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NURS FPX 4030 Assessment 4 Remote Collaboration and Evidence Based Care

Student Name Capella University NURS4030 Making Evidence-Based Decisions Prof. Name Date Remote Collaboration and Evidence-Based Care Hello, my name is ________, and I am here to propose an evidence-based plan geared at improving the results of our Vila Health patients. I will thoroughly explore the topic of remote collaboration and its broad implications in the setting of providing effective and beneficial healthcare services. In addition, we shall look at the benefits and drawbacks of remote cooperation, which is critical in today’s healthcare environment. I will also provide observations from relevant research outcomes essential in building our evidence-based care approach. Ultimately, we shall look at some of the issues that interdisciplinary teams face when working remotely and techniques for successfully navigating and overcoming these challenges. Initially, I would like you to develop a firm knowledge of remote collaboration and its crucial importance in healthcare procedures. Remote collaboration is a dynamic and repetitive process that includes several stages, such as exchanging and perceiving collaborative information, user interactions for expressing collaborative goals and manipulating physical elements. Its interdisciplinary nature distinguishes it and frequently necessitates considerable resources and time investment. This strategy can transcend geographical boundaries, allowing users to embrace flexible lifestyles and assuring equal access to resources (Wang et al., 2021). Moving forward, I will illustrate a scenario from Vila Health Organization, wherein a diverse team of medical professionals is involved in remote collaboration to ensure patients receive adequate care and management through various telecommunication methods. The Scenario Behind Evidence-based Care Plan In this particular scenario, a two-year-old girl called Caitlynn is taken to the emergency room due to breathing problems. Virginia, a certified nurse, and Dr. Copeland, a physician, oversee her care. Her physician examination reveals she has respiratory issues, including Rhonchi and shortened breathing noises at the right base. Virginia, a certified nurse, and Dr. Copeland, a physician, oversee her care at 32 per minute and malabsorption of nutrients. According to Caitlynn’s medical history, she had meconium ileus at birth and had previously been admitted for similar conditions. A laboratory sweat chloride test is used to confirm the cystic fibrosis diagnosis. A respiratory therapist provides aerosol nebulizers and chest physical therapy. The medical staff notes several obstacles to Caitlynn’s care, including her home’s distance from the hospital, her parents’ separation, and the need to educate Caitlynn’s family on managing her cystic fibrosis. To handle the emotional and logistical challenges faced by the family, the hospital healthcare staff consulted with a local social worker where the family resides. Moreover, the healthcare professionals consulted with Dr. Benjamin, Caitlynn’s pediatrician, to coordinate her care. NURS FPX 4030 Assessment 4 Remote Collaboration and Evidence Based Care They decided to implement remote cooperation to improve the outcomes of patients’ health.  They talked about telemedicine access, vaccinations, and the treatment plan. To explain nebulization and chest physiotherapy to Caitlynn’s parents, the respiratory therapist conducts Skype consultations. The healthcare professionals also connected via Skype with parents to guide them regarding Caitlynn’s physical chest therapy by giving advice and emphasizing the significance of monitoring for symptoms of respiratory trouble, as Cystic fibrosis is a chronic condition.  Evidence-based Care Plan for Vila Health Patients The presented scenario is a straightforward guide for healthcare specialists to improve patient outcomes through evidence-based knowledge exchange, telemedicine, and optimizing healthcare delivery in a time when distant healthcare is becoming increasingly important. With the help of the following evidence-based research articles, I would like to present an Evidence-based care plan for Caitlynn to help her cystic fibrosis achieve the desired healthcare outcomes. These guidelines of the care plan are: Because of the patient’s young age, it is especially crucial to emphasize family involvement to promote successful long-term self-management. Controlling infections is crucial to treating CF. Caitlynn’s risk of respiratory infections will be reduced by hand cleanliness, and she will obtain all advised vaccinations and screening (Barben et al., 2021). Secondly, educating her family about the airway clearance technique and observing her oxygen level is essential. A study by Terlizzi et al. (2021) explains that due to the risk of respiratory infections, it is important for CF patients to have an airway without any secretions. NURS FPX 4030 Assessment 4 Remote Collaboration and Evidence Based Care Thus, suctioning and giving adequate oxygen support is necessary. Next, I will discuss the importance of nutrition for CF patients. A specific meal plan for Caitlynn will be developed as part of our treatment strategy in close collaboration with a nutritionist. With the help of this strategy, she will be able to manage the difficulties caused by CF-related malabsorption while receiving the nutrients she needs for growth and development (Bailey et al., 2022). Further in our care plan, Caitlynn will have access to a local dedicated pediatric-focused care team, including a pediatric pulmonologist, respiratory therapist, dietitian, and social worker with experience treating cystic fibrosis children. Pediatric experts will help develop individualized care plans based on the patient’s needs and preferences. Lastly, the pediatric-focused care team will regularly monitor Caitlynn’s medication schedule. This entails seeing to it that she takes her prescription drugs as directed, checking on their efficacy, and making necessary modifications (Pinto et al., 2019). Integration of Evidence-based Care Model   As the presentation goes on, I will discuss the evidence-based care model that is, Iowa model that was applied to creating this care plan. The IOWA model is a well-established model that leads nurses through the EBP process, integration of professional knowledge, experiences, and preferences; assessment of clinical practice needs and available research; selection, implementation, and evaluation of evidence-based therapies; benchmarking and re-assessment when necessary (Chiwaula et al., 2021). With the help of the IOWA model, I started with a thorough assessment to develop an efficient care plan for Caitlynn with cystic fibrosis. I started the process by thoroughly analyzing the state of the research, assessing the needs for CF control, and identifying specific challenges. Based on the assessment, I chose and implemented evidence-based therapies designed explicitly for CF control. Being able to continuously assess the efficacy of my efforts to control CF. I ensured that my
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NURS FPX 4030 Assessment 3 PICO(T) Questions And An Evidence Based Approach

Student Name Capella University NURS4030 Making Evidence-Based Decisions Prof. Name Date PICO(T) Questions and an Evidence-Based Approach Nurses utilize the PICO(T) question strategy to find evidence for a healthcare problem. The PICO(T) stands for Patient/Population/Problem, Intervention, Comparison of Potential Interventions, Outcomes, and Time frame. With the help of this strategy, nurses can conduct research and gather evidence on a particular problem related to patients to serve them with the best evidence-based care. For this purpose, a healthcare issue is selected, followed by choosing a potential intervention and comparing it with another possible strategy. Lastly, the outcomes are evaluated based on the current evidence, which directs nurses to deliver evidence-based care treatments.  Healthcare Issue to be Explored by PICO(T) Strategy The PICO(T) question to be explored in this assessment is as follows: Do hypertensive patients (P) have better-regulated blood pressure levels (O) through medication therapy (I) or lifestyle modifications (C)? Hypertension is a chronic healthcare issue often encountered by elderly people. According to the World Health Organization, a patient is hypertensive if the blood pressure exceeds 140/90 mmHg. The patients do not experience significant symptoms, requiring regular blood pressure check-ups to diagnose hypertension (World Health Organization, 2023). Timely management of hypertension helps prevent conditions such as angina, heart attack, heart failure, and sudden death. The existing treatment strategies include pharmacological therapy of ACE inhibitors, ARB blockers, Calcium channel blockers, and diuretics.  NURS FPX 4030 Assessment 3 PICO(T) Questions And An Evidence Based Approach Furthermore, lifestyle changes and healthy eating also regulate blood pressure. Many healthcare providers deem pharmacological therapy more effective than lifestyle modification. In contrast, others consider that pharmacological treatment should not be prioritized and a healthier lifestyle can regulate patients’ blood pressure levels. Therefore, nurses need to treat patients with a more practical approach. The PICO(T) strategy can evaluate this, and nurses can deliver evidence-based interventions that are more suitable for patients. With this strategy, nurses can resolve existing conflicts in hypertension management and draw conclusions based on substantial data. Evidence-Based Sources to Answer PICO(T) Question  The sources of evidence that can be potentially effective in solving a PICO(T) question include several databases, relevant journals, and websites on hypertension. The databases available for searching evidence on the above PICO question are PubMed, CINAHL, Google Scholar, Capella University Library, MEDLINE, BioMed Central, and Cochrane Library. The journals that can be sought to obtain evidence-based data on hypertension are the Journal of Hypertension, Hypertension Research, International Journal of Hypertension, and American Journal of Hypertension. Moreover, the American Heart Association, Centers for Disease Control and Prevention, World Health Organization, and Preventive Cardiovascular Nurses Association are websites that highlight hypertension and treatment strategies. These sources are chosen because they align with the CRAAP criteria, ensuring their credibility and relevance when answering PICO questions on hypertension. NURS FPX 4030 Assessment 3 PICO(T) Questions And An Evidence Based Approach CRAAP stands for Currency, Relevance, Authority, Accuracy, and Purpose. All the referred sources are credible and relevant to hypertension and can provide valuable insights into hypertension management as they are up to date. Nurses can integrate these two approaches, i.e., the CRAAP test and PICO question, to obtain meaningful and authentic information on hypertension that can improve patient health outcomes.  Findings From the Relevant Sources Decision-Making on PICO Question Using Findings Considering the findings from evidence-based research data, the decision derived is that prehypertensive patients should first be guided towards non-pharmacological interventions, such as the DASH diet and lifestyle modifications, before considering pharmacological therapy. However, hypertensive patients with BP exceeding 140/90mmHg or with comorbidities are advised to follow physicians’ initial antihypertensive medication. Hypertension can be well regulated by adjuvant therapy of lifestyle modifications and antihypertensive drugs. Nurses must provide patient-centered care tailored to the health needs of hypertensive patients based on the frailty degree, comorbidities, and relevant psychosocial factors.  Conclusion As a chronic health issue, hypertension requires intricate management and long-term care. To implement the best evidence-based care strategy, nurses must look for credible data on hypertension. For this purpose, nurses can use the PICO(T) approach to make the right decisions. Here, the PICO question is whether hypertensive patients have regulated blood pressure via pharmacological therapy or lifestyle modifications. The right decision was based on relevant findings, including lifestyle modification for pre-hypertensives and pharmacological or adjuvant therapy for older people with hypertension and comorbidities.  All the findings are based on CRAAP criteria and offer credible solutions. References  Al-Makki, A., DiPette, D., Whelton, P. K., Murad, M. H., Mustafa, R. A., Acharya, S., Beheiry, H. M., Champagne, B., Connell, K., Cooney, M. T., Ezeigwe, N., Gaziano, T. A., Gidio, A., Lopez-Jaramillo, P., Khan, U. I., Kumarapeli, V., Moran, A. E., Silwimba, M. M., Rayner, B., & Sukonthasan, A. (2021). Hypertension pharmacological treatment in adults: A world health organization guideline executive summary. Hypertension, 79(1). https://doi.org/10.1161/hypertensionaha.121.18192  Fu, J., Liu, Y., Zhang, L., Zhou, L., Li, D., Quan, H., Zhu, L., Hu, F., Li, X., Meng, S., Yan, R., Zhao, S., Onwuka, J. U., Yang, B., Sun, D., & Zhao, Y. (2020). Nonpharmacologic interventions for reducing blood pressure in adults with prehypertension to established hypertension. Journal of the American Heart Association, 9(19). https://doi.org/10.1161/jaha.120.016804  NURS FPX 4030 Assessment 3 PICO(T) Questions And An Evidence Based Approach Oliveros, E., Patel, H., Kyung, S., Fugar, S., Goldberg, A., Madan, N., & Williams, K. A. (2019). Hypertension in older adults: Assessment, management, and challenges. Clinical Cardiology, 43(2), 99–107. https://doi.org/10.1002/clc.23303  Portillo, I. A., Johnson, C. V., & Johnson, S. Y. (2021). Quality evaluation of consumer health information websites found on google using DISCERN, CRAAP, and honcode. Medical Reference Services Quarterly, 40(4), 396–407. https://doi.org/10.1080/02763869.2021.1987799  World Health Organization. (2023). Hypertension. https://www.who.int/news-room/fact-sheets/detail/hypertension#:~:text=Hypertension%20(high%20blood%20pressure)%20is 

NURS FPX 4030 Assessment 2 Determining The Credibility of Evidence and Resources

Student Name Capella University NURS4030 Making Evidence-Based Decisions Prof. Name Date Determining the Credibility of Evidence and Resources Hypertension, commonly known as high blood pressure, is a prevalent health issue affecting millions globally. Its management requires consistent monitoring, accurate treatment protocols, and a deep understanding of patient needs. The ever-evolving medical research landscape necessitates an evidence-based approach to ensure the most effective and contemporary interventions are utilized. In the subsequent sections, we will delve into the importance of evidence-based practices, methodologies to evaluate credibility, and the role of nursing models in the holistic management of hypertension. Evidence-Based Approach for Hypertension Management  Hypertension is a chronic condition of high blood pressure exceeding 140/90 mmHg. This chronic healthcare issue predominantly affects older segments of the population, but younger adults can also be susceptible. Hypertension accounted for causing 691,095 deaths in the U.S. in 2021. Moreover, 45 % of U.S. natives have uncontrolled hypertension, making a population of 37 million U.S. adults with hypertension (CDC, 2023). Hypertension is considered a silent killer as it shows no significant symptoms and can only be diagnosed by measuring blood pressure. Therefore, routine blood pressure examination is essential to diagnose hypertension in patients. Hypertension treatment requires implementing protocols and guidelines to decide the therapeutic plan for patients. Considering the plethora of information available on hypertension, nurses must determine the credibility of evidence and resources. Additionally, they must practice the evidence-based guidelines on hypertension to ensure patients acquire adequate treatment at the required time. Hypertension management is needed to prevent the onset of lethal cardiovascular diseases such as stroke, heart attack, and kidney disorders. Therefore, it is essential to consider evidence-based practices (EBP) for effective and timely management of hypertension that saves patients from life-threatening conditions (Fuchs & Whelton, 2019).  Criteria to Determine Credibility of Resources The CRAAP methodology is a criterion to evaluate the authenticity and credibility of journals, websites, and article resources. The CRAAP criterion is an acronym for Currency, Relevance, Authority, Accuracy, and Purpose. This methodology shares valuable pieces of information on the credibility of resources. For instance, it describes whether the source has been updated and published lately and if it shares insights on the topic under consideration, showing its relevance. Moreover, it tells about the authors and their credibility, the accuracy of claimed points with scholarly references, and the purpose of the journal and article under study, if it brings valuable data or results for the audience. One way to apply this criterion can be done by considering the following bibliography as an example: Li, R., Liang, N., Bu, F., & Hesketh, T. (2020). The effectiveness of self-management of hypertension in adults using mobile health: Systematic review and meta-analysis. JMIR MHealth and UHealth, 8(3), e17776. https://doi.org/10.2196/17776  NURS FPX 4030 Assessment 2 Determining The Credibility of Evidence and Resources Currency: The article mentioned above was published in 2020, falling in the category of the latest articles within the past five years. Relevance: This journal article is specifically related to hypertension and its self-management. Authority: The authors are well-equipped with scientific knowledge of hypertension and have scientific and medical backgrounds in their fields. Accuracy: The claims are well-supported by evidence-based references in this journal article. Purpose: This study aims to provide the audience with results on whether self-management is effective for hypertension using mobile health. Analysis of Credibility and Relevance of Evidence and Resources This section entails some evidence-based resources on hypertension to analyze their credibility and relevance with the CRAAP test. One study on hypertension management was conducted by Timpel et al. (2020) on managing hypertension through telemedicine. This source was published within the last five years, showing its currency and relevance to hypertension. Moreover, the authors share their knowledge on treating hypertension by using technology where patients can acquire consultation on managing hypertension remotely. The article is published in the Journal of Medical Internet Research, which publishes peer-reviewed papers. The authors are specifically from medical backgrounds, where they presented accurate results and findings. Lastly, this study aims to brief the audience on managing hypertension using telehealth and telemedicine.  NURS FPX 4030 Assessment 2 Determining The Credibility of Evidence and Resources Another literature study by Mostafa et al. (2022) highlights antihypertensive effectiveness in controlling hypertension, i.e., Perindopril and Amlodipine. This study was first published in 2022 and fulfills the criterion of currency in the CRAAP test. Moreover, the study mainly talks about hypertension management, showing its relevance to the topic of discussion. The authors are acquainted with medical background and furnished information substantiated sufficiently with scholarly references. The purpose is to manage hypertension using anti-hypertensive agents and their efficacy. Based on the analysis, the most helpful resource is the study conducted by Mostafa and colleagues, as it directly mentions pharmacological ways to control hypertension and prevent lethal cardiovascular diseases. Importance of Evidence-Based Practice Model Nurses use evidence-based practice models to incorporate credible evidence to address various healthcare issues. Several evidence-based practice models exist in the literature, including Johns Hopkins, Stetler, and Iowa. These EBP models help nurses make informed decisions based on the evidence available. Moreover, integrating evidence-based data into these models promotes the delivery of effective care treatments by identifying relevant interventions. This will lead to better patient health outcomes and efficient use of resources. Additionally, this will result in cost-effective care treatments as healthcare providers make informed decisions based on evidence incorporated into EBP models.  NURS FPX 4030 Assessment 2 Determining The Credibility of Evidence and Resources The Johns Hopkins Nursing Model comprises three key steps: identification of practice question (effective hypertension management), gathering evidence (literature on hypertension treatment), and Translation (plan hypertension treatment, implement them and evaluate results, and communicate with an interdisciplinary team for managing hypertension) (Rice, 2023). The literature will be located for hypertension management, and evidence will be gathered. After gathering data on the treatment of hypertension, the plan for hypertension management is developed, considering various factors such as patient health needs and preferences and cultural sensitivity while merging clinical expertise. The extended plan for hypertension management
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NURS FPX 4030 Assessment 1 Locating Credible Databases and Research

Student Name Capella University NURS4030 Making Evidence-Based Decisions Prof. Name Date Locating Credible Databases and Research Hypertension is one of the common chronic diseases prevalent in the older population. About 626 million women and 652 million men around the globe acquired hypertension in 2019. Hypertension has caused 8.5 million deaths due to ischemic heart, renal, stroke, and other vascular diseases (Zhou et al., 2021). Effective management and treatment of hypertension necessitates deep research into best evidence-based practices that improve the quality of life among affected patients. Nursing staff must utilize Evidence-Based Practices (EBP) in their clinical practice to provide the best quality care to hypertensive patients. This assessment focuses on a newly recruited nurse who recently completed her orientation and needs to care for a patient suffering from hypertension for the last three years. Her goal is to provide patients with patient-centered care strengthened by evidence-based practices. Therefore, she is responsible for creating a care plan for her patient based on current research and substantiated evidence.  Communication and Collaboration Strategies for Nurses  As a baccalaureate-prepared nurse, I supervise clinical staff, locating effective evidence for hypertension management. For this purpose, nurse leaders must have prowess in improving communication and collaboration with novice nurses. Good communication and cooperation are necessary to guide and encourage apprentice nurses in locating authentic, credible, and effective practices for treating hypertension. Communication and collaboration can be enhanced by organizing workshops or meetings on the importance of research in nursing practice and how effective research can improve patients’ health.  Moreover, using digital communication apps to share resources promotes the exchange of research findings among nurses, and sharing reviews digitally can be another collaboration strategy with enhanced communication. This will overcome time constraints and geographical barriers as nurses can discuss research remotely (Sharifi et al., 2021). Additionally, nurse leaders must assess the cultural background from which the novice nurse comes develop interventions accordingly to foster teamwork, and use appropriate language common to both nurses to overcome language barriers. Furthermore, delegating tasks on researching various databases can be another collaborative strategy (Campbell et al., 2020). NURS FPX 4030 Assessment 1 Locating Credible Databases and Research Nurses can also conduct meetings with interdisciplinary teams to enhance collaboration where different healthcare professionals discuss the significance of research and ways to locate the best evidence for a particular diagnosis. This will improve nurses’ knowledge as experts share their insights, foster teamwork, and strengthen nurses’ ability to access various resources (Donesky et al., 2020).  These collaboration and communication strategies build professional competence and foster positive relationships with healthcare professionals. Through this teamwork, care coordination can be ensured, and improved quality of care will be delivered, leading to improved patient care outcomes. The Best Places to Complete Research within the Workplace The best places for nurses to conduct research within the workplace can be laboratories equipped with computers and access to a broad range of databases and medical libraries with medical textbooks, nursing journals on hypertension, research papers on managing hypertension, and clinical guidelines. These resources can be effectively utilized to delve into current studies on hypertension and how hypertension cases are handled. Nurses can gain valuable insights and knowledge from the literature within these resources. Additionally, meeting or conference rooms can also be used, which provide a space for interdisciplinary collaboration required to complete research. The reasons for utilizing these places within the healthcare setting are that libraries with many books on current evidence-based practices of treating hypertension will enhance nurses’ knowledge. Moreover, utilizing places within a healthcare setting can be advantageous as patient care can be immediately provided upon intricate research, reducing delays in care treatments. The Five Credible Sources for Hypertension While a pool of knowledge exists online, nurses must look for sound knowledge from credible sources. The five credible sources for hypertension include the website “American Heart Association,” a non-profit organization providing treatment and management strategies fortified by current evidence on heart diseases. Medical journals include the “American Journal of Hypertension,” the “Journal of the American Heart Association,” and the “Journal of Hypertension and Management”. Furthermore, the “Centers for Disease Control and Prevention” and “World Health Organization” websites also offer authoritative information on the prevalence of hypertension and treatment guidelines. Nurse staff should consult with these sources, as they provide evidence-based knowledge and procedures to treat hypertension. Among all the five resources, the American Heart Association is the most useful for nurses seeking correct data and guidelines on hypertension diagnosis, management, and treatment (American Heart Association, 2019). Why Should the Sources Selected Provide the Best Evidence? The five selected sources are especially suited for providing the best evidence because they focus specifically on the issue at hand, which is hypertension. Moreover, they provide evidence-based research data that shows the effectiveness of the management approaches for hypertension. Additionally, after extensive research, healthcare professionals critically select the guidelines for hypertension diagnosis. The credibility and relevance of these sources can be evaluated by following the CRAAP criteria. NURS FPX 4030 Assessment 1 Locating Credible Databases and Research This criterion helps nurses evaluate the significance of these sources to their current diagnosis issue. The CRAAP criteria are Currency, Relevance, Authority, Accuracy, and Purpose. This criteria evaluates if the source of information is up to date, having been published within the last five years, and whether it is relevant to the subject at hand. It also assesses whether the authors are experts in the relevant field, if the conclusions are supported by evidence, and what the purpose of the published study is.The five credible sources mentioned above meet the criterion and can be utilized as an evidence-based practice for treating hypertensive patients (Muis et al., 2022).   Conclusion Nurse staff are the forefront caretakers, responsible for providing effective and evidence-based care treatments to patients. It is paramount for nurses to locate credible databases for finding diagnoses. This assessment focuses on how nurses, in collaboration with nurse leaders, can locate credible databases for hypertension. For this purpose, effective communication and collaboration strategies are vital to implement, encouraging
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