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

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Remote Collaboration and Evidence Based Care

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

Hi All.  I am Wendy Bojorquez. This multimedia video’s goal is to create a remote collaboration Plan. The strategy will support patient safety and health. This will also express how important it is to follow an evidence-based practise model. Additionally, it will support the creation of care plans and acknowledge advancements in patient safety. It will be simple to comprehend and take advantage of the advantages of interdisciplinary collaboration with the creation of a care plan and the use of an appropriate EBP model.

However, everyone has been seriously impacted by the worldwide Corona Disease outbreak. The trouble nurses face in managing patient health and safety are the same. The absence of adequate guidelines for caring extremely ill patients has caused confusion and hesitation among nurses. Serious health issues as well as a staffing shortage confronted the Vila Hospital. About half of those who are ill live in isolated places and are unable to get to a doctor or nurse. Therefore, a suitable evidence-based strategy that can assist patients in remote locations and foster collaboration for lowering moralities is required.

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Failure to follow protocol and lack of collaboration across different healthcare facilities, locations, or zip codes is one of the main causes of failure. Research has shown that barriers to these medical facilities might have a negative impact on the environment in hospitals. By developing a workable plan that is solely based on EBP, these issues might be lessened (Bovbjerg et al., 2020)

The Remote Collaboration Scenario

After contracting pneumonia, Caitlynn, a 2-year-old patient, was brought into the hospital. She was supported by doctors from many disciplines. Among them are Rebecca Helgo, a respiratory therapist, Virginia Anderson, a pediatric nurse, and renowned pediatrician Dr. Erica Copeland (respiratory therapist). In order to fully understand the patient’s condition, Dr. Copeland and nurse Anderson worked together to learn that she had previously encountered respiratory issues and had already been admitted to the hospital once in the previous six months for the treatment of pneumonia.

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It was discovered that she was born with a disorder called meconium ileus, which causes intestinal obstruction in patients with pulmonary diseases. She was now being treated with a nebulizer and spray inhalation, which practically choked her. She had a thick respiratory mucus. The medical staff was in a frenzy. The physicians assumed she had cystic fibrosis, a persistent lung ailment, after making her few other testes. Her physical test revealed that she weighed only 20 pounds, which is unusually little. 

She has cystic fibrosis, which was verified by the sweating chlorine test result. She needs long-term supportive care, which is impossible without a qualified nurse. According to the disease complications, breathing huffs may be caused, which may necessitate the usage of a suctioning pump or any other particular respiratory inhaler that may be challenging to operate without correct understanding.

She has cystic fibrosis, which was verified by the sweating chlorine test result. She needs long-term supportive care, which is impossible without a qualified nurse. According to the disease complications, breathing huffs may be caused, which may necessitate the usage of a suctioning pump or any other particular respiratory inhaler that may be challenging to operate without correct understanding.

Since Catilyn lives in a small village with little medical services and is distant from the Vila Hospital, the health team chose to inform the parents. Without first help, she could face a serious threat to her life. Therefore, the medical staff chose to inform the nurse and parent staff about telehealth and its rising global importance after careful consultation. By using Skype and other video programmes, the patient can quickly become connected to the medical team and the nurse can make an informed decision on how to best treat her cystic fibrosis-related medical issue. Consequently, a suitable care model is required.

Evidence Based Care Plan

It is advised that Vila Hospital’s nurse practitioners work efficiently with patients during the outbreak and employ evidence-based techniques for patient diagnosis and care. If the proper care model is not applied in a procedure, people with chronic illnesses may also be neglected in addition to infections. Strategic planning for the patient’s next therapy was demonstrated using a fictional scenario. The following scenario will be used to promote remote collaboration (Modderman et al., 2020).

Care Plan for improving Patient Outcome

In view of the aforementioned situation, the following care strategy for the patient’s improvement may be appropriate:

The nursing care plan for patients with cystic fibrosis addresses every aspect of preventing issues, including 

  1. Ensuring there is enough oxygen, 
  2. Promoting the removal of pulmonary secretions
  3. Emphasizing the need to get enough fluids and minerals.
  4. making sure you eat enough 
  5. All areas of avoiding problems are covered in the nursing care plan for patients with cystic fibrosis.

Patients with cystic fibrosis stand the chance of various negative outcomes. One of the key issues is impaired gaseous exchange. It can be brought on by endotracheal and pulmonary inflammation, nasal blockage, which can clog the airway, bronchial issues brought on by a decrease in the surface area accessible for exchange of gases, and the loss of pulmonary function. According to a survey, if any of these problems are not addressed right away, they could all result in fatality. To understand the problem and find a solution, choosing a patient management strategy requires a suitable EBP care model.

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

John Hopkins EBP Care Model 

It employs the three-step PET methodology, which consists of practise questions, supporting evidence, and translation. This approach was developed specifically to meet the demands of practising nurses. The goal of the strategy is to guarantee that the best practices and most up-to-date research findings are appropriately and speedily integrated into care delivery.

Inter-professional teams may include nurses, doctors, pharmacists, and other professions. If you offer a diversity of points of view, it will be simpler to identify your stakeholders. The three most frequent categories of difficulties are clinical, management, and educational. One could want to reconsider the issue or investigate a fresh, connected idea. John Hopkins Care Model is helpful in managing patients with chronic illnesses, according to study. This could be useful in creating and planning interventions, just like it was with Catilyn. The possibility of corona virus infection also exists for Catilyn, who requires effective EBP prevention. 

Reflection on Evidence that is most Relevant and Useful 

This model of care combines physicians from several specialties to provide care, promote basic and clinical research, and educate the next generation of medical professionals. There are still methods to enhance CF care, even if the Care Center Network has played a vital role in delivering notable gains in survival and quality of life. In order to improve care, the CF Foundation launched a comprehensive quality improvement (QI) initiative in 2002. National experts were brought together to create a strategy plan for distributing QI practices and training throughout the Care Center Network. developing national leadership (Almader Douglas et al., 2019).

Since CF patients are living longer, more individuals are expected to develop the condition in the coming years. The results of managing CF patients in specialized facilities are better, although access can be constrained. The use of telemedicine in the management of cystic fibrosis is covered in this article. Telehealth had been used for CF for a number of reasons prior to the COVID-19 pandemic, and it had garnered generally positive feedback from patients and doctors (Taylor et al., 2021). Future studies are required to address the problems of cost, telehealth burdens, and implementation difficulty. The CRAAP exam can also help you make the best decision. The technique is used to rate information sources, particularly news sources (Mazer et al., 2021).

Strategies to Mitigate Challenges for Interdisciplinary Collaboration

The “seven deadly challenges” to telemedicine include money, regulation, hype, adoption, technology, proof, and success. Some of them are universal to health care, while others are novel ones brought on by telemedicine’s transformation of health care. On the other side, during the pandemic, the Centers for Medicaid and Medicare Services boosted provider remuneration.

During their training, providers have a propensity to become socialized into their respective fields, which causes them to form unfavourable prejudices and naive notions about the responsibilities of other members of the healthcare team. There is a huge overlap in skills are central to teamwork in basic healthcare. Each health professional on the team should be aware with (and comfortable with) the other’s skills (Golghar et al., 2020).

References

Almader-Douglas, D., Brigham, T., Marks, L., & Jett, H. (2019). Elevating Evidence-Based Practice: A Multi-Site Workshop Pilot for Nurses. Medical Reference Services Quarterly38(4), 387-401.https://doi.org/10.1080/02763869.2019.1657737

Bovbjerg, M. L., & Irvin, V. (2020). Current resources for evidence-based practice, March 2020. Journal of Obstetric, Gynecologic & Neonatal Nursing49(2), 212-222.https://doi.org/10.21236/ada428400

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

Golghar, E. C., Dres, M., Patel, B. K., Sahota, S. K., Beitler, J. R., Telias, I., & Brochard, L. (2020). Lung-and diaphragm-protective ventilation. American journal of respiratory and critical care medicine202(7), 950-961.https://doi.org/10.1164/rccm.202003-0655c

Mazer, A. J., Mazer, M. A., & Eisenberg, B. R. (2021). Teaching Deliberation and Restraint in Interpreting a Tempest of COVID-19 “Information”. ATS scholar2(2), 163-167.https://doi.org/10.1093/gao/9781884446054.article.t2073049

Modderman, J., Nelson-Brantley, H. V., Wilson-Sands, C. L., Brahn, P., & Graves, K. L. (2020). The effect of an evidence-based practice education and mentoring program on increasing knowledge, practice, and attitudes toward evidence-based practice in a rural critical access hospital. JONA: The Journal of Nursing Administration50(5), 281-286.https://doi.org/10.1097/nna.0000000000000884

Taylor, M. L., Thomas, E. E., Snoswell, C. L., Smith, A. C., & Caffery, L. J. (2021). Does remote patient monitoring reduce acute care use? A systematic review. BMJ open11(3), e040232.https://doi.org/10.1136/bmjopen-2020-040232