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 Hello everyone, good afternoon. My name is …… and today I am going to present you all a brief talk about remote collaboration and evidence-based care. First, we will go in-depth into what remote collaboration actually is. Remote collaboration is the work done in a collaborative and cooperative manner by a group of people in a remote setup. Remote collaboration overcomes the geographic barriers which are not part of physical collaboration. This is done by the aid of technologies that help connect people who are dispersed from each other. For every collaborative work, communication is the key element. Likewise, in remote collaboration, communication has an immense role in developing effective interaction while overcoming geographic barriers (Druta et al., 2021). Remote collaboration in healthcare systems has helped nurses and other health professionals to take better and more effective care of patients who live miles away from hospitals, especially those suffering from dangerous and chronic diseases. This is possible when nurses apply evidence-based care models in this collaborative effort. Ever since the pandemic COVID-19 came into existence, 37% of Americans started working from home by remote collaboration (Yang et al., 2021). Likewise, remote patient care was initiated in healthcare organizations to prevent the spread of the pandemic coronavirus. Remote patient care was also needed in faraway areas where patients could not commute to hospitals and get the care treatments. Now, remote collaboration is the need of the hour as the advancements in technologies have permitted it and every geographical area is not devoid of some technology. This demands that nurses follow evidence-based research models in order to provide effective collaboration and credible care treatment to patients living in remote areas to reduce the death rates. Scenario-Based Remote Collaboration Caitlyn, a two-year-old girl who happened to be readmitted to a Vila hospital from her hometown on facing severe symptoms. Dr. Copeland and Virginia Anderson, a pediatric nurse are in charge of her case. In the beginning, her symptoms matched those of pneumonia: coughing with short intervals. Considering her symptoms of pneumonia, she was referred to consult Dr. Rebecca Helogo, a respiratory therapist. This team of health professionals came to the point that Caitlyn’s case was a complex case as her past medical history revealed exposure to repeated infections and that this was her second admission to the hospital as a result of pneumonia. Later, it was found that she suffered from meconium ileus (bowel obstruction) at the time of birth which usually happens to pulmonary patients. There was thick respiratory mucus and she was treated with nebulizers and inhalers that were almost choking her. This created panic in the team of health professionals. After conducting a few laboratory tests, her team suspected diagnosis to be cystic fibrosis (CF). CF is a chronic pulmonary condition that is characterized by the presence of thick mucus and scarred tissue in the lungs. NURS FPX 4030 Assessment 4 Remote Collaboration and Evidence Based Care Upon physical examination, her body weight found was unusually low i.e. 20 pounds. Her pathological lab tests showed that scarred tissue of fibrotic nature was present in her lung. Later, her sweat chlorine test confirmed the diagnosis of Caitlyn to be Cystic Fibrosis. This condition can cause breathing huffs that need a suctioning pump or some specific respiratory inhalers which can be complex to use without proper education. Therefore, healthcare professionals made a decision of educating Caitlyn’s parents as they live quite far from the Vila Health facility, hence, lack medical services and facilities. To reduce the chances of life-threatening complications related to CF, the healthcare team with a collaborated effort made the decision of educating parents and nursing staff about telehealth and its significance. The use of social media applications or video calling applications such as Skype can enable remote collaboration among healthcare professionals and Caitlyn’s parents. This will enable timely decision making which will be helpful and effective in the case of Caitlyn. Therefore, a proper care model is required to provide Caitlyn and her parents with informed, educated, and outcome-oriented care related to her condition of cystic fibrosis. Evidence-Based Care Plan In order to manage a patient’s condition effectively, a care plan must be prepared. These care plans must be based on credible and evidence-based research. Evidence-based care plans are effective for patients with chronic and infectious diseases as any negligence in the care plan can result in further complications and increased mortality rates. For the management of Caitlyn’s case of cystic fibrosis, a strategic care plan needs to be devised that promotes remote collaboration. Care Plan for Improving Patient Outcomes Cystic Fibrosis (CF) is a genetic abnormality that causes abnormal transport of salt and water across the cells in the body. This results in an abnormal buildup of mucus and organ dysfunction (Endres & Konstan, 2022). The nursing care plan that enhances the safety and clinical outcomes of patients with CF is as follows: Among the numerous complications of cystic fibrosis, an abnormal gaseous exchange is the major complication to take into consideration. Others include sinus-related complications such as chronic nasal congestion, CF-related pancreatic disease, nutrition, and growth-related disorders such as clubbed fingers and osteoarthropathy (Chen et al., 2021). Since Caitlyn’s both parents are working, the additional information on Caitlyn’s CF pattern at daycare and how it was managed could have been useful in developing the care plan for her. The Ways to Use Evidence-Based Practice Model Stetler Evidence-Based Practices Care Model The Stetler Model helps healthcare professionals in finding how the research and evidence data can be implemented in clinical practice. This model investigates how the evidence can be brought into use to bring positive outcomes and promote patient-centered care. This model is composed of five phases including preparation, validation, decision-making, application, and evaluation. First, the need for the application of EBP (CF care plan in Caitlyn’s case) is identified and then evidence-based sources related to the subject (CF in
NURS FPX 4030 Assessment 3 Pico(t) Questions And An Evidence Based Approach
Student Name Capella University NURS FPX4030 Making Evidence-Based Decisions Prof. Name Date PICO (T) Questions and an Evidence-Based Approach In the realm of healthcare research, the PICO (T) methodology functions as a framework for formulating and addressing clinical inquiries. PICO (T) encompasses Patient/Population/Problem, Intervention, Comparison, Outcome, and Time if applicable. It delineates a systematic approach to defining the key components of a potential study or investigation. The “P” designates the patient or population under consideration, while the “I” denotes the intervention being evaluated. The “C” involves the comparison of interventions or controls, and the “O” points to the desired outcomes. Finally, “T,” if pertinent, relates to the time frame over which the intervention’s effects are scrutinized. This framework serves as a strategy for constructing research questions and guiding the search for clinical evidence, thereby fostering evidence-based healthcare practices. Practice Issue of Type II Diabetes Management The investigation centers on the management of Type 2 diabetes—a complex condition significantly impacting a substantial global population, thereby exerting notable strain on both quality of life and healthcare systems (Westman, 2021). To effectively address this issue, the application of a PICO (T) approach proves advantageous. This systematic framework streamlines the research process by focusing on pivotal facets of the concern. NURS FPX 4030 Assessment 3 Pico(t) Questions And An Evidence Based Approach A PICO (T)-formatted research question could be: “In adults with Type 2 diabetes (P), does a lifestyle intervention program focusing on dietary changes and physical activity (I), compared to standard care (C), lead to notable improvements in hemoglobin A1C levels (O) over a 12-month period (T)?”. The PICO (T) approach clarifies and focuses the research question, aiding in the development of a more targeted research strategy and facilitating the location of relevant evidence efficiently. This refined focus enhances the likelihood of producing high-quality research leading to improved patient outcomes and more effective healthcare policies and procedures. Identification of Sources of Evidence Various sources can provide valuable insights for addressing the PICO (T) question concerning the impact of lifestyle interventions on hemoglobin A1C levels in individuals diagnosed with Type 2 diabetes. Esteemed publications such as Diabetes Care, The American Journal of Clinical Nutrition, and the Journal of the American Medical Association regularly release current, peer-reviewed studies on interventions for Type 2 diabetes. Authoritative governmental websites like the American Diabetes Association (ADA), the World Health Organization (WHO), and Clinical Trials offer valuable data on ongoing and successful studies related to lifestyle management in diabetes. Additionally, databases such as the Cochrane Database of Systematic Reviews, PubMed, and CINAHL provide an abundance of pertinent studies. To assess the credibility and suitability of sources, the CRAAP test, evaluating Currency, Relevance, Authority, Accuracy, and Purpose, proves invaluable. This ensures that the sources utilized are current, pertinent, authoritative, accurate, and aligned with the intended purpose (Lowe et al., 2021). Combining the CRAAP test with the PICO question presents a beneficial strategy for healthcare professionals. It ensures credible and meaningful information leads to improved patient outcomes and enhanced quality of care. Findings from the Relevant Sources Research into the management of Type 2 diabetes has predominantly focused on lifestyle interventions as a pivotal approach. An authoritative source, the American Diabetes Association (2020), provides valuable insights into programs centered around lifestyle changes targeting Type 2 diabetes. The article underscores the significance of structured interventions promoting modest weight loss, yielding notable enhancements in blood glucose levels among adults with Type 2 diabetes. Another pertinent contribution comes from Zou et al. (2020), who provide evidence supporting the enduring advantages of lifestyle interventions for adults with Type 2 diabetes. The research utilizes predictive models derived from data acquired from the Da Qing Impaired Glucose Tolerance (IGT) and Diabetes Study, suggesting a potential impact on reducing hemoglobin A1C levels. In related work, Yang et al. (2023) offer a comprehensive assessment of various randomized controlled trials focusing on lifestyle interventions, indicating a notable decrease in HbA1C levels among overweight and obese individuals with Type 2 diabetes across various ethnic groups. Decision-Making on the PICO(t) Question Using the Findings The findings from the selected sources are highly relevant when making decisions related to the PICO(T) question. The information provided by the American Diabetes Association (2020) serves as a comprehensive guideline, outlining the significance and functionality of lifestyle interventions in treating Type 2 diabetes. This validates the choice of intervention in the PICO(T) question. Investigations like Zou et al. (2021) and Yang et al. (2023) underscore the effectiveness of lifestyle interventions on long-term diabetes management and lowering HbA1C levels. The congruence among sources regarding the benefit of lifestyle interventions indicates the potential for positive outcomes. Especially supported by the critical review of randomized controlled trials, it can be inferred that lifestyle modifications are impactful in managing Type 2 diabetes outcomes, underscoring the utility of the PICO(T) question focusing on dietary changes and physical activity. Conclusion In conclusion, the PICO (T) framework is a vital strategy for formulating research questions and directing an evidence-based approach to healthcare issues. This method enables the precise definition of patient problems, intervention, comparison, and outcomes, facilitating efficient literature search and application of relevant information. Utilizing evidence-based practice, such as PICO (T), helps translate research findings into meaningful clinical practices, leading to improved patient outcomes and healthcare efficiency. It underscores the importance of selecting credible sources, interpreting findings, and applying these to clinical decision-making. References American Diabetes Association. (2020). Standards of medical care in diabetes-2020 abridged for primary care providers. Clinical Diabetes, 38(1), 10–38. https://doi.org/10.2337/cd20-as01 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 Westman, E. C. (2021). Type 2 diabetes mellitus: A pathophysiologic perspective. Frontiers in Nutrition, 8. https://doi.org/10.3389/fnut.2021.707371 NURS FPX 4030 Assessment 3 Pico(t) Questions And An Evidence Based Approach Yang, J., Xia, Y., Sun, Y., Guo, Y., Shi, Z., do Vale Moreira, N. C., Zuo, H., & Hussain, A. (2023). Effect of lifestyle intervention on HbA1c levels in overweight and obese adults with type 2 diabetes
NURS FPX 4030 Assessment 2 Determining the Credibility of Evidence and Resources
Student Name Capella University NURS FPX4030 Making Evidence-Based Decisions Prof: Date Determining the Credibility of Evidence and Resources Owing to the presence of immense data on internet about every health issue, it is possible that the provided data are not evidence-based and merely based on intuition and surface studies. It is important that we seek in-depth knowledge of healthcare-related data to find out its authenticity and validity. In this regard, journals and websites which are governed by governments are more authentic in terms of providing evidence-based data than the data found on website pages. In this article, the focus is on finding credible resources that can help the nurses obtain valuable and credible information for treating and managing Diabetes Mellitus. There are various criteria used for evaluating the credibility of evidence and resources. Credible resources and evidence-based data can be used by nurses to bring better patient outcomes and disease management in diabetics. Diabetes Benefitting from an Evidence-Based Approach Diabetes Mellitus (DM) is a chronic illness that requires ongoing treatment along with management strategies for getting optimum and sustained control of glycemic level. It can be roughly classified into three types, type 1 Diabetes Mellitus, Type 2 Diabetes Mellitus, and Gestational diabetes. Type 1 diabetes involves the insufficient production of insulin by pancreatic cells which makes the patients take insulin subcutaneously to control hyperglycemia. The most common type among the three types of diabetes is type 2 diabetes mellitus (T2DM). T2DM is characterized by the development of insulin resistance in the cells of the body where the cells are unable to utilize the available insulin produced by the pancreatic cells. The underlying causes can be age, genetics, obesity, etc. Patients suffering from type 2 diabetes need critical care treatment for their survival (Khan et al., 2019). The prevalence of diabetes can be seen from the statistics provided by the WHO. According to WHO, there are approximately 422 million people suffering from diabetes globally, the majority being people natives to low- and middle-income countries. NURS FPX 4030 Assessment 2 Determining the Credibility of Evidence and Resources Every year, 1.5 million deaths are reported as a result of diabetes. New incidence reports of diabetes and the prevalence of diabetes have been rapidly enhancing in the past few years (World Health Organization, 2023). There are various advanced complications and risks associated with diabetes showing detrimental effects on the liver, brain, and other organs of the body. This includes liver diseases, systemic infections, dementia, and cancers in diabetic patients (Tomic et al., 2022). This shows there is an ultimate need of using evidence-based data on diabetes, its treatment, and management. As diabetes demands critical care and treatment from nurses, its essential to obtain credible evidence-based data for gaining authentic knowledge on its treatment. Nurses can use evidence-based research in their evidence-based practices of diabetes for better health outcomes in diabetics by implementing appropriate and credible treatment methods (Tena et al., 2023). Criteria to be Considered in Determining Credibility of Resources Numerous criteria have been established to evaluate the reliability and credibility of resources such as journals and websites. One of these criteria is CRAAP methodology which is utilized in checking whether the research resource is credible or not. The CRAAP test originates back to 2004 at California State University of Chico. it was developed for the students to use this mnemonic for the evaluation criteria on the new information they encountered (Sye & Thompson, 2023). CRAAP test stands for currency, relevance, authority, accuracy, and purpose. Currency tells the article’s time of publication. Relevance is focused on the relatedness of information to your requirements. Authority tells about the source of information such as the author, their credentials, and affiliations to the organizations. Accuracy is about the validity and truthfulness of the content. Purpose tells about the intention of the provided information whether the information is delivered to sell, teach or entertain (Sye & Thompson, 2023). Application of CRAAP on Research Evidence: Considering this bibliography Tomic, D., Shaw, J. E., & Magliano, D. J. (2022). The burden and risks of emerging complications of diabetes mellitus. Nature Reviews Endocrinology, 18(9), 1–15. https://doi.org/10.1038/s41574-022-00690-7 for evaluating the credibility, the CRAAP test can be applied in the following way: Currency: from the bibliography, it is clear that the article has been published lately and comes under the last 5 years of research resources. Relevance: the title of this article “The burden and risks of emerging complications of diabetes mellitus” depicts that it is relevant to the topic of our interest which is diabetes and the further content in the article reveals the relevant information to diabetes mellitus. Authority: the authors Tomic, Shaw, and Magliano are related to diabetes as they are affiliated with Baker Heart and Diabetes Institute, Melbourne, Australia. Accuracy: the contents of this article are based on research evidence and are accurate. Purpose: the objective of this article is to provide the public and healthcare professionals with knowledge of the complications and risks of diabetes. Analysis of Credibility and Relevance of Evidence and Resources In this paper, all the resources used are evidence-based and taken from official health websites of the government. They fulfill the criteria mentioned in the CRAAP test and are useful for nurses and other healthcare professionals in diabetes treatment and management. The article written by the authors Khan and colleagues (2019) is authentic as it comes under the category of the last 5 years of published articles and is relevant as it conveys information about prediabetes, diabetes, and its treatment and all the information is based on the research evidence and the authors are all related to the field of biological sciences. The Journal publisher is Medicina which is a peer-reviewed journal. The objective of this article paper is to provide authentic knowledge on diabetes and its treatment based on evidence-based research. Another article authorized by Tena and fellows (2023) is about the evidence-based research on telemedicine in controlling Hb1Ac in type 2 diabetes is a credible article and follows the criteria mentioned
NURS FPX 4030 Assessment 1 Locating Credible Databases and Research
Student Name Capella University NURS FPX4030 Making Evidence-Based Decisions Prof: Date Locating Credible Databases and Research Many chronic diseases are prevalent across the nations worldwide. These diseases affect millions of people every day and impair their healthy living. Diabetes Mellitus (DM) is one of the chronic diseases which needs ongoing treatment and management. Majorly diabetes is of two types, type 1 diabetes, and type 2 diabetes. In the former, insufficient insulin production is done by the pancreatic cells of the body. While in type 2 diabetes, insulin resistance is the cause of hyperglycemia. In this type, cells are producing sufficient insulin but the body is unable to utilize it due to resistance development. It requires social, economic, and human resources for its adequate treatment and management. This poses different challenges to the nurses who are actively managing disease & providing care treatments and to patients being financially affected due to the disease (Khan et al., 2019). Every day healthcare systems are bringing innovative ideas and research to manage and treat diabetes so that diabetics can live their life like others without living at the mercy of diabetes where any severe fluctuation in glycemic control can implicate harmful and even lethal consequences. Therefore, treating diabetes requires appropriate knowledge based on credible research and authenticity and every nurse should implement the practices based on credible databases and research. It is important that nurses are able to locate credible data and knowledge from authentic sources and this article throws light on locating different databases which are credible and authentic to take information from and which can be used by nurses for treating and managing diabetes. Communication and Collaboration Strategies for Nurses to Research and Access Resources Research methodology is an important subject for nurses in order to provide credible treatment and management to diabetes patients. Various ways can be implemented to promote the use of research in nursing units such as enhancing communication and collaboration among nurses to motivate them to increase the use of research and access the available credible resources in a way that can promote patient safety and diabetics’ improvement and also enhance self-belief in nurses that they are providing correct treatment and managing diabetes following the right ways. Communication and collaboration strategies that can enhance nurses’ motivation to utilize and access the research resources are as follows: NURS FPX 4030 Assessment 1 Locating Credible Databases and Research NURS FPX 4030 Assessment 1 Locating Credible Databases and Research The implementation of these strategies will benefit the nurses in developing positive interprofessional competencies as the senior and trainee nurses get to interact and enhance learning as they grow together in a positive environment where learning and benefitting the patients and improving their health is the goal. Trainee nurses gather information from senior skilled and experienced nurses and implement them in their working life and enhance professional competencies. This improves their practice and benefits both the nurses and society. The Best Places to Complete Research Within the Workplace Environment Some of the best places for a nurse to complete the research within the workplace environment can be the research offices, medical libraries, and patient care areas. The reason for utilizing these places within the workplace environment is that these areas will provide particular resources on Diabetes. Patient care areas will be best for research using hands-on experiences and evaluating patients’ conditions for developing clinical expertise in the domain. These places provide nurses with extensive knowledge on the use of innovative care treatments and interventions which can be implemented in the clinical areas for treating diabetic patients with the best available, evidence-based, and effective treatment methods. NURS FPX 4030 Assessment 1 Locating Credible Databases and Research The types of resources that healthcare professionals including nurses can utilize to find pertinent information for diagnosis can be medical journals such as The Lancet Diabetes & Endocrinology, Diabetologia, Diabetes Care, Nature Reviews Endocrinology, etc, that l provide evidence-based research on diabetes and other endocrine diseases. Furthermore, official governmental websites devoted to health and medical conditions such as CDC, WHO, and American Diabetes Association, etc, can provide authentic information about the diagnosis of diseases. While assessing these online resources, it is essential to pick credible and relevant sources, which will be evaluated on the basis of CRAAP criteria (currency, relevance, authority, accuracy, and purpose). Additionally, electronic medical records (EMR) are another resource from which health professionals can seek information about patient’s medical history and past diagnoses. The Five Credible Sources for Diabetes Mellitus There is immense data available on diabetes mellitus but nurses can draw out credible and authentic data from credible sources like governmental organizations working for diabetes management and treatment such as the World Health Organization (WHO) and the Centers for Disease Prevention and Control (CDC). Other than these website-based sources, nurses can generate data from authentic journals such as The Lancet Diabetes and Endocrinology, Diabetologia, Diabetes Technology and Therapeutics, and Nutrition & Diabetes ordered from the most useful journals for nurses to the least useful. All of these credible databases are providing benefits to new nurses to gather recent credible knowledge and implement it into practice for the best patient outcomes in diabetes. The Reasons for These Five Sources to Be the Best Evidence The online databases of diabetes research resources described earlier are authentic and credible from which nurses can take evidence-based information for the proper treatment and management of diabetes. The reasons for these five sources to be the best evidence are as follows: Conclusion Chronic diseases such as diabetes demand continuous treatment and management for better health in diabetics. It is crucial for nurses to locate databases of research resources that can provide them with authentic information so they can implement that information in taking care of diabetics. Nurses can locate the resources which are credible for the treatment and management of diabetes. These credible resources are WHO, CDC, and other journals such as The Lancet Diabetes and Endocrinology, Diabetologia, Diabetes Technology and Therapeutics, and Nutrition & Diabetes. All