Assessing the Problem – Technology, Care Coordination, and Community Resources Considerations
Part 1
Impact of Health Care Technology
Alongside my recent practicum hours, I was able to work with the patient, Emily, and her family and relatives, including a primary care physician, a mental health specialist, and a community outreach coordinator. Due to the distance between team members, we leveraged healthcare technology for virtual collaboration despite being geographically dispersed. By applying telehealth services and digital instruments such as mobile apps and wearables, we successfully perform intercom roles over long distances, achieving seamless cooperation. Such initiatives made possible next-generation collaborations, teleconsultations, encrypted data sharing, and remote monitoring, which allowed for enhanced care for Emily.
Digital cognitive assessments, along with biomarker tests, form the basis for the early detection and diagnosis of depression, and thereby, patients benefit by receiving timely intervention and support (Torous et al., 2021). These instruments aid healthcare workers in determining cognitive function, mood patterns and other depression indicators, among others, leading to a more precise diagnosis and individualized treatment approach. Moreover, digital mental health applications and online support groups become available as convenient and easily accessible resources for those experiencing depression, helping them practice self-management and increasing their empowerment (Stein et al., 2022).
Nonetheless, it is vital to be aware of the limitations and discrepancies associated with technology. Recent studies have shown that computerized versions of depression diagnoses may not be accurate and reliable (Torous et al., 2021). It is advised that these digital assessments must be validated against standardized clinical measures in order to ensure clinical utility and patient safety. Additionally, while some research found that specific technologies are cost-effective, others showed the financial burden associated with training, implementing, and maintaining a system, especially in vulnerable populations and resource-constrained health (Martin-Key et al., 2021).
In professional practice, healthcare technology is increasingly utilized to streamline care delivery and improve patient outcomes in dementia care. Electronic health records (EHRs) and telehealth platforms facilitate remote consultations and monitoring, enhancing accessibility to specialized services while reducing geographical barriers (Haleem et al., 2021). These technologies enable healthcare professionals to collaborate more effectively, share information seamlessly, and coordinate care across different settings, ultimately leading to better outcomes for patients with dementia. However, privacy concerns and technological barriers remain significant challenges, highlighting the need for ongoing investment in infrastructure and education to maximize the benefits of these technologies.
Overall, healthcare technology has the potential to positively impact dementia care by enhancing early detection, improving safety, and increasing accessibility to services. However, addressing the associated challenges such as accuracy, costs, and privacy concerns, is essential to ensure equitable and effective implementation in professional practice. By leveraging technology responsibly and addressing these challenges, healthcare professionals can improve the quality of care and outcomes for individuals living with dementia and their families.
Care Coordination and the Utilization of Community Resources to Address Depression
The practicum experience with Emily, a patient with depression, highlights the concept of care coordination carried out by a multidisciplinary care team and community resources utilization. The comprehensive care coordination model proposed by Karam et al. (2021) addresses the complex needs of patients with mental health conditions. This matched the difficulties noted during Emily’s care, suggesting the need for orchestrated efforts to ensure her mental wellness and emotional health are taken care of.
Literature highlights the prime role of nurses in the coordination of patient care, specifically for mental health services like depression (Kwame & Petrucka, 2021). The presence of mental health professionals, social workers, and nurses in Emily’s case, demonstrated the importance of an interdisciplinary approach essential for comprehensive service delivery. Coordinating effective care involves the exchange of information among these clinicians to improve the treatment outcomes and the patient’s experiences.
Research has demonstrated that collaborative collaboration between mental health services and community resources results in more successful treatment outcomes and efficiency (Reist et al., 2022). In Emily’s case, coordinated management led to the improved treatment of the depression symptoms, therefore providing better mental well-being and more involvement in the treatment. Moreover, better communication among the health service providers and support department increased the quality of care provided to Emily.
Community resources are indispensable for the provision of supplementary mental health services, especially in terms of social support to individuals who are dealing with depression (Reist et al., 2022). In Emily’s case, the social worker utilized community resources to give the client other assistance, including access to support groups, counseling centers, and recreational activities. These resources helped Emily to achieve a balanced state of mind and body and supported the therapeutic strategies of the medical staff.
Although there are more advantages, the obstacles to effective coordination of care and application of community sources in depression control should not be underestimated either. Inadequate facilities for mental health care, negative attitudes towards mental illness, and gaps in the healthcare system result in complex problems (Colizzi et al., 2020). These obstacles call for deliberate efforts to improve mental health accessibility, decrease the level of prejudice, and cooperate with health professionals and community organizations.
The practicum with Emily, therefore, sheds more light on the importance of care coordination and community resource optimization in depression management. These issues can be tackled, and interdisciplinary collaboration and community involvement will help improve treatment outcomes and promote a general healthy mindset.
Effects of State Board Nursing Practice Standards and Governmental Policies Associated with Health Care Technology, Care Coordination, and Community Resources
The state board of nursing practice standards and governmental policies provide direction on how I should perform my duties as the coordinator of care, health care technology user, and the link to community resources for Emily’s mental health needs. For instance, complying with the Nursing Practice Act and HIPAA regulations means that I use authorized electronic devices and manage patient information with confidentiality. These regulations and policies guide my regular use of technology and community resources to provide patients like Emily with a better, safer, more accessible, affordable, and convenient quality of care (Boehning & Haddad, 2023).
Moreover, local, state, and federal policies, as well as nursing norms, draw the line between my role within the care coordination team and that of the rest of the team members. They are the defining character traits that dictate whether I am engaged in leadership roles, prescription privileges or leveraging community resources for clients like Emily. These standards serve as a compass, making sure what I do is within the legal and ethical framework and also enabling Emily to have the best care outcomes.
Nursing ethics form a mainstay of decision-making with respect to Emily’s care. They accentuate her autonomy, empowered decision-making, and patient-centered approach. Adhering to the ethical guidelines allows me to personalize the care I offer to Emily, taking into consideration her distinctive needs and preserving her cultural background and values. Nursing ethics also focus on fair access to care, which is feasible through equalizing treatment and making it possible for Emily to get the best possible services regardless of her background (Boehning & Haddad, 2023).
Nursing ethics serve as the foundation that enables a trusting relationship with Emily and leads us to form a therapeutic bond. It strengthens the pledge for Emily’s emotional state as it provides the necessary guidance based on principles such as compassion, integrity, and respect. Incorporation of the morals into my practice ensures that I maintain high standards of nursing care, equipping Emily for the best possible mental health outcomes.
Part Two
During the past two practicum hours, I took part in a discussion with Emily’s primary care doctor, a mental health specialist, a community outreach coordinator, and Emily’s close family members. These collaborative sessions between dispersed parts of the care teams, mainly held online, allowed a deeper insight into the complexity of Emily’s condition and the opportunities arising from technologies, coordination of care, and community resources. From these conversations, I developed a better understanding of how depression management is a multiplicity of elements, factored by Emily’s unique life circumstances and support environment.
Examining the most recent studies about healthcare technologies, care coordination methods, and community resource involvement let me see how the use of each approach contributed to healthcare problems. Having accumulated these insights, I was able to gain a rather finer grain understanding of how telehealth services, interdisciplinary care coordination, and community-based support systems could be customized to better address Emily’s specific needs. Though a lot has been focused on figuring out how to manage Emily’s depression, the overall approach has not changed; it encompasses respect for personal preferences, mutual decision-making, and continuous support from her care provider team and relatives.
References
Boehning, A. P., & Haddad, L. M. (2023, July 17). Nursing Practice Act. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK559012/
Colizzi, M., Lasalvia, A., & Ruggeri, M. (2020). Prevention and early intervention in youth mental health: Is it time for a multidisciplinary and trans-diagnostic model for care? International Journal of Mental Health Systems, 14(1), 1–14. https://doi.org/10.1186/s13033-020-00356-9
Haleem, A., Javaid, M., Singh, R. P., & Suman, R. (2021). Telemedicine for healthcare: Capabilities, features, barriers, and applications. Sensors International, 2(2), 100117. NCBI. https://doi.org/10.1016/j.sintl.2021.100117
Karam, M., Chouinard, M.-C., Poitras, M.-E., Couturier, Y., Vedel, I., Grgurevic, N., & Hudon, C. (2021). Nursing care coordination for patients with complex needs in primary healthcare: A scoping review. International Journal of Integrated Care, 21(1), 1–21. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7977020/
Kwame, A., & Petrucka, P. M. (2021). A literature-based study of patient-centered care and communication in nurse-patient interactions: Barriers, facilitators, and the way forward. BMC Nursing, 20(158). https://doi.org/10.1186/s12912-021-00684-2
Martin-Key, N. A., Spadaro, B., Funnell, E., Barker, E. J., Schei, T. S., Tomasik, J., & Bahn, S. (2021). A systematic review of the current state and validity of digital assessment tools for psychiatry (preprint). JMIR Mental Health, 9(3). https://doi.org/10.2196/32824
Reist, C., Petiwala, I., Latimer, J., Raffaelli, S. B., Chiang, M., Eisenberg, D., & Campbell, S. (2022). Collaborative mental health care: A narrative review. Medicine, 101(52). https://doi.org/10.1097/md.0000000000032554
Stein, D. J., Shoptaw, S. J., Vigo, D. V., Lund, C., Cuijpers, P., Bantjes, J., Sartorius, N., & Maj, M. (2022). Psychiatric diagnosis and treatment in the 21st century: Paradigm shifts versus incremental integration. World Psychiatry, 21(3), 393–414. https://doi.org/10.1002/wps.20998
Torous, J., Bucci, S., Bell, I. H., Kessing, L. V., Faurholt‐Jepsen, M., Whelan, P., Carvalho, A. F., Keshavan, M., Linardon, J., & Firth, J. (2021). The growing field of digital psychiatry: Current evidence and the future of apps, social media, chatbots, and virtual reality. World Psychiatry, 20(3), 318–335. https://doi.org/10.1002/
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Question
In this assessment, you’ll determine how healthcare technology, coordination of care, and community resources can be applied to address the health problem you’ve defined. Plan to spend at least 2 direct practicum hours working with the same patient, family, or group. During this time, you may also choose to consult with subject matter and industry experts.
To prepare for the assessment:
- Review the assessment instructions and scoring guide to ensure that you understand the work you will be asked to complete and how it will be assessed.
- Conduct sufficient research of the scholarly and professional literature to inform your assessment and meet scholarly expectations for supporting evidence.
- Review the Practicum Focus Sheet: Assessment 3 [PDF], Download Practicum Focus Sheet: Assessment 3 [PDF], which provides guidance for conducting this portion of your practicum.( attached in files below)