Concept development Research Paper Example | Topics and Well Written Essays - 1250 words

Concept knowledge - Research Paper ExampleI work in the ICU, where I am responsible for critically ill diligents. Specifically, I am in charge of those who need artificial breathing. I am to chequer the patients get better, and not contracting more diseases in the course of their admission in the ICU. One of the some dangerous risks that ICU patients on artificial air are exposed to is the Ventilator-Associated Pneumonia (VAP). Its prevention involves a 5-steps process, called the VAP bundle. Of the fivesome steps, interruption of the sedation to introduce extubation to the patient is the most critical step, also called, weaning from mechanical ventilation. Previously, the physicians attention to patients in critical situations attempted to reduce the length of time of mechanical ventilation by manipulating breathing machine modes and gradually decreasing the ventilator support. Nonetheless, research today has shown that sedation can have a larger impact on the length of tim e of mechanical ventilation, and other patient outcomes than can manipulating ventilator modes (Eber, Laximinarayan, Perencevich, Malani, 2010). Patients suffice differently to sedation, depending on their ability to cope. One major incidence that comes to my mind when sedation is mentioned is one I experienced with a post renal transplant patient, who was admitted to the ICU for 12 hours observation. ... After successful surgery, the patient was put on mechanical ventilation and later sedated so that she does not fight the mechanical ventilation equipment. After she stabilized, the weaning process from mechanical ventilation took effect. This is in accordance with the VAP bundle protocol of preventing the situation of VAP. On receiving the physicians order, I adhered by holding the sedation to assess if the patient was flying for extubation. However, after successful extubation, the patient grew violent. She felt this was a mean act as it dehumanized her. My attempts to exempt the importance of the process were not welcome by the patient, as she could not understand. The Phenomenon of Interest The phenomenon of interest tie in to my story and her first action after weaning her from mechanical ventilator, is best described as wake up to breath. This was termed during a discussion with my colleagues while doing our assignment for statistics course. We stopped for a while and discussed our concept development. Thus, to each one one of us presented her story and then we helped each other the come up with a concept. The phenomenon exhibits the steep level of patients anxiety. Theoretical Lens for Viewing the Phenomenon The theoretical lens used to count on this phenomenon shapes the meaning of this phenomenon. The phenomenon in this research is waking up to breath, which is accompanied with patient anxiety. This describes reactions of patient after she was deprive from the mechanical ventilator. She reacted rather violently. Various theories can be used to bring this phenomenon into perspective. However, I discern to choose one of the middle range theories. The theory of self-efficacy is one that will bring a deeper meaning and brain to this phenomenon. In