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Journal Stress & Time Management Michelle Keane Southern New Hampshire University 531: Interprofessional Leadership in Healthcare Kelley Hawes 3/10/2024

Journal Stress & Time Management Compile Observations Time management and stress management are two key skills for balancing work and life. It is important to recognize your strengths and weaknesses when it comes to both skills. When completing my assessment on time and stress management I was able to identify some areas that needed improvement and others where I exceeded. According to Rapariya et al. (2022), self- management and time management go hand in hand. Stress plays a factor in the execution of tasks. NMs experience moderate levels of stress mainly from heavy workloads, lack of resources, and financial responsibilities (Labrague et al., al 2018). For us to succeed we need to learn and grow from our weaknesses. Assess Best Time-Management Skills Time management is a field I feel pretty strongly in, as I pride myself on reliability, hence I always complete tasks on time. This leads me to my top time management skill assessing tasks for their importance and their urgency. To complete all my work and be efficient, I’m constantly assessing and prioritizing my work. This is important when it comes to managing time, as this allows me to plan and gauge which tasks can be completed in the allotted time. Certain examples of this would be when I was a bedside nurse and attempting to plan out my med pass or when working as a case manager prioritizing a newly hospice patient over my regular discharges and then proceeding with other discharges. As stated by Rapariya et al. (2022), an important time management skill is planning the day's activities. Planning out your workday or even your daily activities a lot for better time management and assists with keeping you on track with your goals. Prioritization allows you to focus on the most pertinent tasks,

completing them and moving on to other tasks, and allows me to allow myself grace if I do not complete my tasks perfectly. Assess Opportunities for Improvement in Time-Management Skills Improving upon time management is always possible, according to Rapariya et al. (2022), with guidance and supervision improvement upon time management is possible. Some tasks that I could improve upon involve lists. I’ve found that I am not a writer of lists. I can organize my day as a bedside nurse or as a case manager, but I usually keep everything in my head. Writing things down makes them concrete and prevents a forgotten task. This leads me to my two opportunities for improvement in stress management are to write daily goals and write down long-term goals. I do not write things down, I take them as they come, and can be a bit of a procrastinator. I can see the value is writing down things, as it presents a more concrete thought or action to occur. Writing down goals also allows for you to assess them, as you may not remember a long-term goal over time. After analyzing myself I believe I more than likely don’t write things down as I feel I will let myself down, and not complete my list (I can have extremely high expectations of myself). I have found that I am very focused on completing my tasks on time, or else they cause me undue stress and anxiety. According to Vizeshfar et al. (2022), utilizing daily activity charts can improve time management. Using a tool like a written daily goal list can help me focus and aim to complete them. Writing out my long-term goals can allow me to reevaluate them and see which ones I have completed or changed completely. I have written down long-term goals a couple of times, and I appreciate that doing so has allowed me to recognize my growth or mindset changes. Assess Stressors

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Stress management is a skill that I at times feel I'm super strong with and at other times I feel like I need to improve upon. I was surprised that my stress management skills were not as bad as I thought, I have a lot of strengths and quite a few with room for improvement. One strength is that I can voice concerns at all times. I strongly advocate for my patients and that can look like me recognizing a change from baseline, advocating against discharge, while others are pushing just because the hospital census is high. Voicing your concerns is essential, as these worries can weigh you down. While in my case management role, I will voice concerns about adequate home support, capacity evaluations, ethics involvement, or anything that brings me unease. Clarifying questions allows for an open line to communicate building interpersonal relationships, which allows me to feel more confident in voicing my concerns. I have found it essential to listen to my gut and follow up with any concerns at the moment. Doing this has allowed me to at least know that I had a second pair of eyes looking at the same issue and cleared my conscious. If I still felt some unease after having a second pair of eyes, I would go to the next in chain of command, to ensure I have advocated to the best of my ability. Having the ability to voice concerns allows for better healthcare, in addition to your conscious clearing. Assess Opportunities for Improvement in Stress Management Skills When reviewing my highest-scoring stressors I had quite a few “occasionally” answers. I think one that resonates with me is the possibility of workplace violence. The field we work in can be very unsafe at times since we are handling patients at a time in their lives that is causing them stress. I’ve had my instant at workplace violence many times, as I work in a busy city, with a high population of indigent, addicts, and chronically ill patients. Unfortunately, many of these patients have high stressors or are under the influence of substances that can alter their capacity to think clearly, and they may act on an impulse. As stated by Kwak et al. (2020), nurse burnout

is associated with emotional labour and workplace violence. I have seen firsthand physical violence and emotional abuse, and unfortunately, this can easily lead to burnout. Burnout has been a common occurrence after COVID, as environmental stressors in addition to current stressors have created an environment for burnout. Leading to my second stressor is feeling underappreciated. Previously at the bedside, I did feel appreciated, as my patients, fellow staff, and leadership expressed gratitude. In my current role, I will say that has down trended, as a case manager a lot of what I do is not “seen.” The myriad of thank you’s, appreciation or great jobs has dwindled to maybe once in a blue moon. My current department is fractured and does not have the comradery that a floor unit would have, since we all work alone. According to Clark (2020), amping up gratitude can look like giving time off, expressing it, and just listening to an employee. Currently, I'm not getting these pieces of gratitude, which could lead to better job retention, as this is one of the reasons for the high turnover rate in my department. Feelings of appreciation assist against burnout, high turnover rate, and employee retention.

References Clark, D. (2020). Anxious at Work? Try This. Newsweek Global , 175 (11), 14–15 Kwak, Y., Han, Y., Song, J., & Kim, J. (2020). Impact of emotional labour and workplace violence on professional quality of life among clinical nurses. International Journal of Nursing Practice (John Wiley & Sons, Inc.) , 26 (1), N.PAG. https://doi- org.ezproxy.snhu.edu/10.1111/ijn.12792 Labrague, L. J. , McEnroe‐Petitte, D. M. , Leocadio, M. C. , Van Bogaert, P. & Cummings, G. G. (2018). Stress and ways of coping among nurse managers. Journal of Clinical Nursing, 27 (7-8), 1346-1359. doi: 10.1111/jocn.14165. Rapariya, S., Bhatia, R., & Kumar, J. (2022). Effect of Guidance of Experimental Group in Time Management Skills. Journal of Algebraic Statistics , 13 (3), 168–172. Vizeshfar, F., Rakhshan, M., Shirazi, F., & Dokoohaki, R. (2022). The effect of time management education on critical care nurses’ prioritization: a randomized clinical trial. Acute & Critical Care , 37 (2), 202–208. https://doi-org.ezproxy.snhu.edu/10.4266/acc.2021.01123

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