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 today I will present my topic, remote collaboration, and evidence-based care. Remote collaboration is a significant healthcare tool that enables the delivery of care coordination to patients who cannot commute from rural areas or have difficulty with transportation to healthcare settings. This assessment considers the patient health scenario of gender dysphoria in a young patient who lives in a rural area and requires remote collaboration among interdisciplinary teams of different healthcare settings.

Furthermore, I will discuss evidence-based care plans for improving the safety and outcomes of affected individuals. Later, I will discuss how a particular evidence-based practice model was applied to develop patient care plans. Lastly, I will highlight the most valuable and relevant evidence in the decision-making process of the care plan. Before I begin with the evidence-based care plan, I will delve into the patient’s health scenario for remote collaboration.

Evidence-Based Care Plan and Patient Safety

Remote Collaboration for a Patient with Gender Dysphoria

The patient scenario involves a case of a 25-year-old transgender male who belongs to a rural area with limited access to healthcare services. Based on behavioral health evaluation, his healthcare professional, Dr. Smith, diagnosed that he was suffering from gender dysphoria. The doctor further informs that the patient expressed interest in obtaining hormonal and surgical treatment for this issue.

Gender dysphoria is a medical condition of conflict experienced by patients between their assigned sex at birth and gender identity. This condition leads them to seek hormonal and surgical interventions to experience the gender identity of their desire. Dr. Smith collaborates with an interdisciplinary team of mental health professionals, endocrinologists, and a nurse. The multidisciplinary team suggests a further detailed and in-depth evaluation to confirm the diagnosis and choose the best treatment for the patient. 

Evidence-Based Care Plan

To improve health outcomes and patient safety in the mentioned patient scenario, the following evidence-based care plan is devised:

• Healthcare professionals must coordinate to provide this care plan and improve health outcomes. They should thoroughly assess the patient’s medical and mental history using standardized protocols such as the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) (Dora et al., 2020). This is necessary as patients seeking approval for medical treatment of gender dysphoria (GD) may experience this behavior secondary to other conditions, such as depression and anxiety (D’Angelo et al., 2020). 
• Upon correct diagnosis, the healthcare provider must engage with the endocrinologist to provide suitable hormonal therapy to the patient (Sansfaçon et al., 2019). Furthermore, they must be monitored and evaluated occasionally to address the side effects, such as mood disorders, aggressiveness, and other dilemmas due to trajectory transitions (Sansfaçon et al., 2019).
•  After hormonal therapy, the patient must also be educated on effective psychosocial functioning and behavioral changes (Kaltiala et al., 2019). For this purpose, they must be provided adequate training or educational resources to take care of their transition phases and coordinate with healthcare through telehealth services on any adverse impacts of the therapy (Russell et al., 2021). 

Further Information

The additional information or data related to the patient’s social circle, support from family, religious and cultural perspectives, and financial status could have helped craft a more suitable care plan for the patient. As gender dysphoria may be neglected in some families due to religious and cultural concerns, the transition process for patients would have been made easier if these pieces of information were available (Verbeek et al., 2020). 

Ways to Use and Apply Evidence-Based Practice Model

Healthcare providers must develop care plans based on substantial evidence using evidence-based practice models (Speroni et al., 2020). I implemented the Johns Hopkins Nursing Evidence-Based Practice Model (JHNEBP) for the above-mentioned evidence-based care plan to gather authentic and relevant evidence. This model is based on a three-step procedure involving identifying the problem, collecting the evidence on the problem and its solutions, and the translation phase. The last phase integrates and implements the proposed evidence, followed by consistently monitoring desired outcomes and making prospective changes (Speroni et al., 2020).  

Considering the Villa Health scenario, the problem or question was to improve the patient’s well-being and behavioral issues associated with gender dysphoria in patients living in remote areas. For this purpose, evidence is gathered on solving this issue, and from a pool of research data, the evidence specifically related to our practice problem was selected (Russell et al., 2021). Lastly, the care plan was developed based on the selected evidence-based data. Once the care plan is devised successfully, the positive benefits to patient outcomes must be evaluated.

In the given case of gender dysphoria, the positive benefits for the patient will be improved behaviors and mental health status, minimal side effects, better social transition, and enhanced patient satisfaction (Tordoff et al., 2022). The patient can provide feedback to healthcare providers on accomplishing these outcomes through remote consultations, and any assistance can be delivered appropriately to suffice the patient’s health needs (Russell et al., 2021). 

Evaluation of Relevancy and Usefulness of Evidence for Making Care Plan

The evidence by Russell et al. (2021) provides the most relevant and helpful evidence in making decisions for patient care plans. This evidence highlights the ways to enhance access to care for transgenders using telehealth; the patient can use telehealth to acquire care treatments from healthcare providers remotely (Russell et al., 2021). The patient in the scenario requires remote care and monitoring, which is possible through telehealth services such as the Zoom platform (Sequeira et al., 2023). Hence, this article not only supports treating gender dysphoria and subsequent care but also emphasizes access to care remotely, as a geographical barrier is a significant concern in the patient’s scenario.

 Furthermore, the criteria used to find the relevance and usefulness of this evidence is CRAAP, which stands for Currency, Relevance, Authority, Accuracy, and Purpose. This criterion is used to evaluate the credibility and relevance of evidence-based sources (Muis et al., 2022). The best evidence identified above on telehealth access for providing care to transgenders was published in 2021, showing its currency.

Moreover, this resource mainly targets transgenders with geographical barriers depicting its significant relevance to the patient’s scenario of gender dysphoria. Moreover, the authors are relevant to the medical field specializing in endocrinology, and appropriate references accurately support the results in this evidence. Lastly, the purpose of this article is to improve the well-being and health outcomes of transgenders and people with gender dysphoria, which aligns with the goal of the current scenario’s patient. 

Benefits and Strategies to Diminish Challenges of Interdisciplinary Collaboration

When health care is provided remotely to patients, interdisciplinary collaboration is significantly required to ensure care coordination without physical meetings. Therefore, healthcare professionals must communicate and collaborate effectively to successfully deliver remote care. The benefits of remote care through collaboration include immediate delivery of care treatments because of improved decision-making in emergency cases that save a patient’s life. Furthermore, interdisciplinary collaboration in remote care overcomes geographical barriers and transportation difficulties and delivers patient-centered care treatments without traveling to physical setups, saving costs and time while enhancing productivity (Winship et al., 2020). 

While the benefits hold significant value, challenges in effective interdisciplinary collaboration are encountered. These challenges include technological and communication barriers and security issues (Datta et al., 2020). The technology-associated errors can hinder collaboration and hence limit adequate remote care delivery. Healthcare professionals face communication barriers due to misunderstandings, miscommunication, and knowledge gaps. Furthermore, remote collaboration requires data sharing, which raises security and privacy concerns (Datta et al., 2020). 

NURS FPX 4030 Assessment 4 Remote Collaboration and Evidence Based Care

The strategies to mitigate the challenges of interdisciplinary collaboration include using user-friendly practical communication tools that share patient health data securely with appropriate encryption, such as end-to-end encryption-based platforms like WhatsApp (Bameyi et al., 2020). Furthermore, the healthcare providers must communicate in a clear and plain language that is understandable by all team members to enhance their collaboration in communication. Lastly, all healthcare providers must procure high-width broadband internet to promote seamless communication and collaboration (Meisner et al., 2020). 

In future care situations, interdisciplinary collaboration can be better leveraged to improve patient health outcomes in several ways. For instance, continuous education of healthcare professionals on their crucial role in improving collaboration and care coordination can enhance their buy-in and obtain valuable patient health outcomes (Barreto et al., 2019). Additionally, remote monitoring can enhance patient access to care and facilitate continuous improvement in data collection, ultimately improving interdisciplinary team coordination (Miranda et al., 2023). Lastly, conducting regular feedback mechanisms among team members on patient health data can inform the team on areas of improvement and refine care plans based on evaluation (Moirano et al., 2019). This leads to improved health outcomes in patients and the overall well-being of patients. 

Conclusion

To conclude, I discussed remote collaboration and evidence-based care for a 25-year-old male dwelling in a rural area and diagnosed with gender dysphoria. For this purpose, I devised an evidence-based care plan using the Johns Hopkins Nursing Evidence-Based Practice Model (JHNEBP). Furthermore, I evaluated the relevant and helpful evidence by using CRAAP criteria. Lastly, I discussed how interdisciplinary collaboration is essential in remote care delivery and what strategies must be employed to improve the collaboration among team members and ultimately improve patient health outcomes. 

References

Bameyi, O. J., Misra, S., Idachaba, F. E., & Oluranti, J. (2020). End-To-End security in communication networks: A review. Advances in Intelligent Systems and Computing, 1372, 492–505. https://doi.org/10.1007/978-3-030-73603-3_46 

Barreto, L. da S. O., Guimarães Campos, V. D., & Dal Poz, M. R. (2019). Interprofessional education in Healthcare and Health Workforce (HRH) planning in Brazil: Experiences and good practices. Journal of Interprofessional Care, 33(4), 369–381. https://doi.org/10.1080/13561820.2019.1646230 

D’Angelo, R., Syrulnik, E., Ayad, S., Marchiano, L., Kenny, D. T., & Clarke, P. (2020). One size does not fit all: In support of psychotherapy for gender dysphoria. Archives of Sexual Behavior, 50. https://doi.org/10.1007/s10508-020-01844-2 

Datta, N., Derenne, J., Sanders, M., & Lock, J. D. (2020). Telehealth transition in a comprehensive care unit for eating disorders: Challenges and long‐term benefits. International Journal of Eating Disorders, 53(11), 1774–1779. https://doi.org/10.1002/eat.23348 

Dora, M., Grabski, B., & Dobroczyński, B. (2020). Gender dysphoria, gender incongruence and gender nonconformity in adolescence – changes and challenges in diagnosis. Psychiatria Polska, 1–15. https://doi.org/10.12740/pp/onlinefirst/113009 

Kaltiala, R., Heino, E., Työläjärvi, M., & Suomalainen, L. (2019). Adolescent development and psychosocial functioning after starting cross-sex hormones for gender dysphoria. Nordic Journal of Psychiatry, 74(3), 213–219. https://doi.org/10.1080/08039488.2019.1691260 

NURS FPX 4030 Assessment 4 Remote Collaboration and Evidence Based Care

Meisner, B. A., Boscart, V., Gaudreau, P., Stolee, P., Ebert, P., Heyer, M., Kadowaki, L., Kelly, C., Levasseur, M., Massie, A. S., Menec, V., Middleton, L., Sheiban Taucar, L., Thornton, W. L., Tong, C., van den Hoonaard, D. K., & Wilson, K. (2020). Interdisciplinary and collaborative approaches needed to determine impact of COVID-19 on older adults and aging: CAG/ACG and CJA/RCV joint statement. Canadian Journal on Aging / La Revue Canadienne Du Vieillissement, 39(3), 333–343. https://doi.org/10.1017/s0714980820000203 

Miranda, R., Oliveira, M. D., Nicola, P., Baptista, F. M., & Albuquerque, I. (2023). Towards A framework for implementing remote patient monitoring from an integrated care perspective: A scoping review. International Journal of Health Policy and Management, 12. https://doi.org/10.34172/ijhpm.2023.7299 

Moirano, R., Sánchez, M. A., & Štěpánek, L. (2019). Creative interdisciplinary collaboration: A systematic literature review. Thinking Skills and Creativity, 35, 100626. https://doi.org/10.1016/j.tsc.2019.100626 

Muis, K. R., Denton, C., & Dubé, A. (2022). Identifying CRAAP on the internet: A source evaluation intervention. Advances in Social Sciences Research Journal, 9(7), 239–265. https://doi.org/10.14738/assrj.97.12670 

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 and E-Health, 28(6). https://doi.org/10.1089/tmj.2021.0268 

Sansfaçon, A. P., Temple-Newhook, J., Suerich-Gulick, F., Feder, S., Lawson, M. L., Ducharme, J., Ghosh, S., & Holmes, C. (2019). The experiences of gender diverse and trans children and youth considering and initiating medical interventions in Canadian gender-affirming speciality clinics. International Journal of Transgenderism, 20(4), 371–387. https://doi.org/10.1080/15532739.2019.1652129 

Sequeira, G. M., Kahn, N. F., Bocek, K. M., Shafii, T., Asante, P. G., Christakis, D. A., Pratt, W., & Richardson, L. P. (2023). Pediatric primary care providers’ perspectives on telehealth platforms to support care for transgender and gender-diverse youths: Exploratory qualitative study. JMIR Human Factors, 10, e39118. https://doi.org/10.2196/39118 

NURS FPX 4030 Assessment 4 Remote Collaboration and Evidence Based Care

Speroni, K. G., McLaughlin, M. K., & Friesen, M. A. (2020). Use of evidence‐based practice models and research findings in magnet‐designated hospitals across the United States: National survey results. Worldviews on Evidence-Based Nursing, 17(2), 98–107. https://doi.org/10.1111/wvn.12428 

Tordoff, D. M., Wanta, J. W., Collin, A., Stepney, C., Inwards-Breland, D. J., & Ahrens, K. (2022). Mental health outcomes in transgender and nonbinary youths receiving gender-affirming care. JAMA Network Open, 5(2). https://doi.org/10.1001/jamanetworkopen.2022.0978 

Verbeek, M. J. A., Hommes, M. A., Stutterheim, S. E., van Lankveld, J. J. D. M., & Bos, A. E. R. (2020). Experiences with stigmatization among transgender individuals after transition: A qualitative study in the Netherlands. International Journal of Transgender Health, 21(2), 1–14. https://doi.org/10.1080/26895269.2020.1750529

Winship, J. M., Falls, K., Gregory, M., Peron, E. P., Donohoe, K. L., Sargent, L., Slattum, P. W., Chung, J., Tyler, C. M., Diallo, A., Battle, K., & Parsons, P. (2020). A case study in rapid adaptation of interprofessional education and remote visits during COVID-19. Journal of Interprofessional Care, 34, 1–4. https://doi.org/10.1080/13561820.2020.1807921