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Remote Collaboration And Evidence-Based Care Discussion

Remote Collaboration And Evidence-Based Care Discussion

Attached is some resources you can use I will also attach the transcript from the vila health case that you will base this paper on

https://connect.springerpub.com/content/book/978-0-8261-2759-4/back-matter/bmatter1

Indra, V. (2018). A review on models of evidence-based practice. Asian Journal of Nursing Education and Research, 8(4), 549-552.

Gawlinski, A., & Rutledge, D. (2008). Selecting a model for evidence-based practice changes. [PDF]. AACN Advanced Critical Care, 19(3) 291-300. https://www.kau.edu.sa/Files/0004020/Subjects/EBP%20Changes%20project.pdf

Barret, D. (2017). Rethinking presence: A grounded theory of nurses and teleconsultation. Journal of Clinical Nursing, 26(19/20), 157-159.

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RHIhub. (n.d.). Telehealth use in rural healthcare. https://www.ruralhealthinfo.org/topics/telehealth
This online resource repository could be helpful in examining ways in which telehealth care is delivered, as well as how you might blend evidence-based care delivery to telehealth patients

My name is XXX, and I’m delighted to have you all here for my presentation today. During this presentation, I will provide an evidence-based treatment plan for the client that I feel will improve the overall prognosis of her condition. Moreover, I will describe how an evidence‐based practice paradigm and pertinent evidence informed my treatment plan development. I will also outline the advantages of remote collaboration and provide strategies for overcoming obstacles to effective collaboration. Remote Collaboration And Evidence-Based Care Discussion

Here is a quick rundown of the case I will be basing on. Caitlyn, a 2-year-old girl, was hospitalized with pneumonia. The results of the testing indicated that Caitlynn had Cystic Fibrosis. She hails from a remote location that is more than an hour’s journey from the medical center where she is being treated. Both of Caitlynn’s parents have demanding jobs and are separated. Caitlynn’s pediatrician, Dr. Benjamin, has little to no background in dealing with cystic fibrosis. He plans to work with a seasoned physician at the hospital to care for Caitlynn so that she does not have to make frequent journeys.

Evidence-Based Care Plan

Let me now discuss the evidence-based approach I intend to take with this patient. Individuals with cystic fibrosis need special care, including making sure they get enough oxygen, eat well, and drink enough liquids. It also entails the adoption of ways to remove pulmonary discharges and the adoption of precautions to avoid further problems (Rasheed et al., 2019). The management of cystic fibrosis is difficult, time demanding, and calls for a team effort from many various professionals. Caitlynn’s circumstance warrants the application of telemedicine for her treatment and ongoing care. The term “telemedicine” describes the delivery of medical treatment and information via digital and telecommunications networks. In areas where patients have difficulty getting to physicians owing to limitations like distance, telemedicine is the best option to offer treatment and improve patient outcomes. The patient’s home is located a significant distance away from the hospital, and both of her parents have demanding work schedules. As a result, it’s challenging to get her to Valley City Regional Hospital, wherein doctors and nurses have greater expertise in dealing with her condition.

Telemedicine, as noted by Haleem et al. (2021), enables remote communication between medical professionals and patients, facilitating the provision of treatment, education, consultation, and monitoring. Caitlynn’s rural hometown, like many others like it, has a medical facility that benefits from digital communications and clinical recordkeeping capabilities to link with other facilities and improve patient care. It is possible for Dr. Benjamin to engage with other clinical personnel at Valley City Regional Hospital by using these services. Caitlynn will undergo virtual evaluation and monitoring by clinical experts thanks to advances in telecommunications technology. Such experts can help Caitlynn’s parents and local medical staff better handle the disease by sharing their knowledge and expertise. According to Monfort-Vinuesa et al. (2020), through the use of telemedicine, a group of specialists may provide medical care to patients even when they are located in remote places. Remote Collaboration And Evidence-Based Care Discussion

Role of Evidence in Developing the Care Plan

I will now explain how I used the available evidence to formulate my EBP approach. It was only after doing some research on telemedicine’s efficacy that I decided to apply it in this case instead of having the patient travel to the Valley City Regional Hospital, which would take long hours. I made my choice based on the information in two publications. A comprehensive analysis of the efficacy of telemedicine was carried out by Monfort-Vinuesa et al. (2020) and is included in their publication. From what they were able to glean from their research, it seems that telemedicine may greatly improve access to specialized healthcare for people living in remote and rural areas. After reviewing a research paper by Haleem et al. (2018), I felt more confident in my decision to use telemedicine to treat Caitlynn’s illness from a distance. According to this article, telemedicine may be just as beneficial as conventional treatment if it is properly administered. As such, telemedicine is a promising paradigm for bringing much-needed healthcare services to patients in underserved areas, such as remote and rural individuals dealing with chronic illnesses.

Evidence-based Practice Model

The implementation of the Stetler model at Villa Health would be important in ensuring the delivery of high-quality treatment by medical staff. By using this framework, medical professionals may examine and weigh the results of studies and other trustworthy data necessary for the safe and effective delivery of treatments to their clients (Indra, 2018)Remote Collaboration And Evidence-Based Care Discussion. In this scenario, the medical professionals at Villa Health would study the symptoms that are present in the patient and review the results to validate her health status. This would be preferable to treating Caitlyn for the same disease without detecting any progress. The Stetler as an evidence-based practice model is also useful for remote collaboration since it is grounded on studies and allows for better knowledgeable judgments and more accurate evaluations of the client’s health issues (Indra, 2018). Because the settler model places a premium on the incorporation of evidence-based practice (EBP) into the treatment plan, it is the recommended method for mitigating the potentially devastating effects of medical errors such as improper dosing and prescribing.

Benefits of Remote Collaboration in the Scenario

I would like to explain how working together remotely may help in this case. Telemedicine patients may gain from remote collaboration in a number of ways, including the elimination of the need for them to make an out-of-pocket trip to the hospital or clinic (Gao et al., 2020). Caitlynn’s parents are capable of keeping up with her medical needs thanks to remote collaboration given the availability of telemedicine appointments that may be scheduled during off-hours. Additionally, the parents are able to consult with professionals who are not readily accessible in their region because of remote collaboration. Caitlynn’s parents initially not knowing how to utilize telemedicine technology was the primary difficulty found in this case. Clients’ lack of familiarity with telemedicine, as stated by Haleem et al. (2018)Remote Collaboration And Evidence-Based Care Discussion, may be a barrier to the broader use of this technology. Ideally, Dr. Benjamin and his team would have interviewed the patient’s parents to find out which telemedicine equipment they were most comfortable with.

Conclusion

Individuals in rural areas may now access evidence-based treatment options and better outcomes because of telemedicine’s ability to facilitate remote collaboration. There is mounting evidence indicating that remote collaboration may be a flexible and cost-effective replacement for conventional service delivery methods. As nurses and advocates of our patients, we need to be familiar with the potential of remote collaboration to help those who find it difficult to access healthcare.

References

Gao, J., Fan, C., Chen, B., Fan, Z., Li, L., Wang, L., Ma, Q., He, X., Zhai, Y., & Zhao, J. (2022). Telemedicine is becoming an increasingly popular way to resolve the unequal distribution of healthcare resources: Evidence from China. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.916303

Haleem, A., Javaid, M., Singh, R. P., & Suman, R. (2021). Telemedicine for healthcare: Capabilities, features, barriers, and applications. Sensors International, 2, 100117. https://doi.org/10.1016/j.sintl.2021.100117

Indra, V. (2018). A review on models of evidence-based practice. Asian Journal of Nursing Education and Research, 8(4), 549. https://doi.org/10.5958/2349-2996.2018.00115.5 Remote Collaboration And Evidence-Based Care Discussion

Monfort-Vinuesa, C., Gil-López, P., Ramírez-Olivencia, G., Chivato-Pérez, T., Coca-Benito, D., & Mata-Forte, T. (2022). Application of telemedicine in infectious diseases. Enfermedades infecciosas y microbiologia clinica (English ed.). https://doi.org/10.1016/j.eimce.2022.06.012

Rasheed, R. A., Alsugheir, F. H., Alsugheir, S. H., Alzaaqi, R. A., Hijji, F. A., Alharbi, A. S., … & Alrashed, Z. H. (2019). Cystic Fibrosis Diagnosis and Management in Children: A Simple Literature Review. Archives of Pharmacy Practice, 1, 33. https://archivepp.com/storage/models/article/zM40tEhGjM335mR9HlnD2Os9G5xzJxoRhvuEvDjs1wqTqz89ZFH29SJK2LMD/cystic-fibrosis-diagnosis-and-management-in-children.pdf

Vila Health Transcript of case Assessment 4

Dr. Copeland starts the conversation.

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. Copeland starts the conversation.

 

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. Remote Collaboration And Evidence-Based Care Discussion

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

Dr. Copeland and Virginia Anderson talk to Dr. Benjamin about how his office can coordinate with the hospital on Caitlynn’s care.
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.

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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. Remote Collaboration And Evidence-Based Care Discussion

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.

Virginia starts the conversation.

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. Remote Collaboration And Evidence-Based Care Discussion

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.

Virginia and Rebecca call Janice (respiratory therapist), on Skype, to answer her questions.

Virginia Anderson starts the conversation.

 

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. Remote Collaboration And Evidence-Based Care Discussion

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.

Assessment 4 Instructions: Remote Collaboration and Evidence-Based Care

Top of Form

Bottom of Form

  • PRINT
  • 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 Discussion

Introduction

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.

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: Remote Collaboration And Evidence-Based Care Discussion

    • 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: Remote Collaboration And Evidence-Based Care Discussion

    • 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 [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 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. Remote Collaboration And Evidence-Based Care Discussion

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.

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      • 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. Remote Collaboration And Evidence-Based Care Discussion