NURS FPX 4030 Assessment 3 Picot Questions and an Evidence Based Approach
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NURS FPX 4030 Assessment 4 Remote Collaboration and Evidence Based Care

NURS FPX 4030 Assessment 4 Remote Collaboration and Evidence Based Care

Name

Capella university

NURS-FPX 4030 Making Evidence-Based Decisions

Prof. Name

Date

Remote Collaboration and Evidence-Based Care

Hi! everyone. I am _____ and I am here to provide a video presentation on advancing patient outcomes through evidence-based care strategies. Anxiety management is a leading issue in healthcare. Millions across the globe have anxiety-related disorders that present significant challenges to patient well-being and healthcare systems (Pinho et al., 2021). In my discussion today, I will explain the complexity of anxiety care, particularly in a remote setting, and provide an overarching, evidence-based approach to this problem. We will propose a comprehensive care plan that spans disciplines, is supported by technology, is centered on the patient, and will revolutionize anxiety management along the evidence spectrum. We intend to show how these strategies can markedly change patient outcomes and quality of life.

Evidence-Based Care Plan

A 35-year-old woman with anxiety resides in a rural area with limited mental health care access. Nurse Maria collaborates remotely with a team, proposing evidence-based care. The team includes a psychiatrist suggesting medication therapy, a therapist conducting remote Cognitive-Behavioral Therapy (CBT) sessions, and a social worker addressing social and environmental factors. Maria plans to integrate their recommendations into the patient’s treatment and schedule virtual follow-up visits.

Evidence-Based Care Plan

To enhance the safety and outcomes for Vila Health’s patient experiencing anxiety, the evidence-based care plan must be comprehensive, encompassing pharmacological and non-pharmacological interventions specific to the patient’s circumstances and needs. Medication therapy can be initiated, as mentioned, by integrating Selective Serotonin Reuptake Inhibitors (SSRIs) and benzodiazepines as recommended by the psychiatrist. The former is efficacious for the management of anxiety symptoms over the long-term, while the latter can provide fast-acting relief of acute episodes (Perna et al., 2020).

However, they are both associated with a potential for dependence and adverse effects, especially the latter, making careful monitoring essential. Equally important are the non-pharmacological interventions such as the remote CBT sessions facilitated by the therapist. CBT equips the patient with coping mechanisms, relaxation techniques, and cognitive restructuring strategies to manage anxiety effectively. Their remote availability bridges gaps in access and proximity to care for patients like ours is rural, and with limited mental health services available (Ando et al., 2023).

As per nurse Maria’s proposal, the regular virtual follow-up visits would provide continuous checking of the patient’s success and support the modification of her treatment plan as needed. They ensure continuity of care and the interdisciplinary team would this time, contribute to the assessment of the patient’s ongoing needs together. The integration of pharmacological and non-pharmacological interventions with remote collaboration optimizes the patient’s safety, enhances treatment outcomes, and improves the quality of her life.

Areas with Further Information

Additional useful information for developing the plan would be the patient’s treatment preferences and past experiences. This will enable a more personalized and effective plan for managing anxiety, based on her individual needs and circumstances. An assessment of any barriers to treatment adherence in her rural environment and available community resources would further inform the plan of care (Ando et al., 2023).

Evidence-Based Practice Model

In formulating the care plan, I used a defined Evidence-Based Practice (EBP) model that integrated the principles of the Iowa Model of EBP to promote high-quality care (Honig et al., 2023). I critically appraised the evidence base, such as clinical guidelines and research studies, to identify effective interventions for anxiety management. This included examining the literature on the efficacy and safety of SSRIs, benzodiazepines, and CBT in anxiety disorders (Perna et al., 2020). I evaluated the feasibility and applicability of these interventions to the patient’s situation. The high level of generalization of study participants in RCTs may limit the applicability of their findings to the patient’s unique social, economic, and clinical circumstances, including a pawn shop, domestic violence, and cervical cancer. For this reason, I conducted a thorough assessment of the patient’s preferences and values, as well as her clinical condition and needs to customize the care plan to meet her unique circumstances (Grossman et al., 2020).

Positive Benefits to Patient Outcomes

Several strategies can be employed to evaluate the positive benefits to patient outcomes. Firstly, quantitative measures such as standardized anxiety assessment scales can be used to track changes in symptom severity over time. Additionally, qualitative feedback from the Vila health patient regarding her satisfaction with the treatment modalities and perceived improvements in her quality of life can provide valuable insights (Huang et al., 2021). Moreover, monitoring indicators of treatment adherence and engagement in therapy sessions can offer further evidence of the effectiveness of the care plan. Finally, regular interdisciplinary team meetings can facilitate ongoing evaluation and adjustment of the care plan based on collective clinical judgment and patient feedback. This will ensure that interventions will remain aligned with best practices and the patient’s evolving needs (Doan & Blitz, 2020).

Care Plan Resources

The evidence collected that proved most relevant and useful in decision-making for the care plan included clinical guidelines and research studies outlining the efficacy and safety profiles of interventions such as SSRIs, benzodiazepines, and CBT for anxiety disorders. Additionally, patient-specific factors such as her rural location and limited access to mental health care informed the selection and adaptation of telehealth interventions to ensure feasibility and applicability in her unique circumstances (Ando et al., 2023).

Relevance and Usefulness of Evidence

The rationale for determining the relevance and usefulness of the collected evidence revolved around its alignment with evidence-based guidelines and its applicability to the Vila health patient’s specific clinical context. Criteria included the strength of evidence supporting the effectiveness and safety of interventions, considering factors such as study design, sample size, and outcomes measured. Additionally, relevance was assessed based on the feasibility of implementing interventions like telehealth within the patient’s rural setting and the impact on her symptom management and well-being (Menear et al., 2022).

Interdisciplinary Collaboration Strategies, Benefits, and Challenges

Interdisciplinary collaboration offers several benefits, including a holistic approach to patient care, leveraging diverse expertise, and fostering innovative solutions. Clear communication channels and regular virtual meetings are essential to capitalize on these benefits within a remote team context. Establishing shared goals and expectations upfront promotes cohesion and alignment among team members. Additionally, utilizing technology platforms for secure information sharing and collaboration facilitates real-time communication and data exchange (Pianese et al., 2022).

Moreover, assigning specific roles and responsibilities to each team member enhances accountability and ensures efficient coordination of care tasks. To mitigate challenges, such as potential communication barriers, establishing standardized protocols for communication and decision-making can help streamline processes. This promotes effective collaboration despite geographical distances, ensuring smooth coordination and improved outcomes for patients. Regular team debriefings and feedback sessions provide opportunities to promptly address any issues or concerns, fostering a culture of continuous improvement and teamwork (Amu & Gillian, 2023). Similarly, at Vila Health, assigning specific roles and responsibilities to each team member will enhance accountability. This will also ensure efficient coordination of care tasks for patients like those with anxiety living in rural areas.

Outcomes in Future Care Situations

Interdisciplinary collaboration holds immense potential to enhance outcomes in future care situations significantly. By harnessing the collective expertise of diverse healthcare professionals, multidisciplinary teams can develop comprehensive and tailored care plans that address the multifaceted needs of patients more effectively (Grezenko et al., 2023). One key aspect of leveraging interdisciplinary collaboration for improved outcomes is fostering a culture of respect and collaborative decision-making among team members. This facilitates the exchange of ideas, encourages innovation, and ensures that all perspectives are considered in the care planning process (Grezenko et al., 2023).

Furthermore, promoting interdisciplinary education and training programs can enhance team members’ understanding of each other’s roles, responsibilities, and contributions to patient care. This fosters a sense of camaraderie and mutual support within the team, enabling seamless collaboration and coordination of care efforts. Additionally, integrating technology-driven platforms and tools for remote collaboration can overcome geographical barriers. For example, platforms like video conferencing and mobile devices. Technologies also facilitate real-time information sharing and communication among team members (Menear et al., 2022).

Teams can reflect on previous experiences, pinpoint improvement areas, and proactively apply evidence-based approaches to improve patient outcomes through the incorporation of regular interdisciplinary case reviews and quality improvement activities. Interdisciplinary teams can maximize their aggregate effect on patient care by responding to new healthcare challenges by constantly assessing and improving their methods of collaboration. (Amu & Gillian, 2023).  By leveraging interdisciplinary collaboration effectively, Vila healthcare organizations can achieve better patient outcomes, improve quality of care, and enhance patient satisfaction.

Conclusion

Interdisciplinary collaboration is a cornerstone of effective healthcare delivery, especially in remote settings. By fostering open communication, and mutual respect and leveraging diverse expertise, teams can develop tailored care plans that address patients’ complex needs. Embracing technology and continuous quality improvement further optimize outcomes. Moving forward, prioritizing interdisciplinary education and proactive adaptation ensures that teams remain agile and responsive, ultimately leading to enhanced patient care and satisfaction.

References

Amu, H., & Gillian, B. (2023). Task shifting and task sharing in the health sector in sub-Saharan Africa: Evidence, success indicators, challenges, and opportunities. The Pan African Medical Journal46(11). https://doi.org/10.11604/pamj.2023.46.11.40984 

Ando, M., Kao, Y.-C., Lee, Y.-C., Tai, S.-A., Mendez, S. R., Sasaki, K., Tang, W., & Papatheodorou, S. (2023). Remote cognitive behavioral therapy for older adults with anxiety symptoms: A systematic review and meta-analysis. Journal of Telemedicine and Telecarehttps://doi.org/10.1177/1357633×231151788 

Doan, L. V., & Blitz, J. (2020). Preoperative assessment and management of patients with pain and anxiety disorders. Current Anesthesiology Reports10(1), 28–34. https://doi.org/10.1007/s40140-020-00367-9 

Grezenko, H., Ekhator, C., Nwabugwu, N. U., Ganga, H., Affaf, M., Abdelaziz, A. M., Rehman, A., Shehryar, A., Abbasi, F. A., Bellegarde, S. B., & Khaliq, A. S. (2023). Epigenetics in neurological and psychiatric disorders: A comprehensive review of current understanding and future perspectives. Cureus15(8), 1–8. https://doi.org/10.7759/cureus.43960 

Grossman, J. T., Frumkin, M. R., Rodebaugh, T. L., & Lenze, E. J. (2020). mHealth assessment and intervention of depression and anxiety in older adults. Harvard Review of Psychiatry28(3), 203–214. https://doi.org/10.1097/hrp.0000000000000255 

NURS FPX 4030 Assessment 4 Remote Collaboration and Evidence Based Care

Honig, A. J., Galassi, M. G., Ogungbe, O. O., Uranga, T., & Cuevas, D. K. (2023). Implementation of aromatherapy, a nonpharmacological intervention, to reduce anxiety during the preoperative period. Journal of PeriAnesthesia Nursing38(2), 206–212. https://doi.org/10.1016/j.jopan.2022.06.011 

Huang, C. W., Wee, P. H., Low, L. L., Koong, Y. L. A., Htay, H., Fan, Q., Foo, W. Y. M., & Seng, J. J. B. (2021). Prevalence and risk factors for elevated anxiety symptoms and anxiety disorders in chronic kidney disease: A systematic review and meta-analysis. General Hospital Psychiatry69, 27–40. https://doi.org/10.1016/j.genhosppsych.2020.12.003 

Menear, M., Girard, A., Dugas, M., Gervais, M., Gilbert, M., & Gagnon, M.-P. (2022). Personalized care planning and shared decision making in collaborative care programs for depression and anxiety disorders: A systematic review. PLOS ONE17(6). https://doi.org/10.1371/journal.pone.0268649 

Perna, G., Alciati, A., Sangiorgio, E., Caldirola, D., & Nemeroff, C. B. (2020). Personalized clinical approaches to anxiety disorders. In Advances in Experimental Medicine and Biology (pp. 489–521). https://doi.org/10.1007/978-981-32-9705-0_25 

Pianese, T., Errichiello, L., & Cunha, J. V. (2022). Organizational control in the context of remote working: A synthesis of empirical findings and a research agenda. European Management Review20(2), 326–345. https://doi.org/10.1111/emre.12515 

NURS FPX 4030 Assessment 4 Remote Collaboration and Evidence Based Care

Pinho, L. G. de, Lopes, M. J., Correia, T., Sampaio, F., Arco, H. R. do, Mendes, A., Marques, M. do C., & Fonseca, C. (2021). Patient-centered care for patients with depression or anxiety disorder: An integrative review. Journal of Personalized Medicine11(8), 776. https://doi.org/10.3390/jpm11080776 

 

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