NURS-FPX 4030 Remote Collaboration and Evidence-Based Care

NURS-FPX 4030 Remote Collaboration and Evidence-Based Care

NURS-FPX 4030 Remote Collaboration and Evidence-Based Care

Hello, my name is X. This is my presentation for NURS-FPX4030 assessment 4. The video examines a case study involving Caitlynn Bergan, a 2-year-old child who has been brought to Valley Hospital for an illness. She is found to have pneumonia and admitted for further management. A series of investigations performed led to a diagnosis of cystic fibrosis. A multidisciplinary team has been formed to coordinate the care given to Caitlynn. Therefore, my presentation focuses on my developed evidence-based treatment plan, evidence-based practice model that guided the plan, most relevant evidence, and benefits and strategies to mitigate challenges of interdisciplinary collaboration.

Evidence-Based Plan

The multidisciplinary team involved in Caitlynn care have adopted treatment interventions that include antibiotics, dietary modifications, pancreatic enzymes, and chest physiotherapy. As shown Reisinho and Gomes (2022), these are the standard treatment regimes for patients diagnosed with cystic fibrosis. Besides the above interventions, I would incorporate psychological interventions into the care plans for the client. I will adopt psychological therapy to help Caitlynn’s parents cope with the increasing demands of care. The additional interventions that would be adopted to promote family coping include cognitive-behavioral therapy, relaxation training, and family therapy to help them explore ways of meeting Caitlynn’s needs without too much strain on them (Dawson et al., 2020). The other aspect that I would incorporate into Caitlynn’s care is ensuring that her vaccination schedule is up-to-date. Cystic fibrosis patients are increasingly predisposed to respiratory infections such as pneumonia. Strategies such as timely immunization minimize the client’s risks by building her immunity. In addition, I would educate the family about the importance of maintaining optimum diet for growth and immune development (Suyanto & Pandin, 2021).

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The case study shows that Caitlynn’s family lives far from Valley hospital. They may experience challenges in visiting the hospital regularly for the care that they need. Virtual care has been organized to ensure the realization of Caitlynn’s health outcomes. As a result, I would incorporate weekly follow-up care to the family virtually to assess Caitlynn’s health. I will incorporate methods such as short text messaging and making follow-up calls besides the current plan for optimum outcomes (Valero-Moreno et al., 2021). Cystic fibrosis patients also require care interventions such as chest physiotherapy to loosen thick secretions. As a result, I will strengthen the existing collaboration with respiratory therapist to ensure the parents develop the desired competencies in ensuring optimal respiratory function (Frost et al., 2019). Some information could have been useful for use in developing the plan, if they could have been provided in the case study. They include information on whether the family has access to computer at home, internet accessibility, and ability to use phones to telehealth.

Evidence-Based Practice Model

Kurt Lewin model of change guided the development of the above treatment plan for Caitlynn. According to Lewin, change is a stepwise process. The introduction of a change, such as ensuring that Caitlynn mother understands and uses the recommended care interventions is a change process. Lewin recognized that driving and restraining forces influence change. Driving forces facilitate change while restraining forces hinder the change process. The understanding of these forces is important to identify the barriers and enablers of effective cystic fibrosis management by Caitlynn parents (Peate & Mitchell, 2022). Lewin also identified the three steps of change. They include unfreeze, change, and refreeze.

Unfreezing is the first step where the adopters of a change are unaware of its need. Caitlynn’s mother is unaware of the needed treatments and management of cystic fibrosis at this stage. She is likely to resist her active involvement in the management of her daughter’s problem. As a result, interventions to create awareness such as health education, active participation, shared decision-making, and seeking feedback should be adopted to enhance her preparedness for the challenging role she will play in her daughter’s treatment. Changing is the second step in Lewin’s model of change. This stage is characterized by the adopters of change embracing the desired behaviors to support change. Caitlynn’s mother has acquired the desired knowledge and skills needed for optimum cystic fibrosis management in this stage. The focus is then on interventions such as linking her to social support networks, providing follow-up care, ensuring effective care coordination, and building her competencies based on the identified strengths. The last step is refreezing. This is where the desired change has been achieved and aim is to sustain the change behaviors. Caitlynn’s parents have developed the desired competencies in cystic fibrosis management at this stage. The focus is on ensuring sustainable change in behaviors and consistent use of best practices by the parents for cystic fibrosis (Peate & Mitchell, 2022). The approach to evaluating positive benefits of the care plan to patient outcomes will focus on care outcomes such as hospitalization rate, costs, and parents’ competencies in cystic fibrosis management.

Most Relevant Evidence

The most relevant sources that guided the development of the care plan included the studies by Dawson et al., (2020), Frost et al., (2019), Reisinho and Gomes (2022), and Valero-Moreno et al., (2021). These studies provided crucial information about the nursing and medical management of cystic fibrosis. They also expanded non-pharmacological strategies that can be used to optimize outcomes in cystic fibrosis. I determined the relevance and usefulness of these articles by focusing on their topics, methods, and results. I also examined their exploration of the potential nurses’ roles in assisting patients and families manage cystic fibrosis. I selected the most recent articles to ensure their relevance to the current nursing practice.

Benefits and Strategies to Mitigate Challenges of Interdisciplinary Collaboration

Interdisciplinary collaboration in managing Caitlynn’s problem is associated with significant benefits. One of them is the provision of quality care. Interdisciplinary collaboration incorporates input from different healthcare providers, which enhances the quality of care the client receives (Goetz & Ren, 2019). Interdisciplinary collaboration also contributes to safety in cystic fibrosis management. The involvement of different healthcare providers such as respiratory therapists minimize the risk of cystic fibrosis complications. It also ensures timely identification and management of potential complications (Denford et al., 2020). As a result, Caitlynn’s family will benefit from reduced healthcare costs and better experience with cystic fibrosis management.

Interdisciplinary collaboration in managing Caitlynn’s problem may be associated with challenges such as poor coordination of care and unavailability of those involved in the care process. As a result, strategies such as open communication, active involvement of the interprofessional team members, and timely communication should be adopted to mitigate the challenges. The other strategies include setting clear expectations for each member, specifying roles, and sharing knowledge to inform Caitlynn’s care (Moirano et al., 2020).

Conclusion

In summary, the care plan adopted for Caitlynn should address her prioritized and potential health needs as well as her family’s. interdisciplinary collaboration contributes to optimum care outcomes in cystic fibrosis. Strategies to enhance interdisciplinary collaboration are essential. Lewin’s theory of change will guide the implementation of the care plan and any revisions needed to optimize care outcomes. Technologies such as telehealth and mhealth are important in enhancing care outcomes in this case study.

References

Dawson, S., Cowap, L., Clark-Carter, D., & Girling, C.-J. (2020). Psychological interventions for improving adherence to inhaled therapies in people with cystic fibrosis. Cochrane Database of Systematic Reviews. https://eprints.whiterose.ac.uk/168025/

Denford, S., Mackintosh, K. A., McNarry, M. A., Barker, A. R., & Williams, C. A. (2020). Promotion of physical activity for adolescents with cystic fibrosis: A qualitative study of UK multi disciplinary cystic fibrosis teams. Physiotherapy, 106, 111–118. https://doi.org/10.1016/j.physio.2019.01.012

Frost, F., Dyce, P., Ochota, A., Pandya, S., Clarke, T., Walshaw, M. J., & Nazareth, D. S. (2019). Cystic fibrosis-related diabetes: Optimizing care with a multidisciplinary approach. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 12, 545–552. https://doi.org/10.2147/DMSO.S180597

Goetz, D., & Ren, C. L. (2019). Review of cystic fibrosis. Pediatric Annals, 48(4), e154–e161. https://doi.org/10.3928/19382359-20190327-01

Moirano, R., Sánchez, M. A., & Štěpánek, L. (2020). Creative interdisciplinary collaboration: A systematic literature review. Thinking Skills and Creativity, 35, 100626. https://doi.org/10.1016/j.tsc.2019.100626

Peate, I., & Mitchell, A. (2022). Nursing Practice: Knowledge and Care. John Wiley & Sons.

Reisinho, M. da C., & Gomes, B. (2022). Portuguese adolescents with cystic fibrosis and their parents: An intervention proposal for nursing clinical practice. Journal of Pediatric Nursing, 64, e130–e135. https://doi.org/10.1016/j.pedn.2021.12.007

Suyanto, S., & Pandin, M. G. R. (2021). Peer group: A new approach of nursing intervention. Journal of Advanced Multidisciplinary Research, 2(1), Article 1. https://doi.org/10.30659/jamr.2.1.12-20

Valero-Moreno, S., Lacomba-Trejo, L., Montoya-Castilla, I., & Pérez-Marín, M. (2021). Is mHealth a useful therapy for improving physical or emotional health in adolescents with cystic fibrosis? A systematic review. Current Psychology. https://doi.org/10.1007/s12144-021-02452-6