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Assessment 4: Remote Collaboration and Evidence-Based Care

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Capella University

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Course Name

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FEB 23, 2024
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Exploring Remote Collaboration and Evidence-Based Care in
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Greetings, viewers! I'm __, and today, we'll delve into the realms of remote collaboration
and evidence-based care within healthcare settings. Our focus will be on a case study
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from Vila Health facility, unraveling the intricacies of remote teamwork and its impact on
patient care. Furthermore, we'll dissect the pros and cons of remote collaboration in the
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healthcare sector. But before we dive into our case study, let's grasp the essence of
remote collaboration, defined as the collective effort of individuals situated in different
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locations, working together on a shared objective. In healthcare, this translates to

professionals from diverse locations coming together to improve patient outcomes.
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Effective communication plays a pivotal role in successful remote collaboration, and the
utilization of communication tools enables healthcare providers to collaborate
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seamlessly, irrespective of distance. We'll explore a similar case study where doctors,
nurses, and other healthcare professionals from Vila Health facility effectively
collaborated using telemedicine tools.
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Setting the Scene

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Before we proceed, let's set the context. Meet Caitlyn, a two-year-old hospitalized for
pneumonia. Her medical team, led by Dr. Copeland and pediatric nurse Virginia
Anderson, sought the expertise of a respiratory therapist due to Caitlyn's severe
breathing difficulties. Following a sweat chloride test, Caitlyn was diagnosed with cystic
fibrosis, a condition with lifelong implications. Considering geographical constraints and
the parents' work commitments, the Vila Health team opted for remote collaboration to
aid Caitlyn. They educated the parents via video calls while coordinating with Caitlyn's
local pediatrician through virtual consultations. Telemedicine tools like Skype were also
considered for immediate access during emergencies. In essence, the geographical and
medical complexities of Caitlyn's case underscore the importance of an evidence-based
care strategy involving telemedicine, ensuring effective intervention in critical situations,
thereby improving patient outcomes and potentially averting cystic fibrosis-related

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complications.

Crafting an Evidence-Based Care Plan

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At Vila Health facility, Caitlyn's cystic fibrosis care plan is devised using research-driven

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strategies that encompass various approaches:

● Continuously monitor Caitlyn's oxygen saturation to maintain it at 90% or higher,

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ensuring relaxed breathing and full consciousness. Regularly assess arterial
blood gases to stay within normal ranges.
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● Provide Caitlyn's parents with comprehensive explanations of her health
conditions and interventions, encouraging their active participation in her tailored
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treatment plan.
● Educate Caitlyn's parents on performing daily airway clearance therapies,
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monitoring signs of respiratory distress, and improvements in lung function.

● Regularly assess Caitlyn's respiratory parameters, ensuring normal breath
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sounds, appropriate respiratory rate and depth, and an effective cough

mechanism.
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● Aim to minimize Caitlyn's cough intensity, normalize mucus production, regulate

body temperature, and manage white blood cell count through appropriate
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medications and infection control measures.

While the devised care plan is comprehensive, potential gaps include understanding the
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optimal level of parental comprehension, the family's financial status, communication

hurdles, and parental commitment to their child's health.
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Implementing an Evidence-Based Care Model

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Using the Knowledge Action Process (KAP) model, Caitlyn's care plan undergoes the
following phases:

● Problem Identification: Develop a community-based care plan for a patient

readmitted due to cystic fibrosis, executed via remote collaboration.
● Knowledge Acquisition: Study various cystic fibrosis research to comprehend the
disease and its management, especially in community settings.
● Knowledge Understanding: Grasp all available online resources, filtering relevant
information for further processing.
● Belief in Knowledge Accuracy: Verify information accuracy using the CRAAP
criteria, ensuring relevance and reliability through authentic studies.
● Knowledge Retention: Store cystic fibrosis management information for crafting a

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care plan.
● Problem Recontextualization: Revisit Caitlyn's condition, considering all
impediments to her care and identifying resources for the care plan.

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● Knowledge Application: Develop a care plan addressing Caitlyn's issues,
focusing on optimal gas exchange, proficiency in airway clearance therapies,

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infection management, and maintaining airway patency.

The Knowledge-to-Action process model helps evaluate patient outcome benefits,

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including monitoring vital signs, assessing caregiver understanding, progress, and
infection management.
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Reflecting on Gathered Evidence
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Evidence from three key sources informs Caitlyn's care plan:

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● Research guidelines provide the foundation for managing Caitlyn's physical

health.
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● Qualitative analysis of cystic fibrosis patients' experiences sheds light on

psychosocial aspects, aiding in understanding Caitlyn's health conditions.
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● Knowledge about cystic fibrosis pathophysiology informs the proposed care plan.
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Using the CRAAP Criteria ensures the relevance and usefulness of gathered evidence,
crucial for optimally managing Caitlyn's health.
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Advantages and Strategies for Overcoming Collaboration Challenges

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Interdisciplinary collaboration in Caitlyn's cystic fibrosis care scenario offers several

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benefits, leveraging diverse professional expertise for comprehensive disease

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management. Despite geographical barriers, remote collaboration facilitates better
healthcare access in remote areas.

To address challenges like geographical dispersion and time zone differences,

technology-enabled remote collaboration, regular updates, clear communication plans,
cultural sensitivity, and recognizing individual team strengths are recommended
approaches.

In Conclusion

Caitlyn's journey with cystic fibrosis management underscores the significance of

remote collaboration and evidence-based care in healthcare. Through technology and
proven methodologies, a multidisciplinary team provided Caitlyn with personalized care,

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transcending geographical boundaries. This case exemplifies the potential of remote
collaboration to enhance healthcare accessibility and quality, offering a ray of hope for

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individuals in distant locations.

References

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● Chaudary, N., & Gabriella, B. (2021). Airway clearance therapy in cystic fibrosis
patients: Insights from a clinician providing cystic fibrosis care. International
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Journal of General Medicine, 14(2513-2521).
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https://doi.org/10.2147/ijgm.s274196
● Lascano-Vaca, Y., Ortiz-Prado, E., Gomez-Barreno, L., Simbaña-Rivera, K.,
Vasconez, E., Lister, A., Arteaga-Espinosa, M. E., & Perez, G. F. (2020). Clinical,
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genetic, and microbiological characterization of pediatric patients with cystic

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fibrosis in a Public Hospital in Ecuador. BMC Pediatrics, 20(1).

https://doi.org/10.1186/s12887-020-2013-6
● Ni, Q., Chen, X., Zhang, P., Yang, L., Lu, Y., Xiao, F., Wu, B., Wang, H., Zhou, W.,
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& Dong, X. (2022). Systematic estimation of cystic fibrosis prevalence in Chinese

and genetic spectrum comparison to Caucasians. Orphanet Journal of Rare
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Diseases, 17(1). https://doi.org/10.1186/s13023-022-02279-9

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● Stanford, G. E., Dave, K., & Simmonds, N. J. (2021). Pulmonary exacerbations in

adults with cystic fibrosis: A grown-up issue in a changing cystic fibrosis
landscape. Chest, 159(1), 93–102. https://doi.org/10.1016/j.chest.2020.09.08
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● Taheri, L., Mirlashari, J., Modaresi, M., & Pederson, A. (2022). Cough in an
adolescent with cystic fibrosis, from the nightmare to COVID-19 stigma: A
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qualitative thematic analysis. Journal of Pediatric Nursing, 64 (119–125).

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https://doi.org/10.1016/j.pedn.2022.02.013

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