respond 

Within 20 miles of our facility, there will be a new hospital that is opening up in the summer of 2020. Leading to lots of opportunities for the healthcare environment. One of the concerns with this includes how many staff members will leave to go to the new and upcoming hospital. Our human resource department estimates that we risk approximately ten percent of our staff to this new facility. At this time, we do not know what their benefits package will entail for the team. Benefits that include sign-on bonuses and tuition reimbursement may not be readily available to them, as this will be an entirely new business. Our facility has invested about 7 percent of the start-up, and another more extensive hospital system from 100 miles away has spent forty-five percent. One of the expectations of this new hospital is that it will be locally owned and ran. The physicians are fed up with big business from Colorado and California trying to run multiple hospitals.

Benefits such as tuition reimbursement and sign-on bonuses can attract new employees to an organization. What happens when they are unknown as of this a new facility and cooperation? As a nurse executive on the things that I would continue to reinforce is that the grass is not always greener on the other side. Several years ago, I worked part-time in a new hospital organization, and they severe growing pains. They did not have any formal recognition for the length of services and financial and retirement planning programs (Moon, Beck, & Laudicinia, 2014). They did not offer tuition reimbursement for those that wished to advance their degrees. As a transformational leader, one would want to have a general idea of what the staff member’s hopes and dreams are for work.

A nursing conceptual model is an abstract way of showing the way concepts interrelate which include the 4 basic nursing concepts which are; nursing, person, health, and environment (Cherry and Jacob, 2017). These concepts are defined differently by various theorist, resulting in varying theories due to the different perspectives of how these concepts relate to one another (Cherry and Jacob, 2017). It is from the conceptual model that a hypothesis is created (Cherry and Jacob, 2017) Through research and testing, a nursing theories validity is strengthened (Mock et al., 2007). According to McKenna, Pajnkihar, and Murphy, “Theory exists at different stages of development and a conceptual model is a stage of development on the way to becoming a theory” (2014, p.106). The purpose of nursing theory application is to improve nursing practice (Whitney, 2018).

Richard Lazarus’ theory of stress, coping, and adaptation addresses the psychological coping mechanisms that are due to stress (Whitney,2018). “Psychological stress is a particular relationship between the person and the environment that is appraised by the person as taxing or exceeding his or her resources and endangering his or her well-being” (Lazarus & Folkman, 1984, p. 19). Coping is defined by Lazarus and Folkman “as constantly changing cognitive and behavioral efforts to manage specific external and/or internal demands that are appraised as taxing or exceeding the resources of the person” (1984, p. 179).

This theory can be used in practice with every client admitted to the hospital or any client that encounters a healthcare professional. Simply going to receive a physical can induce a stress response and elevate the blood pressure in a phenomenon known as white coat syndrome. On the other end of the spectrum there is the stress responses from illness or trauma that have effects on the body such as elevated blood glucose levels, elevated cortisol levels, heart rate, and so on. Additionally, the psychological responses clients use for coping such as becoming withdrawn, angry, needy, aggressive, passive aggressive, depressed, afraid, nervous, and so on. By being cognizant about these coping mechanisms related to the stressors the client is facing, as nurses, we can assess, identify the problem, and seek necessary resources if needed, in order to intervene so that the client can cope more effectively or so that the initial stress can be removed. For example, if a client is afraid of having to go spend the night in the hospital, and is coping by yelling out on the unit, the nurse can intervene by addressing the stressor (fear of sleeping in hospital), and by resolving the stressor, the negative coping mechanism will resolve as well.

 Support Groups for Stress Management

Article: https://www.mayoclinic.org/healthy-lifestyle/stress-management/in-depth/support-groups/art-20044655

Once you have read the article, answer the following questions.

1. What are the different structures of support groups? 

2. Name 5 benefits of support groups.

3. Name 5 risks and cons of joining a support group. 

4. What would be one question from the list that you would ask before joining and WHY? 

5. What are the red flags you should look for before joining?

For this written assignment, select one recent (within the last two years) evidence-based article from a peer-reviewed nursing journal that describes a “best practice” in an area of nursing you are interested in. 

Cite the article and provide a brief overview of how the results or findings were obtained. Then describe the “best practice.” Conclude your  discussion by explaining whether you thought the research findings  supported the conclusions 

and the best practice.

This assignment must be no more than 3 pages long. It should include all of the required elements. Use APA Editorial format and attach a copy of the article.

What antecedent and consequences did you find to the concept of health? Also did you identify two empirical referents?

Use apa format and one of the following references as well as another that you find within the last 5 years. 

250-300 words

References

Lee, R. C., & Fawcett, J. (2013). The influence of the metaparadigm of nursing on professional identity development among RN-BSN students. Nursing Science Quarterly, 26(1), 96-98.

Wilby, M. L. (2019). Integrating Care of the Most Vulnerable Into a Nurse Practitioner Curriculum: A Transpersonal Caring Perspective. International Journal for Human Caring, 23(3), 200-204.