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

Remote Collaboration and Evidence-Based Care

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

This presentation will outline an evidence-based approach to improving patient outcomes in rural health care settings and explore how working with remote areas can help or hinder treatment development and delivery. We will now examine the Villa Health Hospital’s remote collaboration case. At the time of the event, two-year-old Caitlin Bergen was admitted to the pediatric ward at Villa Hospital with pneumonia. Unfortunately, this was the second time in the past six months that she had been admitted to the hospital for pneumonia. The hospital’s pediatrician, Dr. Copeland, ordered additional tests and examinations. Dr. Copeland’s suspicions about Caitlin’s cystic fibrosis were confirmed by the hospital’s nursing and respiratory staff, particularly nurse Virginia and respiratory therapist Rebecca. Caitlin’s parents, Janice and Doug, were informed of the diagnosis and a plan was developed to help the Bergen family care for their chronically ill daughter. The Bergens live in McKinley, an hour’s drive from Villa Hospital (Jong et al, 2019). Her parents were recently divorced, they both worked long hours, and the local doctors had little experience treating cystic fibrosis patients. When Caitlin returned to McHenry, Dr. Copeland, nursing staff, pulmonary technician Rebecca want to resume learning and treatment via telemedicine and videoconferencing. The Villa Health Hospital team will contact the Bergen family, the local pediatrician, Dr. Benjamin, local social workers, and Madeleine via phone and Skype to provide medical education and guidance on resources available in McHenry and to avoid unnecessary travel to Villa Health Hospital (Bird et al, 2019).

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

Evidence-Based Care Plan to Improve Safety and Outcomes

Now, I will develop an evidence-based care plan to enhance the patient’s safety and outcomes. The use of telemedicine as a form of telecom operation within multidisciplinary teams is recommended as an evidence-based treatment strategy to improve Caitlin’s safety and outcomes. Villa Hospital physicians, nurses, respiratory therapists, and social workers were able to discuss telehealth with Mr. and Mrs. Bergan, Dr. Benjamin, and Madeleine, a social worker from McHenry. According to the study, the word “telehealth” suggests to the application of technology for communication among patients and health care professionals. Telemedicine technology includes “a variety of telephone, video conferencing, and Internet-based systems that provide remote consultation, evaluation, and intervention services (Bird et al, 2019).” In this case, when Dr. Benjamin, a local paediatrician, was unable to answer a question or address a problem, videoconferencing with Villa Hospital staff saved unnecessary travel.

Telehealth and doctoral consultations via formal telecommunications systems can assist Caitlynn handle many concerns through instantly linking to the healthcare professional’s multidisciplinary team who seem to be willing to address any inquiry that assist Caitlynn’s parents conquer unneeded tension. Rebecca Helgo, Caitlynn’s pulmonary therapists, recognized that the failure to heaving gasps, which help keep her discharges down and regulated, could pose problems. Although the staff was able to sufficiently rehab her condition in the clinic, she still requires an entire professional evaluation in order to have confidence in their abilities to tackle the problems and prevent subsequent difficulties. However, Caitlynn’s expert supervision may continue long when she is at house by offering basic caring recommendations to her family and aiding them. 

Caitlyn and her family may benefit from additional help from a home-based care provider. Involving Caitlyn’s mother in local social welfare offers may assist them identify a foundation that can assist with the economic strain of the disease, or they could acquire knowledge about such organizations that promote patients focus on accounting requirements.

Caitlynn’s residence renders supervision and periodic check-ups much more challenging than expected. The multidisciplinary team may work with her family to help them handle their daughter’s health complications and give basic aid by addressing their concerns. They frequently have challenges in obtaining evaluations and consultations with medical specialists. Telecommuting with the multidisciplinary team can help to alleviate this issue. Offering remote monitoring visits and real time medical counseling may shorten the time her family really ought to take the day off work as Caitlynn receives the medical care she requires. As per Das et al., (2018), that although traveling is decreased owing to the utilization of the electronic system for maintaining patients’ health data and giving real-time evaluations, Caitlynn’s care plan would still be allowed to be participated in by the Valley Hospital multidisciplinary team.

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

Evidence-Based Practice Model to Help Developing Care Plan

Now I’ll discuss how an EBP model was applied to assist develop the care plan, as well as reflect on the most relevant and valuable evidence decision making and benefits. In this case, an evidence-based approach from the Johns Hopkins University School of Nursing can be used for treatment planning. This model uses the PET method, which is an acronym for “problem of practice, evidence, and translation” (Dang et al, 2021). p-Problem or problem of practice means that a multidisciplinary team defines the problem and all stakeholders signify that the problem was created for the public benefit. In this case, the medical team identified logistical problems for Mr. and Mrs. Berg, with input from parents, local physicians, and local social workers, and raised the question of how to improve Caitlin’s care and safety. E (evidence) refers to high-quality, evidence-based research and the use of telemedicine to improve Caitlin’s care and safety; T (translation) means developing and implementing a multi-professional action plan and evaluating outcomes as Caitlin develops.

Most Relevant Evidence Used While Developing the Care Plan

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

The primary rationale for its use in care planning is “Using synchronous digital healthiness technology to support for kids with unique health care wants and their extended family: a scoping review.” which highlights the importance of telemedicine for parents of children with chronic conditions (Speyer et al, 2018). Teleconferencing and telephone conversations may assist in evaluating if a kid requires to be seen in a treatment center or whether the issue or problem can be addressed at the house. Telemedicine can also help parents minimize travel expenses, time, and reduce health care costs by avoiding unnecessary hospital visits. Currently, special medical needs account for about half of children’s health care costs (Bird et al, 2019). 

Benefits and Strategies to Mitigate the Challenges of Interdisciplinary Collaboration

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

We will now propose strategies to address the challenges of interdisciplinary collaboration. The introduction of telemedicine has several benefits and is proven to save lives as well as improve outcomes in chronic disease management (Jong et al, 2019). At the village health center, Caitlin’s mother, Janice, Caitlin’s chest They were concerned about red patches on the skin near the area, and the use of Skype proved helpful. Through video conferencing, the Villa Hospital team was able to teach Janice the correct physical therapy position to avoid future redness. Bergan can use the Villa Hospital staff to provide telemedicine when Dr. Benjamin, the local paediatrician, is unavailable, especially on weekends and after hours (Dang et al, 2021). Dr. Benjamin and Madeline, a local social worker, also benefit from telemedicine and can work with hospital staff to resolve any issues related to Caitlin’s treatment. In this case, telemedicine issues could be the long working hours of Caitlin’s parents, the availability of resources in the remote village, and technical issues with Caitlin’s cell phone and internet connection. Local social workers can offer resources such as home visits, financial assistance to allow a parent to reduce their workload for children with specific health issues, and services to ensure adequate access to a cell phone and internet. According to the Agency for Healthcare Research and quality (AHRQ), telehealth has improved patient’s health and well-being and reduced mortality (2020). Telemedicine can minimize visits to health facilities, avoid unnecessary travel and costs, and treat chronic conditions at home (Jong et al, 2019).

Reference

AHRQ. (2020). Effective Health Care Program. What We Know From the Evidence Base. Retrieved from: https://effectivehealthcare.ahrq.gov/products/telehealth-expansion/white-paper.

Bird, M., Li, L., Ouellette, C., Hopkins, K., McGillion, M. H., & Carter, N. (2019). Use of synchronous digital health technologies for the care of children with special health care needs and their families: scoping review. JMIR Pediatrics and Parenting, 2(2), e15106.

Dang, D., Dearholt, S. L., Bissett, K., Ascenzi, J., & Whalen, M. (2021). Johns Hopkins evidence-based practice for nurses and healthcare professionals: Model and guidelines. Sigma Theta Tau.

Jong, M., Mendez, I., & Jong, R. (2019). Enhancing access to care in northern rural communities via telehealth. International Journal of Circumpolar Health, 78(2), 1554174.

Speyer, R., Denman, D., Wilkes-Gillan, S., Chen, Y., Bogaardt, H., Kim, J., … & Cordier, R. (2018). Effects of telehealth by allied health professionals and nurses in rural and remote areas: a systematic review and meta-analysis. Journal of Rehabilitation Medicine, 50(3), 225-235.

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