Theory of Transpersonal Caring Plan of Care
Learning Team B
December 12, 2011
Theory of Transpersonal Caring Plan of Care
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. 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 Watson's Theory of Transpersonal Caring.......
Fluid volume excess secondary to decreased circulatory / cardiac output. Teach patient to monitor BP, pulse, edema and respiratory effort and daily weight.
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Learning Team B: Tomika Washington, Kim Difillippo, Darlene Ferris, Michelle Whittenberg, and Tina Gafford
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