Theory of Transpersonal Caring Plan of Care free essay sample

Current Influences of Research Utilization in Practice According to Squires, Estabrooks, Gustavsson, Wallin (2011), research utilization is the use of any kind of research in any way. Concern has been expressed as to whether nursing practice is guided on the basis of scientific evidence or research. Research is available, but is it used to its fullest potential? The difference between research availability and the application of research to practice is known as the research-practice gap. Unfortunately, studies conclude that the use of research in practice is slow and haphazard (Squires, Estabrooks, Gustavsson, Wallin, 2011). Research utilization in nursing practice is influenced strongly by individual determinants. As individual characteristic factors emerged from data extraction, Squires et al. (2011) considered six core categories including beliefs and attitudes, involvement in research activities, information seeking, education, professional characteristics, and other socio-economic factors. Of these core categories, the nurses attitude toward research was the only individual influencing characteristic that was consistent, and had a positive effect. We will write a custom essay sample on Theory of Transpersonal Caring Plan of Care or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Other influencing factors such as attending conferences, having an advanced degree, and clinical specialty were present, but not to the magnitude as attitude (Squires et al. , 2011). When all of the individual influences on research utilization are considered, attitude and attendance at conferences or in-services seem to be the easiest to manipulate to make a positive impact on the application of research to nursing practice (Squires et al. , 2011). MacGuire (2011) suggests 10 areas of potential difficulty in the implementation of nursing research findings. These areas include the complexity of the change process, the genesis of research programs, formulation of research questions, differences in theoretical approaches, timescales and planning cycles, information overload, credibility, applicability, response to change, and the management of change. The implementation of nursing research findings into practice is a complex process and though management can focus on change for implementation, the success of the change remains hinged on the attitude of the nurse (MacGuire, 2006). Case Study Mr. C, the patient, recently moved in with his daughter-in-law after his wife passed away. The daughter-in-law is no longer married to Mr. C’s son, but she is at this visit with Mr. C and states that she wants to help take care of Mr. C. She states that when Mr. C got off the airplane, he was pale and diaphoretic. She took him to the emergency room at the hospital. He was seen by a cardiologist and has a follow-up appointment next week for a cardiac echo. The patient states he has chronic heart failure (CHF) and a history of deep vein thrombosis (DVT). The cardiologist told him to seek out a primary care provider and have his thyroid checked. The patient states he does not know if he has hyper- or hypothyroidism, but he has been taking medication for years. Mr. C has a large bag of medications with him, including Synthroid ®, Lasix, Coumadin, and metoprolol. Mr. C is very pale. His vital signs are as follows: Pulse- 58, BP 176/84, Respirations- 22, Pulse ox-88. He is 72 inches tall and weighs 147 pounds. His labs results are as follows: hematocrit- 8. 24, hemoglobin- 24. 3, BUN- 29, Creatinine- 2. 0, INR-2. 5. The case study is the basis for the following plan of care based on Jean Watsons Theory of Transpersonal Caring. Priority 1 Assessment Nursing Diagnosis Intervention Outcome Follow-up Outcomes Priority 2 Potential for: Fluid volume excess secondary to decreased circulatory / cardiac output. Teach patient to monitor BP, pulse, edema and respiratory effort and daily weight. Teach patient the importance of medication compliance and possible side effects Teach patient importance of maintaining a health diet and nutrition. Teach patient importance of informing MD immediately of any noted changes in status. Displays BP and pulse within normal limits. Be free of edema and visual disturbances, breathe with clear sounds. Demostrates compliance with medication use. Selects nutritionally rich foods, consistent with current guidelines. Reports worsening condition or development of suspicious signs and symptoms promptly to prevent serious complications Priority 3 Potential for: Decreased endurance and activity secondary to decreased cardiac output Teach patient to be able to assess vital signs especially respiratory rate. Teach patient to be able to self assess need for oxygen and importance of oxygen compliance. Encourage patient to plan activities as tolerated and around periods of rest. Monitors BP, pulse and respiratory rate regularly and correctly. Correctly assesses the need for oxygen by recognizing the signs and symptoms of hypoxia. Uses oxygen in the appropriate concentration. Plans regular periods of rest and quiet activities gradually increasing activity as tolerated. Priority 4 Potential for: Ineffective coping secondary to disease process. Help patient to identify own strengths in providing self care. Promote patient independence and empowerment Assess patient’s ability and understanding of changes that may occur during disease process Verbalize understanding of what is happening. Identify and use coping techniques. Establishes a positive attitude towards illness. Progesses adaptively through disease process. Priority 5 Potential for: Ineffective tissue perfusion secondary to decreased cardiac output. Teach patient important signs and symptoms of perfusion dysfunction (unilateral edema, cool extremity, decreased pulse rate, pain/discomfort to area). Displays BP, pulse, ABGs, and WBC within normal limits. Priority 6 Potential for: Weakness and fatigue secondary to metabolic and endocrine dysfunction Encourage several rest periods in between patient’s activities Teach patient importance of taking medication as ordered by the physician and monitoring for side effects. Encourage patient to maintain low fat, low cholesterol, high fiber diet. Plans naps and quiet activities on a regular basis between activities Takes medications as prescribed by physician. Promptly reports side effects. Selects nutritionally rich foods, consistent with current guidelines. BP and cholesterol WNL. Conclusion References Doenges, M. E. Moorhouse, M. F. (1999). Guidelines for individualized care. Plans of Care. Philadelphia, PA: F. A. Davis Company. George, J. B. (2011). Nursing theories: The base for professional nursing practice (6th ed. ). Upper Saddle River, NJ: Pearson. MacGuire, J. (2006). Putting nursing research findings into practice: research utilization as an aspect of the management of change. Journal Of Advanced Nursing, 53(1), 65-71. Nurses Labs. (2011, November). Congestive Heart Failure. Retrieved from http://nurseslabs. com. Nursing Care Plans. (2011, April). Deep Vein Thrombosis. Retrieved from http://www. nursingcareplans. org. Nursingcrib. (2011, December). Metabolic and Endrocrine Dysfunction. Retrieved from http://nursingcrib. com. Potter, P. A. , Perry, A. G. (2005). Fundamentals of Nursing. St. Louis, MO: Mosby, Inc. Squires, J. E. , Estabrooks, C. A. , Gustavsson, P. , Wallin, L. (2011). Individual determinants of research utilization by nurses: a systematic review update. Implementation Science, 6(1), 1-20. Retrieved from EBSCOhost. CERTIFICATE OF ORIGINALITY: I certify that the attached project is my original work and has not previously been submitted by me or anyone else for any class. I further declare I have cited all sources from which I used language, ideas, and information, whether quoted verbatim or paraphrased, and that any assistance of any kind, which I received while producing this paper, has been acknowledged in the References section. I have obtained written permission from the copyright holder for any trademarked material, logos, or images from the Internet or other sources. I further agree that my name typed on the line below is intended to have, and shall have, the same validity as my handwritten signature. Students signature (name typed here is equivalent to a signature): Learning Team B: Tomika Washington, Kim Difillippo, Darlene Ferris, Michelle Whittenberg, and Tina Gafford

How to Use Agile Project Management to Organize Your Marketing

How to Use Agile Project Management to Organize Your Marketing Are you sick of emergencies, of last-minute deadlines, and the stress of messy workflows? If so, agile project management might be just the strategy you need to use. Chances are great that you’ve heard of it before, but do you know how to use agile methodologies in your marketing? Today we’re going to talk about just that with Andrea Fryrear, the president and lead trainer at Agile Sherpas. She’s going to talk to us about what agile marketing is and how you can use it to prioritize your projects. Sit back, relax, and get ready to learn some high-value information that will help your business succeed. Information about Agile Sherpas and what they do. What agile marketing is, what it focuses on, and what the most popular methodology is. The difference between Waterfall and agile marketing. How agile marketers prioritize their projects. The concept of boundaries and why multitasking doesn’t work. Andrea also talks about the importance of saying no. How agile marketers can focus on the projects that make the most impact. How to build obstacles and roadblocks into your workflow. Tips on using Scrum, Kanban, and Scrumban for agile marketing. What you can do first if you are a marketer who would like to start using agile project management as part of your marketing strategy. Links and Resources: Agile Sherpas Scrum Kanban Scrumban podcast@.com If you liked today’s show, please subscribe on iTunes to The Actionable Marketing Podcast! The podcast is also available on SoundCloud, Stitcher, and Google Play. Quotes by Andrea: â€Å"Limiting our work and focusing is the only way we’re gonna get to the point of doing really good, high-quality work that’s focused on the audience.† â€Å"Scrum has the best PR agency of any of the agile methodologies.† â€Å"I would say don’t try to eat this whole elephant in one big bite.†

Case Study on Research in Motion Essay Example | Topics and Well Written Essays - 1000 words

Case Study on Research in Motion - Essay Example Problem Definition With the introduction of Apple’s iPhone in the mobile industry, it was expected that market for BlackBerry would be hit severely. Common perception was that market for mobile phones was already over-congested and any new entry could have debilitating effect on Research in Motion (RIM). Jim Balsillie, the co-CEO of RIM, also felt the emerging challenge to RIM from the new technology convergence and started planning a strategy to position his company for capturing maximum market coverage (Carayannopoulos, 2012). Jim Balsillie considered iPhone as â€Å"one more entrant into an already very busy space.† RIM’s enterprise market was the target of competitors. Balsillie wanted to pursue a strategy the like of water rafting, with the purpose of attaining, â€Å"every last dollar [he could] possibly get† in revenue but also safeguarding his ship from the â€Å"rocks† lying in the way and place the company securely (Carayannopoulos, 2012, p. 1). According to Donnelly (2011) RIM’s stay in the market could be doubtful with the arrival of other strong entrants in the marketplace. Consumers have Apple’s iPad and the latest release iPad2. Another competitor, Cisco, is also fully prepared with its integrated release of Cius tablet, offering tough competition to RIM. Problem Analysis The consumer market for RIM’s Blackberry products, namely the Blackberry â€Å"Pearl† and the Blackberry â€Å"Curve†, according to market analysts, was an intelligent move, as it would offer RIM vast consumer market full of potential customers; also the enterprise market was comparatively smaller than the consumer market. It was definite, as observed by market analysts that with the advancement in technology and increase in competition, challenges before the RIM management in the context of realizing sales targets were genuine (Carayannopoulos, 2012). Global wireless market had been showing seamless growth an d subscribers were sure to cross the 3 billion mark by the end of 2007. Wireless device users were divided in different market segments of consumer using the mobile instrument for personal use, the prosumer using it for both business and personal use, and the enterprise segment where the device was wholesomely purchased for employee use. Market was already overcrowded with players such as Nokia and Motorola possessing comprehensive brand image, financial strength, experience, and network carrier collaborations worldwide. Their handsets were cost-competitive but were deficient in some sections such as data transmission and players like Nokia had collaborations with other partners for embedding email feature in their devices (Carayannopoulos, 2012). iPhone with dimensions of 4.5 by 2.4 by .46 was available to users with one large touch-screen functionality. Various features of iPhone such as email, camera, videos, music, and internet, according to analysts, set its class distinctly in multimedia. All reviews although were not as promising, as the whole web pages could be seen as on a computer and downloading was slack due to the sluggish speed of the AT & T’s network. There were other crucial business add-on features missing such as Microsoft Office/Exchange enabling both voice and non-voice data exchange and downloading over the internet. Balsillie finds Apple’s strategy of compelling subscribers to visit Apple’s iTunes music stores for activating the phones in