Evidence-Based Care and Plan to Improve Patient Safety and Outcomes 

Hello everyone, I am Adriel. Today I am going to conduct an assessment on the topic “Remote Collaboration and Evidence-Based Care.” There are a lot of scenarios when the patient cannot visit a health care center by himself due to different reasons, such as transportation issues. In these situations, professionals face the challenge of collaborating remotely and virtually with patients to provide care. Telemedicine programs are taken advantage of to communicate with patients living in rural areas. In this assessment, I will discuss the case of a two-year-old kid whose name is Caitlyn. She is receiving remote care from Doctor Copeland. Telehealth services professionals give virtual visits and have chat-based discussions with the caretakers of the patient and help them to design the best possible ways for diagnosis and treatment planning. Telehealth services helps with saving unnecessary visits to the hospitals. Distant collaboration is a convenient method to help rural primary care teams (Vidal, 2020).

The Remote Collaboration Scenario

After introducing the concept of remote collaboration and an evidence-based care plan, I would like to go further with the Villa hospital’s remote collaboration scenario. Dr. Copeland, pediatric nurse Virginia Anderson, and hospital respiratory therapist Rebecca Helgo collaboratively perform to commemorate the patient’s respiratory problems as she is diagnosed with Cystic Fibrosis. The patient is a two-year-old girl Caitlyn, who is having trouble with respiration. She was admitted once to the hospital for the treatment of pneumonia in the previous six months (Falucco et al., 2021). Caitlyn is from North Dakota, a small rural community. she has no access to professional Healthcare staff. She is about a mile from the healthcare services center, Villa hospital, and her parents also have excuses because both work parents also have an excuse not to travel. After all, both work full-time jobs.

The digestive system and other organs of the body were damaged. In CF cystic fibrosis transmembrane conductance regulator gene has mutation. This protein is having fault and it affects the body cells, tissues, along with glands of people suffering from cystic fibrosis. The tissues creating mucus, sweat, and gastrointestinal secretions are affected by cystic fibrosis. The disease condition’s mucus becomes thick and denser due to the defective gene. It is of immense value to give information to the patient’s parents about the outcomes of the disease. They need to know that they require a multi-disciplinary treatment plan for their daughter organized by physicians, pediatricians, nurses, respiratory therapists, and endocrinologists in case of noticing any severe symptoms such as wheezing, shortness of breath, loss of weight, and noticeable change in the color of mucus. (Li et al., 2019).

Evidence-Based Care Plan to Improve the Safety and Outcomes of the Patient

I would like to recommend an evidence-based care strategy. Tjis strategy will result in positive outcomes and will enhance the patient’s safety and results. Using online mediums for treatment will save the patient’s parents’ time and provide better professional supervision and efficient communication with the healthcare staff. Caitlyn’s parents may book consultations with their healthcare professionals and talk to them over the phone or through audio or video call. It will result in enabling Caitlyn to have complete access to adequate treatment and care services. Her parents are concerned with her health condition as she has difficulty breathing. Apart from that, she requires regular assessments of continuous changes in her health conditions, such as difficulty in respiration, weight loss, intestinal noises, and changes in appetite. The healthcare staff gives the child breathing treatment. As her health condition is not much stable, she requires full-time supervision after she is given the dose of medication to find out if its effectively working or not (Amoako, 2022).

Evidence-Based Model 

Now, I am going to discuss evidence-based models. Evidence-based models promote adequate care decision-making in healthcare cases and yield results from patient priorities to individualized care. Healthcare professionals and nursing staff develop these to help develop evidence-based plans. Evidence-based models help nurses modify the medical system to their fullest potential and provide to modify it to their fullest potential and deliver secure and accurate cures to patients. Every healthcare department has different needs and demands, and a single evidence-based model cannot completely gratify the medical team. These models help the nurses to complete the execution of the projects related to evidence-based plans. Professionals propose different models such as the Iowa model of EBP, the Stetler model, the Ottawa model of research use, promoting action on research implementation in health services (PARiHS) framework, and the knowledge to action (KTA) process Framework, etc. 

The model which I have chosen for my assessment is the Stetler model, and the reason for choosing this model is that it helps the practitioners to know how research findings and other evidence are implemented in clinical practice. This model examines that the patient-centered care approach can be changed by using the evidence to reduce the chance of making mistakes. Different steps are involved in this model, referred to as phases, and there are five phases of the Stetler model. These phases are:

• Preparing
• Validating
• Making decision
• Application  of interventions 
• Evaluation (Desimone et al., 2021).

Stetler’s model promotes encouragement for using the best evidence. It allows the categorization of external and internal elements. The patient’s family lives in a rural area, and her parents would need to weigh the benefits of treatment sessions through telephone or any other online source. It will save their time as the Villa facility is far away from their residence. Different models such as  Iowa can be used as a form of evidence-based practice. It helps in finding out solutions to problems in a discrete manner (Toney-Butler & Thayer, 2022).

Strategies to Mitigate the Challenges of Interdisciplinary Collaboration

Collaboration in healthcare shows great importance in improving the patient’s health conditions and increasing job satisfaction among healthcare staff. But there is no doubt that they also must face some challenges, such as the inability to form a stable connection every time and lack of proper information about the patient as his parents or family members are not aware of the medical health terminologies. In the case of the patient Caitlyn, a healthcare professional gave excellent advice to the parents to guide them. Support staff, such as nurses, collaborated with the doctor to inform him entirely about the child’s health condition (Vera, 2019).

One method to lessen the pressure of multidisciplinary cooperation is to encourage team coordination by sharing all the knowledge. Digital healthcare records if kept maintained and balanced, it will help to enable all practitioners and other collaborating staff to maintain a proper check on Caitlyn’s healthcare status. There would be no more room for uncertainty or worry regarding the medical strategy she is experiencing. They should set an alarming notification. This notification should be used as a sign that may be issued to each healthcare service provider.  They will get notified when Caitlyn changes her medicine. It will also notify when the patient starts taking a new one. (Fallucco et al., 2021).

Conclusion

Interprofessional collaboration is helpful for the patients who visit the doctors virtually, whether they are far away from the healthcare unit or unable to travel due to medical conditions. Evidence-based strategies help the healthcare staff to decide on a better treatment plan for the patient. Proper and professional communication among staff members helps them learn more about the patient’s condition and work effectively to improve their condition. A proper healthcare plan empowers the healthcare staff to make healthier choices.

References 

‌ Amoako-Attah, I. (2022). Increasing Patient Participation with Colorectal Cancer screening in primary care: An evidence-based improvement initiative. Tdl.org. https://doi.org/https://hdl.handle.net/11274/13760

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

 Fallucco, E. M., Landy, R. E., Leung, K., & Robertson Blackmore, E. (2021). Child psychiatry consultation clinic for pediatricians: long-term outcomes. Clinical Pediatrics, 60(8), 350–362. https://doi.org/10.1177/00099228211015844

Li, S., Cao, M., & Zhu, X. (2019). evidence-based practice. Medicine, 98(39), e17209. https://doi.org/10.1097/md.0000000000017209

Read, E. J., Mirza, A. A., Chhatwani, L., Purington, N., & Mohabir, P. K. (2022). cystic fibrosis telemedicine in the era of covid-19. JAMIA Open, 5(1). https://doi.org/10.1093/jamiaopen/ooac005

Toney-Butler, T. J., & Thayer, J. M. (2022, April 14). Nursing process. Nih.gov; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK499937/

Vera, M. (2019, January 30). 1,000+ nursing care plans: The Ultimate Guide and Database for Free. Nurseslabs. https://nurseslabs.com/nursing-care-plans/

Vidal-Alaball, J., Acosta-Roja, R., Pastor Hernández, N., Sanchez Luque, U., Morrison, D., Narejos Pérez, S., Perez-Llano, J., Salvador Vèrges, A., & López Seguí, F. (2020). telemedicine in the face of the covid-19 pandemic. Atención Primaria, 52(6), 418–422. https://doi.org/10.1016/j.aprim.2020.04.003