Saturday, January 25, 2020
Reflection on Intramuscular Injections
Reflection on Intramuscular Injections Introduction This paper particularly focuses on my experience of learning from reflection on giving intramuscular (IM) injections, using Gibbss (1988) reflective model. I demonstrate how practice anxiety, as a student nurse, can be dealt with through effective mentoring. I chose the seminal theory of Gibbs reflection on practice, as it illustrates six significant stages; description, feelings, evaluation, analysis of the incident, conclusion and an action plan Ghaye and Lillyman (1997). Gibbs cycle is used throughout the process of reflecting on the incident to help me make sense of my practice and understand what l could do differently to enhance good practice. I use my experience from a placement simulation as I could not be on actual placement due to unforeseen circumstances. Reflection is a process through which healthcare practitioners and students can learn from experience and use the knowledge to inform and improve practice Schon, (1983). The ability to reflect on ones actions is particularly imperative in clinical practice and discourse. As Jarvis (1992) asserted, there is no consensus on the definition of reflection as it is a broad concept. Reid (1993, p305.) define reflection as; a course of action reviewing an occurrence of practice to describe, analyse, evaluate and so inform learning about practice Schon (1983) identified two types of reflection which are; reflection in action, which takes place during the event where the practitioner may not be aware that it is happening and reflection on action, which takes place after the event. Jasper (2003) concluded upon the vitality of reflecting on action, as it transforms experience into knowledge which enhances good clinical practice. Description During my first placement simulation, I practised giving intramuscular injection, is the best tolerated form or injection, and the safest way of injecting medication into a patient Shepherd, (2002). Within the first week of my placement simulation, I was offered the opportunity to practise administering an injection on a dummy. However, as a student, I was cautious and anxious, feeling that I was not competent enough. I discussed my concerns with the lecturer who was empathetic and helped formulate a plan to conquer my doubts. The plan involved a step-by-step conversation of the procedure of administering intramuscular medication, preparing the medication on numerous occasions and practising the injection technique on a dummy. Throughout these stages I was given the opportunity to discuss any questions, feelings or concerns that arose. Once confident enough to do so, under the supervision of the lecturer, I administered an IM injection to a dummy. I recorded my intervention in a refl ective journal. After giving the injection, I was given feedback and the opportunity to discuss my feelings which was valuable and of significance. Feelings As a novice, I never really enjoy giving injections, but after my second practise, good compliments from colleagues and lecturer my confidence increased. Most importantly, l kept thinking, if l gave the injection to an unwilling patient, how awful would I feel? I reminded myself, ethically, what is it like to carry out a therapeutic procedure that inflicts pain on another human being? All these challenges came to my mind before giving the injection. I began to feel quite anxious and nervous, wanting to delay the procedure for as long as possible hoping my anxiety would decrease. I believe the build up of nervousness beforehand is common, particularly for beginners like me. I prepared the injection using the necessary mathematical calculations, picked the right syringe and the right injection for the procedure. I then administered with my lecturer observing my technique, confidence and competence. Evaluation My preliminary anxiety about administering the injection was normal but as a student nurse, I ought to learn the technique and procedure of IM injections. This anxious behaviour could be explained in relation to the Joharis Window (Luft 1969). As in Joharis window, before being confronted with having to administer injection, I experienced an unknown area, whereby my fears and anxieties were anonymous to me and to others [my lecture]. Because I lacked self-awareness regarding these anxieties, I was unable to begin addressing my anxieties around administering the injection. This made me continue to avoid this area of practice, and as a result I did not develop this clinical skill before this incident. By the end of the incident, my feelings were known to me and others [my lecturer]. By disclosing my anxieties and fears to my lecturer and receiving feedback, my awareness of these issues increased. My lecturer commented on what l did right, wrong and what l could have done differently. R esultantly, I was able to address my feelings, areas of strengths, weaknesses and begin to develop the skill of administering injections. Analysis Department of Health (2008) identified lecturers as qualified nurses, who facilitate learning and supervise students. Mentoring also involves the assessment of the student in the practice setting NMC (2008). The interaction between mentor/lecturers and students is answer to minimise practice anxiety and professional intervention is often required to reduce any anxieties. This was resonant in my experience with my mentor while carrying out this procedure. Critically reflecting and understanding my feelings around giving the IM and after the procedure makes me think and evaluate what l ought to do differently in the future. This will enhance my technique and practice while also benefiting patient care. I am now aware of my competence as my mentor highly commended on my confidence, technique quality and the communication that l maintained with her throughout the procedure. Conclusion The description given in this paper is a general and subjective one that attempts to address my feeling and experience of giving the IM. It also aims at indentifying patterns and schemes in the experience of individuals in a similar context of giving IM for the first time. I believe, my experience will help educators to better understand the meaning of the anxiety that is observed as students undertake the act of giving their first injections. It will also help other students reflect and come to understand the meaning of that experience and not feel overwhelmed by this crucial initial experience. Action Plan I created an action plan to improve my practice and set out a course of action should a similar incident occur? Recording an entry in a reflective journal enabled me to record areas of practice that I want to develop and will allow me to track my progress regarding the administration of IM injections (Jack and Smith 2007).I also developed listening skills. Stickley and Freshwater (2006) argue that effective communication, which involves active listening, is an essential nursing skill, because of its beneficial effects on the patients experience.
Friday, January 17, 2020
FAN UP Market Analysis and Sales Projections Essay
FAN UP is positioned within the Smartphone Applications Industry. Mobile devices with remote internet capability, smart phones, have created an entirely new market of users that can be reached on the go. Due to the recent nature of Smartphone technology, we are witnessing rapid growth and innovation in the smart phone applications industry. FAN UP allows the event host the ability to seamlessly pair a sponsor with individuals coming to the event. By doing so, FAN UP will open the door to endless brand reach through Social Media via the user, additional in- †game/concert advertisement, fan appreciation, and a creative way for each event host to use their event to leverage underutilized sponsorships and promote their brand. Industry Analysis Mobile applications have changed a number of industry landscapes in recent history. This industry shows annual growth projections from 2009- †2014 to be 49.8% and from 2013- †2018 to be 28.9%. The evidence of this growth is a reason this app will be successful. Competition in the Smartphone Applications Industry is very strong. Because of this, it is important to analyze the different forces at work within the industry. This chart, information gathered from IBIS World, lays out the industry structure: Life Cycle Stage Growth Revenue Volatility Very high Capital Intensity Low Industry Assistance Low Concentration Level Low Regulation Level Medium Technology Change High Barriers to Entry Low Industry Globalization Low Competition Level High The first key external factor in this industry is the number of mobile internet connections. As the number of smart phone purchases increases with the number of mobile internet connections in 2014, app developers will have a larger market for their products. Secondly, as demand from e- †commerce increases in 2014, retailers have expanded their product lines, the platforms on which they operate, and retailers are expected to create more shopping apps to assist time- †strapped consumers. Next, time spent on leisure and sports represents one of the most key external factors. Time spent on leisure and sports is expected to decrease slowly in 2014, resulting in a potential threat for the industry. While the industry now serves a broad audience, leisure time is a major restrictive factor in a consumers’ ability to use and purchase smart phone app products. The US Census Bureau data re- †iterates more of the same industry trends. â€Å"In 2011, U.S. nonfarm businesses with employees spent a total of $289.9 billion on non- †capitalized and capitalized information and communication technology (ICT) equipment, including computer software. This represents an increase of 10.6% from 2010. Of the $65.2 billi on spent on noncapitalized computer software, $29.9 billion was for purchases and payroll for developing software, an increase of 7.3% from 2010. $35.3 billion was for software licensing and service/maintenance agreements, an increase of $3.9 billion (12.6 percent) from 2010.†Although the growth of mobile apps is on the rise, revenue earned from these apps is expected to increase at a slower rate. Over the next five years, consumers are expected to continue wander away from pay- †to- †download apps, forcing developers to embrace the â€Å"freemium†business model that relies on monetizing free downloads after the fact via in- †app purchases. By 2019, free downloads are expected to account for about 95.5% of total mobile app store downloads. In the five years to 2019, revenue is expected to experience a 28.9% increase, reaching a total of a $34.7 billion smart phone application industry. Market Analysis The market analysis for FAN UP is atypical of most apps. FAN UP will start by focusing on the target market of Sports Franchises in the US and Concert and Event Promotion in the US. FAN UP will serve Gym, Health and Fitness Clubs in the US, Ski and Snowboard Resorts in the US, and Amusement Parks in the US in the secondary market. The sports franchise market in the US is comprised of sports teams or clubs that participate in live professional or semiprofessional sporting events (e.g. baseball, basketball, football, hockey, soccer and other team sports) before a paying audience. This market makes up the first half of the target market. Over the five years to 2013, revenue is expected to grow at an average annual rate of 1.4% to $23.6 billion, and includes a 1.5% increase in 2013 alone. The key external factors for the sports franchise market loosely hold true for the entire scope of the FAN UP market. The external factors include per capita disposable income is expected to increase by 0.8% during 2013, the number of households earning more than $100,000 is expected to increase slowly over 2013, external competition from other sports franchises is expected to increase during 2013 which represents a threat in the industry but not the market, and time spent on leisure and sports is expected to decrease slowly during 2013. Industry revenue is expected to expand 1.5% in 2013. Also, some franchises are opening new or remodeling existing stadiums to attract more consumers. Concert and Event Promotion in the US is the second half of the target market. This market creates, manages and promotes live performances and events, ranging from concerts and theater performances to state fairs and air shows. This industry has an annual growth projection of 2.6% from 2013- †2018 with 49,825 operating businesses. Federal funding for Creative Arts is the key external factor that deviates from the sports franchises market. Many nonprofit establishments in this industry rely to some extent on federal funding, particularly grants from the National Endowment for the Arts, an independent agency that Congress established in 1965 to support the arts. Federal funding for creative arts is expected to increase slowly during 2013. This market has a history of good performance even when other industries struggle. Except for moderate wavering in 2010, the economic downturn ha s done little to deter Americans from attending live concerts and other entertainment events. Over the five years to 2013, industry revenue has grown at an estimated annualized rate of 1.3% to $23.7 billion, including a 3.5% anticipated increase in 2013. Revenue Model FAN UP will create revenue through brokerage fees, reach bonuses, and advertising. This recurring revenues model will be paid by the host of the event (i.e. Carolina Panthers, Live Nation, etc.) for each event in which FAN UP participates. The app will be free from the App Store because, as shown in the data, consumers are increasingly less likely to pay for an app. The brokerage fees are for the access to the app’s consumer base. The reach bonus is in place because with more reach, the more the host can charge the sponsor of the FAN UP sponsorship package. The FAN UP pricing will be dynamic in that negotiations must take place with each new partner in order to agree upon the percentage of the FAN UP sponsorship that FAN UP will receive. The price of the FAN UP sponsorship package will be a negotiation be tween the event host and the brand. Works Cited: 1. IBIS World 2. US Census Bureau 3. http://2012books.lardbucket.org/books/designing- †business- †information- †systems- †apps- †websites- †and- †more/s13- †industry- †analysis- †smartphone - †a.html 4. http://www.softwareengineerinsider.com/articles/smartphone- †app- †development.html#.UvBroChU6xK 5. http://digby.com/mobile- †statistics/
Thursday, January 9, 2020
Explain Stretegies to Overcome Barriers to Effective...
Health And Social Care(Communication) . btec national diploma in health and social care level (1C) | Unit 1: Developing effective communication in health and social care | P4: explain strategies used in health and social care environments to overcome barriers to effective communication and interpersonal interactions. | | | For this question I am going to explain strategies used in health and social care environments to overcome barriers to effective communication and interpersonal interactions. There are many different strategies can be used to overcome barriers of communication in a health and social care settings: 1. Building relationships and appropriate verbal and non-verbal communication. It is very important†¦show more content†¦With this system blind people can read by running their fingers across the dots, and can write by impressing the raised dots into paper using a frame called Braille slate, or a Braille writer. Other possible strategies are: * Use language to describe things. * Assist people to describe things. * Explain details that sighted people might take for granted. * Check glasses. Other aids and equipment. Another example, people with hearing disability may use hearing aids. They are battery-powered electronic devices with small microphones to pick up and increase the volume of sound received by a person. Also, text phones, relay systems and minicoms may be used for people who are deaf or hard of hearing. Other possible strategies are: * Don’t shout. Use normal clear speech and make sure your fase is visible for people who can lip-read. * Show pictures or write messages. * Learn to sign (for people who used sign language). * Ask for help from, or employ, a communicator or interpreter for sign languages. * Check that hearing aids and equipment are working. For people with physical and intellectual disabilities may be used strategies, such as: * Increase your knowledge of disabilities. * Be calm and patient. * Use pictures and signs as well as clear, simple speech. * Set up group meeting where people can share speech. * Check that people do not becomeShow MoreRelatedTesla Motors15249 Words  | 61 PagesThrough â€Å"production advantages†we meant to identify and explain how is Tesla sustaining competitive advantage in the current market and what are their core competencies. â€Å"Portfolio†can be explained as a description of the product range that Tesla has to offer. The â€Å"market size†means how big the investments are, how much represents to the Danish market, the whole market value. With â€Å"Macro environment factors†we wanted to exemplify and explain which are the factors that are influencing the DanishRead MoreTesla Motors15249 Words  | 61 PagesThrough â€Å"production advantages†we meant to identify and explain how is Tesla sustaining competitive advantage in the current market and what are their core competencies. â€Å"Portfolio†can be explained as a description of the product range that Tesla has to offer. The â€Å"market size†means how big the investments are, how much represents to the Danish market, the whole market value. With â€Å"Macro environment factors†we wanted to exemplify and explain which are the factors that are influencing the Danish
Wednesday, January 1, 2020
Essay about Racial Stereotypes Not Simply Black and White
Wow! You are really smart for a black girl! You dress very nice for African-American, or I didn’t expect you to be so quiet. I have endured all of these comments on countless occasions. Many of my attributes genuinely surprise people, and I often wonder if my ethnicity influenced their reactions. Would my intelligence, sense of style, or shyness perplex others if I was of a different race? My dark brown skin is inevitably the first impression that I express, which dominates the presumptions and biases that others have about me. Moreover, racial stereotypes affect people of all races, and this issue exists in many aspects of our lives, anywhere from a casual conversation to law enforcement to a trip through airport security. Many†¦show more content†¦Racial stereotypes are present in American media and detrimental to our society because the representation of minorities has resulted in disproportional arrests, predestined and poor overall academic performance, harassmen t, and violence against minorities. Although our society and media has progressed toward racial acceptance, profiling and stereotypes remain an extreme obstacle to overcome. The adverse depiction of minorities on television contributes to the excessive arrests of these groups. Mary Oliver, professor of communication studies, states, â€Å"content analysis of â€Å"reality†based†police shows was conducted to explore portrayals of crime †¦White characters were more likely to be portrayed as police officers†¦whereas black and Hispanic characters were more likely to be portrayed as criminal suspects than police officers†(Oliver). Crime dramas are prevalent among television shows, specifically Cold Case Files and Cops. 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