Remote Collaboration and Evidence-Based Care presentation

Remote Collaboration and Evidence-Based Care presentation
Hello, my name is _, and I’d like us to talk today about working together and using care that is based on evidence in remote places. There are often problems in remote places that make it hard to get and give health care services. These problems include a lack of skilled workers and government funding that isn’t enough. To make sure rural areas get the best care possible, interventions based on evidence are needed to deal with problems like not having enough education, not having enough health care providers, social stigma, not having health insurance, and transportation problems. Rojas et al. (2018) explain that collaborative care is when primary care teams work together and coordinate with managers and experts to lower healthcare costs and improve the quality of care. In this video, I’ll talk about how a child with cystic fibrosis named Caitlynn could get better care through collaborative care and the use of evidence-based methods.

About the background

Caitlynn, who is two years old, was taken to the hospital because she had pneumonia and was having trouble breathing. Her medical background shows that this is her second time in the hospital for the same problem and that she was born with a meconium ileus. Further analysis showed that the breath sounds were getting quieter, there were a few Ronchi in the upper lobes, and the temperature was up to 101°F. A thorough check showed that her subcutaneous tissue was thinner in her extremities and that her sweat chloride tests were high. In the end, the patient was found to have cystic fibrosis, and treatment began.

Caitlynn lives with her parents in McHenry, which is an hour away from Valley City. As the doctors talk about how to treat the patient, it becomes clear that day-to-day care will be hard because of the distance and problems that could come up during the long drives. Her lung doctor, Rebecca Helgo, says, “I am worried about her day-to-day care, though. If her folks don’t take care of that, she’ll be back here with pneumonia.” Because of this problem, the doctors and nurses decide to use an educational method before sending the patient home and Skype consultations to keep giving care in a way that makes the patient feel good. Also, the Valley City doctor suggests using telemedicine for consultations if problems happen at home. Healthcare workers use emails, phone calls, and Skype to keep in touch with each other and check on the patient’s progress.

Model of Care Based on Evidence

Based on the above situation, a model of evidence-based practice was used to help make Caitlynn’s care plan. Olade (2004) says that evidence-based practice is a process that uses well-researched interventions, clinical experience and ethics, and client preferences and culture to guide and explain the delivery of treatments and services. The above case shows how the Tyler Collaborative Model, which recognizes the role of teamwork in better patient outcomes, can be used. The Tyler model allows for a step-by-step change process that gives providers a chance to combine previously available critical review methods to find the best evidence for practice (olade, 2004).

When using evidence-based practice, the first step is to break the ice. During this step, it’s important to figure out what the problem is and what’s causing it to change. The second way is for healthcare teams to work together to make sure that problems are correctly diagnosed. After the diagnosis, the collaborative teams should figure out what needs to be done and get the tools they need. The collaborative process should then include other nursing teams to find answers to the problems that have been found. Other things that can be done with this model are reviewing the literature, doing test studies, and evaluating the results.

The above case shows how Tyler’s evidence-based practice model can be used to provide joint care. First, Dr. Copeland and Virginia Anderson work together to figure out what the patient’s health problems are. Then, they work together with the respiratory therapist, Rebecca Helgon, to find gaps in ongoing care for patients after they leave the facility. Through collaborative practice, it has become clear that Caitlynn will get care at home because the facility is far away. After talking with Caitlynn’s doctor more, it becomes clear that telemedicine will be the best way to treat the patient. Later, we see that the medical team leads the mother through Skype as she does chest physiotherapy and checks for signs of breathing problems.

Most Important and Useful Proof

In this case scenario, the use of telemedicine to coordinate care is the most important and useful proof seen. Telehealth lets doctors in rural areas connect their patients to services at a faraway location. Clearly, telehealth works to make sure that healthcare services are offered in rural areas where there aren’t enough medical specialists. Telehealth is a way for the primary care provider to connect the patient with experts without the patient having to travel to the facility. The Centers for Disease Control and Prevention (CDC) (2020) encourage the use of telehealth because it makes care more patient-centered. The technology lets patients and their families help decide what kind of health care the patient needs. In the above case situation, the healthcare providers talked about patient care by phone, video call (Skype), and email over the internet. In this case, these ways of talking were used because the distance between the patient’s home and the hospital was so far. Also, telehealth was the best way for Caitlynn’s nurse, doctor, and social worker to talk to each other while caring for her from different places.

Benefits and Strategies

The last part I want to talk about is the benefits of interdisciplinary cooperation and how to deal with its problems. The first benefit of working with people from different fields is that it makes medical care and outcomes better. Rojas et al. (2018) say that joint practice cuts down on medical mistakes, makes staff relationships better, and makes healthcare more efficient. In the above situation, the patient’s treatment costs went down because of collaboration, and she was able to get consistent care even when the medical providers were not there. One way to deal with the difficulties of interprofessional collaboration is to use EHRs that can be used from different places to record and watch patient data. Second, healthcare facilities should think about offering free internet so that Skype and other video recording platforms can be used to improve contact.

References
Centers for Disease Control and Prevention. (2020) Preventing chronic disease: The influence of telehealth for better health across communities. https://www.cdc.gov/pcd/issues/2020/20_0254.htm

Olade, R. A. (2004). Strategic collaborative model for evidence‐based nursing practice. Worldviews on Evidence‐Based Nursing, 1(1), 60-68. https://doi.org/10.1111/j.1741-6787.2004.04003.x

Rojas, G., Guajardo, V., Martínez, P., Castro, A., Fritsch, R., Moessner, M., & Bauer, S. (2018). A Remote Collaborative Care Program for Patients with Depression Living in Rural Areas: Open-Label Trial. Journal of Medical Internet Research, 20(4), e158. https://doi.org/10.2196/jmir.8803

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