Remote Collaboration and Evidence-Based Care Video Script

Remote Collaboration and Evidence-Based Care Video Script

Hello, and welcome to this tutorial. My name is Ndifon Ambiribah. In this recording, we will discuss an evidence-based care plan for a patient based on the Vila Health case scenario and explain how evidence-based plan (EBP) models can help develop a care plan. We will also highlight the challenges facing an interdisciplinary collaboration to plan care within the context of a remote team.

Collaborative paradigms in healthcare have been lauded for their effectiveness in optimizing care outcomes and enhancing patient experiences. These approaches draw healthcare professionals from multiple disciplines and synchronize their patient care roles. The emergence and continued consumption of healthcare communication technologies have ushered in a technological era where patients can receive care services in the comfort of their living spaces. Remote collaboration through technological devices such as telehealth provides an opportunity for optimizing care processes without physical contact with the patients. EBP models provide a platform for enhancing care practices in collaborative teams targeted at optimizing clinical outcomes. Let us now explore an EBP plan for the Vila Health scenario.

Evidence-Based Care Plan to Improve the Safety and Outcomes for Patients

To improve the safety and outcomes of a patient based on the Vila Health care scenario, we will use an interdisciplinary team approach using telehealth. This approach utilizes the principles of teamwork, cooperation, information sharing, respect, and open communication in designing therapeutic care plans and managing patients. Walton et al. (2019) assert that these approaches maintain superiority over fragmented care as they target all aspects of the patient’s presentation and synchronize care activities implemented on the patient. This diversified and comprehensive approach ensures better safeguards on patients’ safety by optimizing care processes done on the patients. Significant in a collaborative interdisciplinary team is information sharing and effective communication. As evident in the Vila scenario, care providers share information on the patients to synchronize care processes done on them. It also improves patients’ safety by minimizing medical errors. Communication is also important in healthcare as it ensures that team members work effectively towards improving the safety of the patients. It also provides a platform for peer consultations, information sharing, and establishing a good rapport with the patients and other caregivers. Consultative processes between staff at Vila Healthcare demonstrate the use of best practices during communication processes. Their communication processes are devoid of interruptions and poor interpersonal relations. Such practices ensured a seamless flow of care operationalizations.

In remote caring, as seen in the Vila health scenario, these best practices are complemented by the availability of telecommunication devices and adequate knowledge of their use. As evident in the case, remote caring can be challenging, especially when caregivers are not very conversant with their use or where there are no connective devices. The best practice in coordinating remote care is to ensure that the involved persons have effective telecommunication devices and are knowledgeable about their use. This notwithstanding, health information technology maintains significance in the remote monitoring of patients. These technologies bridge gaps attributable to geographical locations and proximity, providing a platform for maintaining contact between patients and their caregivers. This underpins the need for care systems and providers to facilitate their use in care processes.

To optimize the care plan for the patients, further information on the patient’s willingness to adopt technology and their knowledge of health information technology is warranted. Another area where further information may be necessitated is the hospital’s administration. They play a fundamental role in ensuring that hospital communications systems are operating optimally. Information on the administration’s willingness to invest in health information technologies may be necessary for this scenario.

Let’s Now Look at How I Used an EBP Model to Develop My Plan of Care for the Client

EBP models provide a framework for integrating most current scientific research to create best practices in healthcare. In developing the care plan for the patients in the case, I used John Hopkin’s model for implementing evidence-based practice. The goal of this model is to ensure that best practices are incorporated into patient care as fast as possible. This model outlines a three-stepped approach to implementing evidence-based practices into the care systems. These are practice questions, evidence, and translation. The practice question, in this case, was how to address safety concerns and outcomes for patients in the case presented. The interdisciplinary approach plan of care outlined addressed the challenges of fragmented care and poor care coordination that lower the effectiveness of care approaches and are likely to affect patient safety and outcomes. The positive benefits of the interdisciplinary plan using collaborative approaches can be evaluated based on their impacts on the clinical outcomes and patients’ experiences. These approaches are expected to enhance clinical outcomes and patient experiences. Patient-reported outcomes can be used in evaluating the levels of patients’ satisfaction with the care processes.

Let’s Reflect on the Evidence that was Most Relevant to the Care Plan Outlined

Several resources from the literature reinforce the significance of care coordination in optimizing care approaches and informing the care plan outlined for addressing the case presented. Hlongwa & Rispel (2021) reiterate the effectiveness of collaborative approaches utilizing an interdisciplinary team approach in the comprehensive management of patients. Carayon et al. (2019) also report the effectiveness of health information technologies in healthcare. Technologies such as telehealth maintain effectiveness in remote caring as they provide a platform for maintaining contact between caregiver and their patients. The relevance and usefulness of these resources were determined using the currency, relevance, authority, accuracy and purpose criteria. The articles selected were relevant to the question, current, accurate, and targeted at addressing fragmented care and poor care coordination.

Now Let Us Discuss the Benefits and Strategies to Mitigate the Challenges of Interdisciplinary Collaboration

The interdisciplinary team approach confers considerable benefits in healthcare. These approaches improve clinical outcomes, healthcare processes, and patients’ and providers’ satisfaction with the care processes. In remote caring, these approaches have been shown to bridge care gaps accustomed to proximity, enhance access to quality and safe care, and provide a platform for monitoring patients (Gajarawala & Pelkowski, 2021). However, this approach may sometimes face several barriers. As such, inadequate knowledge of telecommunication devices, lack of telecommunication devices, and lack of goodwill from the patients and caregivers may sometimes hinder their use.

To overcome these barriers, clinical team members should be educated on emerging health information technologies. Healthcare administrators should also be at the forefront of facilitating technology use by availing the necessary technological devices necessary for healthcare communications. Patients should also be educated on the significance of these technologies and how to use them. For future situations, the interdisciplinary team can be leveraged to improve clinical outcomes by enhancing their knowledge and capacity to handle various health information technologies. Hospital policies should also be developed that require caregivers to know healthcare technologies and frequently update their knowledge on these technologies to enhance their efficiency when using these technologies.

As I conclude, let us take a look at the key provisions of this presentation. We have noted that the collaborative paradigm utilizing an interdisciplinary team approach maintains significance in healthcare. This is because of its effectiveness in enhancing patient safety and improving clinical outcomes. With technological advances, this approach can be used to coordinate care remotely through telecommunication devices such as telehealth. Scientific evidence asserts the significance of these approaches in care processes. EBP models can guide the implementation of this research to ensure their widespread use in healthcare. Despite the effectiveness and benefits of these technologies in coordinating acre remotely, barriers such as lack of telecommunication devices may hinder their use.

References

Carayon, P., Hundt, A. S., & Hoonakker, P. (2019). Technology barriers and strategies in coordinating care for chronically ill patients. Applied Ergonomics, 78, 240–247. https://doi.org/10.1016/j.apergo.2019.03.009.

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

Hlongwa, P., & Rispel, L. C. (2021). Interprofessional collaboration among health professionals in cleft lip and palate treatment and care in the public health sector of South Africa. Human Resources for Health, 19(1). https://doi.org/10.1186/s12960-021-00566-3.

Walton, V., Hogden, A., Long, J. C., Johnson, J. K., & Greenfield, D. (2019). How do interprofessional healthcare teams perceive the benefits and challenges of interdisciplinary ward rounds? Journal of Multidisciplinary Healthcare, Volume 12, 1023–1032. https://doi.org/10.2147/jmdh.s226330.

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Assessment 4 Instructions: Remote Collaboration and Evidence-Based Care
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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.

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 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 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.

Dr. Copeland and Nurse Anderson discuss Caitlynn, who came into the ER last night and has now been admitted to the pediatric unit.
Select the conversation below to listen in.
Dr. Copeland starts the conversation.
01:11
HIDE TRANSCRIPT
Dr. Copeland: Nurse, can you give me an update on Caitlynn? I know she’s two years old and she’s been admitted for pneumonia. Does she have any history of breathing problems?

Virginia Anderson: Yes, this is her second admission for pneumonia in the last six months. She had a meconium ileus at birth.

Dr. Copeland: All right. Is she presenting with any other symptoms?

Virginia Anderson: She has decreased breath sounds at the right bases and rhonchi scattered in the upper lobes. Respirations are 32 and shallow with a temp of 101.

Dr. Copeland: What have we done for her so far?

Virginia Anderson: The respiratory therapist administered nebulized aerosol and chest physiotherapy. After the aerosol she had thick secretions.

Dr. Copeland: I see her weight is 20.7 pounds, and there’s been some decreased subcutaneous tissue observed in her extremities?

Virginia Anderson: Correct. I noticed this too, so she might have some malabsorption of nutrients.

Dr. Copeland: Have we done a sweat chloride test yet?

Virginia Anderson: Yes, and the results were 65 milliequivalents per liter. Also, the mother reports that when she kisses her, she tastes salty.

Dr. Copeland: All right. Well, I think it’s fair to say we might be dealing with cystic fibrosis here. Let’s get her started on an IV with piperacillin, and keep an eye on her temperature.

Dr. Erica Copeland
Pediatrician, Valley City Regional Hospital
Virginia Anderson
Pediatric Nurse, Valley City Regional Hospital
Rebecca Helgo
Respiratory Therapist
Audio Player

00:47
02:09

Use Up/Down Arrow keys to increase or decrease volume.
Dr. Copeland, Virginia Anderson, and Rebecca Helgo have a short consult.
Select the conversation below to listen in.
Dr. Copeland starts the conversation.
02:09
HIDE TRANSCRIPT
Dr. Copeland: Let’s talk about Caitlynn Bergan. Her mother, uh, [checks notes] Janice, has been informed of her diagnosis. I didn’t realize this when she first came in, but she doesn’t live in Valley City; she’s in McHenry.

Rebecca Helgo: That’s a tough drive during winter. They’re over an hour away, aren’t they?

Dr. Copeland: That’s right. It was a toss-up between coming here or going to Jamestown, but I guess the father — Doug — thought Valley City was the better choice. Anyway, I’ve put her on Pancrease enzymes and we’ll be recommending a high-protein, extra-calorie diet along with the fat-soluble vitamins — A, D, E, and K. I’ll update her pediatrician on her condition, and order dornase alfa. Let’s see how she does with the breathing treatments. How are those going?

Rebecca Helgo: Quite well, actually. She’s too young to get her to do the huff breaths, but we’re keeping the secretions thin and manageable with the aerosol treatments. I am concerned about her day-to-day treatment, though. She’ll be back here with pneumonia if the parents can’t stay on top of that. She’s at risk for impaired gas exchange and respiratory distress, which will cause her anxiety and more distress, and that’s not going to help her stay well.

Dr. Copeland: How well do you think the parents will be able to handle the treatment?

Virginia Anderson: That might get tricky. I gather that the mother and father are still married but separated. We’ll need to make sure that at least one of them gets the education they need. But they both work, and trips here aren’t the easiest choice. We should get a social services consult to coordinate services and identify some assistance for the family in McHenry.

Rebecca Helgo: I can do some education here, and then do a Skype consult with one or both of them once she’s been discharged and is back home.

Dr. Copeland: It sounded like both parents work long hours. Are you going to be able to schedule times that work?

Rebecca Helgo: I may have to do some after-hours appointments. We’ll have to sort that out.

Virginia Anderson: She’s had one bowel obstruction already, so I think we need to help them monitor for DIOS too. Does the pediatrician’s office have a telemedicine relationship with us? That might be helpful in preventing unnecessary trips here.

Dr. Copeland: Let’s find out a bit more and see what our options are.

Dr. Walter Benjamin
Pediatrician in McHenry, ND
Audio Player
Dr. Copeland and Virginia Anderson talk to Dr. Benjamin about how his office can coordinate with the hospital on Caitlynn’s care.
Select the conversation below to listen in.
Dr. Copeland greets Dr. Benjamin.
01:46
HIDE TRANSCRIPT
Dr. Copeland: Hello, Dr. Benjamin. I’m sorry to be meeting under such circumstances, but I hope we can work with you to help the Bergans handle Caitlynn’s care. On the line with me is Virginia Anderson, the nurse assigned to Caitlynn while she’s here.

Dr. Benjamin: Hello to both of you. Yes, it’s unfortunate. This is the first case I’ve seen among my own patients.

Dr. Copeland: Are you familiar with the CF protocol?

Dr. Benjamin: I am, but I’d love to get any more details that relate to Caitlynn. She’s done with most of her immunizations, but she’s still needs her HAV and influenza, of course. I’m also not sure where to order some of the pancreatic enzymes and medications you listed.

Virginia Anderson: We can help with all that. Do you have telemedicine access to Valley City?

Dr. Benjamin: No, but we do have it with Cooperstown Medical Center. We kind of have to in a town of less than 100 people.

Dr. Copeland: We may be able to use Skype on a more informal basis for consults between us, but it might be good to get connected with Valley City on your telemedicine equipment. If the parents bring Caitlynn to you with symptoms, and you’re not sure whether the hour-long trip is necessary, we can do a telemedicine appointment and make sure.

Dr. Benjamin: All right. It sounds like we might see them often initially, and I understand that bowel obstructions and pneumonia are two possible complications. We can handle some of those issues here, but assuming they have trouble during working hours, I assume we can reach you by phone?
Dr. Copeland: You or your staff can send me a text. If we need to talk further we can set up a call, but if not, text is the quickest way to get my attention, and the easiest way for me to respond between things.

Virginia Anderson: And I’m available via text as well if you’re having trouble reaching Dr. Copeland or if it’s a question I can field.

Virginia and Marta Simmons meet with Madeline Becker, the social worker at the clinic in McHenry.
Select the conversation below to listen in.
Virginia starts the conversation.
01:59
HIDE TRANSCRIPT
Virginia Anderson: Hi, Madeline, this is Virginia Anderson at Valley City Regional Hospital. I’m on the line with Marta Simmons, our social worker here at the hospital.

Madeline Becker: Hi, both of you.

Marta Simmons: Madeline, we’re calling because Virginia is working on a care plan for a child from McHenry, a Caitlynn Bergan. She’s here after a bout of pneumonia and she’s been diagnosed with cystic fibrosis. We wanted to talk to you about resources there for some of the issues the Bergans are going to be dealing with.

Madeline Becker: Of course. I got the documentation you emailed earlier. Fortunately, the Bergans are both employed and have good insurance through Doug’s new job. But as you may have heard, he was unemployed for some time, so money is tighter than it might seem.

Virginia Anderson: We’ve talked to Janice and she isn’t sure what her insurance covers as related to the breathing and other treatments Caitlynn is likely to need.

Madeline Becker: I can do some initial work on that. I’ll need a release from Janice to get detailed information, but I should be able to get general coverage information. What other resources might they need? McHenry is pretty small, as I’m sure you’re aware.

Marta Simmons: The main issue is going to be the stress of caring for a child with a chronic illness. Even a group that helps members deal with grief would be helpful. Children with CF live much longer than they used to, but it’s still a difficult condition.

Madeline Becker: There isn’t a group like that here, but there is one in Sheyenne. I mean, it’s more for parents in grief already, parents who have lost a child, but it’s a sizable group, relatively speaking. I’m sure there will be some parents who understand what it’s like to have a child with a difficult condition.

Virginia Anderson: All right, that helps. Now, we’re going to provide as much education as we can before Janice takes Caitlynn home, but what kind of resources are there in McHenry? If she doesn’t have home Internet access, does the library offer it? Is there a library?

Madeline Becker: No, the closest library is in Cooperstown.

Marta Simmons: Well, we’ll talk to the Bergans’ pediatrician and see if they might be able to help if they need materials and can’t get them easily at home. This is progressive and lifelong, and they’re going to need some support as they learn to deal with it.

Janice Bergan
Mother of infant Caitlynn
Audio Player

00:57
02:26

Use Up/Down Arrow keys to increase or decrease volume.
Virginia and Rebecca call Janice, on Skype, to answer her questions.
Select the conversation below to listen in.
Virginia Anderson starts the conversation.
02:26
HIDE TRANSCRIPT
Virginia Anderson: Hi, Janice, thanks for contacting us! We’re getting back to you about Caitlynn. With me on the line is Rebecca Helgo, the respiratory therapist who helped you out when you were here.

Rebecca Helgo: Hi, Janice.

Janice: [sounding stressed] Hi.

Virginia Anderson: Janice, how is it going with Caitlynn?

Janice: Well, that’s why I called, actually. Not so good. I mean, not bad, but I guess I’m not remembering everything you told me when we practiced the physiotherapy, the chest physiotherapy.

Virginia Anderson: That’s okay, Janice. I know this feels overwhelming. Caitlynn’s condition is an extensive one, and we’re here to help you manage it. We’ll continue to be here as you’re figuring this out, okay?

Rebecca Helgo: That’s right, Janice. I know you’ll get the hang of it, but in the meantime there’s a lot to learn. So you had some questions about the chest physiotherapy? What’s going on?

Janice: Okay, if you can see on the camera, Caitlynn has these red marks on her ribs here. Is that a symptom of something?

Rebecca Helgo: Can you get the camera just a bit closer?

Janice: How’s that?

Rebecca Helgo: Okay, very good. Yes, those look like marks from the percussion. Are those over her last two ribs?

Janice: I think so.

Rebecca Helgo: That’s one thing you’ll have to remember: You don’t want to do the percussion on her last two ribs on either side, her backbone, or her breastbone. And when you do it anywhere else, you don’t want to leave red marks. So if you see those, that’s a hint that you’re doing the percussion just a bit too hard.

Virginia Anderson: Don’t worry, you haven’t hurt her that I can see. Plus, you’re obviously really staying on top of things and you’re following the recommended treatment procedures for Caitlynn, and I really want to praise you for that. So, is she acting like that area is hurting her? Or can you tell?

Janice: No, it doesn’t seem like it’s hurting her at all.

Rebecca Helgo: She should be fine, then.

Virginia Anderson: And remember, Janice, if you continue to have trouble with this, we’ve got other options. There’s a vest that vibrates the child if percussion isn’t getting the job done. And you won’t have to do exactly this forever. As she gets older and can learn how to do huff coughs, you’ll be doing less work and she’ll be doing more.

Janice: Okay. Thank you, that makes me feel better. I couldn’t get hold of my pediatrician and I was just getting worried.

Rebecca Helgo: Good, that’s what we’re here for.

Virginia Anderson: Janice, should we review the signs and symptoms of respiratory distress? We’re happy to go over anything you need to feel more confident about monitoring Caitlynn.

Janice: I think I remember those. I feel like I check for them every hour.

Rebecca Helgo: [chuckles] That’s understandable. Well, remember to check with Dr. Benjamin or me or Virginia if you need to.

As you saw in this activity, coordinating care can be a challenge when the patient lives far from her provider or when multiple providers are distant from each other. Many technologies may be necessary in order to provide quality evidence-based care to patients when care teams and patients are not in the same location. Nurses and other health care professionals must find creative solutions when problems arise, so that care planning for remote patients is just as comprehensive and outcome-based as that for patients nearby or on site.

As you work on your assignment, consider these questions:
How was remote collaboration used to improve the quality and safety of the care being provided in the scenario?

Enter your answer here…
(Maximum 2500 characters)
In what ways was evidence-based practice being effectively applied to help the patient in the scenario? Were there opportunities for improvement? If so, what were they?

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(Maximum 2500 characters)