Nursing Practice Using Gibbs Cycle To Reflect On Smart Goals - 1100 Words

Nursing Practice: Using Gibbs Cycle To Reflect On Smart Goals (Term Paper Sample) Content: USING GIBBS CYCLE TO REFLECT ON SMART GOALS Student’s Name Course Professor’s Name Institutional Affiliation Submission Date Using Gibbs Cycle to Reflect on SMART Goals SMART Goal Evaluation After reflecting on my current knowledge base and skills as a part-time nursing student, I set a goal to enhance my understanding and performance of respiratory assessment. My main objective was to competently identify the different auscultation areas for the different types of breathing. I would then spend two hours every day going through different learning materials such as books, conducting online assessments on accredited websites, and practicing the different breathing sounds to meet my goal. I am glad I was able to fulfil my goal despite the constraints encountered. For a full month, I dedicated two hours going through either respiratory books or videos. I would then practice the acquired knowledge whenever I felt I had understood the reading, and finally evaluate my performance by doing an online exam score. However, studying and practicing during the weekend was challenging, which limited my reading schedule to weekdays. I also had a difficult time finding a competent nursing practitioner to evaluate my practice. Even though I was determined and optimistic about fulfilling my goals, I experienced self-doubt and reluctance. The mixed feelings faded during implementation, and I felt motivated to go further after hitting daily targets. A break was mandatory whenever I felt overwhelmed or incompetent to study at a particular time. Eventually, I had an in-depth knowledge regarding the assessment of tachypnea, apnoea, Cheyne-stokes, dyspnea, bradypnoea, and hyperventilation . A Review of Respiratory Assessment based on Current Best Practice Evidence A peer-reviewed article by Hunter and Rawlings-Anderson (2008, 41-43) discusses respiratory assessment. They state that a respiratory assessment aims at ascertaining the patient’s respiratory status and giving information relating to other systems of the body. Furthermore, the nurses require skills and knowledge on the respiratory function to conduct a basic assessment and interpret results. Nurses should be competent at peak flow measurements, arterial blood gas analysis, pulse oximetry as well as auscultation (Hunter Rawlings-Anderson, 2008, 41). An empirical study that Leech (2015, 71) conducted on lung ultrasound in cases of critical care discuses auscultation at length. Auscultation entails a routine of assessing respiratory status and a measure of determining interventions for patients. However, the research reveals that although auscultation is immediately available to patients and has minimal discomfort, it has limitations. Incompetent or inexperienced nurses using thi s routine may generate low accuracy reports due to poor diagnosis. Therefore, nurses are encouraged to use auscultation alongside other assessment tools such as arterial blood gasses and clinical examinations. This information is consistent with what I had learnt but, in this case, it is detailed and specific. Precisely, evidence-based research indicates auscultation is an old diagnostic technique that helps physicians to examine the respiratory system of patients (Bohadana, Izbicki, Kraman, 2014, 745). It helps to distinguish normal and abnormal sounds based on frequency, timbre, and intensity. The diagnosis should be carried out in a quiet room with the patient seated. The stethoscope is first placed at the apices then moved down gradually until breathing sound fades completely. The second step involves listening to the neck by placing stethoscope at the apices and moved down. A nurse should hear a complete respiratory cycle to ascertain normal breathing (Sarkar et al., 2015, 159). Importantly, Ferns West (2008, 773) emphasize that nurses should promote patient dignity and privacy and create a conducive environment for patients. These findings correlate with the knowledge I gained during my studies which categorized respiratory sounds based on their clinical characteristics and their c orrelations. The current hospital guidelines on conducting auscultation are primarily based on giving detailed information regarding particular respiratory diseases and their pathophysiology. They also outline the treatment methods and raise awareness regarding their pathophysiological measurement which is essential in monitoring patient’s health (Johnson Smith, 2016, 257). The research on respiratory assessment, precisely auscultation, is consistent with hospital guidelines since the study shows that physicians ought to be competent and aware of diseases and their pathophysiology to use the technique effectively. The study also reveals that auscultation applies to specific respiratory diseases. The evidence-based practice and clinical practice guidelines are closely related. However, clinical based practice guidelines are meant to aid nurses in making decisions about diagnosis and treatment that will improve patient outcome. They help physicians to assess the harms and benefits of choosing a particular method of attending to a patient. These guidelines give nurses detailed information regarding respiratory diagnostic criteria such as the use of a stethoscope and the steps involved in conducting the examination. For instance, the guideline provides nurses with tips of improving auscultation such as asking patients to exhale for the stethoscope to receive sound especially if it is faint. Additionally, the examiner can request a patient to inhale deeply then exhale slowly as a technique of slowing down the cardiac cycle to enable the recording of sound pattern. Hence, physicians may follow clinical practice guideline more than evidence-based practice since it is practical. Evidence-based practice has contributed significantly to the improvement of nursing ethics which has resulted in quality patient care. However, its major limitation includes the biased approach to treatment and diagnosis which entails relying solely on published research which may fail due to a restricted view of the evidence. It is, therefore, difficult to translate to clinical practice due to lack of access to best evidence-based practice. The existence of a vast number of published evidence-based research makes it difficult for health instit...

Blood Pressure, The Pressure Of Blood - 913 Words

Blood pressure, the pressure of blood in the circulatory system, is a vital aspect to the human body in order to maintain homeostasis. Many Americans are not aware of the seriousness of having high blood pressure. High blood pressure is called Hypertension, which can be a silent killer if untreated. There are many causes of Hypertension, including diet, age and race. Doctors now are making classifications of pre-hypertensive, which can help patients maintain their health and possibly avoid hypertension, if they follow the advice of their physician. Americans should eliminate fatty foods from their diet, be mindful of their age and race as they may become prone to Hypertension, which can lead to heart damage, heart disease, congestive heart failure, stroke and maybe death if untreated. It is important to know what to do if one’s blood pressure approaches the extremes, as it can be a sign of a serious health problem. Knowing what the norm is for systolic and diastolic pressure can help eliminate health dangers. â€Å"An unusual blood pressure reading by itself, may not necessarily demand a 911 call† (Thomas, George M.D, 2015). While the unusual blood pressure reading may not be a 911 emergency at that moment, it can still be a sign of trouble arising. It is important for to realize the seriousness of rises in blood pressure. Hypertension can be prevented with regular checking and monitoring of the blood pressure. If blood pressure reaches 140/90 or higherShow MoreRelatedBlood Pressure1729 Words   |  7 Pagesaccount of blood pressure testing during a clinical simulative skill session The clinical skill that I have decided to reflect on in this essay is the manual blood pressure test that I have performed on one of my colleague during a simulative clinical skills session. The aim of this essay is to reflect on this experience, so as to learn from it, identify areas of concern and increase competence in this skill accordingly. To start the essay it is the custom to at least give a definition of blood pressureRead MoreBlood Pressure1987 Words   |  8 Pagesbaseline observations : Blood pressure The purpose of this assignment is to reflect on a chosen experience that I have identified as requiring more knowledge to complete this skill competently. I have chosen to do my learning contract on adult base line observation – blood pressure. The reason I have chosen this skill is because my first experience of taking a blood pressure was not a positive experience and to this day I still get nervous taking someone’s blood pressure. I can do the skill confidentlyRead MoreBlood Pressure Effects1058 Words   |  5 Pagesforce on arteries when blood is pumping by heart or when the heart is resting is known as blood pressure. The blood pressure is usually measured by taking the two numbers like 120/80, where 120 is known as the Systolic pressure and 80 is Diastolic. Therefore, for a normal healthy person, Systolic blood pressure must be between the ranges of 80 to 120. Anything above the 140 counts is high blood pressure and treated as hypertension condition. Similarly, D iastolic blood pressure number between rangesRead MoreSystolic Diastolic Pressure On Blood Pressure1618 Words   |  7 PagesIntroduction: Blood pressure is a force applied by blood that push against the arteries. Arteries are blood vessels that send oxygenated blood to the heart and throughout the rest of the body. To calculate blood pressure, use a blood pressure machine which shows the two types of pressures, systolic and diastolic pressure. Systolic pressure happens when the heart is decreasing and diastolic pressure is the pressure the occurs when the heart expands. Systolic pressure is always over diastolic pressure and theRead MoreBlood Pressure Regulation1269 Words   |  6 PagesBlood pressure regulation and changes occurring after increase in blood pressure Each time the heart pumps, it sends blood all over the body to supply organs and tissues with oxygen and nutrients. The strength of the force created as the heart pumps blood into the vessels together with the vessels’ resistance to the blood flow is defined as the body’s blood pressure (Darovic, 2002). A normal range blood pressure (BP) must be between 100-130mmHg systolic (when the heart is beating) and 60-90mmHgRead MoreHypertension: Mechanical Blood Pressure1413 Words   |  6 PagesHypertension, also known as high blood pressure is starting to become a very common cardio vascular diagnosis. Hypertension is classified as a cardiovascular disease caused by elevated blood pressure (Mosbys, 2006, p. 923). Hypertension is more dominant for individuals that have unhealthy lifestyles and have a family history of hypertension. Hypertension is also dominant in individuals that consume more that 5.8 grams of salt per day (Makoff, 2006). Having high blood pressure may cause other health problemsRead MoreHypertension : High Blood Pressure Essay1266 Words   |  6 PagesMany of my clients with high blood pressure take premium Omega-3 oils, and have reported benefits such as decrease in spikes, normalized pressure readings and other cardiovascular beneficial effects. Hypertension is High Blood Pressure, and blood pressure is defined as: (from Wikipedia) ... the force exerted by circulating blood on the walls of blood vessels, and constitutes one of the principal vital signs. The pressure of the circulating blood decreases as blood moves through arteries, arteriolesRead MoreThe Validity Measures Of Blood Pressure1729 Words   |  7 PagesAim: This study aims to calculate the validity measures of blood pressure-to-height ratios (BPHR) in screening for elevated blood pressure (EBP) in a sample of the Egyptian adolescence aged 11-15 years. Subject and Methods: A cross sectional study was conducted on a sample of 1707 students aged 11-15 years. Elevated blood pressure was defined according to the international gold standard definition. Systolic and diastolic BPHR (SBPHR and DBPHR) were calculated for boys and girls, and their abilityRead MoreHigh Blood Pressure Essays1571 Words   |  7 PagesRaised blood pressure is major preventable cause of CVD, and hypertensive people are three times more likely to develop CVD. High blood pressure increases the workload on the heart and can damage the endothelial lining of blood vessels, cause an upsurge of infiltration of lipids into the arterial wall, worsen endothelial damage and enhance atherosclerotic deposition (Thomas Bishop, 2007). The most significant influences are obesity, excess alcohol and excess salt intake (Williams et al., 2004)Read MoreCauses And Effect Of Blood Pressure999 Words   |  4 Pageselevated blood pressure. The heart is the main organ involved in sup plying the rest of the body with blood. As the blood leaves the heart, it pushes against the walls of the blood vessels, and this movement creates blood pressure. By understanding what blood pressure is, what happens in a person’s body when hypertension and hypotension occur, and what factors affect blood pressure, one can figure out how to adjust his/her lifestyle, mentally and physically, to prevent diseases related to blood pressure

Business Leadership Organizational Authorities

Question: Discuss about the Business Leadership for Organizational Authorities. Answer: Managing opportunities for further improvement Part A: Theory review and application Methods to keep team members informed regarding continuous improvement Employees or the other team members in an organization are equally important as the higher authorities of the organization. It is therefore important to consider the role of every employee and make certain approaches that shall benefit the organization entirely (Lopes 2013.). A few methods to keep continuous improvement among the employees of the organization can be stated here: One-size fit approach has to be undertaken to inform all at a time Involving team members for all kinds of plan and strategic implementation Documentation of the practices that has to be undertaken (Cothran and Wysocki 2012) Creating a big picture of the business scenario to make things clear to the employees Regular checking of the improvement plans Importance of recording process to identify opportunities for improvement It is only by the means of recording the process of improvement and opportunities among the employees that the opportunity and the capability of an employee can be measured (Eisenberg et al. 2012). It is for the same reason, keeping a record of the complete process of improvement is indeed important. Other ways by which better opportunities can be gained by recording are: Helps to solve problems Creates a map and a flowchart of the things to be done during the organizational operation Help to make a field analysis A statistical analysis helps to identify the progress or decline of the business operation (Rummler and Brache 2012) Keeping a check on the internal and external factors affecting the business of the organization will result in identifying better opportunities for improvement Introduction of plans a) Documentation of work performance: It is suggested that the performance of every employee has to be kept under regular check. For this purpose, a clear documentation of every day performance of the employees shall be taken into consideration (Crosby 2013). The performance has to be recorded for at least one month and then the performance has to be measured. Moreover, at the time of annual reporting or during the ceremonial reward or award program, the deserving candidate can be given the proper position or can be recognized as per their capabilities. b) Reporting on achievements and problems It falls under the responsibility of the leader or the manager to report on the achievements and the problems of the employees of an organization. Employees that have achieved in course of its organizational operation shall be rewarded or awarded. It has been pointed out by Simons (2013), that motivation and rewarding is one of the best ways to make employees work and create a positive impact on the employees that makes them more productive and concerned about their organization. c) Information recording for further improvement The information collected as a means of recording the performance of the employees in the organization would help to understand the problems related to each employee and better scope that can be gained from each employee (Burke 2013). It is based on the reports and the findings as the manager or leader takes into account. It is based on these reporting, it can be said that future programs can be designed keeping the capable employees in mind. Identification of mistakes and improvements required Keeping a thorough record of each employee might become challenging. In such case, it is suggested that there shall be a manager or a leader who will be responsible for taking care of the performance scanning. If needed, it is also suggested to make small groups and assign each group with a leader (Parmenter 2015). In such cases, there is an expectation that the employees or the members can be easily taken care in a better way. It has to be understood that it is only when the mistakes or the problems are recognized in the findings better approaches can be made to make improvement in the operation of the organization. Part B: Case study Strategies that Jasper might use to monitor operational progress Better marketing and on-spot promotion and advertisements to attract more customers A number of CSR activities to create a positive image of the business among the visitors and other prospected customers (Simons 2013) Advertisements are always helpful to create mass awareness and portray a positive image of the organization among the people who are in association with the organization. Selected improvement and communication plan The plans and the strategies can be easily communicated among the members of the organization by the means of conducting meetings. In fact, once the plans and strategies are made, it is expected that the same can be disseminated by communicating through official mails. In the age of technology, communicating with people has become easier and convenient (Rummler and Brache 2012). Communicating by the means of official communicating platforms such as emails or by conferences or meetings are the easiest and impactful ways of communication plan. Inclusion of the improvement plan It is expected that certain activities like CSR or better marketing can be easily included in the business plan. The team members are also expected to take initiatives to support the communication and the marketing plan or the organization. With the inclusion of certain corporate social activities, it is expected that there shall be a creation of a positive image among the people who are directly or indirectly related to the organization (Crosby 2013). An improvement plan related to CSR activities or better advertising techniques is sure to gain positive response towards the organizational operation. Future prospective Japer might conduct survey at a regular basis to understand the reach and effectiveness of the plans made by the organization to undertake certain changes in the plans. It is expected that better advertisement could provide more opportunities to increase the performance of the business (Eisenberg et al. 2012). There is a great scope for the organization if such future prospective is undertaken and they are implemented in a positive manner. Reference list Burke, W.W., 2013.Organization change: Theory and practice. Sage Publications. Cothran, H.M. and Wysocki, A.F., 2012. Developing SMART goals for your organization.Retrieved March,25, p.2013. Crosby, A., 2013.Creativity and performance in industrial organization(Vol. 3). Routledge. Eisenberg, M.L., Zacks, J.M., Flores, S., Howard, L.H., Woodward, A.L., Loucks, J., Meltzoff, A.N. and Cooper, R., 2016. Higher-level goals in the processing of human action events. Cognitive Science Society. Lopes, L.L., 2013. Goals and the organization of choice under risk.Citado na pg. Parmenter, D., 2015.Key performance indicators: developing, implementing, and using winning KPIs. John Wiley Sons. Rummler, G.A. and Brache, A.P., 2012.Improving performance: How to manage the white space on the organization chart. John Wiley Sons. Simons, R., 2013.Levers of organization design: How managers use accountability systems for greater performance and commitment. Harvard Business Press.