Preview

Ventilator Associated Pneumonia

Good Essays
Open Document
Open Document
1751 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Ventilator Associated Pneumonia
Analytic and Continental Philosophy of Ventilator Associated Pneumonia Hospital acquired infections (HAI) have become a major problem for patients’ outcomes and hospitals due to increase costs. The advancement made in medicine, technology, and general knowledge has increased the life expectancy. With this increase, patients are however sicker and have multiple comorbidities that make their care increasingly complex. Barrett, Smith, Elixhauser, Honigman, and Pines (2014) researched the utilization of intensive care units (ICU) and discovered that within nine years ICU stays increased three times within the time span (p. 1) or more specifically according to the Society of Critical Care Medicine (2016), there are about 5.7 million ICU admissions …show more content…
Empirical knowing can be viewed as concrete, cause and effect, or facts from studies. Esthetic knowing helps nurses perceive and want to understand the why. Ethical knowing helps the nurse in determining what is right or wrong, what is should and should not be done, and is based on respect of patients. Lastly, personal knowing can simply be defined as our own experiences, how nurses feel, and it effects the quality of care nurse provide (Brugger and Madison, 2015). The four patterns of knowing can influence a practitioner by examining self to eliminate bias, treat patients equally, remain current on evidence based practices, and seek to understand patients as a whole. Carper’s four ways of knowing can help practitioners identify what their weaknesses are and strive to improve the care provided to patients. McGovern, Lapum, Clune, and Martin (2013) integrated Carper’s four ways of knowing into the simulations for undergraduate nursing students. Their simulations aimed at educating students on experiencing patient care in a clinical sense and experience the art of nursing. Without Carper’s ways of knowing being the fundamental basis of design and delivery, students focused primarily on the physical aspect of care. The design helped developing a relationship and realizing self-bias that could shape interaction (pp. …show more content…
There have been many studies done to support the analytical philosophy of this phenomenon of interest (POI) through the ventilator bundle. The continental philosophy does help define the POI more in depth. Through Carper’s ways of knowing, nursing staff who are in direct contact with patients can use the qualitative and quantitative data provided to influence their

You May Also Find These Documents Helpful

  • Better Essays

    It is essential in nursing to continue learning and applying knowledge to the everyday practice. In doing so, it is important to understand how to organize, test, and apply knowledge to nursing. Barbara Carper identified four fundamental patterns of knowing in nursing which are necessary for the teaching and learning of nursing. Carper's four fundamental patterns of knowing in nursing are defined as empirical, ethical, personal and aesthetic (Carper, 1978). A different method of analysis is required to find evidence, understand each pattern and develop knowledge about each pattern.…

    • 1599 Words
    • 7 Pages
    Better Essays
  • Good Essays

    Ventilator-associated pneumonia (VAP) is defined as pneumonia that develops 48 hours or longer after patients has intubated and received mechanical ventilation. An infection may develop if microscopic organisms or germs invade the intubation of the patient’s lower respiratory tract and lung parenchyma (Koenig, S. M., 2006). According to the 2009 National Healthcare Safety Network (NHSN) report, the accountability for ventilator-associated pneumonia (VAP) preventions includes hospital’s CEO and senior management. They must assure that the hospital supports an infection prevention and control program to adequately prevent ventilator-associated pneumonia (VAP). They must also ensure that proper training and educational programs are in place to…

    • 766 Words
    • 4 Pages
    Good Essays
  • Best Essays

    Neelakanta, A., Sharma, S., Kesani, V. P., Salim, M., Pervaiz, A., Aftab, N., & ... Kaye, K. S. (2015). Impact of Changes in the NHSN Catheter-Associated Urinary Tract Infection (CAUTI) Surveillance criteria on the Frequency and Epidemiology of CAUTI in Intensive Care Units (ICUs). Infection Control & Hospital Epidemiology, 36(3), 346-349. doi:10.1017/ice.2014.67. Retrieved May 31, 2015 from…

    • 3582 Words
    • 15 Pages
    Best Essays
  • Better Essays

    Nursing Theorist Grid

    • 1905 Words
    • 8 Pages

    Description of Theory: “Orlando’s theory is a reflective practice that is based on discovering and resolving problematic situations” (Alligood, 2010, p. 339). This theory is focused on defining the nurse-patient relationship. According to Orlando, the main function of nursing is to determine the needs of the patient and ensure that these needs are met, whether by the nurse or by others. The patient will have verbal and nonverbal behaviors that clue the nurse into the nature of his or her problems. The nurse must explore these behaviors with the patient to determine the needs that must be met to resolve the problematic situation that the patient presents with. The nurse must also be aware of his or her reactions to the cues the patient presents and must validate these reactions with the patient. It is always possible for the nurse to misinterpret the behaviors of a patient, and form incorrect ideas about what the patient needs. Validating the behaviors with the patient ensures that the nurse can fulfill the function of nursing, which is to find and meet the patient’s immediate need for help in the immediate situation which results in improvement (Alligood, 2010). The success of the help provided can be evaluated by observing for improvement in the patient’s verbal and nonverbal behavior. These behaviors must also be validated with the patient. This makes this theory dynamic and collaborative.…

    • 1905 Words
    • 8 Pages
    Better Essays
  • Better Essays

    Vark Analysis

    • 966 Words
    • 4 Pages

    Nurses in the medical field have the additional title of being educators. This title is not as apparent to the public who see Nurse’s duties from the distance. Nurses are responsible for patient care, and educating the patients so they may live to their optimal health. The way valuable health information is presented to patients should always be taken into consideration to make sure the information is delivered to them the best way possible for them to understand. This is why having the knowledge of the individual learning styles as a nurse can be really beneficial when it is time to instruct the patients on matters of their health. When the nurse knows exactly how each patient learns best it optimizes the chances of their learning experience, and thus improving their overall health.…

    • 966 Words
    • 4 Pages
    Better Essays
  • Powerful Essays

    Citations: Carmis BC, MD, MSCR,. Richmond M, RN, MHS, CIC,. Dyer KL, MPH. Zimmerman HN, MPH,. Coyne DW, MD. Rothstein M, MD. Fraser VJ, MD. ; Infection Control and Hospital Epidemiology, Vol. 31, No 11 (November 2010), pp. 1118-1123.…

    • 3895 Words
    • 16 Pages
    Powerful Essays
  • Good Essays

    Bundle Checklist

    • 776 Words
    • 4 Pages

    “Hospital-acquired infections are caused by viral, bacterial, and fungal pathogens; the most common types are bloodstream infection (BSI), pneumonia (e.g., ventilator-associated pneumonia (VAP), urinary tract infection (UTI), and surgical site infection (SSI)” (Medscape, 2015).…

    • 776 Words
    • 4 Pages
    Good Essays
  • Powerful Essays

    Experience of observing interventions of qualified nurses and also doing them under supervision now enables me decisions or give interpretations on the basis of my gut feeling. These have made me more assertive and grow in confidence in my interaction with patients and colleagues. I am now able to connect with patients on a level as fellow human beings not just as "bed number X". The patient should be treated Page4…

    • 1948 Words
    • 8 Pages
    Powerful Essays
  • Good Essays

    Healthcare-associated infections (HAIs), a major, yet preventable threat to patient safety, impose significant economic consequences on the nation’s healthcare system. An estimated 93,000 urinary tract infections and 71,000 bloodstream infections were identified from acute care hospitals (Centers for Disease Control and Prevention [CDC], 2014). The student’s purpose is to differentiate two high priority outcome measure and the rationale for these outcomes. In addition, the student will hypothesize a new outcome that may become a priority.…

    • 629 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    Zander, P. E. (2007). Ways of knowing in nursing: The historical evolution of the concept.…

    • 2588 Words
    • 7 Pages
    Powerful Essays
  • Better Essays

    “Nurses use theoretical and evidence-based knowledge of human experiences and responses to collaborate with healthcare consumers to assess, diagnose, identify outcomes, plan, implement, and evaluate care. Nursing interventions are intended to produce beneficial effects, contribute to quality outcomes, and above all, do no harm.” (American Nurses Association, 2010)…

    • 1776 Words
    • 8 Pages
    Better Essays
  • Good Essays

    Clinical Decision Making

    • 14973 Words
    • 60 Pages

    76 Dreyfuss, S. & Dreyfuss, H. (1980). A five stage model of the mental activities involved in a directed skill acgyisition. Berkeley, CA: University of California. Field, P. A. (1987). The impact of nursing theory on the clinical decision making process. Journal of Advanced Nursing. 12, 563-571. Fischbach, F. T. (1991). Documenting care: Communication. the nursing process and documentation standards. Philadelphia: F. A. David Company. Griffith-Kenney, 1. W. & Christensen, P. 1. (1986). Nursing process: Application of theories. frameworks and models (2nd ed.). St. Louis: C. V. Mosby Company. Hall, L. (1955). Quality ofnursing care. Public Health News. New Jersey State De.partment of Health. 36, 212-215. Holzemer, W. L. (1986). The structure ofproblem solving in simulations. Nursing Research. 35,231-236. Johnson, D. (1967). Professional practice in nursing. In The shifting scene: Directions for practice. New York: National League for Nursing. Kelly, L. Y. (1991). Dimensions ofprofessional nursing (6th ed.). New York: Pergamon Press. Kataoka-Yahiro, M. & Saylor, C. (1994). A critical thinking model for nursing judgment. Journal of Nursing Education. 33(8), 351-356. Lane, G. H., Cronin, K. M. & Perce, A. G. (1983). Flow charts: Clinical decision making in nursing. Philadelphia: J. B. Lippincott Company. Lauri, S. (1990b). The teaching of professional values and decision making process to nurses working in hospitals. Scandinavian Journal of Caring Sciences, ~(2), 63-68. Miller, M. A & Malcolm, N. S. (1990). Critical thinking in the nursing curriculum. Nursing & Health Care. 11(2), 67-73. Miller, V. G. & Rew, L. (1989). Analysis and intuition: The need for both in nursing education. Journal of Nursing Education. 28(2), 84-86.…

    • 14973 Words
    • 60 Pages
    Good Essays
  • Satisfactory Essays

    Healthcare Associated Infections (HAI) Presentation objective: Increase awareness of ways to prevent Healthcare Associated Infections Leann Bibbs Sheila Gerald Fnu Harvinder Kaur Marcela Rodriguez How HAI Costs? Millions of Dollars Much Pain and Suffering Loss of Limb and Life Are the leading cause of preventable deaths •Institute of Healthcare Improvement. (2015) 100,000 Lives campaign.…

    • 1271 Words
    • 6 Pages
    Satisfactory Essays
  • Good Essays

    Health care associated infections (HAIs) are some of the most common and serious complications patients’ encountered while in the hospital. HAI are also among the leading threats to patient safety. According to a study by the Centers for Disease Control and Prevention (CDC, 2005), “at any given time, approximately 1 of every 25 hospitalized patients in the United States has an HAI, meaning that nearly 650,000 patients contract one of these infections annually” (p 1013). These infections can lead to significant cost, increased length of stay (LOS), morbidity and mortality. HAIs, which have been identified as a serious public health problem in the United States and globally (Kurtzman & Corrigan, 2007). HAIs account for approximately three quarters of acute care hospital, catheter-associated urinary tract infections (CAUTI), and central line–associated bloodstream infections (CLABSI), are the most common, costliest, and deadliest of all…

    • 1069 Words
    • 5 Pages
    Good Essays
  • Best Essays

    Pratt RJ, Pellowe CM, Wilson JA et al (2007) epic 2: National Evidenced-based Guidelines for Preventing Healthcare –Associated Infections in NHS Hospitals in England. Journal of Hospital Infection, 65, 1, S1-S64.…

    • 1885 Words
    • 5 Pages
    Best Essays