The tonglen experiences of individuals with established sitting meditation practices: a grounded theory study

While there is an ever expanding body of research on various forms of meditation, there is currently a relative absence of academic literature on tonglen. A form of meditation which involves both visualizations and breathing elements, during tonglen one takes in the negativity and suffering experienced by others and, in return, sends back happiness and compassion. The current study explores the tonglen meditation experiences of individuals who have established sitting meditation practices. A qualitative, grounded theory approach was used in looking at what tonglen means to participants, how they engage with the practice, why they practice tonglen, and what they perceive to be the benefits of tonglen in the context of a 28 day practice period. Based on the findings from this study, a model was developed that describes the tonglen experiences of participants.

CAUTI prevention bundles: improving best practices within Western Health for continued success

Background: Persons in acute care settings who have indwelling urethral catheters are at higher risk of acquiring a urinary tract infection (UTI). Other complications related to prolonged indwelling urinary catheters include decreased mobility, damage to the meatus and/or urethra, increase use of antibiotics, increased length of stay, and pain. UTIs in acute care settings account for 30 to 40% of all health care associated infections (HAIs). Of these, 80% are catheter associated UTIs (CAUTIs). Purpose: To utilized the CDC (2009) bundle approach for CAUTI prevention and create a program which supports a multimodal method to improving urinary catheter use, maintenance, and removal, including a continuing competency program where role expansion is anticipated. Methods: A comprehensive review of the literature was conducted. Physicians were consulted through a power point presentation followed by a letter explaining the project, a questionnaire, and two selections of relevant literature. Nursing staff and allied health professionals from the target units of 3A and 3B medicine attended one of two lunch and learns. They were presented the project via a power point presentation and the same questionnaire as distributed to physicians. Results: Five e-learning modules, a revised policy, and clinical pathway have been developed to support staff with best practice knowledge transfer. Conclusion: Behaviour changes need to be approached with a framework, extensive consultation, and education. Sustainability of any practice change cannot occur without having completed the background work to ensure staff have access to tools to support the change.