Phillip January 9, 2024 No Comments

Capella 4030 Assessment 4

Capella 4030 Assessment 4: Remote Collaboration and Evidence-Based Care

Name

Capella university

NURS FPX 4030 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.

In the beginning, 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. 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:

  • Infection control
  • Learn airway clearance technique and maintaining sufficient oxygenation
  • Adequate proper nutrition
  •  A pediatric-focused care team  
  • Management of medication

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. Thus, suctioning and giving adequate oxygen support is necessary.

Capella 4030 Assessment 4

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 care plan aligned with Caitlynn’s parents’ beliefs, preferences, and treatment objectives by incorporating them into the decision-making process. Collaboration has been at the core of my approach. I worked closely with a multidisciplinary CF care team comprising experts from various fields to ensure that their clinical expertise and real-world experiences were seamlessly integrated into our CF control strategies. We set measurable outcomes to evaluate our CF control strategies’ effectiveness. I have been able to alter care as needed based on treatment that considers the patient’s status and adherence to the care plan (Pinto et al., 2019).

Capella 4030 Assessment 4

Given the complexity of the condition, the collaboration spirit among healthcare professionals from several disciplines has been fostered, ensuring a comprehensive and coordinated approach to CF management. I considerably improved Caitlynn’s outcomes, provided high-quality, evidence-based treatment to people with cystic fibrosis, and increased the effectiveness of our CF control efforts by carefully integrating these tactics within the IOWA Model framework. In addition to telehealth, several evidence-based interventions can enhance outcomes for patients with cystic fibrosis, which has been demonstrated to improve CF. For instance, airway clearance methods like positive expiratory pressure and chest physiotherapy can assist in lessening lung congestion and staving against infections (Elkins et al., 2020).

Reflection of Evidence in Decision-Making of Plan

Caitlynn’s care plan was significantly shaped by the evidence-based best practices discovered through various resources. These resources were chosen to ensure the information was appropriate to the specific needs and challenges of young patients like Caitlynn. The study by Terlizzi et al. (2021) was especially helpful in directing the selection of therapies and creating a personalized care plan for Caitlyn’s particular requirements. The study discovered that adhering to airway clearance strategies can improve respiratory function in cystic fibrosis patients, reducing the frequency of exacerbations. A study by Bailey et al. (2022) offers important information about the dietary care of cystic fibrosis patients.

It has been discovered that a fat-rich diet and protein can enhance their body weight, lung function, and nutritional status. These findings integrate the care plan to ensure that Caitlyn’s dietary requirements are satisfied and that her condition is adequately treated. A study by Barben et al. (2021) shows  information about the risk of respiratory infections and finds that a complete course of vaccinations and blood screening reduces CF. Another finding of Pinto et al. (2019) shows the risks of CF and finds that by carefully analyzing a child’s medical condition, pediatric experts consider their unique needs and preferences to craft personalized care plans that prioritize the child’s well-being and comfort. 

Capella 4030 Assessment 4

Bailey et al. (2022) considered the most valuable and relevant research about CF because of its relevance with the topic and credible authorization. The CRAAP criteria are applied to evaluate the value and dependability of the sources used to create the care plan. The term CRAAP stands for currency (ensuring recent publications within the last five years), relevance (aligning findings with the research topic), authority (validating the authors’ and journal sources’ credibility), accuracy (ensuring that findings are supported by scholarly evidence), and purpose (validating that the study’s purpose coheres with the research’s objectives) (Lowe et al., 2021). These tests helped me to find credible, relevant research sources to develop a care plan for Caitlynn for cystic fibrosis. 

Benefits and Strategies of Interdisciplinary Collaboration

To ensure effective healthcare planning, we should establish streamlined processes like interprofessional collaborations. Incorporation of interdisciplinary collaboration in remote care settings can benefit in various ways, enhancing patient safety, promoting health literacy, improving the organization’s output, and a well-rounded approach to patient care. However, health professionals operating as remote teams within an interdisciplinary collaborative healthcare model can have distinct challenges. One of the potential obstacles that healthcare professionals face during interprofessional collaboration is a lack of leadership and not defining individual roles. This can create misunderstanding and make the work ineffective. To overcome this type of challenge, it is essential at the very first to define the individual responsibilities and roles of all professionals involved in the collaboration (McLaney et al., 2022).

Other challenges while working in interprofessional collaboration include inadequate information exchange, inconsistencies in communication, and insufficient coordination (Svensson, 2019). These obstacles can hinder a team’s seamless functioning and productivity, particularly in a virtual or remote working environment for providing healthcare facilities. Addressing these challenges is crucial to enhance collaboration and overall performance within the team.

Capella 4030 Assessment 4

They can be addressed by proper training for better communication and collaboration among professionals for the safety of patients. A recent study has reported the effects of arranging training or seminars for healthcare professionals by seniors/experts. These trainings and seminars improve communication practices. So, the challenges mentioned above can be mitigated by arranging such training (Schmidt et al., 2021).

Improvement in interprofessional collaborations within a healthcare organization for the future can be achieved through the planned scheduling of regular professional training sessions. Healthcare organizations should focus on investing in their infrastructure and facilities to promote the use of technology while working remotely. They can have an online platform for collaborative work, virtual meetings, online data monitoring, and management. Also, the training to use these IT tools can be beneficial for better outcomes of incorporating them in healthcare facilities.

Conclusion

To conclude my video presentation. The remote collaboration is focused on providing an evidence-based care plan that offers a thorough strategy for enhancing healthcare outcomes for Vila Health patients like Caitlynn. In situations when distance and complex medical issues collide, remote collaboration, made possible by telemedicine and interdisciplinary teaming, provides timely personalized care that helps her overcome her disease. The care plan for Caitlynn, who has cystic fibrosis, is supported by extensive research and evidence. It comprises the most recent studies and recommendations. Although remote collaboration has many benefits, it also shows difficulties that call for coordinated efforts from the interdisciplinary team to uphold a patient-centered approach and improve the patient’s quality of life.

References

Bailey, J., Krick, S., & Fontaine, K. R. (2022). The changing landscape of nutrition in cystic fibrosis: The emergence of overweight and obesity. Nutrients, 14(6), 1216. https://doi.org/10.3390/nu14061216 

Barben, J., Castellani, C., Munck, A., Davies, J. C., de Winter–de Groot, K. M., Gartner, S., Kashirskaya, N., Linnane, B., Mayell, S. J., McColley, S., Ooi, C. Y., Proesmans, M., Ren, C. L., Salinas, D., Sands, D., Sermet-Gaudelus, I., Sommerburg, O., & Southern, K. W. (2021). Updated guidance on the management of children with cystic fibrosis transmembrane conductance regulator-related metabolic syndrome/cystic fibrosis screen positive, inconclusive diagnosis (CRMS/CFSPID). Journal of Cystic Fibrosis, 20(5), 810–819. https://doi.org/10.1016/j.jcf.2020.11.006 

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 Sciences, 14(100272), 100272. https://doi.org/10.1016/j.ijans.2020.100272 

Elkins, M. R., Bye, P. T., Brannan, J. D., Busby, J., De Klerk, N., Field, P., … & Thompson, B. R. (2020). Cystic fibrosis adult care consensus. Journal of Cystic Fibrosis, 19(6), 875-898. https://doi.org/10.1016/j.jcf.2020.09.005 

Lowe, M. S., Macy, K. V., Murphy, E., & Kani, J. (2021). Questioning CRAAP. Journal of the Scholarship of Teaching and Learning, 21(3). https://doi.org/10.14434/josotl.v21i3.30744

Capella 4030 Assessment 4

McLaney, E., Morassaei, S., Hughes, L., Davies, R., Campbell, M., & Di Prospero, L. (2022). A framework for interprofessional team collaboration in a hospital setting: Advancing team competencies and behaviours. Healthcare Management Forum, 35(2). https://doi.org/10.1177/08404704211063584  

Pinto, M., Gomes, R., Tanabe, R. F., Costa, A. C. C. da, & Moreira, M. C. N. (2019). Análise de custo da assistência de crianças e adolescentes com condições crônicas complexas. Ciência & Saúde Coletiva, 24(11), 4043–4052. https://doi.org/10.1590/1413-812320182411.08912018  

Schmidt, J., Gambashidze, N., Manser, T., Güß, T., Klatthaar, M., Neugebauer, F., & Hammer, A. (2021). Does interprofessional team-training affect nurses’ and physicians’ perceptions of safety culture and communication practices? Results of a pre-post survey study. BMC Health Services Research, 21(1). https://doi.org/10.1186/s12913-021-06137-5 

Svensson, A. (2019). Challenges in using IT systems for collaboration in healthcare services. International Journal of Environmental Research and Public Health, 16(10), 1773. https://doi.org/10.3390/ijerph16101773 

Terlizzi, V., Masi, E., Francalanci, M., Taccetti, G., & Innocenti, D. (2021). Hypertonic saline in people with cystic fibrosis: review of comparative studies and clinical practice. Italian Journal of Pediatrics, 47(1). https://doi.org/10.1186/s13052-021-01117-1 

Wang, P., Bai, X., Billinghurst, M., Zhang, S., Zhang, X., Wang, S., He, W., Yan, Y., & Ji, H. (2021). AR/MR remote collaboration on physical tasks: A Review. Robotics and Computer-Integrated Manufacturing, 72, 102071. https://doi.org/10.1016/j.rcim.2020.102071 

Capella 4030 Assessment 4