Thursday, February 20, 2020

Peer Review Assignment Example | Topics and Well Written Essays - 250 words - 1

Peer Review - Assignment Example Studies have indicated that most surgical patients will experience PONV even if medicines were taken for prevention. PONV is a concern that occurs in 20-30% of patients receiving general anesthesia and can be up to 70-80% in high-risk patients (McCracken, Houston, & Lefebvre, 2008). The Society of Ambulatory Anesthesia (SAMBA), developed a set of guidelines to provide up-to-date information for healthcare providers, including strategies to prevent or treat PONV in patients undergoing surgery (Gan et al., 2007). The purpose of this evidence-based practice (EBP) clinical change project is to introduce various practice guidelines for PONV to anesthesia providers that will enhance their knowledge and, improve customer satisfaction, which is essential for the patient’s health and well-being. Nausea can often be described as a subjective, unpleasant sensation associated with a conscious urge or need to vomit(Tinsley &Barone, 2012). Vomiting is coordinated by the vomiting center signaling input from various sources including, the higher cortical center in the brain, the vestibular portion, the chemoreceptor trigger zone (CTZ) and the gastrointestinal tract where afferent pathways are stimulated indirectly by specific neurotransmitters (Tinsley &Barone, 2012). Patients experience delays in the post anesthesia care unit (PACU) for various reasons. According to Chatterjee, Rudra, and Sengupta (2011) vomiting can prolong PACU recovery time up to 25 minutes. During postoperative visits at the project clinical site, patients who have had gynecological and breast procedures have often stated that being nauseated was the most undesirable consequence of surgery, out-ranking even pain. There are several risk factors involved when evaluating a patient for PONV. These risk factors include patients with a prior history of PONV, motion sickness, non-smokers, females and the length and type of surgery (Tinsley &Barone,

Tuesday, February 4, 2020

Importance of Understanding of Marketing to Organizations Essay - 1

Importance of Understanding of Marketing to Organizations - Essay Example This paper illustrates that successful firms adjust their marketing approaches to the changes in the set-up of the environment. Nevertheless, an awareness of the market-place is critical as there is a very little effect if the firm is marketing knowledge remains within its own boundaries. So that information can become useful, it has to be shared in the entire organization. Some of the knowledge may be codified to create a situation where they can be sent through information technology systems. However, tacit knowledge can only be shared through a give and take method which may be developed by participants over time after they understand the intricacies associated with a particular situation. Tacit knowledge allows an organization to apply critical knowledge in operational activities whose outcome is improved efficacy, the creation of value and improved financial performances. For instance, when a sales-person gets more knowledge concerning what an executive requires in a main custom er’s firm, they can utilize this information to better customize the message, create a better solution and increase the chances of amassing revenue. Therefore, this form of knowledge may be used as a source of competitive advantage creating the need to understand the ways in which this form of knowledge may be shared. In order for a business to succeed, the customers must be aware of the product associated with the business. Except if the public is aware of the firm and the firm’s communiquà © with the clients is easily obtainable, the firm has to utilize marketing approaches to develop product awareness. The use of marketing in the promotion of the company’s product provides the business with the opportunity of being discovered by prospective clients. When the prospective clients become aware of the product and the company, the chances that the customers will make purchases increases.