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NURS FPX 4030 Assessment 4 Remote Collaboration and Evidence-Based Care SC

Remote Collaboration & Evidence-Based Care

NURS FPX 4030 Assessment 4 Remote Collaboration and Evidence-Based Care SC

Good day, everyone. I’m Snezana Bujaroska, and I’m making this visual to suggest an EBP based remote collaboration plan of care in order to enhance health outcomes and safety, as well as to emphasize the significance of applying the best EBP model and translating scientific proof to establish a plan of care, as well as to recognise the advantages of the planning to ameliorate the difficulties associated with remote multidisciplinary cooperation. The COVID-19 issue has highlighted health service providers’ incapacity to deliver efficient and prompt patient care in order to improve care quality patient healthcare achievements and safety.  

Remote Collaboration Scenario Overview

Caitlynn Bergan, 2 years old, had been taken to Villa City Medical Center with pneumonia. Throughout her stay, she was diagnosed with a number of hereditary abnormalities. Caitlynn weighs 20.7 pounds and displays indications of anemia. Caitlynn and her family reside in Mccormick, a remote town. Caitlynn’s parents got separated and both worked till late at night daily. Caitlynn’s physician, Dr. Benjamin, is a novice to cystic fibrosis treatment. Caitlynn would be handled at his office by a Villa City Medical Center healthcare specialist. Caitlynn and her family cooperated with the clinic doctor, pharmacist, medical supervisor, anesthetist, and general doctor to design an evidence-based care plans to assist Caitlynn and their parents manage her cystic fibrosis in their remotely located community. Caitlynn was given pancreases enzymes as well as a high-protein, well-balanced food. She also underwent the first stages of nebulizer treatment and chest physiotherapy. 

She is unable to take puff breaths and is at danger of pulmonary discomfort and decreased gaseous exchanges, that might lead to worry and increasing suffering. As a result, it was advised to consult with the doctor as well as the patients’ family, even if they are married but divorced, in order to train them on how to evaluate and control the patient’s health. It was also proposed that telehealth, Internet counseling and training, and social welfare consultants may be used to interact remotely. 

Evidence-based Care plan to Improve Safety and Outcomes 

 The initial step in the strategy is to send literature, pamphlets, films, and perhaps other items on the ailment and therapy to both spouses via emails in order to expand their understanding. Following that, it is vital to organize a Video chat collaborative conference with family and physician after normal work hours to describe the potential obstacles, treatment plans for every difficulty, and strategies to use telehealth and videoconferencing technologies to monitor patients 

The strategy would be to enforce a healthcare monitoring system that involves a heartbeat monitor, pulse oximetry tracker, as well as other vitals monitors that are linked to a remote tracking and telemonitoring system to constantly assess the situation on portable devices or the internet, assisting in measuring the current breathing pattern as well as other circumstances.   Because both parents would be preoccupied, such a method decreases tension and worry amongst parents, and nursing staff and doctors can follow the child and warn parents even though they neglect to watch the child or vice versa. This decreases the likelihood of missing to provide services when in an exigency. In a paper regarding the use of monitoring of patients, Albon et al. (2021) discovered that it lowered health risks and enhanced quality outcomes. 

NURS FPX 4030 Assessment 4 Remote Collaboration and Evidence-Based Care SC

Because audiovisual communications may be used to observe the patient, this telehealth solution improves collaboration & teamwork among all concerned parties (Lee et al., 2020). Monitoring could be conducted in real – time basis if necessary. Furthermore, it aids in communication with social services providers in order to give support if necessary. Caitlyn had pneumonia thrice in the preceding 6 months, and the surveillance system assisted her in keeping excellent health after her recovery since the information collected by the surveillance system assisted in projecting the necessity for an urgent or deteriorating medical issues. 

The system as a whole allows a faster help option at the patient’s side for any support, tracking systems, and real-time surveillance to avoid detrimental consequences and allow for prompt intervention. According to Van Citters et al. (2021), real-time patients monitoring prevents undesirable consequences and allows clinicians and medical workers to watch the patient’s recuperation from remote areas. The goal of adopting has been proven to be beneficial in decreasing needless emergency room visits, and it has also been discovered that videoconferencing systems cut medical costs since parents of the kid do not need to visit the clinic as all the concerned stakeholders in the treatment can monitor the patient remotely through video calls and teleconferencing. The method also alleviates the growing stress on health care providers by allowing them to cooperate from the comfort of their own homes or other locations. In his research, Gifford et al. (2021) stated that telehealth integrated healthcare data systems lowered complications by assisting in the identification of various issues and remedies to the problems through technologies and online cooperation (Gifford et al., 2021).   

Ways in which an EBP model was Utilized in Developing the Care Plan 

To build and execute a care plan, Iowa EBP model use the ask, obtain, evaluate, implement, and analyze EBP approach. The method aided in assessing Caitlyn’s health and demands. In their research, Ishfaq  & Raja (2018) discovered that telehealth focus on careful assessment reduced needless emergency room visits, which raised the load on nursing staff. Furthermore, the model aided in identifying possible concerns and challenges including such cold weather commute, a need for family support, constant monitoring of the client to preclude any negative impacts, critically analyzing the efficacy of the findings, and trying to apply the plan of action to compare the outcomes. According to research on telemedicine and remote screening conducted by Ishfaq  & Raja (2018), the system increased care quality execution and patients were very satisfied owing to the accessibility of treatment. 

NURS FPX 4030 Assessment 4 Remote Collaboration and Evidence-Based Care SC

For instance, yet after executing the plan of care, it is critical to contemplate visits and meetings throughout and then after recuperation to maintain the treatment since she has a record of respiratory problems and asthma. The EBP model aided in comprehending the importance of such efforts in avoiding potential health concerns.  Boer (2020) said that telemedicine systems improved distant collaboration while lowering healthcare spending. Other researches found that the method saved costs while also increasing interdisciplinary collaboration.

Caitlyn may also experience stress and other challenges, that are crucial for her healing. Telehealth-based mental assistance could be offered to address the problem, since the utilization of tele-mental health care services rose throughout COVID-19, improving patient safety and the quality. Wyant (2020) came to the same conclusion that telehealth enhanced patient outcomes. 

Strategies to Mitigate the Challenges of Interdisciplinary collaboration

We now understand that plan of care is advantageous since it aids in patient management, improving teamwork, lowering health-care costs, reducing fatigue because nursing staff can follow their patient remotely, including preventing other bad outcomes (Chu et al., 2021). Nevertheless, there’ll be difficulties, such as disclosing patient data, failure to build a secured and dependable network, and obtaining licensing for using telehealth and operate efficiently. 

The issues can be addressed by employing techniques including such fast speed and throughput internet access (Ishfaq & Raja, 2018), utilization of encoded video but also online meeting platforms including MS Teams and Zoom scheduling with Calendly with alerts, and adhering to licensure regulatory requirements (Ishfaq & Raja, 2018), as well as selecting a dependable telemonitoring framework (Wyant, 2020). 


‌Wyant, T. (2020, November 21). Adopt an evidence-based practice model to facilitate practice change. ONS Voice. Retrieved April 18, 2022, from https://voice.ons.org/news-and-views/adopt-an-evidence-based-practice-model-to-facilitate-practice-change

NURS FPX 4030 Assessment 4 Remote Collaboration and Evidence-Based Care SC

Ishfaq, R., & Raja, U. (2018). Bridging the healthcare access divide: A strategic planning model for rural telemedicine network: Bridging the healthcare access divide. Decision Sciences, 46(4), 755-790. Retrieved April 18, 2022, from doi:10.1111/deci.12165

Albon, D., Van Citters, A. D., Ong, T., Dieni, O., Dowd, C., Willis, A., Sabadosa, K. A., Scalia, P., Reno, K., Oates, G. R., & Schechter, M. S. (2021). Telehealth use in cystic fibrosis during COVID-19: Association with race, ethnicity, and socioeconomic factors. Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society20 Suppl 3, 49–54. https://doi.org/10.1016/j.jcf.2021.09.006

Gifford, A. H., Ong, T., Dowd, C., Van Citters, A. D., Scalia, P., Sabadosa, K. A., & Sawicki, G. S. (2021). Evaluating barriers to and promoters of telehealth during the COVID-19 pandemic at U.S. cystic fibrosis programs. Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society20 Suppl 3, 9–13. https://doi.org/10.1016/j.jcf.2021.08.034Van Citters, A. D., Dieni, O., Scalia, P., Dowd, C., Sabadosa, K. A., Fliege, J. D., Jain, M., Miller, R. W., & Ren, C. L. (2021). Barriers and facilitators to implementing telehealth services during the COVID-19 pandemic: A qualitative analysis of interviews with cystic fibrosis care team members. Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society20 Suppl 3, 23–28. https://doi.org/10.1016/j.jcf.2021.09.004

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