Have you been screen for ADD/ADHD? I have ADD and even with my medication, some days it was a real struggle to read like I needed to. First, I would suggest trying to read before you got to lecture. I know this isn't always possible, but if it is then read ahead of time. If you can't read the entire chapters before, at least read your key-points, key term words, and look over any boxes/charts in your text for what you'll be covering that day. That will give you a good idea of what you'll hear in lecture so the connections can start to form in your brain, making the information easier to retain. Something that I do that I think helped me a lot was writing down everything I knew about a topic before reading it, even if it was only 4-5 key words. I feel like doing that made the connections click faster, and made it easier for me to retain the information as well because my mind was already actively thinking about the subject. This next thing is probably a BAD IDEA for most people, but it worked for me. I would read the first 1-4 sentences and the last 1-4 sentences of a paragraph depending how long it was. If I still needed more information or I didn't feel I grasped the concept, I would take the time to read the entire paragraph. I paid a lot of attention to boxes, graphs, and nursing alerts. They put the information in easy to read format for a reason!! They will definitely be your friends throughout your nursing program. I also would talk about the concepts out-loud without referencing my notes as much as possible. If I couldn't get through the entire concept without having to glance down for a key word or for help, then I knew I needed to go back and touch that area of the topic again. If you do suffer from ADD/ADHD, my biggest advice to you is to just sit in the front row of the classroom to limit distractions. Don't sit by people you will be tempted to talk to or people you know like to talk a lot (and definitely stay away from those that could care less about being in lecture to begin with). Hopefully you can find a system that works for you!