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Capella 4030 Assessment 4

Capella 4030 Assessment 4 Remote Collaboration and Evidence-Based Care

Student Name

Capella University

NURS-FPX 4030 Making Evidence-Based Decisions

Prof. Name

Date

Remote Collaboration and Evidence-Based Care

Hello everyone, my name is Chalonda and today I will present an evidence-based plan to improve the outcomes for the Vila Health patient. I will also cover remote collaboration and what are the benefits and challenges encountered in remote collaboration for the effective delivery of healthcare. Further, I will share the relevant findings from the resources that assisted me in developing the evidence-based care plan. Lastly, I identified some of the challenges which are faced by interprofessional teams in terms of collaborating remotely and the strategies to mitigate those challenges. 

To begin with, I would like you to understand the concept of remote collaboration and why it is important in healthcare practices. So basically, remote collaboration is defined as the minimization of geographical barriers by the implementation of telecommunication methods to effectively collaborate with the team living in different parts of the world. This type of collaboration has improved healthcare accessibility for patients who are unable to approach healthcare facilities due to commutation and financial barriers. Moreover, it has also improved healthcare outcomes through the provision of immediate and accessible care (Haleem et al., 2021). 

Remote collaboration can only be successful if the team develops effective communication methods within them. For this purpose, useful communication tools should be used. Next, I will share a similar scenario from the Vila Health facility where a multidisciplinary team remotely collaborated with a patient using various telecommunication methods. 

The Background of Scenario 

Caitlyn, a two-year-old female patient, presented in the ER with a complaint of breathing difficulties. A pediatrician, Dr. Copeland along with Virginia, a registered nurse, undertook the patient to manage her condition. Her history revealed that she has been admitted to the hospital twice in the last six months with similar issues. Moreover, she had meconium ileus at the time of birth. Her clinical examination presents decreased breath sounds at the bases of the right lung whereas rhonchi are heard in the upper lobes.

Vitals showed a respiratory rate of 32 per min and a temperature of 101. Since she is having breathing problems, a respiratory therapist has been involved who has administered her aerosol nebulizers, and her chest physiotherapy is performed too. A lab investigation of the sweat chlorine test confirmed that the patient is a cystic fibrosis case. The healthcare professionals together discussed the barriers to care that Caitlyn may encounter. Some of the barriers identified were the distance of their home from the hospital, the separation between parents, and the parents may need further education in terms of Caitlyn’s treatment. Healthcare professionals consulted with the social worker and decided to follow remote collaboration to achieve better patient outcomes.

The respiratory therapist volunteered for Skype meetings with the parents to help them learn nebulization and chest physiotherapy. Nurses and doctors kept themselves available for the patient’s condition and management throughout. Moreover, the doctor also collaborated with local healthcare facilities in Caitlyn’s residence to ensure that she receives immediate and effective treatment in complicated situations.  Since cystic fibrosis is a life-threatening condition and can put the risk of mortality, healthcare professionals found it essential to provide care using telemedicine to ensure the patient remains safe and free from complications. 

Evidence-based Care Plan for Vila Health Patient

This scenario presented is a clear example of effective communication and collaboration among healthcare professionals in remote settings. Healthcare professionals tried their best to provide patients a safer, immediate, and quality care that can prevent complications and reduce mortality risk. I would like to present a care plan for Caitlyn which is developed using evidence-based practices to achieve desired outcomes. 

Cystic fibrosis (CF) is a life-threatening respiratory condition that is commonly found in children. It is presented as the accumulation of exudates in the lungs and thoracic cavity which causes shortness of breath, increased respirations, and inability to breathe adequately (Shteinberg et al., 2021). A study mentions that in the US, cystic fibrosis is common in 1/4000 newborn babies. In Caucasians, the number of CF cases is 1/3000 people while it is 1/4000-10,000 in Latin Americans (Ni et al., 2022). Some of the strategies that will be included for Caitlyn in the care plan are: a) Airway clearance, b) Adequate oxygenation, c) Prevention of infections, and d) Adequate nutrition (Chen et al., 2021). Moreover, parents and Caitlyn’s mental health and well-being, as well as, feasibility in terms of appointments should be prioritized too.  

Integration of Evidence-based Care Model

Further in the presentation, I will discuss the evidence-based care model that has been used to develop this care plan. The model used is the Iowa model for nurses. This model was developed in the 1990s to help nurses effectively integrate evidence-based research in planning, managing, and caring for their patients (Chiwaula et al., 2021). I used the steps of the EBP model to effectively develop the care plan for Caitlyn. Initially, the barriers and contributing factors to the issue were identified which were then prioritized according to the needs and requirements. Furthermore, a multidisciplinary team was approached to ensure that Caitlyn receives appropriate care.

To support these interventions, credible resources were identified so that authentic and reliable interventions are added to the care plan. The criteria used to identify the sources of information was the CRAAP test. Finally, these interventions were included in the care plan and will be practically used to ensure Caitlyn is receiving evidence-based care. Quality of care is achieved when it is evaluated effectively to monitor positive outcomes. 

In Caitlyn’s case, outcomes will be monitored by her overall improvement in the condition, rate of admissions, and by examining the complications. These evaluating measures will help healthcare professionals to monitor the progress, bring improvements in the care plan, and take appropriate measures to prevent disease aggravation. 

Reflection on the Evidence Collected

The resources utilized to develop the care plan have been evaluated by the CRAAP criteria. The CRAAP is an acronym for currency (current publication within the 5 years), relevance (findings are relevant to the topic of research), authority (authors and publication journal are credible and authentic), accuracy (findings are justified with scholarly evidence), and purpose (the purpose of the study is coherent with the purpose of the research). These tests helped me identify credible and relevant interventions in the case of Caitlyn to prepare an evidence-based care plan for cystic fibrosis  (Lowe et al., 2021).

For example, the article by Chen and colleagues (2021) provides interventions for cystic fibrosis in the pediatric population. It is credible and useful as it provides interventions that are specific to Caitlyn’s care to manage her cystic fibrosis and prevent complications. The interventions are appropriately supported by evidence-based scholarly justifications and the purpose of the study correlates with the patient’s condition (Chen et al., 2021). 

Benefits and Strategies to Combat the Challenges 

Interdisciplinary collaboration is essential to achieve desired patient outcomes, especially in remote collaboration where team members are distant from each other. The final part of this presentation is focused on the benefits of interdisciplinary collaboration in remote ways. Moreover, some of the challenges will be shared and strategies to mitigate those challenges will be discussed. 

Interdisciplinary collaboration is significant to provide effective care to patients. A study identifies that collaboration and communication are significant pillars of telemedicine thus healthcare professionals must collaborate to provide meaningful care through telehealth devices (Ransdell et al., 2021). According to WHO, interprofessional collaboration helps in providing healthcare access to the population where limited facilities are available using telecommunication methods (Johnson & Mahan, 2020).

The major challenge of remote collaboration is the geographical distance which can become a barrier to communication among healthcare professionals. Improving communication skills, keeping themselves available instantly, and taking follow-ups are the methods to mitigate this challenge for effective care (Morrison-Smith & Ruiz, 2020). To effectively use the interprofessional team members must be well aware of each others’ skills and limitations so that the division of tasks can be performed successfully and the patient is provided efficient care

Conclusion

To conclude my video presentation, I would like to summarize that evidence-based practice is essential in healthcare settings whether the care is provided in-person or through telehealth facilities. Caitlyn will be benefitted from the utilization of telecommunication methods and remote collaboration so that the barriers to her healthcare accessibility can be reduced and successful outcomes are achieved. Along with benefits, remote collaboration also brings challenges that require special efforts from the interdisciplinary team to ensure patient-centered care is provided and the patient’s quality of life is improved. 

References

Chen, Q., Shen, Y., Xu, H., Tang, X., Yang, H., & Zhao, S. (2021). Prognosis and treatment of 46 Chinese pediatric cystic fibrosis patients. BMC Pediatrics21(1). https://doi.org/10.1186/s12887-021-02789-8 

Chiwaula, C. H., Kanjakaya, P., Chipeta, D., Chikatipwa, A., Kalimbuka, T., Zyambo, L., Nkata, S., & Jere, D. L. (2021). Introducing evidence-based practice in nursing care delivery, utilizing the Iowa model in Intensive Care Unit at Kamuzu Central Hospital, Malawi. International Journal of Africa Nursing Sciences14, 100272. https://doi.org/10.1016/j.ijans.2020.100272 

Haleem, A., Javaid, M., Singh, R., & Suman, R. (2021). Telemedicine for Healthcare: Capabilities, features, barriers, and applications. Sensors International2, 100117. https://doi.org/10.1016/j.sintl.2021.100117 

Johnson, K. F., & Mahan, L. B. (2020). Interprofessional collaboration and telehealth: Useful strategies for family counselors in rural and underserved areas. The Family Journal28(3), 215–224. https://doi.org/10.1177/1066480720934378  

Lowe, M. S., Macy, K. V., Murphy, E., & Kani, J. (2021). Questioning Craap. Journal of the Scholarship of Teaching and Learning21(3). https://doi.org/10.14434/josotl.v21i3.30744 

Capella 4030 Assessment 4

Morrison-Smith, S., & Ruiz, J. (2020). Challenges and barriers in virtual teams: A literature review. SN Applied Sciences2(6). https://doi.org/10.1007/s42452-020-2801-5 

Ni, Q., Chen, X., Zhang, P., Yang, L., Lu, Y., Xiao, F., Wu, B., Wang, H., Zhou, W., & Dong, X. (2022). Systematic estimation of cystic fibrosis prevalence in Chinese and genetic spectrum comparison to Caucasians. Orphanet Journal of Rare Diseases17(1). https://doi.org/10.1186/s13023-022-02279-9 

Ransdell, L. B., Greenberg, M. E., Isaki, E., Lee, A., Bettger, J. P., Hung, G., Gelatt, A., Lindstrom-Mette, A., & Cason, J. (2021). Best practices for building interprofessional telehealth: Report of a conference. International Journal of Telerehabilitation13(2). https://doi.org/10.5195/ijt.2021.6434 

Shteinberg, M., Haq, I. J., Polineni, D., & Davies, J. C. (2021). Cystic fibrosis. The Lancet, 397(10290), 2195–2211. https://doi.org/10.1016/S0140-6736(20)32542-3 

Capella 4030 Assessment 4