Remote Collaboration and Evidence-Based Care
Technology has led to great advances in a wide range of sectors, including healthcare. Chronic illness management, which involves lifetime interventions, benefits immensely from technology. Caitlynn Bergan, for example, has been diagnosed with cystic fibrosis, which is managed in two healthcare institutions, McHenry and Valley City Regional Hospital.
A telemedical method is utilized to provide a seamless transition of care between the many care professionals assigned to the patient, with text messaging, phone conversations, and emails serving as the primary means of communication.
The objective of this paper, using Caitlynn Bergan’s case scenario, is to present an evidence-based care plan and evidence-based plan model, and highlight the advantages of remote collaboration in the scenario, as well as methods to solve collaboration obstacles observed.
Evidence-Based Care Plan to improve Safety and Outcomes of the Patient
Given that cystic fibrosis is a multiorgan disease, the evidence-based treatment plan I propose for the patient calls for the collaboration of an interdisciplinary team. However, before the care plan, it is necessary to determine the demography of the patient, which in this instance is a pediatric patient.
Pediatric cystic fibrosis management may be more difficult than adult cystic fibrosis management owing to the significant amount of assistance children need from caregivers, parents, and the care team. This is why teamwork between multiple healthcare practitioners, as well as the patient’s family, is critical in ensuring patient care objectives are met.
The care plan I propose contains the objectives as follows: maintaining airway patency, managing pain, infection prevention and prophylaxis, and bronchodilation. All these strategies are nonetheless aggregated into a telemedical tool and delivered as appropriate. Patients with cystic fibrosis produce thick respiratory secretions with the potential to occlude the airway, therefore justifying the necessity for airway clearance (Gbian & Omri, 2021).
As observed, Caitlynn’s parents utilize percussion as a chest physiotherapy intervention; however, since the strong pressing during percussion produces blanching of the chest wall, alternative tactics such as puffing will be useful when the right age is reached. Additionally, inhaled airway-clearing medications such as Albuterol substantially help maintain a clean and patent airway.
Prevention of infection via seasoned influenza vaccination, pneumococcal vaccine, and Covid19 vaccine is part of the care plan, with further health education to the parent on additional infection control methods such as hand hygiene. Pain, being one of the major reasons individuals seek medical care, is an essential symptom to address and may mandate the use of analgesics if appropriate.
Telemedicine is a consolidated strategy for attaining the aforementioned goals. Telemedicine increases access to care and can be as simple as a phone call or text message. In the case scenario, Dr. Copeland and Virginia Anderson, the healthcare providers assigned to Caitlynn, state that text messaging is the quickest method to contact them if there is an urgent care problem.
One study indicated that access to treatment increased for people with cystic fibrosis who live in remote locations, with more than 90% of patients attending virtual clinic appointments (Solomon et al., 2021). Telemedicine also increases communication between the care team and the patient, or among the care providers assigned to the patient. It improves medication adherence as a result of the patients’ and caregivers’ attentive monitoring and observation.
Telemedicine is more cost-effective than traditional physical outpatient or inpatient visits. One study reported that 70% of patients were pleased, and 80% recommended it to others owing to its low cost (Desimone et al., 2021). Patient safety, quality, and overall results increase when all plans are included in the telemedical intervention.
Evidence-Based Practice Model
Evidence-based practice models are effective problem-solving tools in clinical decision-making. While not mentioned, it is clear that the Johns Hopkins evidence-based model was used in the case scenario. The Johns Hopkins EBP approach consists of three clear steps: (1) identifying the issue, (2) determining the best evidence to answer the question, and (3) transferring the evidence to practice (Dang et al., 2021).
Caitlynn’s care professionals from both hospitals, McHenry and Valley City, make a phone conversation to identify the patient’s top concerns, fulfilling the first part of the John Hopkins’ evidence-based practice model. The care professionals are able to determine that Bergan’s insurance may not cover the patient’s breathing and medications, that she does not have home internet or a library, and that her parents do not have a support group to assist them in dealing with their child’s difficult chronic disease.
The care team then creates strategies (second phase of the strategy), such as exchanges through phone calls and text messaging, and advises Bergan’s family to use Cooperstown Medical Center’s library. The last step, which includes turning evidence into practice, is seen when Caitlynn’s care professionals continue to engage via a phone conversation to educate the mother on how to conduct chest physiotherapy and answer her questions.
Most Relevant and Useful Evidence in Making Care Plan Decisions
Several papers were discovered during my quest for relevant sources that would be helpful in clinical decision-making in Caitlynn’s case. Gbian and Omri (2021) developed the most appropriate and well-organized plan of care for patients with cystic fibrosis, which can be duplicated in every case situation.
First, Gbian and Omri (2021) acknowledge that cystic fibrosis patients need a multidisciplinary approach to treatment, listing the following objectives and plan of care: airway clearance, mucolytic medications, anti-inflammatory medications, infection prevention and prophylaxis, and pain management. As aforementioned, the objectives can be incorporated into a telemedical intervention and delivered via collaborative efforts.
The article’s currency (published in the recent five years), relevance in addressing the healthcare condition in question, and accuracy since the paper has a rich backup of evidence and is authored by luminaries in the department of chemistry and biochemistry all contribute to its credibility.
Benefits of Remote Interdisciplinary Collaboration and Strategies for Overcoming Challenges
Remote multidisciplinary collaboration between healthcare providers, patients, and family members improves access to care. Patients, as seen in Caitlynn’s case, may access care services at any time without having to contact physically with the care team.
Second, remote multidisciplinary cooperation increases communication between the care team and the patient or her caregivers, boosting health education and providing prompt access to the care team in the event of an acute exacerbation of symptoms.
According to Desimone et al. (2021), many patients with cystic fibrosis in rural places find multidisciplinary collaboration through telemedicine to be a pleasant tool and advocate it as a cost-effective treatment option for other patients. While it may offer various advantages, there are also drawbacks to this kind of treatment. Remote virtual interactions lack a physical assessment, limiting the diagnosis and treatment of some cystic fibrosis complications (Desimone et al., 2021).
To address this issue, a caregiver should be taught critical fundamental examination and evaluation skills, as exemplified by Janice learning how to administer efficient chest physiotherapy. Furthermore, there are concerns with reimbursements, which have long been restricted to people living in designated rural regions. However, policies may be formulated to remove such obstacles, as seen during the emergence of Covid19, where the requirement for physical distancing to minimize transmission rates was the most urgent issue.
Cystic fibrosis, a life-shortening autosomal recessive disease, is a cause for worry due to its morbidity and mortality. Even though cystic fibrosis is a multiorgan illness, pulmonary disease remains the predominant cause of morbidity and death in persons with the condition. Patients with cystic fibrosis need a multidisciplinary approach to treatment, which may be offered even without a physical encounter, thanks to telemedical intervention.
Caitlynn’s caregivers devise an efficient telemedical care plan in which they connect through phone calls, text messaging, emails, and Skype to alleviate the patient’s suffering. The approach’s advantages, such as greater access to care, enhanced communication, and cost-effectiveness, outweigh its disadvantages, such as the restricted ability to undertake a physical examination of the patient.
Dang, D., Dearholt, S. L., Bissett, K., Ascenzi, J., & Whalen, M. (2021). Johns Hopkins Evidence-Based Practice for nurses and Healthcare Professionals: Model and Guidelines, Fourth Edition. Sigma Theta Tau. https://books.google.at/books?id=m4k4EAAAQBAJ
Desimone, M. E., Sherwood, J., Soltman, S. C., & Moran, A. (2021). Telemedicine in cystic fibrosis. Journal of Clinical & Translational Endocrinology, 26(100270), 100270. https://doi.org/10.1016/j.jcte.2021.100270
Gbian, D. L., & Omri, A. (2021). Current and novel therapeutic strategies for the management of cystic fibrosis. Expert Opinion on Drug Delivery, 18(5), 535–552. https://doi.org/10.1080/17425247.2021.1874343
Solomon, G. M., Bailey, J., Lawlor, J., Scalia, P., Sawicki, G. S., Dowd, C., Sabadosa, K. A., & Van Citters, A. (2021). Patient and family experience of telehealth care delivery as part of the CF chronic care model early in the COVID-19 pandemic. Journal of Cystic Fibrosis: Official Journal of the European Cystic Fibrosis Society, 20 Suppl 3, 41–46. https://doi.org/10.1016/j.jcf.2021.09.005
Assessment 4 Instructions: Remote Collaboration and Evidence-Based Care
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.
As technologies and the health care 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 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.
The Vila Health: Remote Collaboration on Evidence-Based Care simulation provide the context for this assessment.
Before beginning this assessment, make sure you have worked through the following media:
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.
- 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.
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.
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.