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NURS FPX 4030 Assessment 4 Remote Collaboration and Evidence Based Care

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    NURS FPX 4030 Assessment 4 Remote Collaboration and Evidence Based Care

    Student Name

    Capella University

    NURS FPX4030 Making Evidence-Based Decisions

    Prof. Name

    Date

    Remote Collaboration and Evidence-Based Care

    Greetings, everyone! I am __, and today’s discussion centers around remote collaboration and evidence-based care within healthcare settings. Our focal point remains a case study from the Vila Health facility, which we will delve into shortly. Furthermore, we will explore the advantages and challenges associated with remote collaboration in the healthcare sector. Before delving into the case study, let’s establish a clear understanding of remote collaboration, defined as the cooperative efforts of individuals situated in different locations, working together on a shared project. In healthcare, this entails professionals from distant locations joining forces to enhance patient outcomes. Effective communication serves as the bedrock of successful remote collaboration, facilitated by communication tools that enable healthcare providers to work seamlessly, even across distances. In our case study, we’ll examine how Vila Health’s healthcare professionals successfully collaborated through telemedicine tools.

    Contextual Background of the Assessment

    Before we proceed, let’s provide some context. Two-year-old Caitlyn was admitted to the hospital for pneumonia, with her medical team comprising Dr. Copeland and pediatric nurse Virginia Anderson. Due to Caitlyn’s severe breathing challenges, a respiratory therapist was enlisted to assist in her care. Following a sweat chloride test, Caitlyn received a diagnosis of cystic fibrosis, a condition with lifelong implications. Given Caitlyn’s remote location and her parents’ work commitments, the Vila Health team opted for remote collaboration to aid Caitlyn’s parents. This involved educating them through video calls while coordinating with the local hospital in Caitlyn’s hometown. Dr. Copeland engaged in a virtual discussion with Caitlyn’s local pediatrician, contemplating the use of telemedicine tools like Skype for immediate responses to emergent situations. In essence, the geographical and medical complexities of Caitlyn’s case underscore the need for an evidence-based care strategy utilizing telemedicine to intervene effectively in critical situations, ultimately leading to enhanced patient outcomes and potentially mitigating complications associated with cystic fibrosis.

    Developing an Evidence-Based Care Plan

    Cystic fibrosis manifests with thick secretions in the lungs, resulting in persistent infections and breathing difficulties. Vila Health’s care plan employs research-based strategies, including:

    1. Continuous monitoring to maintain Caitlyn’s oxygen saturation at 90% or higher, ensuring relaxed breathing and alertness.
    2. Regular assessment of arterial blood gases to stay within Caitlyn’s typical range.
    3. Comprehensive explanations to Caitlyn’s parents about her health conditions and suitable interventions, involving them in the treatment plan.
    4. Daily education for Caitlyn’s parents on airway clearance therapies, vigilant monitoring for signs of reduced breathing effort, and improvements in lung function.
    5. Striving to minimize cough intensity, restore normal mucus production, maintain body temperature, and regulate white blood cell count through medications and infection control strategies.

    Potential gaps in the care plan include understanding the parents’ optimal comprehension, the patient’s family’s financial status for extensive medication treatment, communication challenges, and parental commitment to the child’s health.

    Implementing an Evidence-Based Care

    Model Examining the Knowledge Action Process model, which translates knowledge into action steps, was instrumental in formulating Caitlyn’s care plan. The model involves seven steps:

    1. Problem Identification: Readmission due to cystic fibrosis, necessitating a community-based care plan.
    2. Knowledge Acquisition: Studying various cystic fibrosis studies for comprehensive disease management.
    3. Knowledge Understanding: Grasping relevant information from online resources.
    4. Belief in Knowledge Accuracy: Applying CRAAP criteria to ensure information accuracy.
    5. Knowledge Retention: Storing pertinent information for care plan development.
    6. Problem Recontextualization: Revisiting Caitlyn’s condition with identified hindrances and available resources.
    7. Knowledge Application: Crafting a care plan addressing Caitlyn’s issues, focusing on optimal gas exchange, airway clearance, infection management, and parental education.

    The Knowledge-to-Action process model aids in evaluating patient outcomes through vital sign assessments, caregiver education, monitoring health progress, and infection management.

    Contemplation of the Gathered Evidence

    Now, let’s discuss the evidence collected from three critical sources shaping Caitlyn’s care plan. Research-established recommendations guided holistic management, emphasizing optimal gas exchange, infection control, and bacterial growth management. Qualitative evaluation of teen experiences with cystic fibrosis informed psychosocial aspects, highlighting the importance of empathy and understanding. Overall, knowledge about cystic fibrosis, including pathophysiology and key concerns, informed interventions and the proposed care plan.

    NURS FPX 4030 Assessment 4 Remote Collaboration and Evidence Based Care

    The CRAAP Criteria ensured the relevance and usefulness of evidence. Currency, relevance, authority, accuracy, and purpose were assessed to gather the best data for optimal cystic fibrosis management.

    Advantages and Approaches to Overcome the Challenges of Interprofessional Collaboration

    Finally, let’s explore advantages and approaches to address challenges in interprofessional collaboration. In Caitlyn’s case, interdisciplinary collaboration yielded benefits such as pooling diverse expertise for comprehensive care despite remote locations. Challenges included communication and coordination difficulties due to geographical dispersion and time zone differences. Mitigation strategies involve leveraging technology for remote collaboration, regular updates, clear plans, consideration of team members’ cultures, and recognizing and utilizing each member’s strengths for effective teamwork.

    Conclusion

    In conclusion, Caitlyn’s journey with cystic fibrosis underscores the significance of remote collaboration in healthcare. Through technology-enabled communication and evidence-based practices, a collaborative healthcare team provided Caitlyn with optimal care despite geographical distances. This case emphasizes the potential for improved, personalized healthcare for individuals in remote areas through effective collaboration.

    References

    Chaudary, N., & Gabriella, B. (2021). Airway clearance therapy in cystic fibrosis patients: Insights from a clinician providing cystic fibrosis care. International Journal of General Medicine, 14, 2513-2521. https://doi.org/10.2147/ijgm.s274196

    Lascano-Vaca, Y., Ortiz-Prado, E., Gomez-Barreno, L., Simbaña-Rivera, K., Vasconez, E., Lister, A., Arteaga-Espinosa, M. E., & Perez, G. F. (2020). Clinical, genetic, and microbiological characterization of pediatric patients with cystic fibrosis in a Public Hospital in Ecuador. BMC Pediatrics, 20(1). https://doi.org/10.1186/s12887-020-2013-6

    NURS FPX 4030 Assessment 4 Remote Collaboration and Evidence Based Care

    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 Diseases, 17(1). https://doi.org/10.1186/s13023-022-02279-9

    Stanford, G. E., Dave, K., & Simmonds, N. J. (2021). Pulmonary exacerbations in adults with cystic fibrosis: A grown-up issue in a changing cystic fibrosis landscape. Chest, 159(1), 93–102. https://doi.org/10.1016/j.chest.2020.09.08

    Taheri, L., Mirlashari, J., Modaresi, M., & Pederson, A. (2022). Cough in an adolescent with cystic fibrosis, from the nightmare to COVID-19 stigma: A qualitative thematic analysis. Journal of Pediatric Nursing,

    64, 119–125. https://doi.org/10.1016/j.pedn.2022.02.013