NR 351 Transitions In Professional Nursing Week 2 Discussion

Sample Answer for NR 351 Transitions In Professional Nursing Week 2 Discussion Included

A Sample Answer For the Assignment: NR 351 Transitions In Professional Nursing Week 2 Discussion

Title: NR 351 Transitions In Professional Nursing Week 2 Discussion

There are many areas on the iCARE self-assessment that make me realize what I do well and what my struggles are. One of the areas that I struggle in, stood out more than the others, self-care. I am especially guilty of this at work. As nurses, we are always prioritizing which tasks need to be completed and when. I am still learning how to better prioritize tasks and situations and that makes it hard to plan breaks during the shift. Most days I don’t sit down or even eat until 2:00 pm because I feel that if I step off the unit, I am not providing the best care to my patients. I know that I’d provide better care towards the end of the shift with food and coffee as fuel, but my patients’ needs are always the priority. I also feel that by taking a break I am further behind in what I need to accomplish during my shift. I know that I am not alone in feeling this way. According to Rendall (2017), “Often I would return from my break to be told that the babies had not been fed or changed because the nurse who was working with me didn’t have time. Then I would be behind with everything and would have to work flat out to catch up. It was easier just not to have a break” (p. 32).

I have been pleased with how the instructors at Chamberlain have been in showing that they want me to succeed. I believe that the instructors at Chamberlain will show their care for me in different ways. I would like the instructors to send the class announcements when an assignment has changed or if most of the class is struggling with an item. I would also like the instructors to show they care by answering emails and questions in the Q&A section as soon as they can. Quickly receiving a reply will help me to move forward with assignments and other tasks that need to be completed. According to Hood (2018), when the roles of the team are clearly defined and both parties are held accountable, they can accomplish a common goal. Similarly, the common goal of graduation becomes more obtainable when the students and instructors at Chamberlain are held accountable for their duties and roles.

References

Hood, L. J. (2018). Leddy & Pepper’s professional nursing (9th ed.). Philadelphia, PA: Wolters Kluwer.

Rendall, Caroline. Nursing Standard (2014+); London Vol. 31, Iss. 39,  (May 24, 2017): 32. DOI:10.7748/ns.31.39.32.s32

NR 351 Transitions In Professional Nursing Week 2 Discussion

NR 351 Transitions In Professional Nursing Week 2 Discussion

Week 2 Discussion

iCARE Self-Assessment 1

When I get home I am trying to relieve stress by doing some form of exercise, I have found that it also helps me sleep better since most nights I sleep through they day. I also try to give my self time to relax or just allow myself to do what makes me happy for an hour, even if its nothing. My main problem is work, and some nights just using the bathroom is helpful. One way i can begin to provide myself with more self-care is giving myself breaks. I need to make sure that I eat  or go the bathroom and when stressed take five minutes to just breathe and clear my head. Time management and increased use of delegation will help me clear up a little time to accomplish or work toward this, sometimes you just need 5 minutes. 

Reading your post reminds me so much of how I was feeling when I first started out as an RN.  You always feel as if you need to prove that you belong there in that job.  I would love to tell you that the delegation gets easier, but in reality it doesn’t.   A lot of the days i have all the tasks in my head that need to be accomplished and it takes longer to undo the mental web telling some one else how than can help, than it does to just keep moving forward and getting tasks checked off.  Though with experience and time in the job its easy to just delegate the menial tasks like starting an IV or hooking the patient up to the 12 lead.   I agree that if the instructor keeps the questions simple and to the point, my anxiety levels will be managable

Purpose

This week’s graded discussion topic relates to the following Course Outcome (CO).

CO4: Integrate critical thinking and judgment in professional decision-making in collaboration with faculty and peers.

The Assignment

As you embark on your BSN journey, self-assessment of your knowledge, skills, and abilities is essential. Download this iCARE Self-Assessment 1 (Links to an external site.), save it to your computer or device, and type directly on the saved document. Carefully consider each area and mark appropriately. Save this document on your computer in a location where you can retrieve it for a future course. After completed and saved, consider your areas of strength and areas for improvement. You do not need to submit or share the iCARE Self-Assessment 1 document in this discussion, but you do need to support your discussion with the required resources outlined each week in the discussion rubric (See below).

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For this discussion, please do the following.

Share details about one area from the iCARE Self-Assessment 1 where you have significant opportunity for improvement during your BSN program. How will you work to improve your own professionalism in this area?

Share details about how you would like your instructors to demonstrate care for students while you are in your BSN program.

In discussions, you, as a student, will interact with your instructor and classmates to explore topics related to the content of this course. You will be graded for the following.

1. Attendance

Discussions (graded): Discussions are a critical learning experience in the online classroom. Participation in all discussions is required.

2. Guidelines and Rubric for Discussions

PURPOSE: Threaded discussions are designed to promote dialogue between faculty and students, and students and their peers. In the discussions students:

• Demonstrate understanding of concepts for the week
• Integrate scholarly resources
• Engage in meaningful dialogue with classmates
• Express opinions clearly and logically, in a professional manner

Participation Requirement: You are required to post a minimum of three (3) times in each graded discussion. These three (3) posts must be on a minimum of two (2) separate days. You must respond to the initial discussion question by 11:59 p.m. MT on Wednesday.

Participation points: It is expected that you will meet the minimum participation requirement described above. If not:

• You will receive a 10% point deduction in a thread if your response to the initial question is not posted by 11:59 p.m. MT on Wednesday
• You will also receive a 10% point deduction in a thread if you do not post at least three (3) times in each thread on at least two (2) separate days.

3. Threaded Discussion Guiding Principles

The ideas and beliefs underpinning the threaded discussions (TDs) guide students through engaging dialogues as they achieve the desired learning outcomes/competencies associated with their course in a manner that empowers them to organize, integrate, apply and critically appraise their knowledge to their selected field of practice. The use of TDs provides students with opportunities to contribute level-appropriate knowledge and experience to the topic in a safe, caring, and fluid environment that models professional and social interaction. The TD’s ebb and flow is based upon the composition of student and faculty interaction in the quest for relevant scholarship. Participation in the TDs generates opportunities for students to actively engage in the written ideas of others by carefully reading, researching, reflecting, and responding to the contributions of their peers and course faculty. TDs foster the development of members into a community of learners as they share ideas and inquiries, consider perspectives that may be different from their own, and integrate knowledge from other disciplines.

4. Participation Guidelines

You are required to post a minimum of three (3) times in each graded discussion. These three (3) posts must be on a minimum of two (2) separate days. You must respond to the initial discussion question by 11:59 p.m. MT on Wednesday. Discussions for each week close on Sunday at 11:59 p.m. Mountain Time (MT). To receive credit for a week’s discussion, students may begin posting no earlier than the Sunday immediately before each week opens. For courses with Week 8 graded discussions, the threads will close on Wednesday at 11:59 p.m. MT. All discussion requirements must be met by that deadline.

One area of the iCare assessment that I completed shows that I need improvement in taking time for myself as a student and as a nurse. I think that it is very important, especially in nursing, for you to take time for yourself to avoid burnout. Nursing is a very challenging career, yet also very rewarding at times. RN Network’s 2017 study on nurse burnout surveyed over 600 professionals and determined that nearly half of nurses working in the United States have considered leaving the field (Nursing.org, 2019). I think many nurses leave the field because of lack of self care. Nurses work 12+ hour shifts, easily leading to physical and emotional fatigue. It is very important to realize signs and symptoms of burn out like irritability, exhaustion, and frequently calling in sick. Hospitals offer employee assistance programs for nurses that include free phone counseling sessions, or other forms of stress management and self-care support (Nursing.org, 2019). I think that hospitals offering these types of resources for employees really shows that they value their staff, thus, helping them avoid burnout as well. Sleep and self-care renew your energy and let you be more effective in your other activities (Hood, 2017).

In my leadership role as a BSN, I plan to be alert to other nurses who may be exhibiting burnout symptoms. Recognizing these and offering up help to these nurses could help curb the burnout rate. A lot of nursing supervisors and leaders are so busy dealing with different internal aspects of the hospital, they often forget to check on the mental state of floor nurses and make sure they are able to effectively do their job. 

During my time in the BSN program, I would expect my instructors to demonstrate care for students by timely feedback via email/phone. I think that online instructors have a duty to uphold and that is effective and timely communication. It is hard to be able to ask questions about assignments when there is a 48 hour window that you may be waiting for a response. I also think that demonstrating care should be done through constructive criticism and not through simply deducting points. I think that we are all here to learn and giving feedback and helping students improve versus letting their grade continually suffer. 

References:

Avoiding Burnout as a Nurse. (2019, June 11). Retrieved March 9, 2020, from https://www.nursing.org/resources/nurse-burnout/#battling-burnout-for-nurses

Hood, Lucy. (2017) Leddy & Pepper’s Professional Nursing, 9^th Edition. [VitalSource Bookshelf]. Retrieved from https://online.vitalsource.com/#/books/9781496351388

5. Grading Rubric

Discussion Criteria	A (100%) Outstanding or highest level of performance	B (87%) Very good or high level of performance	C (76%) Competent or satisfactory level of performance	F (0) Poor or failing or unsatisfactory level of performance
Answers the initial graded threaded discussion question(s)/topic(s), demonstrating knowledge and understanding of concepts for the week. 16 points	Addresses all aspects of the initial discussion question(s) applying experiences, knowledge, and understanding regarding all weekly concepts.16 points	Addresses most aspects of the initial discussion question(s) applying experiences, knowledge, and understanding of most of the weekly concepts.14 points	Addresses some aspects of the initial discussion question(s) applying experiences, knowledge, and understanding of some of the weekly concepts.12 points	Minimally addresses the initial discussion question(s) or does not address the initial question(s).0 points
Integrates evidence to support discussion. Sources are credited.* ( APA format not required) 12 points	Integrates evidence to support your discussion from:assigned readings** OR online lessons, ANDat least one outside scholarly source.***Sources are credited.*12 points	Integrates evidence to support discussion from:assigned readings OR online lesson.Sources are credited.*10 points	Integrates evidence to support discussion only from an outside source with no mention of assigned reading or lesson.Sources are credited.*9 points	Does not integrate any evidence.0 points
Engages in meaningful dialogue with classmates or instructor before the end of the week. 14 points	Responds to a classmate and/or instructor’s post furthering the dialogue by providing more information and clarification, thereby adding much depth to the discussion.14 points	Responds to a classmate and/or instructor furthering the dialogue by adding some depth to the discussion.12 points	Responds to a classmate and/or instructor but does not further the discussion.10 points	No response post to another student or instructor.0 points
Communicates in a professional manner. 8 points	Presents information using clear and concise language in an organized manner (minimal errors in English grammar, spelling, syntax, and punctuation).8 points	Presents information in an organized manner (few errors in English grammar, spelling, syntax, and punctuation).7 points	Presents information using understandable language but is somewhat disorganized (some errors in English grammar, spelling, syntax, and punctuation).6 points	Presents information that is not clear, logical, professional or organized to the point that the reader has difficulty understanding the message (numerous errors in English grammar, spelling, syntax, and/or punctuation).0 points
PARTICIPATION: Response to initial question: Responds to initial discussion question(s) by Wednesday, 11:59 p.m. M.T.	0 points lostStudent posts an answer to the initial discussion question(s) by Wednesday, 11:59 p . m. MT.		-5 pointsStudent does not post an answer to the initial discussion question(s) by Wednesday, 11:59 p . m. MT.
PARTICIPATION Total posts: Participates in the discussion thread at least three times on at least two different days.	0 points lostPosts in the discussion at least three times AND on two different days.		-5 pointsPosts fewer than three times OR does not participate on at least two different days.
NOTES: * Credited means stating where the information came from (specific article, text, or lesson). Examples: Our text discusses…. The information from our lesson states…, Smith (2010) claimed that…, Mary Manners (personal communication, November 17, 2011)…. APA formatting is not required.
** Assigned readings are those listed on the syllabus or assignments page as required reading. This may include text readings, required articles, or required websites.
*** Scholarly source – per the APA Guidelines in Doc Sharing, only scholarly sources should be used in assignments. These include peer reviewed publications, government reports, or sources written by a professional or scholar in the field. Wikipedia, Wikis, .com website or blogs should not be used as anyone can add to these. For the discussions, reputable internet sources such as websites by government agencies (URL ends in .gov) and respected organizations (often ends in .org) can be counted as scholarly sources. Outside sources do not include assigned required readings.

I know how you feel all too well. I was a night nurse for 15 years and can remember always feeling tired no matter how much sleep I got. The one thing I found was to keep a night schedule even on my nights off, which wasn’t very often. Being on nights is hard due to the lack of resources, higher nurse to patient ratio and less staff but I feel it has helped me become a better nurse as I had to use the resources I had available and learn to delegate more than I used to. I would feel guilty if I did not pick up extra shifts to help my team out and if I didn’t pick up than I was being mandated to work on my nights off. Working in the ER was all I ever wanted to due when I became a nurse but realized the stress it was causing me and my family so I decided to leave the job I loved in order to take better care of myself and my family. I miss it but I am much happier now than I am on days and work in PACU. 

  I also feel that since computers came into our lives we have less time to take breaks and care for our patients and most days find myself eating lunch at the nurse’s desk while recovering a patient from surgery. It is one area my unit is working on to make sure everyone gets a break every day but it has not been easy. I think when we all work together as a team, we can make anything happen. Recently, we have been talking about having a debriefing at the end of the day to help reduce our stress before going home. It may be an idea for your department that may help reduce the stress and help you regroup.

  The one thing I am realizing is if we don’t take care of ourselves then we can’t give our patients the optimal care they deserve. When we don’t feel good or we are in pain we are less likely to go above on beyond for our patients. Finding a balance between home life and work can be a challenge, but I think if we learn to delegate more and lean on others for support, we can find time for ourselves.