Remote Collaboration and Evidence-Based Care

Remote Collaboration and Evidence-Based Care

Hello, and welcome to today’s presentation on remote collaboration and evidence-based care at Vila Health. This presentation will propose an evidence-based care plan to manage Caitlynn Bergan, who has been diagnosed with cystic fibrosis. The presentation will also discuss an evidence-based practice model used in the development of the care plan and identify the benefits of remote collaboration.

Presentation Outline

We will begin by proposing an evidence-based care plan that can help to enhance safety and improve outcomes for Caitlynn. I will then explain the evidence-based model used to develop the care plan. After that, I will identify the most relevant evidence in developing the care plan. Finally, I will explain the benefits of remote collaboration and the strategies to avert the interdisciplinary collaboration challenges.

Evidence-Based Care Plan to Improve Safety and Outcomes

Let me take you through an evidence-based care plan to improve safety and outcomes. Healthcare providers and clinicians at Vila Health should utilize various strategies to ensure that patients receive adequate care at the hospital and remotely from home. The need for adequate nutritional therapy should be emphasized. Notably, according to Martin (2018), patients with cystic fibrosis usually have inadequate nutrition caused by persistent malabsorption, high caloric needs, or anorexia. Martin (2018) notes that this is demonstrated by loss of weight and a negative deviation from the ideal body weight by approximately 20%. In this context, Caitlynn’s weight is lower than the ideal body weight. According to Kapnadak et al. (2020), Caitlynn’s parents should modify her dietary intake to include adequate hydration, liberal salt intake, a high protein diet, a high caloric diet, and fat-soluble vitamins such as A, D, E, and K. essentially, Kapnadak et al. (2020) note that adopting this nutritional approach helps to address the increased dietary requirements for the patient and malabsorption that accompany cystic fibrosis.

Nurses should collaborate with respiratory therapists to administer oxygen therapy to address impaired gas exchange. The parents should be advised on the importance and technique of placing the child in a semi-Fowler’s position (Kapnadak et al., 2020). This position enables adequate expansion of the lungs and prevents the collapse of airways and shortness of breath (Martin, 2018). Parents should ensure that they rest between routine tasks to decrease oxygen needs. Furthermore, the parents should be familiar with the pulse oximeter and interpretation of its readings (Martin, 2018). This will help to monitor oxygen saturation levels. Ineffective clearance of the airways is caused by mucus plugging facilitated by the rapid growth of bacteria in the respiratory system (Jessup et al., 2018). This can manifest as crackles, difficulty in breathing, and lowered pulmonary function tests (Martin, 2018). The respiratory therapist should utilize various airway clearance therapies to manage the patients. Examples include chest physiotherapy, postural drainage, and the utility of chest percussions (Martin, 2018). The parents should be taught chest percussions and postural drainage techniques to be used by the child Kapnadak et al. (2020).

Kapnadak et al. (2020) reported that mucolytics such as dornase alfa and bronchodilators such as albuterol are important. Healthcare providers should use these medications to manage patients with CF. Inhalation techniques using devices such as metered dose inhalers will allow adequate delivery of medication o the airways (Jessup et al., 2018). Pharmacists should educate parents on the inhalation techniques that maximize drug delivery for the child (Jessup et al., 2018). Healthcare providers should indicate pancreatic enzyme replacement therapy and anti-pseudomonal antibiotics such as fluoroquinolones (Kapnadak et al., 2020).

EBP Model to Help Develop Plan of Care

The evidence-based model used to develop this care plan is the Stetler Model. The first step of this model involves preparing and identifying the problem and the role of the evidence-based practice. (Camargo et al., 2018) In this context, the problem is cystic fibrosis, and evidence-based care aims at patient outcomes in the hospital and away from the hospital. The second step entails searching and evaluating the credibility of the sources (Camargo et al., 2018). In this context, I used the CRAAP criteria to validate the sources (Esparrago-Kalidas, 2021). The third step involves decision-making. In this context, I compared information from different journals and identified the best evidence-based practices. The next step entails the application of the findings. During this step, I identified how evidence-based practices can be adopted by healthcare providers and parents of the child. The final step involves evaluation (Camargo et al., 2018). I utilized this evaluation phase to identify the goals of the care plan, which is to improve the patient’s outcomes and quality of life through appropriate management of CF. The evidence-based practices help fulfill the care plan’s goals, hence relevant in this scenario.

Most Relevant and Useful Evidence

The most relevant evidence is one that addresses impaired gas exchange and ineffective airway clearance. Impaired gas exchange and impaired airway clearance are a concern for patients with CF because it inhibits tissue perfusion and can lead to unconsciousness, coma, and death if it is not addressed promptly (Kapnadak et al., 2020). It is characterized by cyanosis, pallor, and difficulty in breathing (Kapnadak et al., 2020). Therefore, interventions such as oxygen therapy at the hospital ensure sufficient oxygenation occurs. Using a pulse oximeter to monitor oxygen saturation ensures that necessary interventions that prevent inadequate oxygenation are initiated (Jessup et al., 2018). Placing a patient in a semi-Fowler position promotes lung expansion and ensures adequate ventilation (Jessup et al., 2018). Airway clearance therapy facilitates the removal of the tenacious, thick mucous commonly found in patients with cystic fibrosis (Kapnadak et al., 2020). These interventions help to improve tissue perfusion and promote the well-being of the patients.

Benefits and Strategies to Mitigate the Challenges of Interdisciplinary Collaboration

Remote collaboration is advantageous to the patient and healthcare providers. In this scenario, the patient suffers from cystic fibrosis, a condition that requires regular visits to the hospital and an interdisciplinary approach to management. However, the patient lives far from the hospital. Remote collaboration enables real-time patient management by the members of the interdisciplinary committee. This flexibility reduces the possibility of health deterioration resulting from long trips to the hospital to address an emergency that could be adequately managed from home. It also enables interdisciplinary team members to monitor the patient perpetually and make relevant interventions that promote the patient’s well-being.

In this scenario, challenges in interprofessional collaboration are demonstrated by the lack of open communication and common telehealth technology among healthcare providers. This can be addressed by adopting collaborative tools such as Zoom or Doxy. me (Folkman et al., 2019). According to Rutledge et al. (2021), Doxy. me can permit an exchange of information among many healthcare providers. Subsequently, this eliminates the need for at least 100 persons to use telemedicine, as reported in this scenario. Healthcare providers should uphold open communication that ensures timely delivery and feedback concerning a particular problem. Ultimately, this helps to avoid delays in managing patients.

Thank you, everyone.

References

Camargo, F. C., Iwamoto, H. H., Galvão, C. M., Aparecida, D., Monteiro, T., Borges Goulart, M., Augusto, L., & Garcia, A. (2018). Models for the Implementation of Evidence-Based Practice in Hospital Based Nursing: a Narrative Review. Text & Context Nursing, 26(4), 12. http://dx.doi.org/10.1590/0104-07072018002070017

Esparrago-Kalidas, A. J. (2021). The Effectiveness of CRAAP Test in Evaluating Credibility of Sources. International Journal of TESOL & Education, 1(2), 1–14.

Folkman, A. K., Tveit, B., & Sverdrup, S. (2019). Leadership in interprofessional collaboration in health care. Journal of Multidisciplinary Healthcare, 12, 97–107. https://doi.org/10.2147/JMDH.S189199

Jessup, M., Smyth, W., Abernethy, G., Shields, L., & Douglas, T. (2018). Family-centered Care for Families Living with Cystic Fibrosis in a Rural Setting: A Qualitative Study. Journal of Clinical Nursing, 27(3–4), e590–e599. https://doi.org/10.1111/jocn.14105

Kapnadak, S. G., Dimango, E., Hadjiliadis, D., Hempstead, S. E., Tallarico, E., Pilewski, J. M., Faro, A., Albright, J., Benden, C., Blair, S., Dellon, E. P., Gochenour, D., Michelson, P., Moshiree, B., Neuringer, I., Riedy, C., Schindler, T., Singer, L. G., Young, D., … 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

Martin, P. (2018). 5 Cystic Fibrosis Nursing Care Plans. https://nurseslabs.com/cystic-fibrosis-nursing-care-plans/2/

Rutledge, C. M., O’Rourke, J., Mason, A. M., Chike-Harris, K., Behnke, L., Melhado, L., Downes, L., & Gustin, T. (2021). Telehealth Competencies for Nursing Education and Practice: The Four P’s of Telehealth. Nurse Educator, 46(5), 300–305. https://doi.org/10.1097/NNE.0000000000000988

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Hello this is the last assignment i have for this course. Please follow all intructions for full point. This is a video assignment and when you write the script, i will read from it into the video. I don’t know know if you have access to the VILLA HEALTH : REMOTE COLLABORATION AND EVIDENCE BASED CARE CASE SCENARIO which you will use to kind of work with in this assignment. Please let me know if you don’t so that i can copy each scenario an paste in word doc and sent to you. I have attached the rubric too.

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.
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 [email protected] 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.