The Vila Health- Remote Collaboration on Evidence-Based Care

The Vila Health- Remote Collaboration on Evidence-Based Care

Hello. My name is Riape Odette Njoya. In this video presentation, I will focus on how to collaborate remotely and provide evidence-based care to improve the safety and outcomes of a patient. I will refer to a situation where remote collaboration was applied to provide evidence-based care to a patient in remote settings. As noted by Walker et al. (2020), monitoring remote patients without a support system can present a barrier to providing and accessing patient-centered and patient-preferred care. However, technological advances, especially in the communication domain, have made it possible to overcome the challenges experienced by nurses and other healthcare professionals in managing and providing care to remote patients. As such, telehealth provides a solution to overcome these barriers in care delivery and monitoring remote patients. Telehealth refers to health care services and actions of care providers that are delivered through audio and video telecommunication technology (Gajarawala & Pelkowski, 2021). The use of telehealth became mainstream in healthcare service delivery during the COVID-19 pandemic as it supported remote collaboration among healthcare professionals (Gajarawala & Pelkowski, 2021). Need help with your assignment ? Reach out to us. We offer excellent services.

Let me highlight the scenario I will focus on in this video presentation.

The case involves Caitlynn, a two-year-old who had visited the ER last night and was admitted to the pediatric unit with pneumonia. She was attended to by Dr. Copeland, Virginia Anderson, and Rebecca Helgo, the hospital’s respiratory therapist. This was Caitlynn’s second admission for pneumonia in the last six months. It was noted she had a meconium ileus at birth. Dr. Copeland noticed that she (the patient) had reduced weight and decreased subcutaneous tissue observed in her extremities. Virginia Anderson, the pediatrician nurse providing care to Caitlynn, noted that she had also made similar observations and assumed that the patient might have some malabsorption of nutrients. After carrying out a sweat chloride test, the results indicated 65 milliequivalents per liter, and her mother noted that she tasted salty while kissing her. Caitlynn’s diagnosis was concluded, and it was noted that she had cystic fibrosis. Her treatment was commenced with an IV with piperacillin and a requirement for continued temperature monitoring.

Now, let’s look at the proposed evidence-based care plan to improve the safety and outcomes for Caitlynn,

Caring for Caitlynn requires coordination and collaboration between Caitlynn’s parents and the care providers. However, Dr. Copeland, Virginia Anderson, and Rebecca Helgo realized that providing care and coordinating with Caitlynn’s parents would not be easy. Her parents are separated and live out of town. This realization created the need to develop an evidence-based care plan to support remote collaboration to provide coordinated care for Caitlynn and improve her safety and health outcomes. Further, the use of social services consultation was also needed to enable the coordination of care and support the patient’s family. In this scenario, the adoption of telehealth services, specifically Skype, was proposed as an evidence-based solution to coordinate remote care for Caitlynn.

Now, let me explain how the use of an evidence-based practice model helped the care team develop the care plan for Caitlynn and her family,

Caring for Caitlynn requires input from various healthcare professionals, including the lead nurse, the pediatrician nurse, the lead pediatrician, the respiratory therapist, the social worker, the parents, the bedside nurse, and the home nurse after Caitlynn is released from the hospital setting. As the various health care professionals provide health care and other social support services, the parents will be consulted for the various decisions throughout Caitlynn’s care plan. Because the patient’s parents are separated and live in towns away from the hospital, Skype enabled communication between the social worker, the nurses, and the parents.

There is a lot of evidence that I found in my search that is relevant and useful in making decisions on the use of telehealth in remote collaboration to ensure safety and improved outcomes for Caitlynn.

Telehealth and telemedicine are both evidence-based approaches to care delivery that have proven to potentially overcome several barriers, including geographical barriers to access, delivery of health, and coordination and collaboration of health care delivery services. For instance, in an article by Salgado et al. (2021), telehealth was identified as a critical tool in Georgia’s efforts to manage HIV care in that telehealth successfully bridged the gaps in patient care and training of local HIV care providers, thus enabling the provision of comprehensive HIV care. Additionally, a study by Jalilian et al. (2019) noted that the use of mobile health and telehealth technologies in post-ICU recovery clinics validated the usefulness of telehealth in remote patient management and monitoring.

I also identified various benefits and strategies to mitigate the challenges of interdisciplinary collaboration to plan care within the context of a remote team.

As noted, there are various challenges to coordinating and collaborating care for Caitlynn due to geographical differences between the parents, the patients, and the care providers. Telehealth enabled the care team and the parents to communicate and support the services Caitlynn required to manage her condition as if they were all there physically. Furthermore, Walker et al. (2020) argued that remote monitoring of patients enabled clinicians to maintain the patients on the care pl, supported the collection of data for decision-making, and supported patient-focused care. Luckily, all parties were willing to use Skype. Additionally, the challenge of the separation was handled by the social worker consultant. Conclusively, the use of telehealth made it possible to collaborate and coordinate the best care for Caitlynn and ensure her safety with the potential to improve her health outcomes.

Thank you for watching!

References

Gajarawala, S. N., & Pelkowski, J. N. (2021). Telehealth Benefits and Barriers. The Journal for Nurse Practitioners, 17(2), 218–221. https://doi.org/10.1016/J.NURPRA.2020.09.013

Jalilian, L., Cannesson, M., & Kamdar, N. (2019). Post-ICU Recovery Clinics in the Era of Digital Health and Telehealth. Critical Care Medicine, 47(9), e796. https://doi.org/10.1097/CCM.0000000000003846

Salgado, S., Felzien, G., & Brumbeloe, J. (2021). Georgia Leverages Telehealth to Expand HIV Care Management in Underserved Areas. American Journal of Preventive Medicine, 61(5), S55–S59. https://doi.org/10.1016/J.AMEPRE.2021.07.001

Walker, R. C., Tong, A., Howard, K., & Palmer, S. C. (2020). Clinicians’ experiences with remote patient monitoring in peritoneal dialysis: A semi-structured interview study. Peritoneal Dialysis International, 40(2), 202–208. https://doi.org/10.1177/0896860819887638

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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.

The Vila Health- Remote Collaboration on 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.

Professional Context
Remote care and diagnosis are continuing and increasingly important methods 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 healthcare team members is also critical to delivering quality, evidence-based care.

Scenario
The Vila Health: Remote Collaboration on Evidence-Based Care simulation provides 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 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 modeled, 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.
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 the 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.
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.
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 others.
Competency 4: Plan care based on the best available evidence.
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.
Identify benefits and propose strategies to mitigate the challenges of interdisciplinary collaboration to plan care within the context of a remote team.
Communicate via video with clear sound and light, and include a narrative of video content.
Provide a full reference list that is relevant and evidence-based (published within five years), exhibiting nearly flawless adherence to APA format.