Remote Collaboration and Evidence-Based Care

Remote Collaboration and Evidence-Based Care

Hello, my name is X and in this video, I will be discussing remote collaboration and evidence-based healthcare. Coordinating quality evidence-based healthcare to patients requires creative solutions, especially when providing care to patients who are off-site. According to (George et al., 2015), evidence-based care involves combining available clinical expertise, available research, the needs of the patients, and decisions to improve the quality of patient care. Treating patients with difficulty in accessing healthcare on-site requires collaboration of care among healthcare providers. Technology is becoming increasingly important in the provision of evidence-based healthcare remotely. In this video, I will discuss a collaborative model for the management of depression among patients in remote areas using evidence-based care.

Application of Remote Evidence-based Care

Remote diagnosis and care provision are increasingly becoming important in the delivery of quality care to patients amidst healthcare shortages or in cases where patients cannot access healthcare facilities. A non-randomized clinical trial was carried out in Chile in 2015 whereby physicians invited patients who had experienced major episodes of depression to take part in a remote collaborative care program. The program utilized specialized mental health experts’ records sharing through web-based platforms and the use of phone calls to monitor the patient’s recovery process. At the start of the test, patients’ baseline assessment was conducted on their health lifestyles, depression symptoms, service use, and levels of patient satisfaction. Follow-up assessments were conducted every three months.

Evidence-based care provision for depression patients requires a multi-disciplinary approach involving the transfer of knowledge, assessments, treatment monitoring, and management approaches to non-physician remote care providers. For this non-randomized trial, the volunteer patients were subdivided into three groups. The first group involved the use of medications, and it involved patients with moderate depression, hence the need for the application of pharmacological interventions. The second group was offered high-intensity psychotherapy, and this group involved patients who had received initial treatments, including selective reuptake of serotonin inhibitors (Nibbelink & Brewer, 2018). The third group received normal control care, and this group consisted of patients with mild depression, hence requiring low-intensity interventions. Comparison with previously used models of care was challenging as care was adapted based on the local conditions of the patient with some common basic interventions like the use of anti-depressants or follow-up cognitive therapy, which is considered an effective medication for most patients with depression.

Evidence-Based Care Effectiveness in Decision-Making

The adoption of technology in care provision has been critical since the early 1970s, whereby doctors would monitor patient states through telephone call contacts. Through such approaches, patients would raise any health concerns they may have to the healthcare provider in accordance with a predefined healthcare plan. To reduce the burden of healthcare costs on depression patients, the PTDPHC care program was introduced to aid the treatment of depression patients within primary healthcare settings. The PTDPHC model provided primary care providers with training and guidelines on depression care interventions based on the PTDPHC’s national clinical guidelines. In cases where patients were receiving care from multiple care providers, healthcare providers consulted and exchanged background information about the patients. There are no simple interventions for depression patients and, hence, the need to increase the healthcare provider’s knowledge of the patient, systematic and proactive detection and management of depression.

Depressed patients are less likely to act assertively as informed consumers as they rarely complain of their problems directly and, in most cases, believe they do not require any healthcare interventions. Due to this, most patients miss out on receiving quality care in a timely manner. Alternative forms of treatments that are based on evidence-based care were recommended to replace physical follow-up treatments due to the location of the patients. The study involved willing patients and their commitment to seeking interventions to maintain their health and wellness. Equally, this collaborative model allowed for interdisciplinary collaboration among care providers to increase their knowledge and try alternative interventions that would be implemented remotely.

The data from the patients was collected in the form of three-month follow-ups. Patients reported their adherence to the treatment care plan by answering a medication adherence questionnaire. Depression assessments were measured using the Beck Depression Inventory method, which uses self-reporting scales. The remote evidence-based program for depression patients was acceptable and feasible, and its findings established higher rates of patient satisfaction and better patient outcomes and adherence to treatments in comparison to patients in the normal care groups. The highly innovative and technology-powered healthcare intervention proved its effectiveness in supporting patients with depression located in different parts of the nation. Previously, the challenges of lacking psychiatrists on site resulted in delayed healthcare provision, which further adversely affected the patient’s health and well-being. The better patient outcomes achieved through this collaborative remote model suggest that similar remote collaboration interventions can help increase the effectiveness of depression treatment and increase the accessibility to healthcare regardless of location. Further, such a model offers opportunities to test new interventions and share findings to improve the quality of care and patient outcomes.

References

Grant, L. A., Rockwood, T., & Stennes, L. (2014). Testing Telehealth Using Technology- enhanced Nurse Monitoring. Journal of Gerontological Nursing, 40(10), 15–23.

Nibbelink, C. W., & Brewer, B. B. (2018). Decision-making in Nursing Practice: An Integrative Literature Review. Journal of Clinical Nursing, 27(5/6), 917–928.

George, K. J., Walsh-Irwin, C., Queen, C., Heuvel, K. V., Hawkins, C., & Roberts, S. (2015). Development of Evidence-based Remote Telemetry Policy Guidelines for a Multifacility hospital system. Dimensions of Critical Care Nursing, 34(1), 10–18.

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Assessment 4

Remote Collaboration and Evidence-Based Care

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.

Remote Collaboration and Evidence-Based Care

Introduction

As technologies and the healthcare 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.

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 remote collaboration in the scenario, as well as discussing 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.

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 the current APA style.