Respond one of your colleagues’ posts by offering a possible  resolution to their  questions/concerns with supporting documentation,  if possible, or  expanding on their thinking and providing an example as  support.  

at least 2 references in each peer responses!  You must do this to receive  maximum points! 

DQ #2

   As I begin my master’s program, there are many questions. Like most students, I am concerned with how most efficiently manage my time.  I am concerned that with working full time and going to school full time, I will not have enough time to read the assigned readings, complete the assignments, and retain the information required to pass state boards.  Throughout my BSN, I took one class at a time.  Taking two classes at a time leaves me feeling some anxiety as to whether I will comprehend and retain the information beyond the week’s assignment or test.  The academic skills center recommends using the SQ3R method to aid in reading retention and comprehension.  This is an active and process-based approach to reading that will allow you to remain engaged in the reading and help to retain the information (Walden University, 2019).  According to Rades (n.d.), some tips to effectively manage your time and increase productivity include making a list of things you know you waste time on  and minimize or eliminate those things, hiding or deleting social media apps, don’t multitask, and complete important tasks first.  Eliminating wasted time spent on unimportant things can buy more time for studying.  

           With spending most of my free time studying and doing assignments, how do I avoid anxiety and burnout?  How do have a positive work/school/life balance? According to Gordon (2015) meditation is a good way to relieve anxiety.  Small changes like mindfulness can have a large impact on our state of mind.  In the past, I have always told myself to take one day at a time. This has seemed to work thus far, but the Master’s program is a little more intimidating.  Any recommendations would be greatly appreciated.  I set high expectations for myself, which creates more stress and anxiety.  Tips to reduce stress and anxiety would be helpful as well.

Quite often, nurse leaders are faced with ethical dilemmas, such as those associated with choices between competing needs and limited resources. Resources are finite, and competition for those resources occurs daily in all organizations.

For example, the use of 12-hour shifts has been a strategy to retain nurses. However, evidence suggests that as nurses work more hours in a shift, they commit more errors. How do effective leaders find a balance between the needs of the organization and the needs of ensuring quality, effective, and safe patient care?

In this Discussion, you will reflect on a national healthcare issue and examine how competing needs may impact the development of polices to address that issue. 

To Prepare:

• Review the Resources and think about the national healthcare issue/stressor you previously selected for study in Module 1.
• Reflect on the competing needs in healthcare delivery as they pertain to the national healthcare issue/stressor you previously examined.

Post an explanation of how competing needs, such as the needs of the workforce, resources, and patients, may impact the development of policy. Then, describe any specific competing needs that may impact the national healthcare issue/stressor you selected. What are the impacts, and how might policy address these competing needs? Be specific and provide examples.

For the middle-aged adult, exercise can reduce the risk of various health problems. Choose two at-risk health issues that regular physical exercise and activity can help prevent and manage. Discuss the prevalence of each of these health problems in society today. Describe measures that you would take as a nurse to assist clients with health promotion measures to incorporate exercise and physical activity into their lives. Include the kind of activities you would recommend, the amount of exercise, and the approach you would use to gain cooperation from the client. Support your response with evidence-based literature.

Please reply with one reference to the following post:

Week 1 Discussion

Nursing revolves around the patient, the nurse, the patient’s health, and the environment. Therefore, these four concepts are known as the metaparadigms of nursing. There are many additional concepts that come to mind when I think of nursing. As a registered nurse, I feel as if collaboration and advocacy are two additional concepts that are relevant to my personal practice.

Collaboration is defined as “working with others in a way that promotes/encourages each person’s contributions toward achieving optimal/realistic patient/family goals” (Butts & Rich, 2018). In my opinion, working in the healthcare field truly requires amazing teamwork. A patient cannot heal purely by the medications the nurse gives them every morning. They must walk with physical therapy to get stronger, they must get their breathing treatments from the respiratory therapist, their labs have to be drawn by the phlebotomist, the radiologists must read their x-rays, and the physician must speak to/evaluate the patient each day to ensure that his/her goals are being met. Thankfully, I work in an environment where collaboration is welcomed. As the nurse, physicians often ask my opinion, as I have a closer relationship to the patient. Collaboration is most successful when there is active communication regarding patient care, and the correct resources are used to optimize patient outcomes (Butts & Rich, 2018).

Advocacy is the second concept that I feel is relevant to my personal practice. According to Butts and Rich (2018), advocacy is defined as “working on another’s behalf and representing the concerns of the patient/family and nursing staff.” On a daily basis, I find myself advocating for my patients. I do this by keeping the entire healthcare team informed, providing assistance or getting them in touch with the correct people to get them assistance, and providing professional nursing care. Working on an orthopedic unit, I most often find myself advocating for my patient regarding their pain. As nurses, we are taught that “pain is what the patient says it is.” If I feel as if my patient does not have adequate pain control, I am quick to call the physician. By advocating for my patients, I want to ensure that they get the proper care to optimize their health and outcomes.

Reference

                Butts, J. B., & Rich, K. L. (2018). Philosophies and theories for advanced nursing practice (3rd ed.).