Discuss some benefits and drawbacks of virtual care/telehealth particularly related to the collaboration and coordination of care and the role of the advanced registered nurse. 

NUR-514 Topic 8 DQ 2

Telehealth is the use of telecommunications technology that allows for health data collection and transfer, communication between providers and patients, allowing care to be provided to patient’s remotely despite of their location. Frey & Chiu (2021) mentions there are four methods of telehealth which include: synchronous or live video, store-and-forward, remote patient monitoring, and mHealth (mobile health). Synchronous or live video involves a two-way communication between a provide and a patient in real time. Store-and–forward is data and patient history collected by a provider which is stored and can later be obtained by another provider through a secure platform. Remote patient monitoring consists of using digital or electronic tools, that records patient’s health information, such as blood sugar and blood pressures, which can be transmitted automatically to a provider for review. Mobile health refers to the practice of medicine and public health aided by mobile devices such as mobile phones, tablets, personal digital assistants, and the wireless infrastructure (Innovatemedtec, 2021).

Virtual care is the channel by which healthcare providers communicate with their patients; it is the actual virtual visit that takes place between the healthcare team (MD, nurse, PT, etc.) and the patient. For virtual care to happen communication technologies, such as video, chat or phone are required. This allows patients to be connected to the quality care they need, when they need it most (Synzi, 2018).

Telehealth can be beneficial when coordinating care for patients. For example, surgical patients needing pre-surgical care and post-surgical care. Nurses can contact patients via e-mail, video conferencing, or the phone, to setup appointments, do post-op teaching, and check on how patients are doing once discharged home after surgery. An example mentioned by McGonigle & Mastrian (2017) is that virtual care allows a nurse to coordinate and complete 12-16 telehealth visits vs 7 visits by a conventional home health care nurse.

A drawback a nurse can encounter with telehealth, is not being able to do an actual physical examination. There may be instances where a hands-on comprehensive physical assessment is important, which would require the patient to either go to the office or where a nurse would need to go to the patient’s home. Having to draw blood or the patient requiring radiology tests, and technical difficulties with technological devices, could also affect telehealth encounters.

Nurses need to be mindful of HIPPA regulations and remember they can only treat patients within the state they are licensed in when participating in telehealth (Frey & Chiu, 2021).

References

Frey, M.B. & Chiu, S.H. (2021). Considerations when using telemedicine as the advance practice registered nurse. The Journal for Nurse Practitioners, 17 (2021), 289-292). https://doi.org/10.1016/j.nurpra.2020.11.011

Innovatemedtec. (2012). What is mHealth? https://innovatemedtec.com/digital-health/mhealth

McGonigle, D., Mastrian, K. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning. ISBN-13:9781284121247

Synzi, L. H. (2018, June 8). Why virtual care is the “new” telehealth. https://www.healthitoutcomes.com/doc/why-virutal-care-is-the-new-telehealth-0001

RESPOND HERE (150 WORDS, 2 REFERENCES)

Hello Elizabeth,

I agree with you that the use of telehealth and virtual health platforms have resulted to increased access to healthcare. This came in as a very crucial alternative in the wake of the covid-19 pandemic where movement was restricted and patient had to continue with their medication and clinical procedures online (Monaghesh & Hajizadeh, 2020). The use of these technologies is advantageous in the sense that it saves time since the patient does not need to travel to the healthcare facility but can still access the required expert information and medical assistance from the comfort of the home. There major disadvantage of telehealth is lack of continuity of care especially where the client is using on-demand telehealth services, he or she maybe linked up at random to a healthcare provider who does not have history of the previous medical conditions or medication of the patient. This lack of coordinated care may prove to be dangerous to the patient as it can result to either omission or duplication of medical procedures (Kho et al., 2020). I do agree with you that the advanced practice nurses have a responsibility to ensure that they practice according to their areas of specialization and licensure. Additionally, the state mandated regulations should also be adhered to.

References

Monaghesh, E., & Hajizadeh, A. (2020). The role of telehealth during COVID-19 outbreak: a systematic review based on current evidence. BMC Public Health, 20(1). https://doi.org/10.1186/s12889-020-09301-4

Description:

Virtual care and telehealth technologies have the capability to greatly expand access to quality health care. Discuss some benefits and drawbacks of virtual care/telehealth particularly related to the collaboration and coordination of care and the role of the advanced registered nurse.

Description:

Topic 8: Interprofessionalism and Interrelationships in Informatics and Information Systems

Description

Objectives:

1. Examine the role of the advanced registered nurse in promoting evidence-based practice and leading quality and performance improvement initiatives.
2. Analyze quality standards and performance measures related to the use of informatics for continuous quality improvement in practice settings.
3. Discuss project management strategies and methodologies for implementing health care informatics initiatives that improve quality within clinical practice.

ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT ON Discuss some benefits and drawbacks of virtual care/telehealth particularly related to the collaboration and coordination of care and the role of the advanced registered nurse. 

Study Materials

Benchmark – Electronic Health Record Implementation Paper

Description:

One way informatics can be especially valuable is in capturing data to inspire improvements and quality change in practice. The Agency for Healthcare Research and Quality (AHRQ) collects data related to adverse events and safety concerns. If you are working within a practice setting to implement a new electronic health record (EHR) system, this is just one of the many considerations your team would need to plan for during the rollout process.

In a paper of 1,250-1,500 words, address the following questions related to the advanced registered nurse’s role during this type of scenario:

1. What key information would be needed in the database that would allow you to track opportunities for care improvement?
2. What role does informatics play in the ability to capture this data?
3. Which systems and staff members would need to be involved in the design and implementation process and team?
4. What professional, ethical, and regulatory standards must be incorporated into the design and implementation of the system?
5. How would the EHR team ensure that all order sets are part of the new record?
6. How would you communicate the changes, including any kind of transition plan?
7. What measures and steps would you take to evaluate the success of the EHR implementation from a staff, setting, and patient perspective?
8. What leadership skills and theories would facilitate collaboration with the interprofessional team and provide evidence-based, patient-centered care?

You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

This benchmark assignment assesses the following programmatic competencies:

2.3: Develop leadership skills to collaborate on interprofessional teams in the provision of

evidence-based, patient-centered care.

5.2: Apply professional, ethical, and regulatory standards of practice in the provision of safe,

effective health care.

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

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