- NURS FPX 6614 Assessment 1 Defining a Gap in Practice Executive Summary.
Defining a Gap in Practice Executive Summary
The executive summary ganders at clinical goals for rural patients as far as influencing health outcomes through the care coordination process. The PICOT questions address the report’s inadequacies in integrated care practice. Logical confirmation ways to coordinate care will be used to exhaustively assess integrated care services and backing gadgets available to this population pack. The selected nursing assessment will guide the overall clinical approach by discussing intervention strategy and expected results for the nursing coordination process when combined with the guidelines of nursing coordination practice.
Medical Goals for Enhancing Outcomes
Rural inhabitants’ health inequalities have been researched and include increased mortality rates and bleakness from various issues like substance addiction and ongoing diseases. Rural-urban health disparities have been factual and read up for decades. In any case, they exist today regardless of this acknowledgement, and they may be exacerbated when the Coronavirus scourge spreads to rural areas, conceivably increasing ailment and fatalities and limiting healthcare access.
Applying a telehealth gadget in care coordination, as discussed in NURS FPX 6614 Assessment 1 Defining a Gap in Practice Executive Summary, can enhance access, further encourage administration quality, support the patient experience, work on patient outcomes, bring down the spread of Coronavirus in hospitals, and lower healthcare costs.
PICOT Question
For patients of a rural area(P), does the utilization of telehealth (I) for care coordination compared to visits to trauma focuses (C) diminish the quantity of Coronavirus cases (O) north of two years (T)?
Explaining Selected Disparities
Vulnerable individuals often stay in rural areas, making it hard to make healthcare administrative locations because of transportation expenses or lack of associations and missing appointments because of transportation delays (George et al., 2018). Many rural patients lack insurance or healthcare plans, such as Medicare, to diminish the cost of their treatments. There are travel limitations because of the increase in the surge of the Coronavirus infection.
Healthcare Staff Shortages Impact
There are also shortages of medical attendants because of increased workloads caused by floods in Coronavirus cases. In addition, rural hospitals may fail to maintain healthcare staff because of turnover due to insufficient resources, such as low salaries, compared to the more excellent healthcare facilities with better remuneration and other resources.
Available Telehealth Care Coordination Services and Resources
Clinicians are overcoming distance and offering access to patients in rural areas. They cannot travel because of limitations caused by the pandemic in using real-time video communication platforms to plan appointments. Far-off patient monitoring (RPM) entails recording, gathering, exchanging, and assessing clinical records via digital gear like wearables, portable gadgets, versatile applications, and internet-accessing laptops. Using RPM innovation, specialists remind patients to measure their heartbeat, temperature, rate, and other vital signs, then send the information to their primary care physicians (Taylor et al., 2021).
During the Coronavirus pandemic, video call innovation coordinates care for rural patients. Rural initiatives appoint a telehealth coordinator to coordinate telehealth recommendations, advise patients on telehealth services, coordinate with providers, assist with technical innovations of encounters, and arrange resulting meet-ups as required.
Evidence-Based Telehealth Intervention
Remote care decreases the utilization of available resources in healthcare institutions, enhances healthcare access, and diminishes the danger of Coronavirus transmission between individuals. Aside from protecting individuals, like the general populace, patients, and the health workforce, another significant advantage is offering widespread access to medical attendants. Care coordinators can spare medical staff and gear for individuals who become exceptionally debilitated by the Coronavirus by employing virtual healthcare for incredibly regular, crucial medical treatment and delaying optional treatments or yearly medical examinations.
NURS FPX 6614 Assessment 1 Defining a Gap in Practice: Executive Summary
Telehealth consultations make medical information available when and where required, reducing conceivable temporal and geographic obstacles to care and increasing the viable utilization of limited resources. According to a review coordinated by Monaghesh and Hajizadeh (2020), by reducing gatherings in compact spaces, such as waiting rooms, using telehealth, the medical staff prevented the coronavirus’ capacity from spreading from one individual to another.
Nursing Diagnosis
The general health instructor’s obligation to assist individuals in strengthening their telehealth abilities and conducting resulting meet-ups to guarantee adherence to physicians’ recommendations advances astounding health outcomes.
Issue assessment
The patients will be rotated around their health targets, showing availability and willingness to learn about telehealth and how to access it. The patients should agree that health practitioners should support them by allowing them to make medical up-meetings.
Preparation For the Intervention and the Expected Outcome
Interdisciplinary team interactions among individuals and institutions in organizational gatherings are not new, yet they have become more critical since the coronavirus outbreak. Many kinds of strategy decisions and inventions (e.g., telehealth) were accelerated by the Coronavirus pandemic, which necessitated new lines of communication between various specialists within and across organizations, a crucial part of the collaboration (Nazir et al., 2021). Nonetheless, communication courses alone are insufficient.
Effective Telehealth Implementation Strategies
Before virtual appointments, care practitioners check, assuming that the patients are familiar with familiar telehealth. Orientation is essential for the patient as it assists them with arranging their questions and expectations before a communication meeting. Care coordinators should guarantee that patients have access to gadgets expected to facilitate telehealth communication, such as access to smartphones. While creating a telehealth administration site, include a notification about telehealth guidelines and cycles and informed assent.
The telehealth assent form should include any arrangements set and what the patient can anticipate during the appointment and follow-up care (Barberio & Jenkins, 2021). The care coordination team should guarantee alternative means of communication in case communication fails while using telehealth. To ensure continuity of care conveyance, healthcare providers should report the telehealth experience in the electronic health records with a similar recording as an on-individual visit, which will also help bundle health services. The implementation outcomes, as highlighted in NURS FPX 6614 Assessment 1 Defining a Gap in Practice Executive Summary, include better patient experience, decreased transmission of Coronavirus over two years, and minimization of hospital resource usage.
References
Barberio, J. A., & Jenkins, M. L. (2021). Transitioning to Telehealth: Today’s guidelines for future sustainability. The Journal for Nurse Practitioners, 17(7), 795–798. https://doi.org/10.1016/j.nurpra.2021.04.001
George, S., Daniels, K., & Fioratou, E. (2018). A qualitative study into the perceived barriers to accessing healthcare among a vulnerable population involved with a community center in Romania. International Journal for Equity in Health, 17(1). https://doi.org/10.1186/s12939-018-0753-9
Monaghesh, E., & Hajizadeh, A. (2020). The role of Telehealth during COVID-19 outbreak: A systematic review based on current evidence. https://doi.org/10.21203/rs.3.rs23906/v3
Nazir, A., Wenzler, A., Reifsnyder, J., & Feifer, R. (2021). Lessons in collaboration from managing the pandemic in 2 large skilled nursing facility chains. Journal of the American Medical Directors Association, 22(11), 2225-2227. https://doi.org/10.1016/j.jamda.2021.09.004
Taylor, M. L., Thomas, E. E., Snoswell, C. L., Smith, A. C., & Caffery, L. J. (2021). Does remote patient monitoring reduce acute care use? A systematic review. BMJ Open, 11(3), e040232. https://doi.org/10.1136/bmjopen-2020-040232