Remote Collaboration and Evidence-Based Care: Video Script

Hello, my name is Rose Ngang. In today’s video, I share an evidence-based plan I developed to improve the outcomes for a 65-year-old male patient diagnosed with congestive heart failure (CHF). This patient lives in a rural area with limited access to specialized care, making remote collaboration essential in addressing his healthcare needs. In this discussion, I will present my proposed care plan, explain how I used the Iowa Model of Evidence-Based Practice, reflect on the most relevant evidence, and examine the benefits and challenges of remote interdisciplinary collaboration: Remote Collaboration and Evidence-Based Care: Video Script.

Let me begin with the proposed evidence-based care plan to improve safety and outcomes for the patient.

Notably, the proposed plan for the patient addresses his clinical needs while accounting for his rural setting and limited access to healthcare resources. The priority is medication therapy. According to the cardiologist, the patient should have ACE inhibitors and diuretic medicines prescribed for symptom control, enhancement of cardiac, and reduction of fluid buildup, as supported by Goyal et al. (who published on this topic in 2023). These medications are symptomatic and are safe for CHF, especially for low mortality and hospitalization.

To monitor the patient’s condition effectively, a telemonitoring system will be implemented. Telemonitoring practice involves the use of technology to track things like weight and blood pressure at home so that if they worsen, actions can be taken on time. Systematic studies have established that telemonitoring safely reduces the rates of hospital readmissions among CHF patients, especially in the underserved geographical region.

Patient and family education is another critical component. The pharmacist will counsel the patient on the need to take the medication, the possible effects of the drugs, and any alterations in lifestyles needed. Lectures regarding low-sodium diets and exercise programs suitable for CHF will be given to avoid further worsening of health conditions.

To ensure ongoing support, the plan includes regular virtual follow-ups. These sessions will enable evaluation of the progress made, modification of medications, and other concerns regarding their therapy. Furthermore, lifestyle modifications proposed also integrate the possibility of a meeting with a dietitian for nutritional counseling and a social worker for any concerns that may arise in the course of the treatment, such as technology or transport difficulties, as noted by Wadden et al. in their article published in 2020. In combination, these interventions are beneficial for the patient to enhance the quality of life, avoid frequent hospital admissions, and adequately control the patient’s symptoms.

Let’s now explore how an evidence-based practice model was used to develop the care plan.

The Iowa Model of Evidence-Based Practice was instrumental in guiding me during the development of the care plan. This EBP model emphasizes a structured approach to integrating research into clinical practice while addressing systemic needs. The first step in applying the model involved identifying a problem-focused trigger: the patient’s worsening CHF symptoms, rural location, and limited access to specialized care.

The next step was team collaboration. An assessment of the patient’s needs and possible interventions involved members from the primary care setting and other specialties, including the PCP, cardiologist, nurse, and pharmacist. Integrated working again facilitated care planning that addressed not just clinical factors but also individual needs.

The third step involved evidence appraisal. A comprehensive search for relevant high-quality articles was conducted to examine what has been done toward the effective management of CHF. Information from research on telemonitoring, the effects of ACE inhibitors and diuretics, and education of the patient went into the plan. Notably, the Iowa Model also acknowledges the pilot testing implementation, which, in this case, will be the use of telemonitoring for this patient before a broader test of the model is done.

Finally, the feedback and adaptation phase allows for iterative improvements to the care plan. Virtual follow-ups provide opportunities to assess outcomes, gather patient feedback, and refine interventions based on emerging needs. The Iowa Model ensured that the care plan was evidence-driven, patient-centered, and adaptable.

I will now reflect on the evidence that was most relevant and useful in making decisions.

The development of the care plan relied on several critical pieces of evidence. The most relevant was research on the effectiveness of telemonitoring. Notably, research conducted by Ilardo and Speciale in 2020 proves that telemonitoring decreases the number of readmissions because it allows for the identification of worsening symptoms and enhances patient self-management. This intervention was particularly useful given the patient was rural, and it often isn’t feasible to meet with patients face-to-face.

Evidence supporting the use of ACE inhibitors and diuretics was equally valuable. The evidence regarding ACE inhibitor therapy and diuretic therapy was, therefore, of equal significance. Published medical facts and evidence-based practice guidelines outline their value in the improvement of cardiac function, reduction of volume load, and mortality in CHF.

Additionally, evidence on the impact of patient education was pivotal. A publication from 2021, written by Flaubert, revealed that patients with good knowledge of their conditions, the available therapies, and alterations in lifestyle improve compliance with care management plans and outcomes. This informed the inclusion of education sessions with the pharmacist and involving the family in the care process.

These sources were chosen based on their reliability and usefulness in managing CHF as well as the patient-targeted issues. Together, they helped provide a holistic and evidence-based medicine approach, as was expected in Harmony Health.

Lastly, let me discuss the benefits and strategies of mitigating challenges in interdisciplinary collaboration in a remote team.

This care plan was developed and implemented with the help of remote collaboration. One of the major benefits was bringing together input from a multidisciplinary team despite geographical barriers. Each team member contributed valuable insights, which helped develop a comprehensive care plan. Moreover, telemonitoring and virtual consultations ensured continuous monitoring and timely interventions.

Nonetheless, there were some difficulties. To begin with, there was a technological challenge, as the patient and his family were not fully conversant with the use of telemonitoring tools. Another challenge involved conveying information across the team since due to the physical distance between the team members, leading to inefficiency or misconceptions.

To address these challenges, I propose several strategies. First, I advise technical training and assistance to the patient and his family to feel at ease in using some equipment through telemonitoring. Second, I propose providing clear communication processes, including, for example, data exchange in a single electronic health format.

Lastly, I recommend weekly or bi-weekly virtual meetings for the team to discuss the patient’s updates and issues, as well as the flow of work and alignment to the set goals. These strategies will enhance the effective partnership and guarantee the patient the right quality compounded with evidence-based treatment.

In conclusion, this evidence-based care plan for the 65-year-old CHF patient leverages medication therapy, telemonitoring, patient education, and interdisciplinary collaboration to address his unique needs. The Iowa Model of Evidence-Based Practice provided a structured framework for developing and implementing the plan, ensuring it was evidence-driven and patient-centered. While remote collaboration presents challenges, proactive strategies can enhance its effectiveness, ultimately improving the patient’s outcomes and quality of life.

References

Flaubert, J. (2021). The role of nurses in improving health care access and quality. In www.ncbi.nlm.nih.gov. National Academies Press (US). https://www.ncbi.nlm.nih.gov/books/NBK573910/

Goyal, A., Cusick, A. S., & Thielemier, B. (2023, June 26). ACE inhibitors. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK430896/

Ilardo, M. L., & Speciale, A. (2020). The community pharmacist: Perceived barriers and patient-centered care communication. International Journal of Environmental Research and Public Health, 17(2). https://doi.org/10.3390/ijerph17020536

Wadden, T. A., Tronieri, J. S., & Butryn, M. L. (2020). Lifestyle modification approaches for the treatment of obesity in adults. American Psychologist, 75(2), 235–251. https://doi.org/10.1037/amp0000517

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Instructions

Create a 5-10 minute video of yourself, as a presenter, in which you will propose an evidence-based plan to improve the outcomes the patient in the provided case study, 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-based care.

Preparation
Before beginning this assessment, it would be helpful to review the following media activity to examine another example of remote collaboration:

• Vila Health: Remote Collaboration on Evidence-Based Care.

You may also 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.

Scenario

• Review the case study in the Assessment 04 Supplement: Remote Collaboration and Evidence-Based Care [PDF] ]resource. You will use this case study as the focus for this assessment.(Attached)

Instructions

• 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 case study presented in the Assessment 04 Supplement: Remote Collaboration and Evidence-Based Care [PDF] resource. Add your thoughts on what more could be done for the patient 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.

Remote Collaboration and Evidence-Based Care: Video Script

• 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 in the provided case study.
• 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 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.