DNP 810 Topic 1 Discussion Question 2 PEER Responses

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DNP 810 Topic 1 Discussion Question 2 PEER Responses

The rigor of a DNP program requires that each learner maintain personally developed strategies that can be used to minimize stress in order to maintain a healthy balance. One important area to consider is self-care. Discuss ways in which you will recognize signs of imbalance or stress as a DNP learner. Explain what type of self-care routines or activities you can use in these instances to help you better achieve balance. (This response does not require research support.)
In response to your peers, discuss what strategies they are using that could work for you or provide suggestions to peers for self-care.

Margaret Williams
Posted Date
Feb 22, 2022, 12:03 AM(edited)
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My sense of recognizing stress is quite simple, I tend to close myself off from others and want to procrastinate everything I must do till the very last second. I have noticed that it is happening already with this program. I feel like I am not ready for this and may have been out of the education realm for too long. I find myself feeling overwhelmed and disappointed all at once. I am even late with this post as I was actually thinking of withdrawing and starting later in the year. I want to be successful but sometimes I feel that I sometimes put obstacles purposely in my way to sabotage my success. So, this discussion was quite useful in helping me to find ways to recognize, assess and help to reduce stressors and maintain a balance that is right for me. Everyone’s discussion has given me the strength and courage to continue on in this program and have given me a great perspective on how to make sure to have time for myself and how to reach that goal. So thank you to all.
In looking at selfcare articles the best thing for being sure to take care of yourself is to get a good night’s sleep, set up routine for good time management, meditation, not being afraid to ask for help and take a break when you need to regroup (Steven Tippens, 2019). If you use the
right strategies to self-care, it will help you survive and gain success in the success of such a vigorous program.

Your also need to know your limits and schedule selfcareactivity on your calendar whether it be a walk, coffee at Starbucks or a trip to the zoo. You also must set goals that are reachable and mark them off when you achieve them. But I feel that most important teaching I found about selfcare in such a high demand program is that even though things are not always perfect or easy that you are not alone on this journey there are others that are probably feeling the same as you so lean on them as well for guidance and support (Diaz & Lawrence, 2019).

References

Diaz, K., & Lawrence, C. (2019, October). The importance of self-care in
graduate school. Retrieved from The Advocate:
https://www.apadivisions.org/division-37/publications/newsletters/advocate/2019/10/self-care?_ga=2.185445225.1980794205.1645506377-831081604.1645506377
Steven Tippens, P. (2019, March 22). A Doctoral Student’s Guide to
Self-Care. Retrieved from Medium:
https://medium.com/@doctippins/a-doctoral-students-guide-to-self-care-96b11aded10
REPLY
• TW
Tommie Wood
replied toMargaret Williams
Feb 23, 2022, 6:54 AM
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Replies to Margaret Williams
Margaret,
Thank you for posting. Some of the feelings you have, I have as well. Especially about feeling as though not ready and wanting to postpone and blocking my ability to succeed. You achieved a goal-You got your discussion posted and it is really meaningful. I agree, procrastination does increase stress, in my case.
I too had thoughts of withdrawing because I was ready all the information, some areas for example the DC and LDP I could not gain access over the weekend, etc. Fortunately, this morning I see that
1. I did read the instructions for our first discussion post correctly
2. DC Network is available and I’m able to log in and peruse the site and locate the necessary forms that are due tonight.
I took these hiccups personally and thought maybe I’m not worthy to be in such a program. However, reading the discussion postings from different students and the literature on what it takes to be a doctoral student has been thought provoking, and self-reflection. This is what I want to do, it will not be easy, but with management, taking stress relief measures, being active, and eating well balanced diet, not procrastinating, I can do this.
“We need to understand that making mistakes is part of being human, not because we are inadequate. (Hofmeyer & Kennedy, 2020 )
Keep the faith,
Tommie

Reference
Hofmeyer, A., Taylor, R., & Kennedy, K. (2020). Knowledge for nurses to better care for themselves so they can better care for others during the Covid-19 pandemic and beyond. Nurse Education Today, 94. https://doi.org/10.1016/j.nedt.2020.104503
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BQ
Beverly Quiza
Posted Date
Feb 21, 2022, 5:04 PM
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Replies to Margaret Williams
It is important to each and everyone of us to make sure that we give ourselves plenty of time to work on our schedule to prioritize which will help us in our school, work and family life. Going back to school while working full time is stressful and exciting at the same time. A lot of anxiety goes on my mind and thinking if I can do it this time. Emotional well- being during this time is important that we should all consider while in school and outside life.
Stress is a state of mental or emotional pressure resulting from a difficult situation or issue that can be resolved when identified. Many of the stressors were inherent from our profession since we work long hours, dealing with loss, emotional suffering, caring for dying patients and providing support to families and patients. There are several ways to improve or relieve stress and can be managed by a person. Effective techniques for stress management varies and one is self-care. Self-care includes mindfulness practices, good nutrition eating habits, physical good health with exercise.

As a DNP learner I realized that I should self- improve and should know how to manage my stress and make sure to remind myself that I need self- care too. while reading some articles regarding stress I was able to come up tips to guide me in balancing my studies, work and being a mother. Techniques include manage my time wisely, setting limits for my school work, schedule for studying, small breaks when needed. Other technique is make sure I am organized in taking notes, keeping track of my schedules, assignments and other important task. Create a good study environment, making sure that your study area is quiet, peaceful and soothing to you because it will reduce some of the stress and will help you focus in learning. Making sure that you get enough sleep and well rested is important. Sleep deprivation can add to your stress and won’t help you in learning. Balancing with school, work and life should include taking care of your self. Now that I am back in school I will make time to enjoy spending time with my friends whenever I can, dine out with family from time to time, spa which includes manicure and pedicure that will make me feel good inside and out. These relaxation techniques are part of my daily routine that can help my overall wellness. Last thing is going to church every Sunday and always praying to God and asking for guidance.

References:

Alshutwi S, Alkhanfari H, Sweedan N. The influence of time management skills on stress and academic performance level among nursing students. J Nurs Educ Prac. 2020;10(1):96-100. doi:10.5430/jnep.v10n1p96

Botha E., Gwin T., Purpora C. The effectiveness of mindfulness based programs in reducing stress experienced by nurses in adult hospital settings: a systematic review of quantitative evidence protocol. JBI Database of Systematic Reviews and Implementation Reports . 2015;13(10):21–29. doi: 10.11124/jbisrir-2015-2380. – DOI – PubMed

Greeson J. M., Zarrin H., Smoski M. J., et al. Mindfulness meditation targets transdiagnostic symptoms implicated in stress-related disorders: understanding relationships between changes in mindfulness, sleep quality, and physical symptoms. Evidence-based Complementary and Alternative Medicine: ECAM . 2018;2018:10. doi: 10.1155/2018/4505191.4505191 – DOI – PMC – PubMed
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• AZ
Angela Zafke
replied toBeverly Quiza
Feb 21, 2022, 7:36 PM
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Replies to Beverly Quiza
Beverly,
I am glad that you have included manicures and pedicures as your self-care. I felt relaxed just thinking about it! I agree that having a schedule for school work is so important, as well as scheduling breaks. It has taken me a long time to try to reprogram my thinking. Efficiency can come from rest! I am working on a designated work area, I think that is a wonderful idea. I currently work in my kitchen, which is the gathering area for my teenagers. While I love to see them, it is also very distracting! The spiritual dimension is a vital part of stress reduction, I am glad you are prioritizing it!

 

DNP 810 Topic 1 Discussion Question 2 PEER Responses

DNP 810 Topic 1 Discussion Question 2 PEER Responses

Angie
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• PE
Patricia Etheridge
replied toBeverly Quiza
Feb 22, 2022, 8:24 AM
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Replies to Beverly Quiza
Hi Beverly,
Good post, I agree stress can come from within, just thinking about all the “To Do”‘s. I love the tips you posted, especially the calendar, manicure, and prayer !!! I do all three and Yoga. Take care, Dr. Etheridge
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NM
Nkiruka Mgbemena
Posted Date
Feb 21, 2022, 2:55 PM
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Replies to Margaret Williams
Going to school or college is exciting but can be very stressful. Stress according to Cohen et al., (2016) is an umbrella term used to represent the experiences in the environmental demands of people’s situations affect them and their ability to cope with them physically or psychologically well. We all feel stress in various ways and dimensions and the body produces different responses depending on the type of stress, who is affected by the stress and our ability to manage the stress (Cool & Zappetti, 2019). There are different stressors in life, chronic, acute, life and daily events and they could be intertwined. For instance, a chronic stressor could lead to a life event, like the death of a loved one who has been sick for several years. Acute stressors may be considered chronic stressors as well. Being in school is an acute stressor but also a chronic stressor because a person is in school for a long time. Going to school is also a chronic stressor that will lead to a life event of graduating from school (Cohen, Gianaros, & Manuck, 2016).
Some of the ways to recognize signs of imbalance or stress as a DNP learner is when I am not meeting up with my work, assignments and playing catch up or when I am feeling overwhelmed. When I feel inadequate, not knowing what I am doing or things are not coming out right. And most especially when I am not getting enough sleep.
Self-care is some of the habits and practices that one can use to take care of themselves and manage the stressors of life, such as with family, friends, work and school to enhance your well-being. Knowing and practicing these techniques will help one to reduce most stresses. Some studies have shown that when we take care of our body, mind and our spirit, we are more productive in our lives both professionally and academically (Texas Division of Student Affairs, 2022).
Some of the self-care routines that I will use to help me to achieve balance with my learning would be to try and calm my self down by doing deep breathing exercises, trying to stay calm and think it through using mindfulness. Being mindful of what I need to do, writing it out in order of priority. I also talk to my friends who have been through the same situation give me advice and I try to use the best one that will work for me. I usually talk to my mother and she encourages me and prays for me. While doing all these, I am also praying to God to help me, by giving me wisdom and understanding of what I need to do. I also use time out to rest and relax by watching TV- a funny program, sometimes I go out with friends, take a walk or just stay home to rest or sleep (napping) then when I wake up, I feel refreshed. There are times when I do not answer the phone either. I do not do anything too stressful at this time. I also reach out to my instructors and professors and explain how I am feeling and they also give me advice on what I should do.
References:
Cohen, S., Gianaros, P. J., & Manuck, S. B. (2016). A stage model of stress and disease. Perspectives on Psychological Science, 11(4), 456-463. https://doi.org/10.1177/1745691616646305
Cool, J., & Zappetti, D. M. (2019). The physiology of stress. In J. M. Zappetti & J. D Avery. Medical student well-being: An essential guide. Springer, Cham. http://doi.org/10.10.1007/978-3-030-16558-1_1
Crosswell, A. D., & Lockwood, K. G. (2020). Best practices for stress measurement: How to measure psychological stress in health research. Health Psychology Open. https://doi.org/10.1177/2055102920933072
Texas Division of Student Affairs (2022) Self-care activities. UT Counseling and Mental Health Center. https://cmhc.utexas.edu/selfcare.html
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• JB
Julie Boswell
replied toNkiruka Mgbemena
Feb 21, 2022, 7:42 PM
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Replies to Nkiruka Mgbemena
Nkiruka,
Thanks for an insightful post. I like how you pointed out ways to recognize signs of imbalance. Becoming overwhelmed can sneak up on you and identifying that from the start may save you. We also must remember to practice self-compassion. The old adage is that we should provide the same care for our patients that we would for our own families. That goes for ourselves as well. Self-compassion is remembering that we are human and make mistakes, get behind, or feel overwhelmed. It’s understanding that we deserve the same kindness we would give to someone else in the same position we are in. (Hofmeyer et al., 2020)
I love how part of your self-care routine includes not answering the phone. Mind you, my children will have called the police and every hospital in town if I didn’t answer, but it is a relief to have peace sometimes. When I get home from work, I just want a short time where no one calls for me or needs me for something. It’s part of a routine that helps ground me so that I can keep myself centered.
Thanks for a lovely post!
References
Hofmeyer, A., Taylor, R., & Kennedy, K. (2020). Knowledge for nurses to better care for themselves so they can better care for others during the covid-19 pandemic and beyond. Nurse Education Today, 94, 104503. https://doi.org/10.1016/j.nedt.2020.104503
REPLY
• MW
Margaret Williams
replied toNkiruka Mgbemena
Feb 21, 2022, 10:52 PM
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Replies to Nkiruka Mgbemena
It is so true about being sure to take care of yourself and I do agree that it does have strong correlation to productivity. You have given many great ways to demonstrate your self-care routines which is something that I am bad at, and this discussion has helped me see how very important it is to being a successful DNP student.
I have learned that taking a break to do an activity or just answer the phone which is also one of my biggest faults as well. Is so helpful in dealing with stress. I find that more can go wrong if you do not answer calls then when you do. I have learned in my readings that by far the most important thing to remember is that we are not alone on this journey that we need to realize there are others feeling the stress and struggles of the same programming that I am in, and we should engage in supporting are peers so that we can all be truly successful (Diaz & Lawrence, 2019). I look forward to helping others that in turn might help me.

Diaz, K., & Lawrence, C. (2019, October). The importance of self-care in
graduate school. Retrieved from The Advocate:
https://www.apadivisions.org/division-37/publications/newsletters/advocate/2019/10/self-care?_ga=2.185445225.1980794205.1645506377-831081604.1645506377
REPLY
• PE
Patricia Etheridge
replied toNkiruka Mgbemena
Feb 22, 2022, 8:29 AM
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Hi Nkiruka,
Nice post and a good reminder of what can lead to stress, such as getting behind on work. That is a definite sign that can cause unwanted stress, thus the importance of a calendar and staying ahead. Take care, Dr. Etheridge
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• EN
Elsie Nlerum
replied toNkiruka Mgbemena
Feb 23, 2022, 3:43 PM
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Hello Nkiruka,
I agree with you that experiences in the environmental demands of people’s situations affect them Person-environment demands focus on the interaction between characteristics of the individual and the environment, whereby the individual not only influences his or her environment, but the environment also affects the individual. The adequacy of these changes between a person and the environment can affect the person’s motivation, behavior, and overall mental and physical health; that is, if the change is optimal, the individual’s functioning may be facilitated; if it is unsuitable, the individual may experience maladaptation.
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ES
EMANUELA SALAJEAN
Posted Date
Feb 20, 2022, 5:51 PM
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Replies to Margaret Williams
Stress relief and self-care has been at the front of all healthcare, especially since the beginning of the pandemic. In the midst of overwhelming factors such as work, school, and family, I always attempt to stay optimistic. I find that self-reflection is always the start of self-care. Self-reflection includes knowing what increased stress looks like and what ways can reduce the stress. There are many times that the things around you cannot be controlled therefore knowing and being positive will assist in reducing stressors. Self-Care is undervalued however is needed. A few tips that I have used and have also passed on to peers include; focusing on yourself (it is ok to me selfish), leave your phone turned off for a few hours, get a massage, take a bubble bath, exercise, read a book, take the time to express your feelings with others, focus on what is going well, identify a few personal goals and try to reach them, share a few laughs and smile! One of the major adjustments I made recently is not looking at work emails while I am home. I feel that even with such a small change, I am already less stressed. Self-Care gives you the chance to replenish because “an empty tank will take you nowhere”.
Advocating for mental health is on the rise. According to the World Health Organization, self-care encompasses mental health and physical health. Self-care plays an important role in everyday choices such as healthy eating, exercising, and sleeping adequately. Furthermore, self care also is exhibited in making informed decisions.
I know I may find myself having a challenging time in the beginning attempting to find balance, especially working night shift, however with practice and a planned schedule, I believe I can work through these challenges.

World Health Organization. (2019, April 2). Self-care can be an effective part of National Health Systems. World Health Organization. Retrieved February 20, 2022, from https://www.who.int/reproductivehealth/self-care-national-health-systems/en/#:~:text=What%20is%20meant%20by%20%E2%80%9Cself,a%20health%2Dcare%20provider.%E2%80%9D
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• PE
Patricia Etheridge
replied toEMANUELA SALAJEAN
Feb 21, 2022, 9:14 AM
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Replies to EMANUELA SALAJEAN
Hi Emanuela,
Nice post, I also like to include “spiritual health”. As I believe spiritual health is a dimension of human wellness that helps integrate all dimensions of health: physical, emotional, mental, and social (Hossein & Bahrami (2022). In nursing, we refer to treating patients holistically and in doing so, this includes their spiritual needs in addition to physical, emotional, and social. Thus, the whole person concept. According to Karen (2010), spiritual health creates meaning in life, cultivates altruism and ethics, and is based on individual perceptions convincing us of our ability to survive. I use Yoga and purposeful prayer to address my spiritual needs, especially during times of stress !!
Karren, K (2010). Mind/Body Health: The Effect of Attitudes, Emotions, and Relationships, 4th ed. New York: Pearson Benjamin Cummings, 2010.

Hossein, J., Bahrami, A. (2022). The Relationship Between Spiritual Health and School Burnout With Mediating Role of Social Support. Vol. 8, no. 3, pp. 163 – 170. Health, Spirituality and Medical Ethics.

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• BQ
Beverly Quiza
replied toEMANUELA SALAJEAN
Feb 21, 2022, 4:14 PM
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Replies to EMANUELA SALAJEAN
Hello Emanuela,
Thank you for your post. I agree with you, it is difficult to balance school and work at the same time. Developing optimism is one technique that can help us succeed as DNP learners. Positive self- talk, positive thinking in every way is vital in our learning. Developing this trait can boost our study technique and through this we can do better for our future. One technique that I use too is breathing exercise and walking. It helps me to calm down and rethink what I need to prioritize for school work. And of course, manage time wisely. Setting up schedule for study, reading, assignment and paper due are essential to be successful.

Reference:

Shankar NL, Park CL. Effects of stress on students’ physical and mental health and academic success. Int J School Educ Psychol. 2016;4(1):5-9, doi:10.1080/21683603.2016.1130532

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