Assessment 4 Remote Collaboration and Evidence-Based Care Essay

 

Remote Collaboration and Evidence-Based Care video script

Hello, and Welcome to my video presentation on Remote Collaboration and Evidence-Based Care. This is part of the NURS-FPX4030 course at my university, Capella University. In this video, I want to review a Villa Health case scenario involving collaboration and evidence-based practice. Thereafter, I will propose an evidence-based plan to improve patient safety and outcomes in the scenario. I will also discuss how I used evidence-based practice to formulate this plan using Stetler’s model. I will reflect on the relevance and usefulness of the evidence and finally explain the benefits of interdisciplinary collaboration and strategies to mitigate the challenges of this collaboration. I hope you enjoy my video presentation.

In the Villa Health scenario, Dr. Copeland and Nurse Anderson discuss the treatment of a two-year-old patient named Caitlynn, who has been admitted to the pediatric unit with pneumonia. It is mentioned that this is Caitlynn’s second admission for pneumonia in the last six months and that she had a meconium ileus at birth. They discuss Caitlynn’s symptoms, including decreased breath sounds, rhonchi in the upper lobes, shallow respirations, and a fever. They also mention that Caitlynn has decreased subcutaneous tissue in her extremities, which could be a sign of the malabsorption of nutrients. They discuss the possibility that Caitlynn may have cystic fibrosis. They plan to start her on an IV with piperacillin and recommend a high-protein, extra-calorie diet along with fat-soluble vitamins. They also discuss the challenges that Caitlynn’s parents may face in providing her treatment at home and plan to consult with social services and possibly arrange for telemedicine appointments to help coordinate care and prevent unnecessary trips to the hospital.

My proposed evidence-based plan to improve patient safety and outcomes in the scenario will involve a five-step process. The nurse, as the care coordinator, will add a social worker as a new team member, use mobile phone telecommunication technology to communicate synchronously with Catelyn’s parents and healthcare professionals, organize interdisciplinarily debriefs every two weeks, utilize community resources, and educate the mother on infection prevention statues at home. This evidence-based plan is an interdisciplinary approach where a team with a nurse, physician, pediatrician, physical therapist, social worker, and the patient’s mother would be working together in a coordinated fashion to ensure the patient’s safety and quality of life for the child.

According to a research article by Kapnadak et al. in 2020, the cystic fibrosis foundation, also known as CFF guidelines, advocated for communication between healthcare providers regarding routine advanced care planning, goals, and decision-making. This care plan aims at meeting this recommendation by bringing together a team of care professionals and the patient family through modern technology, specifically mobile phone technology. The CFF also recommended pulmonary rehabilitation programs and thus called for the mobilization of community resources to improve patient health. Rehabilitation programs and community-based laboratories are useful resources that Catelyn would need to promote early screening and prevention of complications. A review by Chen et al. in 2021 emphasized family awareness and involvement and as a result, my plan included patient education and engagement to ensure the best quality and safety outcomes.

In this evidence-based plan, I used Stetler’s model to gather bets and current clinical information. This model is a six-step framework including evidence preparation, validation, comparative evaluation, decision-making, application, and evaluation. I used this model to prepare top-level evidence sources, including the most recent guidelines, and review studies to understand best practices. According to an article by Fineout-Overholt (2019) on the appraisal of evidence, these sources met the criteria for credible and quality evidence sources. To ensure that these interventions were valid, I evaluated the credibility of the sources by assessing the sources’ authoritativeness, currency, accuracy, and purpose. I then incorporated these practices into an interdisciplinary team setting, with each member playing specific contributory roles. Using this model, my plan is at the decision-making stage, awaiting implementation and evaluation. To ensure that the nurse achieves quality and safety using this plan, the interdisciplinary team will regularly assess readmissions, infections, patient growth parameters such as weight and height, and the mother’s satisfaction with the care. These parameters are essential pointers to the safety and quality of the care offered by this team.

Of the sources of evidence that I used in gathering the plan, the article by Kapnadak et al. in 2020 was the most relevant. This source provided various evidence items that covered various aspects of care for cystic fibrosis in an interdisciplinary way.  The role of community care and clinical care is emphasized by the authors. Moreover, this article reviewed the best current guidelines from reputable. This source of evidence was relevant because it addressed the safety and quality of current interventions for multidisciplinary care strategies as well as medical recommendations for cystic fibrosis patients. This source also addressed the care for patients across the human lifespan. Because of current advancements in cystic fibrosis treatments, patient growth and become adults while living with the disease. Therefore, care should take into account different needs at different stages. The role of the mental health of caregivers and the patient was also expressed in this resource. Therefore, I can say that this article was relevant because it addressed safe, holistic, and multidisciplinary care across the human lifespan.

Interdisciplinary collaboration to plan care faces various challenges, which include but are not limited to ineffective communication, role overlap, resource limitations, and scheduling difficulties. Nevertheless, interdisciplinary collaboration to plan patient care ensures that various professionals meet most if not all patient care needs, and multiple specialized efforts are gathered towards addressing patient care; thus, patient-centered care and team care becomes more efficient, and most importantly, the patient gets satisfied with the care they receive.  To address various challenges, the interdisciplinary approach of advanced planning, regular and timely communication, and clear role communication can ensure that team members work interdependently to achieve team goals. These interventions will improve teamwork spirit and culture.

According to a publication by Rajendran (2022), teamwork makes dream work and effective interdisciplinary communication is one of the ways to achieve these dreams. Future collaboration will require advanced critical planning to leverage all required resources, both material and human. Using a model-based interdisciplinary collaboration and change management will promote systematic evaluation and improvement in teamwork. In Nurse Anderson’s case, timely planning would have made it easier to bring various team members, such as social workers, on board and reduce the time duration between which Catelyn would receive community care.

In conclusion, interdisciplinary collaboration is a complicated care delivery strategy that requires planning, communication, and evaluation to promote patient safety and care coordination quality. I have attached my references for this video presentation below. Thank you for watching my video. Goodbye.

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References

Chen, Q., Shen, Y., & Zheng, J. (2021). A review of cystic fibrosis: Basic and clinical aspects. Animal Models and Experimental Medicine, 4(3), 220–232. https://doi.org/10.1002/ame2.12180

Fineout-Overholt, E. (2019). A guide to critical appraisal of evidence. Nursing Critical Care, 14(3), 24–30. https://doi.org/10.1097/01.ccn.0000554830.12833.2f

Kapnadak, S. G., Dimango, E., Hadjiliadis, D., Hempstead, S. E., Tallarico, E., Pilewski, J. M., Faro, A., Albright, J., Benden, C., Blair, S., Dellon, E. P., Gochenour, D., Michelson, P., Moshiree, B., Neuringer, I., Riedy, C., Schindler, T., Singer, L. G., Young, D., … Simon, R. H. (2020). Cystic Fibrosis Foundation consensus guidelines for the care of individuals with advanced cystic fibrosis lung disease. Journal of Cystic Fibrosis: Official Journal of the European Cystic Fibrosis Society, 19(3), 344–354. https://doi.org/10.1016/j.jcf.2020.02.015

Rajendran, L. (2022). “Teamwork makes the dream work”- interdisciplinary team dynamics within the operating room. Canadian Medical Education Journal, 13(1), 108. https://doi.org/10.36834/cmej.74102

 

Overview of Nurses’ Social Media Use Nurses should portray professional conduct on social media by ensuring they protect patients, themselves, the institution, and the nursing profession. The primary interest is to keep patient information safe. Nurses’ social media use is regulated by institutional policies, HIPAA, and ANA, and this update focuses on what nurses should not do on social media. What are Privacy, Security, and Confidentiality?   ·         Confidentiality involves ensuring that information pertinent to a patient’s health is not shared with others (Moore & Frys, 2018). An issue can arise when a nurse shares information a patient confided in them ·         Security entails safeguarding data and data systems from unauthorized access from individuals with potentially malicious intentions, such as access to PHI by a hacker who accesses the HER. ·         Privacy entails safeguarding patients’ identity and part of their data. It gives the patients the right to decide who, when, how, and why individuals can access their healthcare data (Moore & Frys, 2018). A privacy issue can arise when a friend knows of their health state, despite allowing the flow of information to them.		What Nurses Should not do on social media ·         Do not post identified patient information- this may include posts, photos, videos, or any updates on their progress (Sharma, 2021). ·         Do not post any de-identified information before approval by the institution and consented by the patient for a noble purpose ·         Do not post using vulgar language ·         Do not complain or make disparaging comments about patients or the workplace (De Simone, 2019) ·         Do not act in an unprofessional manner, such as posting self-photos that can be considered unprofessional			Nurses’ Social Media use Staff Update
			What is Protected Health Information (PHI)? Moore and Frye (2019) note that protected health information is any identifiable information that can be from past, present, or future health and that is created, transmitted, or stored during healthcare services delivery. The information must be HIPAA regulated. The information must pertain to the patient and healthcare services delivery and be documented by the HIPAA as PHI. It thus includes any information from biodata to discharge summary exchanged during acre service delivery (Moore & Frye, 2019).

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Evidence-based strategies in social media usage The institution has employed various strategies that include: •Writing and sharing the social media use policy, which nurses are required to read and sign against •Periodic sharing of updates on social media use regulations •Regular training on best practices in social media management •The institution requires nurses to have their posts reviewed and approved by the institution before posting them (O’Connor et al., 2021)		Importance of Interdisciplinary Collaboration in Safeguarding Sensitive Electronic Health Information		Evidence relating to social media usage and PHI Breaches in social media use can affect patients, nurses, and healthcare institutions. Nurses are subject to various disciplinary measures such as fines, employment termination, license loss, criminal charges, and serving a jail term HIPAA fines organizations between $0-$250 depending on the severity and intention of a reported breach (Miller, 2018). Breaches done with the aim of financial gains, such as inappropriate videos with patient content, attract heavy fines These lawsuits are expensive, and the institutions can imply these costs directly on the nurses depending on the existing organizational protocols et al., 2020)		·         Importance of Interdisciplinary Collaboration in Safeguarding ·         Ensures proper and complete documentation of information ·         Helps generate and improve ideas on safeguarding sensitive EHI ·         Integrates and improves technologies in information safeguarding It helps create a sense of collective responsibility and accountability for patient information security (Bani Issa et al., 2020)
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Manifestations & Complications

References

Bani Issa, W., Al Akour, I., Ibrahim, A., Almarzouqi, A., Abbas, S., Hisham, F., & Griffiths, J. (2020). Privacy, confidentiality, security, and patient safety concerns about electronic health records. International Nursing Review, 67(2), 218-230. https://doi.org/10.1111/inr.12585

De Simone, D. M. (2019). When is accessing medical records a HIPAA breach? Journal of Nursing Regulation, 10(3), 34-36. https://doi.org/10.1097/JPN.0000000000000346

Moore, W., & Frye, S. (2019). Review of HIPAA, part 1: history, protected health information, and privacy and security rules. Journal of Nuclear Medicine Technology, 47(4), 269-272. https://doi.org/10.2967/jnmt.119.227819

O’Connor, S., Zhang, M., Honey, M., & Lee, J. J. (2021). Digital professionalism on social media: A narrative review of the medical, nursing, and allied health education literature. International Journal of Medical Informatics, 153, 104514. https://doi.org/10.1016/j.ijmedinf.2021.104514

Sharma, P. (2021). The dos and don’ts of social media. Dental Nursing, 17(6), 308-310. https://doi.org/10.12968/denn.2021.17.6.308