Literature review – VAP
Part 1
The theory of goal attainment which was developed by Imogene Kings, it focuses on the interaction between patients and the care providers taking care of them. The goals that are focused on desirable patient outcomes are developed by ensuring that there is an existing communication process which ensures that a mutual interaction between nurses and their patients exists (Current Nursing, 2012). This theory can be used as a basis the assessment and the maintenance of desirable, healthy systems that which overall result in patients achieving their wellbeing goals.
Question 1
This theory is made up of a series of interactions between the nurse and the patient. These interactions are personal, interpersonal and social system. The personal system involves self-growth and development, perception, and body development. Interpersonal interaction involves communication, stress, and role while the social system entails the authority, status power, and decision making. If there are perceptual accuracies in the way the nurse and patient interact, proper transactions will occur. These transactions are vital for goal achievement. From these goals, patient satisfaction, and efficient nursing care can be achieved. On the contrary, conflicts between the nurse and the patient result in stress. The rationale for utilizing this theory is that it provides a framework through which patients can express their concerns regarding care provision which is essential for their wellbeing.
Question 2
This approach is critical in making sure that the needs of a patient having problems with VAP can be satisfactorily addressed since it provides a comprehensive assessment of such a patient. From the assessment, it can be easy to plan for the interventions that can be employed regarding the prevention of VAP incidences occurring to a patient under critical care (Current Nursing, 2012). Thirdly, the implementation of the interventions is made so that they can result in required transactions. To achieve this objective, it is crucial that the critical care nurses consider the perceptions that patients have concerning the proposed care. Finally, an evaluation of whether the VAP prevention practices have been effective is done. This process ensures that the treatment goal which is the reduction of VAP rates is achieved.
Question 3
Incorporating this theory in my practice will mean that I have a clear understanding of my patient’s needs so that I can be able to develop a care plan that is suited for them. My first step will be to carry out an assessment on my intubated patients concerning their perceptions of VAP prevention practices. This step is important since it is through proper communication that I can have a thorough understanding of their desires. Secondly, after clearly understanding the perceptions of the patient regarding the various VAP prevention practices, I will be better placed in developing a care plan that meets their specific needs bearing in mind that I will have chosen an intervention directed at achieving treatment goals (Current Nursing, 2012). My plan will also incorporate patient and family education on how to well to handle the patient. This education plan will include providing the necessary information to the patient’s family regarding the different VAP prevention practices like proper oral hygiene and headboard elevation. This education is essential for taking care of the patient after being discharged from the hospital. After planning for the proposed care, it now becomes easier implementing the care plan by employing the correct combination of VAP prevention practices depending on the needs and perception of the patient and the efforts directed at attaining the goals. Finally, I will carry out an evaluation to determine whether the VAP prevention mix that I will have chosen has been active. This is in line with ensuring that the treatment goals have been achieved.
References
Current Nursing. (2012). Application of Theory of Goal Attainment and Nursing Process. Retrieved from http://currentnursing.com/nursing_theory/application_goal_attainment_theory.html
