If you were to ask 10 people what they believe to be the most significant issue facing healthcare today, you might get 10 different answers. Escalating costs? Regulation? Technology disruption?

These and many other topics are worthy of discussion. Not surprisingly, much has been said in the research, within the profession, and in the news about these topics. Whether they are issues of finance, quality, workload, or outcomes, there is no shortage of changes to be addressed.

In this Discussion, you examine a national healthcare issue and consider how that issue may impact your work setting. You also analyze how your organization has responded to this issue.

• Review the Resources and select one current national healthcare issue/stressor to focus on.
• Reflect on the current national healthcare issue/stressor you selected and think about how this issue/stressor may be addressed in your work setting.

Ø WRITE a description of the national healthcare issue/stressor you selected for analysis and explain how the healthcare issue/stressor may impact your work setting. 

Ø Then, describe how your health system work setting has responded to the healthcare issue/stressor, including a description of what changes may have been implemented. Be specific and provide examples.

What causes nursing to be a stressful occupation? What are some examples you have observed in the clinical areas? How do you see other staff nurses reacting to stress? How do nurses support each other? 

Minimum 250  words.  

• No title page needed
• One full page typed and double spaced is equivalent to 250 words (your minimum required)
• References and citations should be scholarly, peer-reviewed (no blogs, WIKI, or other school of nursing website) written in Current APA Style

 5 DQ 2

Every nurse is a leader in their own right. Our impact on the patient’s result is unquestionable. Together with the actual result of the patient, we are also responsible for promoting our profession and makes it a better workforce. Medical care is reform and nurses will benefit in the future, but nurses are currently those dealing with work stress. Therefore, to see any progress in reforms, we must defend our profession (Tomaján, 2012). I can be an active player to solve problems by listening to the concerns of team members and suggest solutions that are acceptable and advantageous for everyone. Working towards implementing these changes is also a way to return to the profession and improve the work environment. By participating in shared governance, it is another way I can claim to create a positive change in my workplace.

Being a proactive nurse in itself must be a leader who is willing to reach positive changes in the system and in his people (Whitney, 2018). This would mean examining the problem from different angles, collecting the data to support it, using the most recent technology to maximize resources, consider all opinions and work for an acceptable solution and aim to achieve a common goal. Enhanced members of my team and my collaborators are another way to improve the dynamics of the workplace. This will give you a sense of power and confidence to each member and touch the talent and innovation found in each of us. I would also have promoted the sense of responsibility and responsibility in each member. The Dynamics team will show a positive change with this and would involve better care and a better work environment.

   The influence of leadership can be far-reaching in practice and improving patient outcomes even when not in a formal role. Describe advocacy strategies that you can use as a leader to create positive change in your current workplace. In response to peers, describe a time when you provided leadership and the outcome. Was there anything that you would do differently? 

Using 200-300 words APA format with at least two references. Sources must be published within the last 5 years.

Please read the article, Hoping for a Good Death. (Need to click on link to NY Times).In this article, Elizabeth Reis states: The biggest lesson I have learned is that every family should not only discuss end-of-life wishes but should act on them by filling out an advance directive. If my father had completed one, his end might have played out differently.

What did she mean by this? How might the end have played out differently? What can be done to help increase the number of people with advance directives? Advance directives DO make a difference!

apa 

 Follow the discussion questions participation and submission guidelines.

·      Follow the 3 x 3 rule: minimum three paragraphs per DQ, with a minimum of three sentences each paragraph.

·      All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (7th ed.)

·      Minimum of two references, not older than 2015.

Discussion Questions: 

QD1. A couple presents to the OB-GYN office you work at visibly agitated. After trying to have a baby for years, they just suffered their fifth miscarriage after the 10th week of gestation. Recently, the woman was diagnosed with antiphospholipid syndrome. You learn their agitation is due to a disagreement they have. The wife would like to adopt, but the husband feels strongly that they should continue to try for another baby.

1. If the couple asked your opinion, as a nurse with a thorough understanding of antiphospholipid syndrome, what would you tell them?
3. How would you as the provider remain impartial in allowing the couple to decide what is best for them?

QD2. Suppose you are going to conduct a study utilizing Quantitative Research Design: which type of research would you use, and which method would you utilize to collect data?