Remote Collaboration and Evidence-Based Care-Patient Suffering from Cystic Fibrosis
Hello, and welcome to today’s presentation on Remote Collaboration and Evidence-Based Care. We will begin by developing an evidence-based care plan for a patient suffering from cystic fibrosis. We will then explain the use of an evidence-based practice model to formulate the care plan. We will then identify the most relevant evidence. Finally, we will identify the merits and techniques of promoting interdisciplinary collaboration.
Evidence-Based Care (EBP) Plan
I will begin by proposing an evidence-based care plan that can be embraced to manage the patient (Caitlynn). This care plan is dependent on various nursing diagnoses for the patient. The first diagnosis is impaired gas exchange. Writing in 2023, Martin reports that this is attributed to airway obstruction and inflammation associated with cystic fibrosis. In this context, the patient has difficulty breathing and presents with decreased breath sounds. Various techniques should be adopted to address impaired gas exchange. Firstly, writing in 2023, Martin reports that adopting a semi-Fowler’s position will facilitate the expansion of the lungs, prevent airway collapse, and avert shortness of breath. Secondly, in 2019, Rey, Bonk, and Hadjiliadis indicated that postural drainage optimizes gas exchange by removing secretions that block airways. Thirdly, oxygen therapy should be adopted. Writing in 2023, Martin reports that oxygen therapy should target a saturation level of at least 90 percent. This is relevant because oxygen therapy minimizes energy expenditure on breathing and prevents dyspnea. Fourthly, Martin (writing in 2023) reports that non-invasive ventilation should be embraced if the patient’s condition worsens.
The second diagnosis is imbalanced nutrition. Rey, Bonk, and Hadjiliadis (writing in 2019) indicated that this is attributed to malabsorption caused by cystic fibrosis. In this scenario, the patient is wasting muscle. To address this problem, concerted efforts should focus on various aspects. To begin with, Turcios (writing in 2020) indicated that fluid and fiber intake should be increased. Writing in 2023, Martin reported that the fiber content should not exceed twenty-five grams daily. Also, protein and calorie consumption should be increased. Furthermore, writing in 2023, Martin reports that a diet rich in fat-soluble vitamins should be administered and that pancreatic enzymes should be administered to facilitate the digestion of fats and proteins.
The third diagnosis is impaired airway clearance. In this scenario, Caitlynn presents with rhonchi and decreased breath sounds. Various strategies can be used to address this problem. Firstly, bronchodilators and mucolytics should be administered. Writing in 2020, Turcios indicated that bronchodilators play a significant role in reversing bronchospasm, whereas mucolytics lower the viscosity of mucus and other secretions to facilitate their expectoration. Secondly, in 2023, Martin reported that chest physiotherapy and postural drainage would help clear secretions.
The fourth diagnosis is the risk of infection. Writing in 2023, Martin reports that this can be addressed by initiating pharmacological approaches and upholding hygiene. In 2020, Turcios indicated that intravenous antibiotics should be initiated promptly. Furthermore, the patient should receive her influenza vaccine to prevent the exacerbation of her condition. Additionally, in 2023, Martin reported that healthcare providers and parents should uphold high standards of hygiene, such as proper handwashing.
Evidence-Based Practice Model
Now, I would like to identify and explain an evidence-based practice model that enabled me to formulate the EBP care plan. Cullen, Hanrahan, Edmonds, Reisinger, and Wagner (writing in 2022) note that the Iowa Model of EBP focuses on the entire healthcare system during research and when making practice decisions. This model requires members of the interdisciplinary team to work in concert with patients when making clinical decisions. Additionally, in 2022, Cullen, Hanrahan, Edmonds, Reisinger, and Wagner reported that this model emphasizes pilot tests to evaluate the effectiveness of an initiative before it is implemented into practice. The first step of the model entails identifying a problem that requires a practice change. In this scenario, Caitlynn has cystic fibrosis. This disease has impacted the patient’s quality of life, as evidenced by ineffective airway clearance and impaired nutrition. As such, this problem requires a practice change. The second step determines whether or not the problem should be prioritized. As earlier stated, the patient’s cystic fibrosis is a priority because it has lowered her quality of life. The third step entails identifying key stakeholders to participate in the research. In this scenario, I worked in concert with the physiotherapists, physicians, and pharmacists. The fourth step entails the appraisal of evidence and research. I sourced my information from organizational websites and online databases such as PubMed. The fifth step involves piloting the intervention. During this step, I established milestones and goals of the intervention. Evaluation of these milestones will enable me to determine the success of the pilot test.
Most Relevant and Useful Evidence
At this point, I will identify the evidence that impacted the formulation of my care plan. To begin with, information on the risk of infection is important. Martin, writing in 2023, reports that patients with cystic fibrosis are prone to infections. As such, Martin (2023) noted that it is recommended that intravenous antibiotics should be started within four hours after patient admission. This helps to avert the risk of complications that would worsen the prognosis of the disease. Furthermore, appropriate hygiene should be upheld by patients, caregivers, parents, and healthcare practitioners to minimize the risk of infection. Secondly, information on impaired gas exchange and airway clearance is relevant. Martin, writing in 2023, notes that this should be addressed promptly because it increases the risk of hypoxemia, and as such, the care plan should embrace techniques such as postural drainage, oxygen therapy, non-invasive ventilation, bronchodilators, and mucolytics.
Benefits and Strategies to Mitigate the Challenges of Interdisciplinary Collaboration
As I conclude, I will discuss the merits of interdisciplinary collaborations and identify the strategies for addressing barriers to interdisciplinary collaboration. Accordingly, Leonardsen, Hardeland, Helgesen, and Grøndahl, writing in 2020, note that remote collaboration among members of the interdisciplinary team improves the quality of care delivery. Firstly, it eliminates the need for face-to-face consultations and facilitates timely access to healthcare. Leonardsen, Hardeland, Helgesen, and Grøndahl (writing in 2020) add that this is beneficial because it enables the interdisciplinary team to manage conditions that require close follow-up. For instance, in this scenario, remote collaboration enabled Caitlynn’s mother to seek timely clarification on the correct technique of percussion. Furthermore, remote collaboration enabled Caitlynn’s paediatrician to inquire where he would get the prescribed medications. Secondly, Leonardsen, Hardeland, Helgesen, and Grøndahl, writing in 2020, state that remote collaboration improves care coordination and accountability among members of the interdisciplinary team. By so doing, the quality of care is improved.
The challenge of remote collaboration presented in this scenario can be addressed via various strategies. Notably, in 2019, Folkman, Tveit, and Sverdrup reported that the expansion of telemedicine services would optimize the interaction between healthcare providers. For instance, Caitlynn’s paediatrician reports that Valley City does not have telemedicine access. This is likely to impede remote collaboration. Secondly, quality and cost-effective internet coverage should be provided. This will provide stable connections and promote remote collaboration. Thirdly, training will ensure that all stakeholders can use telemedicine effectively.
References
Cullen, L., Hanrahan, K., Edmonds, S. W., Reisinger, H. S., & Wagner, M. (2022). Iowa Implementation for Sustainability Framework. Implementation Science, 17(1), 1–20. https://doi.org/10.1186/s13012-021-01157-5
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
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
Martin, P. (2023). 6 Cystic Fibrosis Nursing Care Plans. https://nurseslabs.com/cystic-fibrosis-nursing-care-plans/5/
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/
ORDER A PLAGIARISM-FREE PAPER HERE
We’ll write everything from scratch
Question 
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 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.
Remote Collaboration and Evidence-Based Care-Patient Suffering from Cystic Fibrosis
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 the best EBPs and building competence in delivering nursing care to remote patients are key competencies 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 provides 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 an 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 modeled, 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 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 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 and identify 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.