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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

    Hello everyone. My name is ______ and in this presentation, I will highlight on one of the remote collaboration experiences in Vila Health Organization. The outburst of the pandemic has changed the perspective of care in healthcare settings. Remote collaboration and evidence-based care are provided to the patient to enhance patient safety. The evidence-based care plan and remote collaboration of the interdisciplinary team are mentioned in this paper. The evidence-based practice model is also mentioned in this paper on how the plan will be implemented and evaluated. Reflection on the evidence with the criteria is also provided. Lastly, the benefits and strategies for interdisciplinary team collaboration are provided to enhance patient care. 

    Scenario

    Caitlynn, a two-year-old girl with Meconium Ileus, was admitted to the hospital for the second time in six months for pneumonia. The patient’s medical history and examination were held and evaluated. The patient’s weight was 20.7 pounds, respiratory rate was 32, body temperature was 101 degrees Fahrenheit, and chloride test result was 65 milliequivalent per liter. Pediatric nurses also noted decreased subcutaneous tissue in her extremities. The reduced sound at the right base led Caitlynn’s respiratory therapist to give the patient a nebulizer aerosol. Caitlynn was diagnosed with Cystic Fibrosis (CF) due to her symptoms and medical history.

    The distance between Caitlynn’s residence at McHenry and Vila Hospital is an hour’s drive, and it is complicated for her parent to have regular checkups and doctor visits. Janice, Caitlynn’s mother, visited the McHenry pediatrician to have a patient examined by the Vila Hospital nurse for her respiratory rate and vital signs on her body through video call. The Caitlynn pediatrician at McHenry has access to Skype, which is not connected to the Vila Hospital telemedicine application. The social worker at McHenry also informed that there was a lack of resources such as internet access and a library for the patient’s family to discuss disease progression and relevant treatment access. Therefore, remote collaboration and an evidence-based practice plan are developed for Caitlynn to improve patient safety and quality of care and achieve outcomes. 

    Evidence-Based Care Plan 

    The evidence-based care plan I proposed for Caitlynn includes the implementation of telehealth to provide quality care to patients. The collaboration and communication of an interdisciplinary team is implemented to provide patient-centered care. The plan also includes educational sessions with the patient’s family about the disease’s effect and nutritional impact to reduce the adverse effects on the patient’s health. Implementing technology innovations like telehealth in CF management over the past few decades has improved patient health outcomes. The main focus of telehealth is to provide patient-centered care and recommended care guidelines adherence to technology. 

    Telehealth helps to accomplish the virtual monitoring of the patient and provide remote care to the patients. The recommended care guidelines are routine visits and appointments every 2- 3 months and assessments provided by the interdisciplinary team during remote collaboration. Assessments by the team include the vital signs such as lung function, collecting respiratory specimens for cultures and blood test results, and the patient’s nutritional status. These assessments enable the healthcare professional to evaluate the patient’s health status and provide treatment to improve the patient’s quality of life (Ong et al., 2021). 

    Capella 4030 Assessment 4

    The development of newborn screening programs, formalized airway-clearing treatment, and decreased malnutrition through efficient pancreatic enzyme replacement and a high-energy, high-protein diet are just a few examples of how clinical care has advanced (Bell et al., 2020). Patients with CF usually have high chloride concentrations in their sweat, the same as in Caitlynn’s case. The elexacaftor/tezacaftor/ivacaftor (ETI) is a modulator drug that significantly improves lung function, respiratory symptoms, and Body Mass Index (BMI). Combined or single-drug therapy, these drug therapies reduce the chloride in CF patients. This drug was administered to the CF patient and a diverse range of people, and each group noticed a significant drop in sweat chloride levels. Thus, including this evidence-based strategy in the improvement plan helps to achieve patient outcomes and quality of care (Nichols et al., 2021). 

    Due to the complexity of CF, there are nutritional inadequacies brought on by malabsorption and gastrointestinal involvement. The typical symptom of this disease is malnutrition. The CFTR modulator medication is used for CF patients, and approximately 82% of patients around the globe gain advantages from this medication. Patient receiving modulators have substantially higher concentrations of anti-atherogenic HDL-c and HDL-p and lower levels of atherogenic LVLDL-p, LDL-p, and triglycerides without altering their food consumption. Dietary therapy is administered to the patient in their infancy to improve the growth and weight gain. Moreover, this therapy also aims to enhance the functions of the lungs and extend life expectancy. The diet for CF patients consists of energy-dense food classes such as high-fat consumption (Yuzyuk et al., 2023). 

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    The interdisciplinary team includes pediatricians, nurses, social workers from McHenry and Vila Hospital, patient families, nurse informaticists, and IT technicians. Although the pediatrician at McHenry has access to Skype, which is not connected to Vila Hospital. This connection will be ensured through the nurse informaticist or IT technician at Vila Hospital to train healthcare staff to connect Skype to telemedicine. I will communicate and collaborate with Caitlynn’s pediatrician at McHenry through Skype, a shared platform to communicate with the Vila Hospital pediatrician to exchange Caitlynn’s health assessment, such as respiratory rate, nutritional status, and lung functions, and provide additional drug therapy. The Skype access will streamline the communication and collaboration of the team.

    The social worker at the McHenry confirmed that there is no internet access and library for the CF patient family to know CF progression and treatment that will improve patient health. I will arrange the meetings and assign responsibility to social workers of McHenry and Vila Hospital to share and exchange information regarding the nutritional therapies that can be adopted at home and improve patient health. The social workers at McHenry collaborate with Caitlynn’s mother at the community resources, such as the park, to provide educational sessions about diet for Caitlynn. In this way, remote interdisciplinary collaboration helps provide Caitlynn with patient-centered care.

    Evidence-Based Practice Model 

    The evidence-based plan I have proposed for Caitlynn will be implemented through the Johns Hopkins Nursing Evidence-Based Practice Model and will help to evaluate the plan. The successful, long-lasting plan has a solid foundation with dedicated leadership to support the transition, a structured plan with optimum outcomes to promote healthcare competencies, safe patient care, and professional development, and an evaluation process to guide ongoing improvement and needs of the organization. The model is based on three stages: patient or organization issues, plan, and implementation to achieve outcomes (Moglia et al., 2021). The main emphasis of my plan is to provide quality care to the patient through remote collaboration and evidence-based practices. This is accomplished through the application of telehealth.

    Capella 4030 Assessment 4

    The organization’s issue is to provide remote evidence-based care to Caitlynn due to her disease complications and distance from the Vila Hospital. The plan is that remote interdisciplinary team collaboration will help Cailtlynn have patient-centered care through telehealth. The team, which has nurses, pediatricians, and social workers from both sites, will collaborate synchronously via Skype to share the Caitlynn assessment and provide care. The evidence-based practices are gathered, which include dietary therapy educational sessions and drug intervention. The implementation of the plan is achieved through the involvement of the stakeholders, such as nurse informaticists, IT technicians, administrators, and policymakers, to provide a straightforward way for the healthcare professional to benefit from telehealth.

    Moreover, the IT logistics and nurse informaticist collaborate with the interdisciplinary team and provide training and practice on telehealth use at McHenry through Skype.  The evaluation of the plan benefits will be gathered through the assessment of the patient’s health and quality. The nurse informaticist and IT technician will gather the feedback of the interdisciplinary team using telehealth. Caitlynn’s parents’ feedback will also be compiled about the dietary intervention and remote care provided to Caitlynn and how it has impacted Caitlynn’s health. 

    Reflection on Evidence

    While I proposed the evidence-based care plan for Caitlynn to provide patient-centered care and enhance interdisciplinary collaboration and communication, telehealth is most relevant and valuable. The collaboration and communication of the Caitlynn healthcare professional team was streamlined. The pediatrician provided care to the patient upon assessment of the patient through virtual monitoring. The nurse evaluated Caitlynn’s vital signs, and the social worker from Vila Health collaborated and communicated with the McHenry Social worker on the educational session about diet.

    Moreover, Caitlynn’s mother could also visit the pediatrician twice a week to improve Caitlynn’s health. This approach was implemented in the United States, and results were collected where that improvement in patient care was achieved through telehealth. The patient follow-up rates are also enhanced from 48% to 95% as healthcare professionals provide quality care and treatment to the patient in a day (Perkins et al., 2021).

    Criteria

    CRAAP test is used for the relevancy and usefulness of the evidence. Currency, relevancy, authority, accuracy, and purpose are determined through this criterion. The evidence from the article by Ong et al. (2021) is the most recent and relevant to the topic as it details about the use of telehealth services for patients with cystic fibrosis. The credibility of the journal can be determine through its connection with the disease and the article is based on U.S. healthcare system which makes it relevant within the country. The evidence provides detailed information on how the healthcare organizations can implement telehealth and improve interdisciplinary team collaboration to deliver care and achieve outcomes (Zapalska & Dolin, 2022).

    Identifies Benefits and Proposes Strategies 

    Remote interdisciplinary team collaboration helps the healthcare organization improve the quality of care and patient safety. Remote collaboration helps the team exchange information with team members regardless of the time and distance during emergencies. Patients with complex diseases such as CF are leveraged through the remote collaboration of the team. Through this collaboration, patients have diverse healthcare professionals to get patient-centered care. However, there are various challenges faced by interdisciplinary team during remote collaboration, which are the functionality of the technology used for communication, maintenance patient health information’s security and confidentiality, healthcare professionals’ adherence to telehealth, and the access to broadband and its speed.

    The technology liability check by integrating a nurse informaticist and IT technician will ensure that patient information is secured and the software is user-friendly. The training and education of the healthcare professional about the positive impact of telehealth on the workflow of the organization and healthcare professional. Implementing telehealth will enable healthcare to accomplish positive outcomes (Embrett et al., 2020).

    In the future, implementing interprofessional educational programs will enable them to collaborate and communicate with different disciplines to improve patient care and achieve outcomes. The digital health module helps the healthcare organization to implement technologies in the healthcare setting to enhance interdisciplinary collaboration, and this approach is also supported by the Centre for the Advancement of Interprofessional Education (CAIPE) (Kauff et al., 2023).

    Conclusion 

    In summary, telehealth, dietary, and drug therapies are part of the plan to improve the quality of patient care. Telehealth and other therapies are the evidence for the CF management remotely. The John Hopkins model is applied to implement and evaluate the efficacy of the improvement plan. The telehealth reflection is provided through an example, and the CRAAP test defines its relevancy and usefulness. Interdisciplinary team collaboration is enhanced through virtual meetings in which team members share patient information and provide quality care. 

    References

    Bell, S. C., Mall, M. A., Gutierrez, H., Macek, M., Madge, S., Davies, J. C., Burgel, P.-R., Tullis, E., Castaños, C., Castellani, C., Byrnes, C. A., Cathcart, F., Chotirmall, S. H., Cosgriff, R., Eichler, I., Fajac, I., Goss, C. H., Drevinek, P., Farrell, P. M., & Gravelle, A. M. (2020). The future of cystic fibrosis care: A global perspective. The Lancet Respiratory Medicine, 8(1), 65–124. https://doi.org/10.1016/s2213-2600(19)30337-6 

    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 

    Kauff, M., Bührmann, T., Gölz, F., Simon, L., Lüers, G., van Kampen, S., Kraus, O., Snyman, S., & Wulfhorst, B. (2023). Teaching interprofessional collaboration among future healthcare professionals. Frontiers in Psychology, 14. https://doi.org/10.3389/fpsyg.2023.1185730 

    Capella 4030 Assessment 4

    Moglia, M., Hopkins, J., & Bardoel, A. (2021). Telework, hybrid work, and the United nation’s sustainable development goals: towards policy coherence. Sustainability, 13(16), 9222. https://doi.org/10.3390/su13169222 

    Nichols, D. P., Paynter, A. C., Heltshe, S. L., Donaldson, S. H., Frederick, C. A., Freedman, S. D., Gelfond, D., Hoffman, L. R., Kelly, A., Narkewicz, M. R., Pittman, J. E., Ratjen, F., Rosenfeld, M., Sagel, S. D., Schwarzenberg, S. J., Singh, P. K., Solomon, G. M., Stalvey, M. S., Clancy, J. P., & Kirby, S. (2021). Clinical effectiveness of Elexacaftor/Tezacftor/Ivacaftor in people with cystic fibrosis. American Journal of Respiratory and Critical Care Medicine, 205(5). https://doi.org/10.1164/rccm.202108-1986oc 

    Ong, T., Van Citters, A. D., Dowd, C., Fullmer, J., List, R., Pai, S.-A., Ren, C. L., Scalia, P., Solomon, G. M., & Sawicki, G. S. (2021). Remote monitoring in telehealth care delivery across the U.S. cystic fibrosis care network. Journal of Cystic Fibrosis, 20(3), 57–63. https://doi.org/10.1016/j.jcf.2021.08.035  

    Perkins, R. C., Davis, J., NeSmith, A., Bailey, J., Powers, M. R., Chaudary, N., Siracusa, C., Uluer, A., Solomon, G. M., & Sawicki, G. S. (2021). Favorable clinician acceptability of telehealth as part of the Cystic Fibrosis Care Model during the COVID-19 pandemic. Annals of the American Thoracic Society, 18(9), 1588–1592.  https://doi.org/10.1513/annalsats.202012-1484rl 

    Yuzyuk, T., McDonald, C. M., Zuromski, L. M., DeBiase, I., Johnson, L., Williams, N., Meihls, S., & Asfour, F. (2023). Improvement of lipid and lipoprotein profiles in children and adolescents with cystic fibrosis on CFTR modulator therapy. Journal of Cystic Fibrosis. https://doi.org/10.1016/j.jcf.2023.07.001 

    Zapalska, A. M., & Dolin, P. (2022). Advancing information literacy using the CRAAP process in the principles of macroeconomics course. Odgojno-Obrazovne Teme, 5(1), 7–38. https://doi.org/10.53577/oot.5.1.2 

    Capella 4030 Assessment 4