NURS FPX 4030 Assessment 4 Remote Collaboration and Evidence-Based Care

Sample Answer

Hello. My name is _________. In this video, I will discuss developing an evidence-based care plan for the patient in the provided case study to enhance patient safety and outcomes. It will also explain how an EBP model was used to develop the plan, reflect on relevant evidence, and identify strategies for interdisciplinary collaboration in remote teams. The goal is to improve patient outcomes and mitigate challenges in care planning.

Specific Information on My Patient

The patient is a 25-year-old transgender male residing in a remote location with restricted healthcare availability. He was diagnosed with gender dysphoria after a mental health assessment. He indicated a desire to undergo hormonal and surgical intervention. Dr. Smith worked with a group of specialists, including mental health professionals, endocrinologists, nurses, and surgeons, to provide treatment for the patient supported by scientific data.

The panel concluded that a comprehensive assessment was required to validate the diagnosis and deliberate on the optimal therapy alternatives. Following the first examination, Dr. Smith will arrange a thorough evaluation to validate the diagnosis and explore the most optimal surgical treatment choices.

An Evidence-Based Care Plan To Improve The Safety And Outcomes For The Patient Mentioned

Given the patient’s residence in a geographically isolated region, including telehealth in formulating the patient’s treatment plan is essential. The care plan seeks to validate the diagnosis of gender dysphoria, commence and supervise hormone therapy, offer continuous mental health assistance, organize and manage surgical procedures, educate the patient on the transition process, self-care, and accessible resources, and consistently evaluate and modify the care plan as necessary (Russell et al., 2021).

Telehealth services will include psychiatric evaluation, endocrinological assessment, and nursing assessment. Additionally, the patient will get regular telehealth consultations with an endocrinologist, lab monitoring, and nursing assistance. The patient will get instruction on the transition process, self-care techniques, and relevant resources via telehealth sessions. By using telehealth, this care plan will provide comprehensive, easily accessible, and patient-focused care, guaranteeing the patient’s safety and well-being.

Moreover, including thorough medical history data enhanced the patient’s treatment strategy by detecting any latent illnesses that could impact the therapy. In addition, it is essential to perform a psychosocial evaluation to get insight into the patient’s social support network, mental well-being, and any obstacles that may hinder their access to healthcare (Stewart et al., 2023). Further, it may have been essential to get the patient’s local healthcare resources for laboratory testing and surgical procedures and specific information on their insurance coverage and financial status. These factors are crucial to ensure access to the necessary treatments and services, promoting patient safety and treatment outcomes.

How To Use an Evidence-Based Practice Model To Develop The Patient’s Treatment Plan

The Iowa Model of Evidence-Based Practice is a methodical technique used in developing the treatment plan for the patient mentioned above. The process entailed identifying triggers and opportunities, formulating the clinical question, establishing an interdisciplinary team, collecting and assessing existing research, developing and testing a telehealth care plan, incorporating and maintaining the change, and evaluating the results (Stewart et al., 2023). I used this methodology to formulate the telehealth treatment strategy for the patient above with gender dysphoria residing in a geographically isolated region, effectively catering to their distinct requirements and enhancing their overall health results. The concept guarantees perpetual training for healthcare workers and uninterrupted technological assistance for patients.

To assess the beneficial effects on patient outcomes, it is necessary to administer patient satisfaction surveys regularly, establish feedback systems for ongoing improvement, and use standardized measures such as the PHQ-9 or GAD-7 scale to evaluate mental health status (McGregor et al., 2022). Regular evaluations should be scheduled to monitor progress, evaluate access to treatment, and compare telehealth sessions with conventional in-person appointments. Furthermore, assessing the extent of geographical coverage is essential to guarantee that distant regions get sufficient service. Ultimately, it is crucial to check medication adherence during subsequent consultations to guarantee the overall efficacy of telehealth services. These efforts are implemented to ensure that patients get optimal treatment and assistance.

The Most Relevant and Substantial Evidence To Guide Decision-Making Regarding The Patient’s Care Plan

The decision to implement a telehealth program was motivated by the urgent need to address the limited accessibility to healthcare for our patients, supported by several literature sources endorsing this evidence-based approach. The limited mobility choices available to the person and the lengthy journeys to the clinic may result in missed appointments and hinder their progress in rehabilitation. The research conducted by Russell et al. (2021) indicates that using an integrated clinic-video visit approach improves the availability of gender-affirming treatment for transgender and gender-diverse populations while also ensuring effective communication, privacy, and patient satisfaction.

Additionally, the research conducted by McGregor et al. (2022) emphasizes the advantages of telehealth in mental health treatment, especially for clients residing in rural areas. Telehealth visits enable clients to get medical consultations from their homes, thus enhancing their comfort and reducing the likelihood of missed appointments and cancellations, even in the face of COVID-19 limitations. However, Mintz et al. (2022) advocate for healthcare providers and systems to carry out outcomes research on telehealth initiatives, particularly emphasizing long-term results, patient identification, and the unique requirements of different communities.

To assess the trustworthiness and dependability of the sources of evidence, I used the CRAAP test. The CRAAP Test is a method used to determine the quality of information sources, with a specific emphasis on their timeliness, relevance, authority, accuracy, and purpose. The algorithm considers variables such as the date of publishing, updates made, and the functioning of the links. The test also verifies that the research’s relevance pertains to the significance of the material for the target audience, while authority refers to the source. Ultimately, the test verifies that studies possess accuracy, which refers to their material’s dependability, honesty, and correctness (Mintz et al., 2022).

Benefits Of Interdisciplinary Collaboration in Care Planning And Strategies For Addressing The Challenges That Emerge While Working Remotely

Upon the practitioner’s first assessment, it was concluded that the patient met the criteria for both hormonal and surgical interventions. After consulting with various healthcare professionals, such as mental health experts, hormone specialists, nurses, and surgeons, it was determined, in collaboration with Dr. Smith, that a comprehensive assessment is required to confirm the diagnosis of gender dysphoria and rule out other potential conditions. After the diagnosis has been verified, healthcare professionals may deliberate on the most efficient therapy options for the patient. Efficient cooperation among healthcare professionals improves comprehensive and smoothly coordinated treatment by carefully considering all aspects of a patient’s condition (Russell et al., 2021). As a result, this enhances the accuracy of diagnosing and treating methods.

Although there are advantages, collaborating across disciplines in remote teams may pose challenges. To address these issues, it is essential to use effective communication strategies to elucidate and delineate roles and responsibilities. Utilizing services such as Zoom or Google, video conferencing sessions may be used to sustain consistent communication. Collaborative documentation tools like Google Docs or Dropbox may provide patient condition information to all team members (McGregor et al., 2022). Team members will get training sessions on remote collaboration tools and best practices to ensure their competence in remote work.

Conclusion

In summary, evidence-based practice models offer frameworks for implementing EBP in various settings. Telemedicine has the potential to address the challenges faced by transgender individuals, including limited access to healthcare due to factors like location and economic status. Telemedicine could offer training opportunities for gender-affirming surgery.

References

• McGregor, K., Williams, C. R., Botta, A., Mandel, F., & Gentile, J. (2022). Providing essential gender-affirming telehealth services to transgender youth during COVID-19 A service review. Journal of Telemedicine and Telecare, 29(2), 147–152. https //doi.org/10.1177/1357633×221095785
• Mintz, L. J., Gillani, B., & Moore, S. E. (2022). Telehealth in trans and gender diverse communities The Impact of COVID-19. Current Obstetrics and Gynecology Reports, 11(2), 75–80. https //doi.org/10.1007/s13669-022-00334-7
• Russell, M. R., Rogers, R. L., Rosenthal, S. M., & Lee, J. Y. (2021). Increasing access to care for transgender/Gender diverse youth using telehealth a quality improvement project. Telemedicine Journal and e-Health. https //doi.org/10.1089/tmj.2021.0268
• Stewart, M. K., Allison, M. K., Hunthrop, M. S. G., Marshall, S. A., & Cornell, C. E. (2023). Outcomes research on telemedicine-delivered gender-affirming health care for transgender youth is needed now a call to action. Transgender Health, 8(1), 1–5. https //doi.org/10.1089/trgh.2021.0063