...Running head: ACCOUNTABILITY OF NURSING PROFESSIONALS: WEANING Accountability of Nursing Professionals: Weaning from Mechanical Ventilation Samantha Madrid Grand Canyon University Abstract This paper will discuss the weaning of patients off of a mechanical ventilator. It will look at the problems associated with prolonged intubation vs. premature extubation, and what healthcare professionals can do to assess a patients readiness to begin the weaning process. A patient care scenario will be given and an explanation of how nursing practice can evolve with the knowledge from this study will be shown. The accountability of the nursing professional in regards to mechanical ventilation will be visited as well. Accountability of Nursing Professionals: Weaning from Mechanical Ventilation “Mechanical ventilation refers to the use of life-support technology to perform the work of breathing for patients who are unable to do so on their own.” This is the definition of mechanical ventilation according to Cook, Meade, and Guyatt (2000). They performed a study to determine the optimal time to wean a patient off of mechanical ventilation. When weaning a patient you have to find the right time to extubate. Prolonged mechanical ventilation can lead to nosocomial pneumonia, cardiac associated morbidity, and possible death. However, extubating a patient too soon may result in having to reintubate which can result in the same illnesses as prolonged intubation. “Research to date suggests...
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...those populations. Most of the world is lactose intolerant, meaning that they do not have lactase [a milk-digesting enzyme] in their small intestines. Coupled with the fact that up until recently, [in biological time], humans were nomadic hunter-gatherers means that domesticating animals and drinking their milk was simply a waste of time for most populations around the world. Those who do have lactase in their systems, though, owe this to the fact that their lineage is likely to be prominently pastoral. The real reason behind the world’s lactose intolerance is owed to the fact that the weaning process, which typically occurs at about the age of 5, causes the small intestine to refrain from creating any lactase; therefore, as adults, it becomes uncomfortable for those people to consume any lactose, even in small dosages. The reason for lactose intolerance is attributed to more than just weaning, for most of the diets of people in a great part of the world consisted of meat and grains as opposed to milk, cheeses, and other dairy products....
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...Communication in the Workplace Regardless of the environment in which one works, communication is always vital and a key factor of success. Communication happens both physically and verbally and is absolutely essential if you want to inform someone about something. Communication has two main components, sending out a message to someone, and ensuring the message is received correctly to the other member of the conversation. It is therefore fair to say speaking and listening are vital to effective communication. I will talk about how effective communication is needed in my current position, as well as the future. Computer Science is the name of my degree choice. Once graduated, I intend on becoming an Information Technology Consultant. The position will be on a contract basis, meaning I will only be employed by a company for a period of time, until a certain project is finished. If my help is still needed within the organization, then an extension may be drawn. Otherwise I will move on and work with another organization. Although the role seems temporary, the pay will make up for this. The main thing that is carried forward is my experience. Alongside experience, my communication with the other members of the organization is extremely important, as a lot of jobs in this industry are promoted via ‘word of mouth’. If I am an effective communicator, I will be able to get a lot of recommendations and will be successful in the industry. If I am not an effective communicator then...
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...the least frustrating. Effective communication incorporates the basic elements of communication by making sure that the person receiving the information from the sender understands what is being said. “Effective communication plays a vital role in the success of every professional and personal relationship.” (Todd, 2013) There are five basic communication models that consist of the sender, the receiver, the message, the channel, and the feedback. These five basic elements can be used in several different ways such as public speaking, interpersonal relationships, media development, and business relations. The basic elements of effective communication can differ from the basic rules of communication. In health care communication can play a very important role in patients’ health care decisions and the way the information is conveyed through each component. When it comes to health care “effective communication involves more than understanding information that is being conveyed. How a person understands and receives a message are two different things therefore understanding feelings, thoughts,...
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...| “Don’t Just Talk, Be Heard!” | Midterm Paper | | | 3/25/2012 | ------------------------------------------------- Don’t Just Talk, Be Heard! The book I choose to read for my midterm is entitled, “Don’t Just Talk, Be Heard: Closing the Gap Between What You Say and What People Hear” by David L. Levin. David addresses the issue of the communication gap. The message that is intended might not be the message that is received. In this short little book, which is packed with information on overcoming the communication barrier, the author helps the speaker or leader realize some of the common problems in the process of communication. There are several helpful little tips that will make the speaker more aware of how to connect with people. This applies to preaching as well as working a room during a meeting. It teaches the skills of "handing off," "Listening for emotions," "using enthusiastic vision," and "learning to facilitate instead of dictate." These are all helpful tactics. Also, taught in this book is ways to avoid some of the major communication disconnects. It discusses such topics:"negative assumptions," "talking about yourself," "talking too much," "using jargon," and "defensiveness and blame." Through out the book the author uses several case studies which are a fictionalized composite of people whom he has worked with as a communication coach to better explain what causes communication gaps, to teach practical ways to close them, and to show the differences...
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... * * * * * * * * * * Discussion Questions * * What suggestions would you offer a new employee to help them effectively communicate in your workplace when meeting face-to-face, sending an e-mail, and during a meeting? * * The first suggestion that I would and I usually give to new employees is the basic tasks we do at work and most definition and most common questions or situations he or she will be caught on. * * What would be the most effective channel to communicate with your boss? Why is this? Why are other channels less effective? * * In my job the most effective channel to communicate is in person the reason is because it is quicker and sends the message faster and more effectively. * * What do you consider to be the most important features of an effective communication? Explain your choices. * * * The most important feature of communication at a work environment is having every employee well informed of any information updates and to have everyone working as one team and well communicated to work more effectively. * * You are preparing to write a formal report to be presented to the management at your workplace. What are some potential needs for the audience that you should be aware of when writing the report? What are the risks of not considering the needs of the audience? When presenting a report it is important to have all information complete as far...
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...music to send messages. Sharing information that keeps business and factories running, helping people in trouble, paying bills, transportation, and food supplies, and more. If people continue to rely on text messages and email to communicate, then people would run the risk of never really being understood, which creates the potential for unnecessary conflict. During the past, daily planners determined communication and it is still evolving as a whole new level to communicate to one another. Communication has been emphasized in the future. The field of communication has always been powerful and had its own histories of adapting through time with difference audience of literacy. SMS or short message system was developed in the mid 1980’s that became a method to exchange 160 characters that is received in a mobile phone. An article from EbscoHost, “Mobile Text Messaging: An Emerging Market Tool” by Mannappa Omkareshwar states that in today’s society, text messaging is mostly known by sending messages rapidly. He also states that text messaging one of the examples that involves a system of sending invitation. This has become a popular of communication inside and outside the United States. When having face-to-face conversation we are able to see eye contact, body language, and voice to get the message through immediately. But over the phone, when typing a message with poor grammar, the message will be interpreted in a different way the receiver reads the message. An article...
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...University of Phoenix Communication Plan 1. Select the most appropriate channels to communicate the change to the employees, and explain why you selected these channels. Communication Channels | Rationale to your selection | Initial Meeting | -Allow everyone introduce themselves -Build some trust and rapport-Networking-Will be face-to-face-Will be a onetime meeting | Project Meeting | -Meeting will be weekly-Face-to-Face or Conference Call-Review the status with the team | Project solutions Meeting | -Meeting will occur as needed-Discuss project barriers and solutions-Develop and implement of new programs or projects-Will be face-to-face | Monthly Status Meeting | -Will be face-to-face or conference call-Report the status to upper management-Well occur monthly | Monthly Reports Meeting | -Channel will be thru email, fax, or memos-Will go over reports such as; cost, issues, and progress | 2. Identify the potential barriers to effective communication and strategies for overcoming the barriers. Potential Communication Barriers | Strategies to Overcoming Barriers | Information Overload | -Listed above are a lot of meetings and employees will get overwhelmed with information that is important? - A solution for this is to have an employee take notes for each department and send them in an email for referencing. | Communication Apprehension | -Some employees may not be comfortable in a face-to-face or with written information. -A solution for...
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...Chilean Mine Collapse Trapped in a mine for months is unimaginable. People wondering are their survivors and how the family will take the news. Many people are asking questions and so many people are waiting on responses. Communication takes center stage in this instance. Communicating such a tragedy to the families, certain steps need to be put in place. Consideration is to be taking when delivering a message to different audiences. The families of the Chilean Miners and the company’s employees are important when communicating something that will change lives. Consideration is important because remembering the different roles of people in the audience. Effective communication is vital. It is relevant the messenger considers and understands the features of the audience receiving the message. For an example, the miners, families, and media are important when the message is in preparation. There are different characters of people in the audience and how they receive the message is important. In this event, the person delivering the message must have readiness for questions and feedback. The potential needs of the family members are to make sure that the family is together when tell the family about the tragedy and the truth regardless of how much information that the team have at that present time. Some line of communication needs to be in place between the team and the families. The families would be told the news first, before the media gets it. The team in charge...
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...considering what is needed to be understood, how to make it understandable, and how to apply it. In other words, how the communication needs to be delivered so the employees know what the message is and how to apply it. The concept comes from our textbook, Beyond the Babble, and is a type of communication plan for leaders to improve communication. This is the step before writing or communicating in other methods, what the leader needs to say to those he/she is leading. The communication allow for people to know the right things and feel the right things so they can do the right thing in terms of actions. The planning also helps to make the message concise, without all the communication that can make the message delivery counterproductive. This type of analysis is done before the actual communication is begun. So it takes some time and analysis of the message. The process is three components and looks like this, Know + Feel = Do. If people know what is needed and they feel it, they will take the right actions to do it. Narrowing makes the designation of conversation more easy to use to reach people at different levels of the company. The conversation method allows for discussion, questions and answers in a safer environment. Conversation is where messages are delivered in real time and the discussion can be urgent or enthusiastic or serious in the context of the conversation. Conversations are non-threatening and well and make the parties...
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...Communication Opinion Monique Taylor HCS/320 June 12, 2013 Lisa Sanders Communication Opinion What exactly is effective communication? Effective communication is when someone sends a message and it is correctly received by the other party. There are five basic elements in communication: the person sending the message, the person receiving the message, the message itself, the channeling of the message, and feedback from the message. Effective communication is crucial to the success of personal relationships as well as professionally. The person delivering the message must do so clearly so it is understood by the person listening. The listener should listen actively because the only way effective communication can take place is when the person listening recognizes without a doubt the message being conveyed. Some common ways of communicating include sharing information by telephone, delivering a speech, messaging, letters, e-mail and sharing information face to face. When a person can listen, store, and recall the information that they listened to, it is only then that you know you have communicated effectively. There can be times when there are barriers that prevent effective communication. Things like sending mixed messages, distractions, or inappropriate body language are just a few. The fundamentals of effective communication differ from the regimen in the essentials of health care communication. Why? Because one must be able to communicate effectively...
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...lack of communication via one another thereby resulting in disappointed consumers, disjointed meetings, missed appointments, and wasted time. For those companies who have adopted the new forms of technological tools and uses the tools properly, such as e-mail, instance messaging, personal digital assistants (PDAs), portable media players, and telepresences has enhanced their bottom line and improved their workers experience. As an owner of a small company, Day & Night Services is a tax preparation business. It has over 300 clients and it communicates with it clients via Instant messages, efaxing, email, and telepresence, ooVoo, for those clients who want face-to-face communication. Some clients also contact Day & Night Services through the social network called Facebook. Clients would inquire about the upcoming season. There would be written communication via email and Instant messages. Communication also is conducted via smartphones using its texting features. The company also uses the mobile device, iPad to communicate by emailing, faxing, creating written communication via Word documents, or scanning. Globe organizations, Music Producers, and other companies who communicate face-to-face are using the “state-of–the-art telepresence”, twitters, Facebook, Wikis to communications (Locker & Kienzier, 2008, p. 15). Therefore, companies such as Apple, Cisco, Google, Philanthropist Russell Simmons, Sean Combs, and many others who bottom line is profitable are using...
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...to conversation. The cooperative principal says that conversation partners are trying to facilitate understanding with their talk. The four maxims are quality, quantity, relevancy, and manners. 6. What are three types of disconfirming communication, and how can we respond with specific types of assertive metacommunication? Three types of disconfirming communication are: ignoring someone, not acknowledging others’ feelings, and not accepting others’ opinions and emotions. Stating that you refuse to talk to someone that is using this type of communication would be a way to respond with assertive metacommunication. 7. How can noise and selective listening interfere with how we receive messages?...
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...it comes to commutation in the workplace or health care environment, which are sender / receiver, encoding, and decoding, message and channel, feedback (Cheesebro, O'Connor, & Rios, , 2013). The first element is sender / receive. I do know that to keep our need to keep our minds open so we can send and receive and it is understandable to read and receive for other people. When we are speaking to other people we need to make sure that we receive all of the information so we can say it to other people. The second and third element of commutation are encoding and decoding. The encoding which is part of the sender orated in the commutation... The Encoding is a lot of symbols that is a lot of process that ben be changes. The third would be decoding which is the receiver, who does the destination of the communication messages. Which has to assign the meaning of the symbols, so they can make sure that the message is under able for everyone to read. When you are you reading and listen, you must understand what the symbols mean. Everyone has their own unique ways to encoding and decoding (Cheesebro, O'Connor, & Rios, 2013). The fourth element of commutation would be the message. The message is an idea which is thought, feeling, or even opinion that has to be communicated. There are sometime the message can be clear or even direct. There are sometime message could be unclear. There are sometime they could have a nonverbally which is sharing a feeling or defining how you fit into...
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...of any successful organization. A communication should be free from barriers so as to be effective. Communication is a two way process where the message sent by the sender should be interpreted in the same terms by the recipient. The characteristics of effective communication are as follows : Clarity of Purpose: The message to be delivered must be clear in the mind of sender. The person to whom it is targeted and the aim of the message should be clear in the mind of the sender. Completeness: The message delivered should not be incomplete. It should be supported by facts and observations. It should be well planned and organized. No assumptions should be made by the receiver. Conciseness: The message should be concise. It should not include any unnecessary details. It should be short and complete. Feedback: Whether the message sent by the sender is understood in same terms by the receiver or not can be judged by the feedback received. The feedback should be timely and in personal. It should be specific rather than general. Empathy: Empathy with the listeners is essential for effective verbal communication. The speaker should step into the shoes of the listener and be sensitive to their needs and emotions. This way he can understand things from their perspective and make communication more effective. Modify the message according to the audience: The information requirement by different people in the organization differs according to their needs. What is relevant...
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