• 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 in the provided case study.
• 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.
  • 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 other.
• 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.

Notes:

• Please create a transcript and I will record the Video. TY
  

   

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Remote Care and Evidence-Based Practice

With the advancement in technologies and in the field of healthcare, telepractice, telehealth, and telecommunication are now typical ways through which a nurse is expected to practice. It is important to understand how the EBP models and care can enhance the results of remote work in order to succeed in it. EBP principles also have a great contribution to promoting collaboration because healthcare institutions can offer high-quality, safe, and cost-efficient care. Knowledge of the advantages and disadvantages of remote working and applying the EBP models as a nurse will enable me to deliver efficient patient-centered care that has the potential to enhance patients’ health status.

Case Study: Addressing Anxiety in a Rural Setting

The case under discussion presents a 40-year-old female patient living in a rural area, suffering from severe anxiety and hypertension, and having no access to mental health care providers. The patient described having an anxious depressive mood that was manifested by excessive worrying, agitation, and difficulty concentrating, which affected her daily functioning. Anxiety also leads to hypertension, which is another issue with this patient. She has to take care of her elder parents besides taking responsibility for her own family, which has led to more stress. Remote collaboration provides an opportunity to address these issues as this format gathers medical staff and materials that are hardly accessible to a patient.

Evidence-Based Care Plan for Anxiety Management

To improve the safety and outcomes of this patient, I propose an evidence-based care plan focusing on anxiety management and lifestyle modifications. The care plan consists of cognitive-behavioral therapy (CBT), which may be offered through telehealth since such sessions have proven to help in managing anxiety. Further, the patient will receive literature with information on the techniques for stress management involving mindfulness and relaxation. Blood pressure check-ups and self-administration of antihypertensive medications will be monitored on a recurring basis through telecommunication with a local primary care physician (Carrier et al., 2022). In addition, I propose that the patient should meet other people in similar situations either via the Internet or through local support groups, as I consider them socially isolated.

Assessment 4 Remote Collaboration and Evidence-Based Care

The present care plan takes into account the valve specifics of the patient and provides comprehensive intervention to address her anxiety and hypertension. By adopting remote care technologies and evidence-based interventions, the patient can be provided with the necessary support and guidance to engage her in her health outcomes. It is important to precisely define achievable goals while admitting a patient and when developing this care plan to ensure that all involved healthcare providers coordinate care effectively and communicate with the patient and his or her family about care plans, care outcomes, and further care direction.

Application of the Stetler Model in Care Plan Development

The Stetler Model of evidence-based practice was instrumental in developing this care plan. This model emphasizes critical thinking and the use of research findings to create practical, patient-centred solutions. In Phase I, I identified the priority need: reducing the anxiety and hypertension of the patient through simple home-based telemanagement. Phase II aimed at corroborating findings from other scholarly works proving the efficacy of CBT and telehealth in addressing anxiety. In Phase III, I critiqued the evidence, taking into account the applicability of the proposed interventions in a rural context. In the final phase of the process, I developed a plan of care where I described the plan for implementing the changes and assessing the results. Lastly, in Phase V, an assessment of the outcomes will be completed to establish the success of the plan in the reduction of the patient’s anxiety and high blood pressure (Dusin et al., 2023).

Using the Stetler Model, it was easier to create a framework for developing a structure for implementing the changes and ensure that each process is rooted in the available literature and formulated in a way that addresses the patient’s needs. This model clearly shows that by following these guidelines, the care plan would help the patient receive appropriate interventions and increase her well-being.

Benefits of Remote Collaboration in Healthcare

Telemedicine is a valuable concept since it enables care delivery in areas with limited access to physicians. It enables care coordination across various health professionals, including psychiatrists, medical practitioners, and nutritionists, among others, without the need for the patient to travel far. In this case, remote collaboration is particularly appropriate because the patient can receive specialized care and tools that are not available locally. This approach also increases patients’ access to care and increases the quality of patient care through interprofessional collaboration and information sharing (Gajarawala & Pelkowski, 2021). In addition, the use of remote collaboration can enhance the interaction and perception of the patients by offering them ideas that are more flexible, convenient, and personalized.

Another advantage of remote collaboration is cost savings because consultations and hospitalization are not frequently needed. Thus, applying the principles of remote collaboration in the treatment of health issues will prevent complications and improve the patient’s health condition. It also helps healthcare providers monitor the patients and make better decisions based on the actual statistics (Alderwick et al., 2021). When adapted to the patient’s recovery, such an attitude can lead to better control of chronic ailments and improved quality of life.

Challenges of Remote Collaboration and Strategies for Improvement

Nevertheless, there are some downsides to this setup that must be taken into account for the best patient results. One challenge is the communication of the healthcare team members since communication is central, especially in Health facilities. Another issue to consider is a lack of access to the Internet or the absence of a tablet or other digital device. These technical factors hinder communication and minimize the effectiveness of remote assistance. To overcome these challenges, the communication channels should be well prescribed, and the right use of efficient telecommunication should be ensured in order to enhance the interaction of the members of the group. Alleviating connectivity-related issues and supporting patients and healthcare staff with technical assistance in connectivity results in a better overall remote care experience (Rawlinson et al., 2021).

Another issue that tends to arise is the issue of patient rights and their ability to keep their information private, especially when accessing services from remote locations. Thus, the encryption of voice communication and following the rules and regulations concerning the protection of patient information is critical. Enumerating privacy measures and getting their consent can also help to ensure patients’ trust and compliance with the legal and ethical requirements when engaging in remote communication. Furthermore, the concept of healthcare security requires SHAs and other healthcare providers to closely supervise possible security threats because all related communication needs to be protected and performed safely.

Conclusion: Enhancing Patient Outcomes Through Remote Collaboration and Evidence-Based Practice

Finally, I have determined that telepractice and EBP are efficient ways to enhance patient outcomes, especially in rural healthcare facilities. This paper has demonstrated that through the use of frameworks like the Stetler Model and remote interventions, including telehealth CBT sessions, healthcare providers can meet the challenging needs of their patients while providing the best quality patient-centered care. Although there is always some level of resistance, such as communication barriers and privacy issues, these major challenges can be managed through proper planning, the use of technology, and sticking to recommended processes and practices. Finally, remote collaboration improves patients’ access to care, promotes cross-disciplinary work, and engages individuals with the management of their care and treatment, resulting in better health outcomes and well-being.

The two concepts of remote care and evidence-based practice can help transform a health system to be more patient-focused, less location-bound, more responsive to patient needs, and more efficient. By clicking, embracing changes, and collaborating with others, one is assured of meeting the challenges of delivering remote care responsibly. As healthcare professionals, we are able to bring about changes in how we deliver care and thus improve the quality of healthcare for patients and society today and in the future.

References

Alderwick, H., Hutchings, A., Briggs, A., & Mays, N. (2021). The Impacts of Collaboration between Local Health Care and non-health Care Organizations and Factors Shaping How They work: a Systematic Review of Reviews. BMC Public Health, 21(1). https://doi.org/10.1186/s12889-021-10630-1

Carrier, J.-D., Gallagher, F., Vanasse, A., & Roberge, P. (2022). Strategies to improve access to cognitive behavioural therapies for anxiety disorders: A scoping review. PLOS ONE, 17(3), e0264368. https://doi.org/10.1371/journal.pone.0264368

Dustin, J., Melanson, A., & Mische-Lawson, L. (2023). Evidence-based Practice Models and Frameworks in the Healthcare setting: a Scoping Review. BMJ Open, 13(5), e071188. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10230988/

Gajarawala, S., & Pelkowski, J. (2021). Telehealth benefits and barriers. The Journal for Nurse Practitioners, 17(2), 218–221. https://doi.org/10.1016/j.nurpra.2020.09.013

Rawlinson, C., Carron, T., Cohidon, C., Arditi, C., Hong, Q. N., Pluye, P., Peytremann-Bridevaux, I., & Gilles, I. (2021). An overview of reviews on interprofessional collaboration in primary care: Barriers and facilitators. International Journal of Integrated Care, 21(2), 32. https://doi.org/10.5334/ijic.5589