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Capella 4030 Assessment 4

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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

    Greetings, my name is —-, and in this video session, I will talk about remote collaboration and its pressing need to treat severe patients from distant areas who cannot travel regularly for chronic diseases. Moreover, I will propose an evidence-based care plan for pediatric patient Caitlynn in the given Villa Health media scenario. Furthermore, the session will explain how a specific evidence-based practice model is used to help develop the care plan. Lastly, I will discuss the relevancy of the evidence used in making decisions regarding the care plan, followed by interdisciplinary collaboration strategies.

    Remote collaboration in healthcare is the practice of coordinated care provided to patients by joint efforts of healthcare professionals to manage medical conditions effectively and make informed decisions timely without the need for in-person visits. With the growing technological breakthroughs, digital health prevails and facilitates patients encountering geographical barriers. Healthcare professionals use online technological platforms and communicate effectively with patients who require interdisciplinary care coordination and cannot commute daily to distant hospitals (Embrett et al., 2020). This results in effective clinical decision-making remotely and delivering consultations to patients on time, which prevents them from potential risks associated with delayed treatments and interventions.

    Scenario-Based Remote Collaboration

    In Valley City Hospital of North Dakota, the case of 2-year-old girl Caitlynn is presented for the second time in the last six months due to pneumonia. At birth, she had meconium ileum, one of the earliest manifestations of cystic fibrosis. The case was handed to Dr. Copeland, nurse Virginia Anderson, and Rebecca Helogo, a respiratory therapist. The interdisciplinary team worked to diagnose the condition, and chlorine sweat confirmed that Caitylnn has cystic fibrosis (CF). She had been on aerosol treatment to loosen up her mucus; now, IV piperacillin is prescribed. Upon further investigation, it was found that the patient was from McHenry, located over an hour’s drive from Valley City.

    Moreover, her parents are separated, working full-time, and cannot travel to the hospital regularly. In a collaborative meeting of an interdisciplinary team, the healthcare providers decided to collaborate with social services in McHenry to provide day-to-day care to Caitlynn and guide her parents. Moreover, the respiratory therapist was willing to educate Caitlynn’s parents on managing her secretions by percussion techniques on Skype. Dr. Copeland also consulted with Pediatrician Dr. Benjamin to conduct telemedicine appointments and ensure remote collaboration to handle bowel obstructions and pneumonia of patients as two major possible complications of CF.

    Evidence-Based Care Plan

    The ultimate goal of the evidence-based care plan is to optimize lung function and reduce respiratory symptoms. Furthermore, the plan will be aimed at managing CF-associated complications. To enhance the safety and clinical outcomes, the evidence-based care plan for Caitlynn is as follows:

    • Management of respiratory function by regular follow-ups via telemedicine and educating parents on chest physiotherapy and aerosol treatments (Benz et al., 2021).
    • Prescribe pancreatic enzymatic replacement therapy (PERT) and additional digestive aids, such as fat-soluble vitamins, to adjust the diet and enzyme dosage effectively (Somaraju & Solis-Moya, 2020).
    • Effective management of prescribed medication (Dornase alfa, antibiotics, etc.) through remote patient monitoring. 
    • Offering psychosocial support to the family by providing them with stress management techniques and connecting them with social workers or CF support groups for emotional support (Graziano et al., 2021). 

    As Caitlynn lives in McHenry, it is essential to identify local healthcare resources, including nearby clinics for emergencies and management of adequate lung functions. Moreover, parents must be prepared for an emergency action plan that can explicitly manage CF exacerbations and utilize local emergency services. Further information is needed to better analyze how Caitlynn’s care is provided when her parents are working long hours and who is the primary caretaker when her parents are separated. Moreover, whether Caitlynn goes to daycare and how her condition is managed while she attends daycare is an additional knowledge gap requiring extra information to develop an improved care plan for the patient.

    The Ways to Use Evidence-Based Practice Model

    In developing Caitlynn’s care plan, the Johns Hopkins Nursing Evidence-Based Practice Model (JHNEBP) was used to ensure the care plan is evidence-based. The JHNEBP has three major stages: identifying practice questions, gathering evidence, and translating. In the translation phase, the plan is developed based on collected evidence and implemented. Moreover, regular evaluation of the implemented strategy is conducted, and results are negotiated, followed by identifying room for prospective improvements (Dang et al., 2021).

    In the case of Caitlynn, the practice question identified is the management of the patient’s CF remotely and the prevention of acute CF exacerbations. This calls for gathering evidence on what the evidence-based research says about managing CF in children and what preventive measures and treatment options must be implemented. Lastly, the evidence obtained from a pool of research is analyzed, and a care plan is created based on that substantial data. 

    Capella 4030 Assessment 4

    Evaluating the outcomes of the care plan implemented using evidence-based models is essential. Considering Caitlynn’s case, the positive outcomes to look for include improved breathing, mucus thinning by adequate nebulizing and aerosol treatments, and prevention of acute exacerbations of CF. Other positive benefits include reduced incidence of CF-associated complications and emergency visits. When the proper care plan is developed using the evidence-based model correctly, these benefits and outcomes must emerge. For this purpose, patient’s family and primary care team’s feedback with be gathered. Patient’s remote monitoring will be another effective evaluation tool for assessing the positive outcomes. The Most Relevant and Useful Evidence for Making a Care Plan

    The evidence that I consider the most relevant and valuable while making decisions on the care plan for Caitlynn is by Benz and colleagues (2021). The article by Benz and colleagues (2021) is relevant to Caitlynn’s case as it discusses pediatric cystic fibrosis. Furthermore, the authors emphasized physiotherapy using telehealth to manage and prevent acute respiratory exacerbations. As the primary goal in Caitlynn’s care is to improve CF by preventing complications like CF exacerbations, this article guides how physiotherapy can be provided to patients remotely by using telehealth services.

    Hence, this evidence provides knowledge about the needs of Caitlyn, including the management of CF exacerbations and the importance of telehealth facilities for physiotherapy in patients with commutation issues. The rationale or criteria to evaluate the relevance and usefulness of this evidence is based on CRAAP criteria. These criteria are currency, relevance, authority, accuracy, and purpose. The article by Benz and colleagues was published in 2021, and its relevance to Caitlynn’s case shows that evidence is valuable and highly relevant. Moreover, the purpose of this article aligns with the long-term goal of Caitlynn’s care plan. Lastly, the authors have a background in physiotherapy with broad knowledge of managing CF exacerbations through physiotherapy.

    Benefits and Strategies to Mitigate the Challenges of Interdisciplinary Collaboration 

    In a remote team, interdisciplinary collaboration to plan care is paramount as no physical interaction is available, and the sole collaboration depends on remote communication. Remote communication and collaboration of interdisciplinary teams for care planning results in various benefits, such as making informed decisions timely without waiting for physical meetings and managing emergency cases immediately. This saves critical patients’ lives and prevents additional treatment costs due to untreated conditions and worsening health status.

    While these benefits are potentially promising, challenges persist in interdisciplinary collaboration in the context of remote teams. These challenges can be technological challenges such as unstable internet connections, unfamiliarity with digital tools, privacy and data security issues, communication barriers due to remote teams, and time-zone differences resulting in conflicts in scheduling meetings and consultations unanimously. These challenges can be mitigated by employing strategies such as

    Capella 4030 Assessment 4

    • Training interdisciplinary teams on remote collaboration in patient care planning and effective use of technology (Lohnberg et al., 2021) is vital to developing a well-informed and qualified team to perform remote collaboration effectively. 
    • Integrating strict data security protocols such as end-to-end encryption and limited access control (Sarkar et al., 2021) to ensure patient’s Protected Health Information is secured by remote collaboration.
    • Incorporate easy-to-use communication tools like social media platforms like Zoom or Skype, enabling real-time communication and document sharing. 
    • Schedule regular virtual meetings to foster cohesion within a team and discuss the patient cases in detail with continuous evaluation so patients’ health conditions are managed consistently with adequate monitoring.

    The interdisciplinary collaboration could be better leveraged for future care by integrating patient engagement technology, such as health-tracking mobile apps and wearables, which can generate enhanced patient health data and improve monitoring (Qudah & Luetsch, 2019). Moreover, implementing AI tools to conduct decision support systems to provide evidence-based recommendations based on patient health scenarios can reduce the burden on human decision-makers and improve their productivity in discussing those recommendations with multidisciplinary teams (Adriano Lucieri et al., 2020). Lastly, interdisciplinary team education and training are required occasionally to signify the importance of remote collaboration and improve patient health outcomes in the future.

    Conclusion

    To sum up, I discussed remote collaboration and evidence-based care by delving into Caitlynn’s case of cystic fibrosis and making an evidence-based care plan. This plan was developed by using the Johns Hopkins Nursing Evidence-Based Practice Model. Further, I highlighted the most valuable and relevant evidence in making a care plan for Caitlynn. Lastly, I discussed the benefits, challenges, and strategies to mitigate the challenges in interdisciplinary team remote collaboration.

    References

    Adriano Lucieri, Muhammad Naseer Bajwa, Dengel, A., & Ahmed, S. (2020). Explaining ai-based decision support systems using concept localization maps. Communications in Computer and Information Science, 1332, 185–193. https://doi.org/10.1007/978-3-030-63820-7_21 

    Benz, C., Middleton, A., Elliott, A., & Harvey, A. (2021). Physiotherapy via telehealth for acute respiratory exacerbations in paediatric cystic fibrosis. Journal of Telemedicine and Telecare, 29(7), 1357633X2199820. https://doi.org/10.1177/1357633×21998205 

    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, fourth edition. In Google Books. Sigma Theta Tau.  https://books.google.com.pk/books?hl=en&lr=&id=m4k4EAAAQBAJ&oi=fnd&pg=PP1&dq=johns+hopkins+nursing+evidence+model+stages&ots=pURxEKt6A9&sig=PZWv6CLTVNCK0jmKHsCMx69UF1Q&redir_esc=y#v=onepage&q=johns%20hopkins%20nursing%20evidence%20model%20stages&f=false 

    Capella 4030 Assessment 4

    Embrett, M., Liu, R. H., Aubrecht, K., Koval, A., & Lai, J. (2020). Thinking together, working apart: Leveraging a community of practice to facilitate productive and meaningful remote collaboration. International Journal of Health Policy and Management, 10(9). https://doi.org/10.34172/ijhpm.2020.122 

    Graziano, S., Boldrini, F., Righelli, D., Milo, F., Lucidi, V., Quittner, A., & Tabarini, P. (2021). Psychological interventions during COVID pandemic: Telehealth for individuals with cystic fibrosis and caregivers. Pediatric Pulmonology, 56(7). https://doi.org/10.1002/ppul.25413 

    Lohnberg, J. A., Salcido, L., Frayne, S., Mahtani, N., Bates, C., Hauser, M. E., & Breland, J. Y. (2021). Rapid conversion to virtual obesity care in COVID‐19: Impact on patient care, interdisciplinary collaboration, and training. Obesity Science & Practice, 8(1). https://doi.org/10.1002/osp4.550

    Qudah, B., & Luetsch, K. (2019). The influence of mobile health applications on patient – healthcare provider relationships: A systematic, narrative review. Patient Education and Counseling, 102(6), 1080–1089. https://doi.org/10.1016/j.pec.2019.01.021  

    Sarkar, A., Singh, M. M., & Mandal, J. K. (2021). Neural synchronization-guided concatenation of header and secret shares for secure transmission of patients’ electronic medical record: Enhancing telehealth security for COVID-19. Arabian Journal for Science and Engineering, 46(4), 3301–3317. https://doi.org/10.1007/s13369-020-05136-8 

    Somaraju, U. R. R., & Solis-Moya, A. (2020). Pancreatic enzyme replacement therapy for people with cystic fibrosis. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.cd008227.pub4 

    Capella 4030 Assessment 4