Time management is a common challenge for students at any level, but especially for those who are returning to school, working, raising families, and taking care of all of the things life throws our way. This assignment is intended to help you examine your time management process and explore strategies to help you be successful as an online student. For this discussion post, please share with us the following:

• Describe how you spend most of your time. Is this what you expected? Why or why not?
• How will you rearrange these items to dedicate enough time to your schoolwork?
• What changes do you want to make? What professional resources are available to help with those changes?
• Include 3 references please

National Practice Problem Exploration

According to the Global Burden of Disease Research, one of the major practice problems in the world is diabetes (Murray, Abbafati, Abbas, Abbasi, Abbasi-Kangevari,Abd-Allah, Aboyans, 2020). Diabetes is a disorder that results from the less production of insulin or no production of insulin. Insulin is very important in controlling the blood sugar level; thus, patients with diabetes have a problem with high sugar levels in their bloodstream. This paper discusses the impacts of diabetes on nurses, nursing care, healthcare organizations, and the quality of care being provided. It also identifies the national-level key stakeholders who are affected by diabetes and stakeholders involved in the resolution. Lastly, the paper provides clinical practice guidelines (CPGs) in diabetes management.

Impact

The practice problem of managing diabetes impact the nurses and their role. They are forced to educate the general population of healthy life practices and styles that are useful in preventing diabetes. It also impacts health organizations because the management of diabetes needs a lot of policies and interventions that need to be put in place by health organizations. This practice problem also affects nursing care because it requires a lot of nursing care attention, thus overburdening the few nurses we have. Lastly, due to the increasing diabetes cases and high demand for its care, the quality of care provided might be substandard due to work overload. However, the use of evidence-based practice and other policies such as the ACA provides the opportunity of improving the quality of care being provided to diabetic patients.

Stakeholders Involved

Various stakeholders are involved in the management and control of diabetes. One such stakeholder is the patients. The patients have the role of self-care and adherence to the health instructions provided by healthcare providers. Healthcare providers such as nurses and many others are also vital stakeholders in the national management of diabetes. They provide health education and care for the patients. They also advocate for policy formulations that enhance the care for diabetic patients. Family members and friends of diabetic patients are also important stakeholders because they help provide home care to patients (Bennett, Robbins, Bayliss, Wilson, Tabano, Mularski & Li, 2017). National health institutions such as CDC are also important stakeholders because they provide policies and guidelines that effectively manage diabetes. The government’s political goodwill to support the healthcare organizations and the patients also makes them part of the national stakeholders in the management of diabetes.

Clinical Practice Guidelines and Diabetes Management

Some of the clinical practice guidelines provided in the management of diabetes has been based on evidence-based practice. However, a lot of interventions need to be done to promote the prevention and treatment of diabetes. Some of the interventions that can be made include an intensified national campaign informing and enlightening the population on how to prevent and manage diabetes. Policies that reduce the cost of care and diabetes management are also essential because diabetes is a lifelong problem, and it requires a lot of resources. There is also the need to integrate technological advancement in the management of diabetes.

In conclusion, diabetes management is a major practice problem that affects nurses, nursing care, healthcare organizations, and the quality of care. It requires several stakeholders such as patients, healthcare providers, policymaking institutions and the government. There is also a need to enhance the interventions process, such as using technology, policy formulation and creating awareness on prevention and management of diabetes.

References

Bennett, W. L., Robbins, C. W., Bayliss, E. A., Wilson, R., Tabano, H., Mularski, R. A., … & Li, T. (2017). Engaging stakeholders to inform clinical practice guidelines that address multiple chronic conditions. Journal of general internal medicine, 32(8), 883-890.

Murray, C. J., Abbafati, C., Abbas, K. M., Abbasi, M., Abbasi-Kangevari, M., Abd-Allah, F., … & Aboyans, V. (2020). Five insights from the Global Burden of Disease Study 2019. The Lancet, 396(10258), 1135-1159.

WHAT ARE SOME OTHER IDEAS THAT CAN CHANGE THE ORGANIZATIONAL OR COMMUNITY CULTURE TOWARDS IMPROVING THE NATIONAL PRACTICE PROBLEMS? PLEASE AT LEAST TWO -THREE PARA GRAPH. 

Calista Roy case study

A 23-year-old male patient is admitted with a fracture of C6 and C7 that has resulted in quadriplegia. He was injured during a football game at the university where he is currently a senior. His career as a quarterback had been very promising. At the time of the injury, contract negotiations were in progress with a leading professional football team.

1. Use Roy’s criteria to identify focal and contextual stimuli for each of the four adaptive modes.

2. Consider what adaptations would be necessary in each of the following four adaptive modes: (1) physiological, (2) self-concept, (3) interdependence, and (4) role function.

3. Create a nursing intervention for each of the adaptive modes to promote adaptation.

Dr. Christina Sommers is an advocate for teaching virtue ethics.   Her article (web link reading) Teaching the Virtues focuses on a problem she sees in today’s society with the lack of virtue.

Answer the following questions:

[1] With a friend, fellow worker or family member, discuss the case of Edward Snowden, a computer specialist who had worked for the CIA but who came to believe the U.S. government overstepped its bounds in spying on the American people (and others) the way it does and so he leaked top secret U.S. documents to the news media so the public could know. The May 2014 edition of Vanity Fair calls Snowden “the most important whistle-blower of modern times … whose disclosures will reverberate for decades to come” (Vanity Fair, 2014, Barrough, Andrew, & Sullivan, p.153).

Was this action of Snowden an act of virtue as a courageous whistle blower or the act of a traitor?  What virtue or vice do you see in the actions of Edward Snowden?  How should he be treated by the American people and their government for what he did and why?

Snowden interview from Hong Kong (he’s now living in Russia): “You can’t come forward against the world’s most powerful intelligence agencies and be completely free from risk … if they want to get you, they’ll get you in time.  But, at the same time, you have to make a determination about what it is that’s important to you.  … Even if you’re not doing anything wrong, you’re being watched and recorded … And it’s getting to the point that you don’t have to have done anything wrong; you just simply have to fallen under suspicion for something.” (For some background and then Snowden interview, click here LINK (Links to an external site.))

If you’re interested to find out what Snowden is doing today as he lives in Russia, here is a video interview with Snowden from September 2019 in Russia.  It starts out with a quick summary of what happened in 2013: LINK (Links to an external site.).

[2] Speak with a friend, fellow worker or family member and explain to them Aristotle’s idea of virtue as the “golden mean” and then ask them whether they think this theory makes sense or not and why (for a quick review of Aristotle’s view of the Good Life and how the Golden Mean works, see this video: (LINK (Links to an external site.)).  The Golden Mean is discussed in our eText on page 64.  What about you, do you agree with Aristotle’s understanding of virtue as a “golden mean” between two extremes?  Why or why not?  Give an example of a virtue that either supports or contradicts Aristotle’s Golden Mean theory.