Remote Collaboration and Evidence-Based Care

Remote Collaboration and Evidence-Based Care

Hello, and welcome to today’s presentation on evidence-based care. This presentation aims at developing an evidence-based care plan for a two-year-old patient called Caitlynn Bergan. The patient has been re-admitted for pneumonia. Further evaluation reveals that the patient has cystic fibrosis. We will also discuss the relevance of an evidence-based model in the formulation of the care plan and identify techniques for interdisciplinary collaboration.

We will begin by discussing an evidence-based care plan to improve Caitlynn Bergan’s safety and outcomes. The patient’s evidence-based care plan is based on three nursing diagnoses. They include defective gaseous exchange, ineffective clearance of the airway, and imbalanced nutrition. Imbalanced nutrition is evidenced by the observation that Caitlynn’s weight is below the ideal body weight. In 2019, authors Rey, Bonk, and Hadjiliadis reported that this could be attributed to malabsorption and an increase in daily caloric needs. Imbalanced nutrition can be managed via various approaches that entail dietary modification. Firstly, fluid intake should be increased to maintain adequate hydration. Writing in 2020, author Turcios reported that the caloric content of the patient’s diet should be increased to approximately 1.5 times the recommended daily intake. The third intervention entails increasing the content of dietary proteins, fat-soluble vitamins, and salt intake.

Writing in 2020, author Turcios reported that defective gaseous exchange is related to the constriction and inflammation of airways. Different approaches can be used to address this problem. The patient’s arterial blood gasses should be monitored perpetually using a pulse oximeter. Writing in 2020, author Turcios reported that supplemental oxygen is relevant in this context to reduce the workload of breathing and appropriate oxygenation levels. In 2020, Turcios also pointed out that the patient should be placed in a semi-Fowler’s posture to ensure that the airways do not collapse and that lung expansion is adequate. Patient monitoring should continue to evaluate the necessity of noninvasive ventilation based on the severity and prognosis of the disease.

Ineffective clearance of the airways can be managed using various approaches. Firstly, pharmacological interventions using bronchodilators and mucolytics should be embraced. Writing in 2020, author Turcios reported that albuterol and dornase alfa are examples of bronchodilators and mucolytics, respectively. The second intervention should be accomplished in collaboration with a respiratory therapist. In 2020, Turcios reported that this intervention involves airway clearance therapy and uses techniques such as postural drainage. Writing in 2020, Turcios noted that the other relevant pharmacological approaches include the use of pancreatic enzymes, cystic fibrosis transmembrane conductance regulator potentiators, and antibiotics with anti-pseudomonal activity.

At this point, I will explain how an evidence-based practice model was used to formulate the evidence-based care plan. I used the Iowa Model of evidence-based practice to formulate the care plan. In 2019, authors Hanrahan, Fowler, and McCarthy reported that this model comprises sequential phases that guide research and the decision-making process. The first stage entails the identification of the problem. In this context, the patient has been diagnosed with cystic fibrosis. The step evaluates whether the problem is an issue of concern for the organization. In this context, cystic fibrosis is relevant and should be addressed promptly. The third step is interdisciplinary collaboration. During this stage, I collaborated with the respiratory therapist, nurses, physicians, and dieticians. The next phase entails evidence-based research. I used credible peer-reviewed articles from online medical databases such as Google Scholar. After that, the evidence was implemented. This was done on a pilot basis. I formulated performance indicators, goals, and objectives to facilitate the evaluation of the success of the care plan. The results will be disseminated via handouts and PowerPoint presentations.

Next, I will reflect on the most relevant evidence used in the formulation of the care plan. The information regarding the management of the patient’s defective gaseous exchange and ineffective clearance of the airways is relevant and useful. In 2020, authors Kapnadak, Dimango, and Hadjiliadis reported that increased mucopurulent secretions cause ineffective airway clearance, whereas the constriction and inflammation of airways cause defective gaseous exchange. These nursing diagnoses are important because they affect the concentration of arterial blood gases. Notably, oxygen saturation is affected. Writing in 2020, author Turcios noted that this should be addressed by oxygen therapy, placing the patient in a semi-Fowler’s posture, and via airway clearance therapy.

Lastly, I would like to analyze the benefits and strategies to mitigate the challenges of interdisciplinary collaboration. Healthcare technology, such as telehealth, can be used to facilitate remote interdisciplinary collaboration. Writing in 2020, authors Leonardsen, Hardeland, Helgesen, and Grøndahl reported that remote collaboration and patient monitoring improve workflow and optimize care coordination. Remote collaboration eliminates the physical barrier between healthcare providers and patients. This promotes an interdisciplinary approach to the clinical decision-making process. Additionally, it enables healthcare providers to initiate timely interventions, hence a better prognosis of the disease and patient safety.

In this context, the challenge of interdisciplinary collaboration can be addressed via various strategies. Writing in 2019, Folkman, Tveit, and Sverdrup indicate that expanding coverage of telehealth services will facilitate communication between healthcare providers and patients from different states. Secondly, patients and healthcare providers should receive regular training on the appropriate use of healthcare technology. This entails the appropriate use of both hardware and software. Additionally, Folkman, Tveit, and Sverdrup, writing in 2019, report that availing adequate and quality internet coverage will improve the quality of interactive sessions among healthcare providers and healthcare providers and patients.

Thank you.

References

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

Hanrahan, K., Fowler, C., & McCarthy, A. M. (2019). Iowa Model Revised: Research and Evidence-based Practice Application. Journal of Pediatric Nursing, 48(xxxx), 121–122. https://doi.org/10.1016/j.pedn.2019.04.023

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

Leonardsen, A. C. L., Hardeland, C., Helgesen, A. K., & Grøndahl, V. A. (2020). Patient experiences with technology enabled care across healthcare settings- a systematic review. BMC Health Services Research, 20(1), 1–17. https://doi.org/10.1186/s12913-020-05633-4

Rey, M. M., Bonk, M. P., & Hadjiliadis, D. (2019). Cystic fibrosis: Emerging understanding and therapies. Annual Review of Medicine, 70, 197–210. https://doi.org/10.1146/annurev-med-112717-094536

Turcios, N. L. (2020). Cystic fibrosis lung disease: An overview. Respiratory Care, 65(2), 233–251. https://doi.org/10.4187/respcare.06697

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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 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 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 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 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 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 [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 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.
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