12 Oct Respond?to the 4?colleagues ?by suggesting a different way of framing their critical question. Cite sources to support your posts and recommend to colleagues. provide at least 2 refer

Respond to the 4 colleagues  by suggesting a different way of framing their critical question. Cite sources to support your posts and recommend to colleagues. provide at least 2 references each.

1.Critical question: How can healthcare systems manage and mitigate the issues created by the persistent nursing shortage to ensure high-quality patient care, the well-being of the workforce, and long-term viability?

This critical question captures the complex character of the nursing shortage problem. It emphasizes the necessity for an all-encompassing strategy that considers the implications for patient care, healthcare professionals' well-being, and healthcare systems' long-term viability. It acts as a starting point for further investigation and study into approaches and solutions to this significant healthcare sector issue.

This critical question highlights a complex problem in the healthcare sector. Here is a quick breakdown of each element:

· Nursing shortage: This refers to the ongoing and pervasive scarcity of skilled nurses in healthcare systems. It implies that there needs to be more nurses to handle the rising demand for medical treatment, which could lead to several problems, such as staff burnout, increasing workloads, and subpar patient care. (Haddad et al., 2023).

· High quality patient care: One of the main objectives of healthcare systems is to guarantee high-quality patient care. This objective, however, may be jeopardized by the nursing shortage since overworked and understaffed nurses would find it difficult to give patients the degree of care and attention they require. (Peng et al., 2023).

· Staff well-being: The health of healthcare workers is essential, especially nurses. The shortage may cause nurses to feel more stressed, worn out, and burned out, which could harm their physical and emotional health. These issues must be resolved for the nursing workforce to remain motivated and in good health. (Tamata et al., 2023).

· Long-term viability: The health of healthcare workers is essential, especially nurses. The shortage may cause nurses to feel more stressed, worn out, and burned out, which could harm their physical and emotional health. These issues must be resolved for the nursing workforce to remain motivated and in good health.

The critical question was addressed in articles that proposed a multifaceted strategy to address the nursing shortage, including education and training, workforce development, technology integration, and policy changes, as well as placing a priority on nurse well-being and collaborative care models to ensure high-quality patient care and long-term sustainability in healthcare systems. (Tamata et al., 2023).

Since it immediately impacts patient outcomes, staff morale, and system performance, this critical question is more than just a staffing issue; it also represents a fundamental quality improvement project.

2. Critical Question: How can patient safety be increased in the operating rooms to lower the incidence of post-operative infections?

Patient safety in the operating room is a top priority for medical facilities worldwide. Post-operative infections can result in extended hospital stays, higher medical expenses, and even death. (Tomsic et al., 2020; Horgan et al., 2023; Qvistgaard et al., 2019; and Ling et al., 2019). Offer insight into potential approaches to enhance patient safety in the operating room and lower the incidence of post-operative infections to tackle this concern.

Offering a thorough and evidence-based review of implementation treatments targeted at minimizing surgical site infections with an emphasis on abdominal procedures, Tomsic et al. (2020) directly contribute to the crucial question by providing insightful information that can guide quality improvement programs in surgical units. The study (Horgan et al., 2023) examines the understanding and perspectives of healthcare workers to give important insights into the crucial subject of minimizing post-operative infections. It can provide techniques to increase healthcare personnel's knowledge of SSIs' opinions regarding infection control measures and eventually support efforts to improve the post-operative unit's quality of care.

The data presented in the study by Qvistgaard et al. (2019) adds to the understanding of the difficulties and possibilities for enhancing patient safety during surgery. This information adds to the findings from previous academic studies to produce a thorough strategy for quality improvement in post-operative infection prevention. Guidelines that include a variety of metrics are discussed by Ling et al. (2019) as a useful resource for quality improvement activities focused on preventing post-operative infections.

The significance of evaluating the caliber of the chosen articles is the evidence synthesis approach aspect that resonated with me. I ensured that the sources I chose for my evidence synthesis were peer-reviewed and based on reliable research procedures.

I would underline the potential effect of putting these evidence-based methods into action to get the stakeholders' consent and support. I would summarize the information from the papers, emphasizing the decline in infection rates and its positive effects, which include shorter hospital stays and financial savings. Healthcare facilities should tackle the crucial issue of enhancing patient safety in the operating room in order to prevent post-operative infections. The data from these academic papers offer a strong basis for putting quality improvement programs in place in this area, which will eventually benefit patients and healthcare organizations.

3.A critical question for this week’s discussion board is:  Is there a way to prevent the onset of type 2 diabetes in middle-aged individuals?

     The above critical question states that this chronic health condition called type 2 diabetes could be stopped from occurring among middle-aged.  Type 2 diabetes occurs when the body cells do not respond normally to insulin, called insulin resistance. Here, the pancreas makes more insulin to try to get the cells to respond, after a while the pancreas cannot keep up with the situation, and the blood sugar rises, setting the stage for prediabetes and type 2 diabetes. It is a non-communicable disease but widely spreading around the world, and it was estimated that about 5 million people are at risk of developing type 2 diabetes in England alone. Therefore, every effort should be focused on preventative measures to reduce the spread (Gibson, Umeh, Davies, & Newson, 2021).

     The question above was addressed by some peer-reviewed articles expressing how this health problem can affect the other body organs and thus needs to be prevented by some measures below.

       Prediabetes and type 2 diabetes occurrences are increasing, with other health co-existing complications like heart disease, eye problems that can lead to blindness, renal disease, metabolic syndrome, stroke,  and many others, and thus, need to be prevented by evidenced–based lifestyle changes among individuals 45 years old and older. These lifestyle changes include; eating healthy foods, active physical activity like regular exercise, weight reduction, smoking cessation, and so on (Corgatelli, Dodge, Bernstein, Kruk, & Aboul, 2022).

           Diabetes is a national growing health concern affecting over 10% of adults, it can be alleviated by lifestyle modifications like dietary regimens. A piece of research evidence showed that eating nuts can prevent the onset of type 2 diabetes, its management, and complications (Nishi et al, 2023).  Therefore, the consumption of nuts should be widely promoted.

      Another article reviewed that the Mediterranean diet consumption plays a big role in the prevention of type 2 diabetes. It does this through its insulin sensitivity and it glucose control but stated that more research studies are needed on it (Gontarek & Krabbe, 2021).

          Notwithstanding that there are some risk factors of diabetes that cannot be changed such as ethnicity, genetics, and age, some behavioral and environmental changes like a healthy dietary regimen, regular exercise, and weight reduction, as well as positive emotional well-being are necessary to be able to navigate and provide mental space for a change in behavior (Gibson, Umeh, Davies, & Newson, 2021).

Conclusion: Each of the articles reviewed pointed at various ways of prevention but, dietary regimen plays a major role. Taking into consideration the  health issues type 2 diabetes creates and causes for individuals, each and every preventive measure mentioned here should be taken seriously by every adult to help prevent the onset of type 2 diabetes.

4.The nursing shortage is real and has become a crisis currently, how do you fix this situation? How do we train and recruit nurses? Currently, I think the shortage in staff is causing one of the most concerning practice issues. There has been much discussion about the nursing shortage getting worse and peaking in 2025. With nurses being essential and making up such a large group of professionals this will obviously impact the quality and type of care delivered in the future (Tamata & Mohammadnezhad, 2023). As a current nurse manager with the staffing shortage going on it is a reminder of the impact on my work and the future. The fact that the baby boomers are beginning to retire has caused a shortage, coupled with retention, pandemic fatigue following Covid, patient safety concerns, workloads, and burnout. Organizations are finding recruitment and retention for nurses to be very difficult right now (Chervoni-Knapp, 2022). My question is could we make the best of the nurses that we have by them performing at the top of their scope of practice and trying to hire more Nursing Assistants and increase pay to recruit and retain them? Research suggest that new models of care create more flexibility for the employers to include a dynamic team that requires less RNs and LPNs due to expansion of the scope of practices (MacKinnon, et. al., 2018). Nurses are known for adapting and being flexible in their work but there comes a point in time when they have had enough and feel leaving is the only option. If the RN could focus on "nursing" duties at the top of their scope and feel like they are providing great care that makes a difference to their patience satisfaction would be higher. One of the biggest problems is that there is much focus on recruitment of nurses but little focus on changing the environment to improve job satisfaction, in turn improve retention (Hooper, 2022). This is an important factor because retention is the biggest piece to fixing this problem. Hiring them on is only step one but keeping them will be the only thing to improve the future issues. The future of nursing is in the hands of those who lead the way and getting creative will be very important, as well as listening to nurses needs. 

What can be done though? We have identified that retention and job satisfaction is a really important key to keeping nurses in the workforce but how? Advocating for change, making new skills easily accessible, offering emotional and wellness training to nurses, support the staffing ratio mandate, and increase pay are a few important factors that need to be considered (Morris, 2023). Travel nurses have filled gaps but has become very costly for organizations and it is time to consider that is not a long-term solution and plans must be in place to end this strategy. It is important to consider the amount of money travel nurses have been paid could have been used put into the current staff at the organization before they were lost. Nurses feel underappreciated and underpaid and have taken on travel roles to make that money they feel they have been owed. 

In conclusion, we have a duty to act and time is running out. It is time to change the environment that nurses are working in, improving job satisfaction, improve staffing ratios, and listen to nurses. It is time to invest in the future and make plans for a solid foundation on moving forward. When the question is asked, what can we do? It seems there are many options but it will take buy in from leadership and a commitment to invest in these nurses