also your friend. I would fax medical reconciliation, ekg's, X-rays results etc up for the nurse to review so I didn't have to list by name all 20 meds that patient was on. For TORB I just tell the doc to "please put it as an electronic order- don't be lazy". We can do this in the ER. 3. **Problem Assesment.** This involves a lot of questions that start with "W", my most disliked consonant. I have a repertoire of tricks. The most important thing to do is stick to a script and do it the same way all the time so you never miss anything. And if something is hard, don't skip it or save the questions for later, just get through it, change the wording, but do it. It gets easier. 4. **Patient education.** If you've a cooperative patient, it can go well, but when you have a mental compromised patient, e.g. someone who's having a mental health crisis etc, if you can't project a sense of control, you can have a very dangerous situation on your hands. This is where I take on the role of a MMA nurse. I am in total control and I hardly ever stutter and if theres gonna be a fight, I'm ready. Sometimes you have to save people from themselves. 5. E**motions in a code.** Find a role you are comfortable in. Mine was time keeper, or the gopher- go for this, go for that. But the heightened emotion always made me more fluent somehow. 6. There are people that will say, disclose that you stutter, stutter involuntarily, etc. I have problems with this advice because: ​ 1. Its not always possible. Nor is it about you. You can't tell a patient who is vomiting from an MI, "oh, please bear with me I stutter". NO! I work on my speech, attend therapy, attend group, practice speaking, do whatever it takes to get it under control, so that I can get this patient the help they need in a timely manner. It just has to be said. 2. If you are dealing with say a paranoid or delusional patient, and you stutter a lot. You may just add an element of uncertainty into their perceptive field. Now they think that you are lying and they have been abducted. In an ER, that can lead to a very dangerous situation. I 3. Communication must be clear, concise, and effective. if your client is frustrated, in pain, having difficulty understanding you, they may shut down, stop listening, or lash out. The net result is they received no education and are at risk for medication errors, poor self care, and eventually, they'll be sick again. I am not saying there is no room for stuttering in nursing, but in high stress areas its better to have the **mindset of improving and controlling your speech to best provide patient -centered care.** A stutter often by nature makes the conversation about you and your emotions. At least in my experience. There's reason that the majority of people who are successful "**were once** **people who stuttered**" but have now largely overcome it. This idea that it is somehow better to just stutter and force people to accept it and you the way you are is akin to saying, don't manage your diabetes, don't manage your mental health, don't change anything and one day the world will be perfect and we'll all accept each other. It doesn't work if you want to be a nurse or doctor in a high stress milieu. Sorry for the rant. Damn! You asked such a simple question. I'm having a bad day and my speech has been shit lately and I'm a little frustrated with the non-advice and in-the-box thinking on this subreddit at times.