- NURS FPX 6614 Assessment 1 Defining a Gap in Practice.
Defining a Gap in Practice: Executive Summary
The executive summary glances 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 utilized to assess integrated care services and backing gadgets available to this population pack. The selected nursing assessment will assist in guiding the overall clinical approach by discussing intervention strategy and expected results for the nursing coordination process when utilized in combination with the guidelines of nursing coordination practice. Explore our assessment NURS FPX 6614 Assessment 2 Enhancing Performance as Collaborators in Care Presentation for more information.
Medical Goals for Enhancing Outcomes
Rural occupants’ health inequalities have been researched and include increased mortality rates and bleakness from various issues like substance addiction and tenacious infections. Rural-urban health disparities have been irrefutable and read up for decades.
In any case, they exist today regardless of this acknowledgment, and they may be exacerbated when the Coronavirus plague spreads to rural areas, conceivably increasing ailment and fatalities and limiting healthcare access. Applying a telehealth gadget in care coordination can enhance access, further cultivate administration quality, help the patient experience, work on patient outcomes, bring down the spread of Coronaviruscoronavirus 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 centers (C) decrease the number of Coronavirus cases (O) by more than two years (T)?
Explaining Selected Disparities
Vulnerable individuals habitually live in rural places, making it challenging to go to favored healthcare administration locations because of transportation costs or lack of associations and missing appointments because of transportation delays (George et al., 2018). Many rural patients lack insurance or healthcare plans like Medicare to diminish their treatment expenses.
Floods, COVID-19, Staffing Challenges
There are travel limitations because of the increase in Coronavirus infections in the floods. 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, for example, 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. Distant patient monitoring (RPM) entails recording, gathering, exchanging, and assessing clinical records via digital gear like wearables, portable gadgets, versatile applications, and internet-accessing PCs.
NURS FPX 6614 Assessment 1 Defining a Gap in Practice
Using RPM innovation, specialists remind patients to measure their circulatory strain, temperature, heartbeat rates, and other vital signs, then send the information to their PCPs (Taylor et al., 2021). During the coronavirus pandemic, video call innovation coordinated care for rural patients. Rural initiatives appoint a telehealth coordinator to coordinate telehealth recommendations, advise patients on telehealth services, coordinate with suppliers, assist technical innovations of experiences, 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 health workforce, another significant advantage is offering widespread access to attendants.
NURS FPX 6614 Assessment 1 Defining a Gap in Practice
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 or yearly medical examinations.
Telehealth Enhances Accessible Care
Telehealth consultations make medical information available when and where required, reducing conceivable temporal and geographic obstacles to care and increasing areas of solidarity for restricted resources. According to a survey conducted by Monaghesh and Hajizadeh, 2020, by reducing gatherings in compact spaces, for example, waiting rooms using telehealth, the medical staff got the coronavirus’ capacity far 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 magnificent health outcomes.
Issue assessment
The patients will be twirled around their health targets by 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 attend medical meet-ups.
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 arrangement choices and inventions (e.g., telehealth) were accelerated by the coronavirus pandemic, necessitating new lines of communication between various specialists within and across organizations, which is a crucial part of the collaboration (Nazir et al., 2021).
This topic aligns closely with “NURS FPX 6614 Assessment 1 Defining a Gap in Practice,” as it highlights the critical need to bridge communication gaps in healthcare practices. Nevertheless, communication courses alone are insufficient. Before virtual appointments, care practitioners should check if patients are familiar with telehealth. Orientation is essential for the patient as it assists them in arranging their questions and expectations before a communication meeting.
Role of Care Coordinators in Telehealth Implementation
Care coordinators ought to guarantee that patients have access to gadgets expected to facilitate telehealth communication, such as access to smartphones. While creating a telehealth administration site, it is important to include a notification about telehealth guidelines, cycles, and informed consent. Any strategies set and what the patient can anticipate during the appointment and follow-up care ought to be included in the telehealth consent form (Barberio and Jenkins, 2021).
The care coordination team should guarantee alternative means of communication if there is a failure to communicate while using telehealth. To address the gap identified in “NURS FPX 6614 Assessment 1 Defining a Gap in Practice,” healthcare providers must report telehealth experiences in the electronic health records with the same level of detail as in-person visits. This practice will also support bile health services. The implementation outcomes include a better patient experience, decreased transmission of coronavirus over more than 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 of accessing healthcare among a vulnerable population involved with a community centre 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.rs-23906/v3
Nazir, A., Wenzler, A., Reifsnyder, J., & Feifer, R. (2021). Lessons in collaboration from the management of 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