Remote Collaboration and Evidence-Based Care

Remote Collaboration and Evidence-Based Care

Hello. My name is Julia Kamer. In this video presentation, I will discuss evidence-based care and how it can support remote collaboration in an interdisciplinary care team. In the discussion, I will focus on the case of Caitlynn and propose an evidence-based care plan that Vila Health can adopt to improve the safety and care outcomes of the patient during the remote collaboration.

Firstly, let me introduce the patient case in my presentation. Caitlynn was admitted and diagnosed with cystic fibrosis following an interdisciplinary collaborative effort by physicians in the Valley City Regional Hospital pediatric unit for Pneumonia. After the hospital’s paediatrician confirmed the diagnosis, a multidisciplinary team was required to develop a care plan for Caitlynn and support the patient’s family during the treatment period. The health care professionals included the hospital’s paediatrician, the attending bedside nurse, a respiratory therapist, a social worker, and a home paediatrician. The team was to collaborate to implement the care plan designed for Caitlynn and her family.

However, the team identified various barriers that hindered the care delivery per the plan. Firstly, Caitlynn’s family lives in a rural area within an hour’s distance from the hospital. A study by Garchitorena et al. (2021) noted that geographic barriers are persistent regardless of the affordability and efficiency of the health systems. The remote location of the patient bars the efficiency of collaborative health teams. Another barrier identified that could impact the care plan’s success was the potential financial problems the family was facing.

Additionally, the team noted that the care plan required the family’s involvement in Caitlynn’s treatment process. However, the parents currently have marital issues and are not living together. They are also primarily working, which makes it hard for them to be readily available physically throughout the implementation of Caitlynn’s care plan.

The major issues identified affected the collaboration efforts towards achieving positive outcomes for Caitlynn and posed new concerns for the care plan. The primary problem is the geographical distance and the ability to care for the patient within remote settings. Research conducted by Smith et al. and published in the Journal of Rural Remote Health in 2019 noted that patients living in rural areas and those who had to travel for medical care did not adhere to their medications and had a higher risk of missing or delaying care reception.

For these reasons, I propose an evidence-based care plan that can support the collaboration of Caitlynn’s care team to deliver the necessary remote, safe, quality treatment and help her family. A telehealth cystic fibrosis care plan for Caitlynn is proposed. The plan is developed with a specific focus on the barriers identified in Caitlynn’s case. Other barriers besides the geographic barriers considered are the barriers identified by research by Huot et al. (writing in 2019), which include healthcare provider-related barriers, the patient’s culture and beliefs, and existing systemic factors that influence the delivery of care. Caitlynn’s telehealth-based remote care plan will include using HIPAA-compliant telehealth technologies to support communication, real-time patient monitoring, and health information sharing.

Much evidence is available both in the literature and from the review of the events from the moment Caitlynn was admitted and diagnosed. A care plan that influenced the decisions on the evidence-based care plan was developed. The conclusions were based on how the proposed care plan would help overcome the barriers for the team to collaborate remotely and reduce the cost of delivering the care, such as travelling expenses, marital issues in the family, and the ability to monitor the patient continuously. Technology helped overcome most of the barriers to remote collaboration and supported the progression of Caitlynn’s care plan. For instance, when Caitlynn’s chest physiotherapist at the clinic in McHenry was worried about whether she was providing the correct care, Virginia and Rebecca, the hospital’s respiratory therapists, called her via Skype, talked to her, and answered her questions remotely. The healthcare professionals also spoke to and educated Caitlynn’s parents on her health condition and care plans over Skype. Skype helped deliver collaborative care and educate Caitlynn’s parents remotely.

Research on the practical application of telehealth also provided evidence of the applicability of such technologies to overcome barriers in the delivery of collaborative healthcare services. For instance, Kulkarni’s study, published in 2018, focused on the use of telehealth in care delivery for hemophilic patients and noted that the technologies supported the delivery of speciality care even in underserved regions through remote collaboration with local primary care providers. Another study by Okereafor and Adebola, published in 2020, focused on using telemedicine and other non-contact electronic technologies to control the COVID-19 virus spread and noted that telemedicine and telehealth have a high potential in remote long-term conditions.

The proposed evidence-based care plan will face collaboration challenges during its implementation. Therefore, the plan will employ the ARCC (Advancing Research and Clinical Practice through Close Collaboration) Model to support implementing the EBP-based care plan. ARCC will help assess the team’s readiness for the EBP-based care plan and identify the team’s strengths and weaknesses that impact the plan’s implementation. This helps avail support throughout the team. It will also provide a basis for evaluating the care plan’s outcomes.

References

Garchitorena, A., Ihantamalala, F. A., Révillion, C., Cordier, L. F., Randriamihaja, M., Razafinjato, B., Rafenoarivamalala, F. H., Finnegan, K. E., Andrianirinarison, J. C., Rakotonirina, J., Herbreteau, V., & Bonds, M. H. (2021). Geographic Barriers To Achieving Universal Health Coverage: Evidence From Rural Madagascar. Health Policy And Planning, 36(10), 1659–1670. Https://doi.Org/10.1093/Heapol/Czab087

Huot, S., Ho, H., Ko, A., Lam, S., Tactay, P., Maclachlan, J., & Raanaas, R. K. (2019). Identifying Barriers To Healthcare Delivery And Access In The Circumpolar North: Important Insights For Health Professionals. Https://Doi.Org/10.1080/22423982.2019.1571385, 78(1), 1571385. Https://Doi.Org/10.1080/22423982.2019.1571385

Kulkarni, R. (2018). Use Of Telehealth In The Delivery Of Comprehensive Care For Patients With Haemophilia And Other Inherited Bleeding Disorders. Haemophilia, 24(1), 33–42. Https://Doi.Org/10.1111/Hae.13364

Okereafor, K., & Adebola, K. (2020). Exploring The Potentials Of Telemedicine And Other Non-Contact Electronic Health Technologies In Controlling The Spread Of The Novel Coronavirus Disease (Covid. International Journal In It And Engineering (Ijite), 8(4). Https://Www.Researchgate.Net/Profile/Habeebullah-Hussaini-Syed/Publication/359274854_Exploring_The_Potentials_Of_Telemedicine_And_Other_Non-_Contact_Electronic_Health_Technologies_In_Controling_The_Spread_Of_The_Novel_Coronavirus_Disease_Covid-19/Links/623287674ba65b2481373953/Exploring-The-Potentials-Of-Telemedicine-And-Other-Non-Contact-Electronic-Health-Technologies-In-Controling-The-Spread-Of-The-Novel-Coronavirus-Disease-Covid-19.pdf

Smith, M. L., Towne, S. D., Bergeron, C. D., Zhang, D., McCord, C., Mier, N., & Goltz, H. H. (2019). Geographic disparities associated with travel to medical care and attendance in programs to prevent/manage chronic illness among middle-aged and older adults in Texas. Rural and Remote Health, 19(4), 5147. https://doi.org/10.22605/RRH5147

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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.

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 how 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 necessary for institutions to deliver quality, safe, and cost-effective care. It could also lead to better job satisfaction for remote collaboration employees.

Professional Context
Remote care and diagnosis are continuing and increasingly essential methods for nurses to help deliver patient care to promote safety and enhance health outcomes. Understanding the best EBPs and building competence in providing nursing care to remote patients are crucial competencies for all nurses. Additionally, in some scenarios, while you may provide care in person, you may collaborate with a physician or other remote team members. 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 critical to delivering quality, evidence-based care.

Scenario
The Vila Health: Remote Collaboration on Evidence-Based Care simulation provides this assessment’s context.

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, https://connect.springerpub.com/content/book/978-0-8261-2759-4/back-matter/bmatter1 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 information may have been needed.
Discuss how an EBP model and relevant evidence helped you develop and decide about your proposed plan.
Wrap up your video by identifying the benefits of remote collaboration in the scenario and 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. Necessary: You must submit an APA-formatted reference list of the sources you cited explicitly in your video or used to inform your presentation. You must submit a narrative of all your video content to this assessment and 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 the speaker discusses in the exemplar differs from the Vila Health scenario you should address in your video. So, the expected communication type is being modelled, 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 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 how you used an EBP model to help develop your care plan 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 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.