NURS-FPX4030 Assessment 4 Remote Collaboration and Evidence-Based Care

NURS-FPX4030 Assessment 4 Remote Collaboration and Evidence-Based Care

Create a 5-10 minute video of yourself, as a presenter, in which you will propose an evidence-based plan to improve the outcomes for the Vila Health patient and examine how remote collaboration provided benefits or challenges to designing and delivering the care.

Introduction

As technologies and the health care industry continue to evolve, remote care, diagnosis, and collaboration are becoming increasingly more regular methods by which nurses are expected to work. Learning the ways in which evidence-based models and care can help remote work produce better outcomes will become critical for success.

Additionally, understanding how to leverage EBP principles in collaboration will be important in the success of institutions delivering quality, safe, and cost-effective care. It could also lead to better job satisfaction for those engaging in remote collaboration.

Professional Context

Remote care and diagnosis is a continuing and increasingly important method for nurses to help deliver care to patients to promote safety and enhance health outcomes. Understanding best EBPs and building competence in delivering nursing care to remote patients is a key competency for all nurses. Additionally, in some scenarios, while you may be delivering care in person you may be collaborating with a physician or other team members who are remote. Understanding the benefits and challenges of interdisciplinary collaboration is vital to developing effective communication strategies when coordinating care. So, being proficient at communicating and working with remote health care team members is also critical to delivering quality, evidence-base care.

Scenario

The Vila Health: Remote Collaboration on Evidence-Based Care simulation provide the context for this assessment.

NURS-FPX4030 Assessment 4 Remote Collaboration and Evidence-Based Care Instructions

Before beginning this assessment, make sure you have worked through the following media:

• Vila Health: Remote Collaboration on Evidence-Based Care.

You may wish to review Selecting a model for evidence-based practice changes. [PDF] and Evidence-Based Practice Models, which help explain the various evidence-based nursing models.

For this assessment, you are a presenter! You will create a 5-10-minute video using Kaltura or similar software. In the video:

• Propose your evidence-based care plan that you believe will improve the safety and outcomes of the patient in the Vila Health Remote Collaboration on Evidence-Based Care media scenario. Add your thoughts on what more could be done for the client and what more information may have been needed.
• Discuss the ways in which an EBP model and relevant evidence helped you to develop and make decisions about the plan you proposed
• Wrap up your video by identifying the benefits of the remote collaboration in the scenario, as well as discuss strategies you found in the literature or best practices that could help mitigate or overcome one or more of the collaboration challenges you observed in the scenario.

Be sure you mention any articles, authors, and other relevant sources of evidence that helped inform your video. Discuss why these sources of evidence are credible and relevant. Important: You are required to submit an APA-formatted reference list of the sources you cited specifically in your video or used to inform your presentation. You are required to submit a narrative of all your video content to this assessment and to SafeAssign.

The following media is an example learner submission in which the speaker successfully addresses all competencies in the assessment.

• Exemplar Kaltura Reflection.

• • Please note that the scenario that the speaker discusses in the exemplar is different from the Vila Health scenario you should be addressing in your video. So, the type of communication expected is being model, but the details related to the scenario in your submission will be different.

Make sure that your video addresses the following grading criteria:

• Propose your own evidence-based care plan to improve the safety and outcomes for a patient based on the Vila Health Remote Collaboration on Evidence-Care media scenario.
• Explain the ways in which you used an EBP model to help develop your plan of care for the client.
• Reflect on which evidence you found in your search that was most relevant and useful when making decisions regarding your care plan.
• Identify benefits and strategies to mitigate the challenges of interdisciplinary collaboration to plan care within the context of a remote team.
• Communicate in a professional manner that is easily audible and uses proper grammar, including a reference list formatted in current APA style.

Refer to Using Kaltura as needed to record and upload your video.

Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact DisabilityServices@Capella.edu to request accommodations. If, for some reason, you are unable to record a video, please contact your faculty member as soon as possible to explore options for completing the assessment.

Additional Requirements

Your assessment should meet the following requirements:

• Length of video: 5-10 minutes.
• References: Cite at least three professional or scholarly sources of evidence to support the assertions you make in your video. Include additional properly cited references as necessary to support your statements.
• APA reference page: Submit a correctly formatted APA reference page that shows all the sources you used to create and deliver your video. Be sure to format the reference page according to current APA style. Submit a narrative of all of your video content.

Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final capstone course.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

• Competency 2: Analyze the relevance and potential effectiveness of evidence when making a decision.

• • Reflect on which evidence you collected that was most relevant and useful when making decisions regarding the care plan.

• Competency 3: Apply an evidence-based practice model to address a practice issue.

• • Explain the ways in which you used the specific evidence-based practice model to help develop the care plan identifying what interventions would be necessary. This requires a particular evidence-based model, such as the Johns Hopkins, Iowa, Stetler, or other.

• Competency 4: Plan care based on the best available evidence.

• • Propose your evidence-based care plan to improve the safety and outcomes for the Vila Health patient with a discussion of new content for the care plan.

• Competency 5: Apply professional, scholarly communication strategies to lead practice changes based on evidence.

• • Identify benefits and propose strategies to mitigate the challenges of interdisciplinary collaboration to plan care within the context of a remote team.

• • Communicate via video with clear sound and light, and include a narrative of video content.

• • Provide a full reference list that is relevant and evidence-based (published within five years), exhibiting nearly flawless adherence to APA format.

Remote Collaboration and Evidence-Based Care Example Paper

Hello everyone, and welcome to my presentation. My name is (insert name here). In this presentation, I will use Caitlyn Bergan’s scenario to emphasize the importance of implementing evidence-based practice and encouraging remote collaboration in promoting care quality for patients in remote settings.

Before delving into an in-depth analysis of the case study, it is valid to argue that the Vila health scenario underscores the importance of interdisciplinary collaboration between healthcare professionals, patients, and families in ensuring effective utilization of telemedicine technologies when physical distance is a fundamental factor for quality care delivery. This presentation will explain an evidence-based care plan for Caitlyn while emphasizing the role of interdisciplinary collaboration in promoting telehealth technologies.

Evidence-Based Care Plan

Caitlyn Bergan’s scenario presents various challenges when delivering care for patients with cystic fibrosis in remote settings. Although healthcare professionals at the Valley City Regional Hospital embrace interdisciplinary collaboration to ensure an effective transition for Caitlyn, they are aware of various constraints that hamper telehealth and remote collaboration. For instance, pediatricians, social workers, and nurses are willing to provide education to Caitlyn’s mother (Janice) and coordinate care with caregivers at McHenry. Although they successfully engage Janice through virtual platforms such as Skype, the telemedicine modalities seem insufficient and constrained by inflexible consultation scheduling and communication patterns.

Providing care to cystic fibrosis patients in remote settings requires consistent collaboration and communication between healthcare professionals and home-based caregivers (Desimone et al., 2021). According to Vagg et al. (2021), it is essential to implement interventions such as virtually monitoring adherence to nebulized treatments using telemedicine, installing mobile-health (mHealth) apps to improve patient progress, including nutrition and social welfare, and using teleconferencing platforms such as zoom to maintain interdisciplinary communication.

Although healthcare professionals at Valley City Regional Hospital maintain contact with Janice, additional information regarding strategies to monitor Caitlyn’s medication adherence and effective telehealth alternative tools are necessary for guaranteeing care continuity.

Evidence-based Practice Model for Developing the Care Plan

Johns Hopkins Evidence-Based Practice (JHEBP) model can be ideal in inspiring an evidence-based care plan for Caitlyn Bergan. Dang et al. (2021) argue that the JHEBP framework encourages caregivers to develop clinical questions, select and appraise evidence, and translate information to clinical activities and processes.

This model emphasizes the PET (Practice-Evidence-Translation) strategy that enables nurses to inquire about clinical problems, search and appraise evidence, and translate evidence into practical interventions. Finally, the JHEBP model encourages healthcare professionals to embrace interdisciplinary collaboration when implementing evidence-based practice. As a result, it is ideal for promoting evidence-based practices for delivering care to Caitlyn.

Relevance of the Evidence

Notably, providing care to patients with cystic fibrosis in remote settings by using telehealth modalities requires healthcare professionals to incorporate evidence-based and proven interventions. Johns Hopkins Evidence-Based Practice (JHEBP) model requires nursing researchers to consider sources’ currency, relevance, authority, and precision when appraising them.

Based on these thresholds, I selected studies by Desimone et al. (2021) and Vagg et al. (2021) as ideal evidence sources for informing the evidence-based care plan. According to Desimone et al. (2021), the necessary components for successful telemedicine include the ability to upload self-monitoring information to clinicians, robust internet connectivity, billing systems to ensure reimbursements, Health Insurance Portability and Accountability (HIPAA) compliance, and devices to connect to virtue visits.

On the other hand, the study by Vagg et al. (2021) elaborates on the importance of virtual monitoring of vital signs, utilizing virtual communication tools to track and communicate patients’ adherence to nebulizer treatments, and flexible teleconferencing to maintain consistent and timely communication between healthcare professionals, patients, and caregivers in remote settings. Undoubtedly, it is possible to apply these suggestions when developing a telehealth plan for Caitlyn Bergan.

Benefits and Strategies to Mitigate Challenges in Interdisciplinary Collaboration to Plan Care

Telehealth technologies face multiple challenges that compromise the effectiveness of telemedicine and interdisciplinary collaboration. Weißenfeld et al. (2021) contend that individual and community education levels, connectivity issues, data privacy concerns, economic issues, and unfamiliarity with telemedicine technologies frustrate telehealth.

Healthcare professionals can mitigate these challenges by educating patients, families, and communities on the usability of telemedicine technologies, linking remote communities to available telemedicine resources, implementing flexible virtual consultation schedules, and providing affordable billing alternatives to families to ensure internet connectivity. As I conclude this presentation, it is vital to note that solving telehealth technology problems translates to various benefits, including reducing care costs, improved virtual communication, distant patient diagnostics and treatment, and care continuity.

Thank you for your time

References

Dang, D., Dearholt, S., Bissett, K., Ascenzi, J., & Whalen, M. (2021). Johns Hopkins Evidence-Based Practice for Nurses and healthcare professionals: Model and guidelines (4th ed.). SIGMA Theta Tau International.

Desimone, M. E., Sherwood, J., Soltman, S. C., & Moran, A. (2021). Telemedicine in cystic fibrosis. Journal of Clinical & Translational Endocrinology, 26, 100270. https://doi.org/10.1016/j.jcte.2021.100270 

Vagg, T., Shanthikumar, S., Morrissy, D., Chapman, W. W., Plant, B. J., & Ranganathan, S. (2021). Telehealth and virtual health monitoring in Cystic Fibrosis. Current Opinion in Pulmonary Medicine, 27(6), 544–553. https://doi.org/10.1097/mcp.0000000000000821

Weißenfeld, M., Goetz, K., & Steinhäuser, J. (2021). Facilitators and barriers for the implementation of telemedicine from a local government point of view – a cross-sectional survey in Germany. BMC Health Services Research, 21(1), 1-9. https://doi.org/10.1186/s12913-021-06929-9

NURS-FPX4030 Assessment 4 Remote Collaboration and Evidence-Based Care Scoring Guide

CRITERIA	NON-PERFORMANCE	BASIC	PROFICIENT	DISTINGUISHED
Propose your evidence-based care plan to improve the safety and outcomes for the Vila Health patient with a discussion of new content for the care plan.	Does not propose an evidence-based care plan to improve the safety and outcomes for the Vila Health patient.	Describes an evidence-based care plan, but the relevance to the Vila Health patient or how the plan would improve outcomes is absent or unclear.	Proposes your own evidence-based care plan to improve the safety and outcomes for the Vila Health patient with a discussion of new content for the care plan.	Proposes your evidence-based care plan to improve the safety and outcomes for the Vila Health patient with new content added. Notes areas in which further information or data could have been useful in developing the plan.
Explain the ways in which you used the specific evidence-based practice model to help develop the care plan, identifying what interventions would be necessary. This requires a particular evidence-based model, such as the Johns Hopkins, Iowa, Stetler, or other.	Does not explain the ways in which you used the specific evidence-based practice model to help develop the care plan, identifying what interventions would be necessary.	Identifies an EBP model and lists the ways in which you use the specific evidence-based practice model to help develop the care plan.	Explains the ways in which you used the specific evidence-based practice model to help develop your care plan, identifying what interventions would be necessary. Uses a particular evidence-based model, such as the Johns Hopkins, Iowa, Stetler, or other.	Explains the ways in which you used the specific evidence-based practice model to help develop your care plan. Notes ideas for how to evaluate the positive benefits to patient outcomes.
Reflect on which evidence you collected that was most relevant and useful when making decisions regarding the care plan.	Does not reflect on which evidence you collected that was most relevant and useful when making decisions regarding the care plan.	Lists which evidence you collected that was most relevant and useful when making decisions regarding the care plan.	Reflects on which evidence you collected that was most relevant and useful when making decisions regarding the care plan.	Reflects on which evidence you collected that was most relevant and useful when making decisions regarding the care plan. Discusses the rationale or criteria that was used to determine relevance and usefulness.
Identify benefits and propose strategies to mitigate the challenges of interdisciplinary collaboration to plan care within the context of a remote team.	Does not identify benefits or propose strategies to mitigate the challenges of interdisciplinary collaboration to plan care within the context of a remote team.	Identifies benefits or proposes strategies to mitigate the challenges, but not both, of interdisciplinary collaboration to plan care within the context of a remote team.	Identifies benefits and proposes strategies to mitigate the challenges of interdisciplinary collaboration to plan care within the context of a remote team.	Identifies benefits and proposes strategies to mitigate the challenges of interdisciplinary collaboration to plan care within the context of a remote team. Discusses how interdisciplinary collaboration could be better leveraged to improve outcomes in future care situations.
Communicate via video with clear sound and light, and include a narrative of video content.	Does not communicate professionally in a well-organized presentation and does not include a narrative of video content.	Does not communicate via video or video is difficult to hear and see, but does include a narrative of video content.	Communicates via video with clear sound and light and does include a narrative of video content.	Communicates via video with clear sound and light. Content delivery is focused, smooth, and well-rehearsed. Includes a narrative of the video. Video presentation is between 5 to 10 minutes.
Provide a full reference list that is relevant and evidence-based (published within five years), exhibiting nearly flawless adherence to APA format.	Does not provide a reference list of relevant and/or evidence-based sources (published within five years).	Provides reference list that is not relevant and/or evidence-based with several APA errors.	Provides a reference list that is relevant and evidence-based (published within five years) sources, exhibiting nearly flawless adherence to APA format.	The reference list is from relevant and evidence-based (published within five years) sources, exhibiting flawless adherence to APA format.

Resources: Communication

• The resources below explore communication in health care:
  • Ratna, H. (2019). The importance of effective communication in healthcare practice. Harvard Public Heath Review, 23. https://harvardpublichealthreview.org/23-article-ratna/

• • • This article discusses the importance of communication in healthcare by presenting approaches to communication as well as discussing barriers.

• • Cayley, W. (2018). Four evidence-based communication strategies to enhance patient care. https://www.aafp.org/fpm/2018/0900/p13.html

• • • This article presents four difference evidence-based strategies to approach patients and communicate with patients.

Resources: Evidence-Base Practice Models and Examples of Application

• The resources below explore EBP models and examples of their application:
  • NewsRx. (2017, Jul 07). Nursing – evidence-based nursing; studies from University of Iowa add new findings in the area of evidence-based nursing (Iowa model of evidence-based practice: Revisions and validation). Health & Medicine Week.

• • • This article examines the Iowa model for EBP. The specific example in which the model is presented is oncology nursing, but there are valuable lessons to learn about applying evidence-based models to nursing practice no matter what your personal focus might be.

• • Indra, V. (2018). A review on models of evidence-based practice. Asian Journal of Nursing Education and Research, 8(4), 549-552.

• • • In this paper, review on models of evidence-based practice is discussed.

• • Cacchione, P., Jayakumar, K., Lavenberg, J., Leas, B., Mitchell, M., Mull, N., & Umscheid, C. (2019). Impact of a hospital evidence-based practice center (EPC) on nursing policy and practice. Worldviews Evid Based Nurs, 16(1), 4-11.

• • • This article examines evidence-based practice center work to inform nursing policy and practice.

• • Chan, E., Glass, G. F., & Phang, K. N. (2020). Evaluation of a hospital-based nursing research and evidence-based practice mentorship program on improving nurses’ knowledge, attitudes, and evidence-based practice. The Journal of Continuing Education in Nursing, 51(1), 46-52.

• • • This article presents nine nurses in an acute hospital in Singapore that participated in a mentorship program throughout 2015. The evidence-based practice questionnaire was used to measure the program’s effectiveness. This article examines how using an evidence-based model can help in the implementation of care guidelines.

• • Gawlinski, A., & Rutledge, D. (2008). Selecting a model for evidence-based practice changes. [PDF]. AACN Advanced Critical Care, 19(3) 291-300. https://www.kau.edu.sa/Files/0004020/Subjects/EBP%20Changes%20project.pdf

• • • This website explains the various evidence-based nursing models.

• • Springer Publishing. (n.d.). Evidence-Based Practice Models. https://connect.springerpub.com/content/book/978-0-8261-2759-4/back-matter/bmatter1

• • • This website also explains the various evidence-based nursing models.

Resources: Technology and Telehealth Resources

• The resources below explore technology and telehealth resources:
  • Peters, M. D. J. (2018). Engaging nurses and midwives with evidence-based healthcare. Australian Nursing and Midwifery Journal, 25(11), 24.

• • • This article discusses future national public hospital funding and healthcare reform. Australia’s healthcare sector and nursing and midwifery professional practice must be supported by the collection, sharing, linkage, analysis, implementation, and evaluation of high quality data and evidence from research as well as expert and consumer sources.

• • RHIhub. (n.d.). Telehealth use in rural healthcare. https://www.ruralhealthinfo.org/topics/telehealth

• • • This online resource repository could be helpful in examining ways in which telehealth care is delivered, as well as how you might blend evidence-based care delivery to telehealth patients.

• • van Houwelingen, C. T. M., Ettema, R. G. A., Kort, H. S. M., & ten Cate, O. (2017). Internet-generation nursing students’ view of technology-based health care. Journal of Nursing Education, 56(12), 717-724.

• • • This article presents the results of a study that examined the views of younger first-year nursing students with regard to a variety of technologies.

• • Vila Health: Remote Collaboration on Evidence-Based Care.

• • • This media simulation will provide the context for your Assessment 4.

Resources: Theory and Decision Making

• The resources below explore theory and decision making:
  • Barret, D. (2017). Rethinking presence: A grounded theory of nurses and teleconsultation. Journal of Clinical Nursing, 26(19/20), 157-159.

• • • The article presents a potential evidence-based and theory approach to delivering effective remote patient care.

• • Nibbelink, C. W., Brewer, B. B. (2018). Decision-making in nursing practice: An integrative literature review. Journal of Clinical Nursing, 27(5/6), 917-928.

• • • This literature review examines the various ways that decision-making strategies, and the evidence that informs though strategies, are demonstrated in practice.