Remote Collaboration and Evidenced – Based Care Paper

Remote Collaboration and Evidenced – Based Care Paper

To provide the highest quality of care, the World Health Organization defines interprofessional collaboration as “multiple health workers from different professional backgrounds working together with patients, families, caregivers, and communities.” More than just information sharing and effective communication between nurses and doctors are important aspects of interprofessional collaboration. All care team members must interact with the patient and with one another, and leaders must put their egos aside for the patient’s benefit. Through the use of audio and video communication to monitor the patient, the telehealth service promotes remote collaboration and communication amongst all parties involved. The video addresses issues of remote Collaboration in the Evidence-Care scenario based on the Villa Health Remote scenario.

Evidenced – Based Care Plan

The first nursing diagnosis is imbalanced nutrition, related to the patient’s chronic malabsorption and evidenced by a decrease in the subcutaneous tissue and low weight for the age of 20.7 pounds. The evidence-based practice recommends oral supplementation of pancreatic enzymes, administration of all fat-soluble vitamins and meals with enzymes, and the use of a high-calorie diet. (Kapnadak et al., 2020). The pancreatic enzymes should be administered before all meals. Remote collaboration with the family includes the development of a diet plan with the dietician, frequent weight monitoring, and regular glucose measurements.

The second nursing diagnosis is the caregiver’s lack of knowledge related to the first exacerbation, as evidenced by Caitlyn’s mother’s uncertainty over care procedures. The evidence-based intervention will involve the caregiver in hands-on training. Training parents of children with complex diseases can improve their knowledge of how to give their children the care they need (Kapnadak et al., 2020).  Therefore, in light of this peer-reviewed study article, Caitlyn’s medical team should give the primary caregiver comprehensive cystic fibrosis care training. The caregiver is informed that there is no cure for Cystic fibrosis currently. Intestinal blockage prevention, lung infection prevention, lung mucus removal, nutrition improvement, and dehydration risk reduction are the main targets of treatment. Clients are living longer, with many surviving into their 40s and 50s, thanks to careful self-management and medical attention.

The third nursing diagnosis is impaired gas exchange related to airway obstruction by secretion evidenced by dyspnea. Respiratory examination revealed decreased breath sounds, rhonchi, and a high respiratory rate of thirty-two breaths per minute. Evidenced-based care recommends placing the client in a Semi-Fowler position which, through gravity, enhances lung expansion, prevents airway collapse, and reduces the work of breathing (Kapnadak et al., 2020). Collaboration with respiratory care personnel is needed in the institution of Bilevel positive airway pressure noninvasive ventilation recommended for patients with severe lung disease and a superimposed acute illness or assistance with nighttime ventilatory needs. Remotely, the parents should allow for sufficient relaxation in between daytime activities, with little disruption to sleep at night.

Application of an EBP Model to Develop the Plan

Caitlyn’s recovery was aided by the John Hopkins EBP model after a thorough evaluation of her health status. The John Hopkins Model is more universal since it includes procedural steps including issue identification, best evidence appraisal, and best evidence practice. A detailed test technique that Dr. Copeland used to conduct a basic analysis of the patient’s evaluation with the aid of other medical experts completes the first stage of the model, issue identification. Initially, the care collaboration model was warmly embraced, and the patient’s well-being cycle demonstrated its effectiveness.

Evaluating the best available data on the indicated health issues is the second step in the John Hopkins Model. The specialist used this knowledge to advise other medical experts on how to handle the patients’ ailments. Using the best-known model and strategy is the third strategy in the John Hopkins EBP model. The third technique was crucial since it involved the patients’ and their close relatives’ participation. The most basic needs of the patients were ascertained using the EBP model. To address Caitlyn’s health issues, a collaboration between nurses and medical staff members is necessary.

Benefits and Strategies to Mitigate the Barriers

Barriers to Caitlyn’s remote care collaboration include living in a place with little access to healthcare, Caitlyn’s parents’ separation, potential financial issues, potential comorbidities like DIOS, and the requirement for caregiver help. In the cycle of collaboration, effective leadership polishes a remote team’s success. To tackle interdisciplinary concerns that can impede development, the care cooperation plan must include a transformational leadership strategy. The case study’s care cycle served as an example of how the transformational leadership approach was used (Valizadeh et al., 2020). In a care collaboration plan, efficient meetings and communication can also help you deal with transdisciplinary difficulties. Effective communication makes team members more cooperative, facilitating the accomplishment of important goals.

Conclusion

It is still a problem in healthcare to give the right care to the patient population, especially to people in rural areas who have chronic conditions like cystic fibrosis. Despite medical technology developments, patient factors largely affect the implementation of care collaboration. To improve treatment for patients receiving remote care, healthcare practitioners are collaborating with health informatics to incorporate evidence-based care into emerging technology.

References

Kapnadak, S. G., Dimango, E., Hadjiliadis, D., Hempstead, S. E., Tallarico, E., Pilewski, J. M., … & Simon, R. H. (2020). Cystic Fibrosis Foundation consensus guidelines for the care of individuals with advanced cystic fibrosis lung disease. Journal of Cystic Fibrosis, 19(3), 344-354. https://doi.org/10.1016/j.jcf.2020.02.015

Valizadeh, L., Zamanzadeh, V., Babaei, N., & Avazeh, M. (2020). Challenges and strategies for implementing evidence-based practice in nursing: a systematic review. Research in Medical Education, 12(3), 55-67. https://rme.gums.ac.ir/browse.php?a_id=977&sid=1&slc_lang=en

Worley, P. (2020). Why we need better rural and remote health, now more than ever. Rural and Remote Health, 20(1). https://search.proquest.com/openview/eb7247b94fd3047845d675cbfe5082f0/1?pq-origsite=gscholar&cbl=5492965

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• Create a 5-10 minute video of yourself, as a presenter, in which you will propose an evidence-based plan to improve the outcomes for the Vila Health patient and examine how remote collaboration provided benefits or challenges to designing and delivering the care.
Introduction
As technologies and the health care industry continue to evolve, remote care, diagnosis, and collaboration are becoming increasingly more regular methods by which nurses are expected to work. Learning the ways in which evidence-based models and care can help remote work produce better outcomes will become critical for success. Additionally, understanding how to leverage EBP principles in collaboration will be important in the success of institutions delivering quality, safe, and cost-effective care. It could also lead to better job satisfaction for those engaging in remote collaboration.
Professional Context
Remote care and diagnosis is a continuing and increasingly important method for nurses to help deliver care to patients to promote safety and enhance health outcomes. Understanding best EBPs and building competence in delivering nursing care to remote patients is a key competency for all nurses. Additionally, in some scenarios, while you may be delivering care in person you may be collaborating with a physician or other team members who are remote. Understanding the benefits and challenges of interdisciplinary collaboration is vital to developing effective communication strategies when coordinating care. So, being proficient at communicating and working with remote health care team members is also critical to delivering quality, evidence-base care.
Scenario
The Vila Health: Remote Collaboration on Evidence-Based Care simulation provide the context for this assessment.
Instructions
Before beginning this assessment, make sure you have worked through the following media:
• Vila Health: Remote Collaboration on Evidence-Based Care.
You may wish to review Selecting a model for evidence-based practice changes. [PDF] and Evidence-Based Practice Models, which help explain the various evidence-based nursing models.
For this assessment, you are a presenter! You will create a 5-10-minute video using Kaltura or similar software. In the video:
• Propose your evidence-based care plan that you believe will improve the safety and outcomes of the patient in the Vila Health Remote Collaboration on Evidence-Based Care media scenario. Add your thoughts on what more could be done for the client and what more information may have been needed.
• Discuss the ways in which an EBP model and relevant evidence helped you to develop and make decisions about the plan you proposed
• Wrap up your video by identifying the benefits of the remote collaboration in the scenario, as well as discuss strategies you found in the literature or best practices that could help mitigate or overcome one or more of the collaboration challenges you observed in the scenario.
Be sure you mention any articles, authors, and other relevant sources of evidence that helped inform your video. Discuss why these sources of evidence are credible and relevant. Important: You are required to submit an APA-formatted reference list of the sources you cited specifically in your video or used to inform your presentation. You are required to submit a narrative of all your video content to this assessment and to SafeAssign.
The following media is an example learner submission in which the speaker successfully addresses all competencies in the assessment.
• Exemplar Kaltura Reflection.
o Please note that the scenario that the speaker discusses in the exemplar is different from the Vila Health scenario you should be addressing in your video. So, the type of communication expected is being model, but the details related to the scenario in your submission will be different.
Make sure that your video addresses the following grading criteria:
• Propose your own evidence-based care plan to improve the safety and outcomes for a patient based on the Vila Health Remote Collaboration on Evidence-Care media scenario.
• Explain the ways in which you used an EBP model to help develop your plan of care for the client.
• Reflect on which evidence you found in your search that was most relevant and useful when making decisions regarding your care plan.
• Identify benefits and strategies to mitigate the challenges of interdisciplinary collaboration to plan care within the context of a remote team.
• Communicate in a professional manner that is easily audible and uses proper grammar, including a reference list formatted in current APA style.
Refer to Using Kaltura as needed to record and upload your video.
Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact DisabilityServices@Capella.edu to request accommodations. If, for some reason, you are unable to record a video, please contact your faculty member as soon as possible to explore options for completing the assessment.
Additional Requirements
Your assessment should meet the following requirements:
• Length of video: 5-10 minutes.
• References: Cite at least three professional or scholarly sources of evidence to support the assertions you make in your video. Include additional properly cited references as necessary to support your statements.
• APA reference page: Submit a correctly formatted APA reference page that shows all the sources you used to create and deliver your video. Be sure to format the reference page according to current APA style. Submit a narrative of all of your video content.
Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final capstone course.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
• Competency 2: Analyze the relevance and potential effectiveness of evidence when making a decision.
o Reflect on which evidence you collected that was most relevant and useful when making decisions regarding the care plan.
• Competency 3: Apply an evidence-based practice model to address a practice issue.
o Explain the ways in which you used the specific evidence-based practice model to help develop the care plan identifying what interventions would be necessary. This requires a particular evidence-based model, such as the Johns Hopkins, Iowa, Stetler, or other.
• Competency 4: Plan care based on the best available evidence.
o Propose your evidence-based care plan to improve the safety and outcomes for the Vila Health patient with a discussion of new content for the care plan.
• Competency 5: Apply professional, scholarly communication strategies to lead practice changes based on evidence.
o Identify benefits and propose strategies to mitigate the challenges of interdisciplinary collaboration to plan care within the context of a remote team.
o Communicate via video with clear sound and light, and include a narrative of video content.
o Provide a full reference list that is relevant and evidence-based (published within five years), exhibiting nearly flawless adherence to APA format.