Designing a multifaceted Telehealth intervention for a rural population using a model for developing complex interventions in nursing Essay

Designing a multifaceted Telehealth intervention for a rural population using a model for developing complex interventions in nursing Essay

The intervention is a telehealth program based on the latest evidence, experts review and Medicaid claims data. The purpose of the telehealth intervention is to remotely monitor patients with chronic conditions, perform nursing assessments remotely and coordinate care through telehealth. Through the intervention, nurses can assess patients through phone calls, provide patient education and take the vitals (Davis et al., 2020).

The findings by Davis et al (2020) are supported by previous studies. According to Kichloo et al (2020), telehealth involves the use of telecommunications and information technology to facilitate access to health assessment, consultation, diagnosis, interventions, and patient monitoring remotely. Findings by Kichloo et al (2020) indicated that telehealth facilitates care provision remotely during the Covid-19 pandemic when physical distances and minimal movement are required to curb the spread of the virus. A study conducted by Erte et al (2016) had liver transplant recipients monitored remotely for 90 days after the transplant surgery. The vital signs, blood glucose levels, and weight parameters were monitored daily using smart tablets; the readmission rates for this patient population significantly reduced compared to historical controls (Erte et al., 2016).

Telehealth is convenient, reduces healthcare costs, and improves access to healthcare, especially for people located in rural areas (Davis et al., 2020). Therefore, the intervention will reduce healthcare costs and improve access to care for the population. Additionally, the remote monitoring of the patients will improve the health outcomes and prevent complications due to prompt identification of any complications and adherence to retreatment.

For nursing implications, telehealth will ease the impact of the nursing shortage since telehealth ensures easier access of patients to healthcare providers. Therefore, this will improve care efficiency because nurses will concentrate more on patient care, quality of care, and patient satisfaction, without the traditional on-site appointments.

References

Davis, S. M., Jones, A., Jaynes, M. E., Woodrum, K. N., Canaday, M., Allen, L., & Mallow, J. A. (2020). Designing a multifaceted telehealth intervention for a rural population using a model for developing complex interventions in nursing. BMC nursing, 19(1), 1-9.

Ertel, A. E., Kaiser, T. E., Abbott, D. E., & Shah, S. A. (2016). Use of video-based education and telehealth home monitoring after liver transplantation: results of a novel pilot study. Surgery, 160(4), 869-876.

Kichloo, A., Albosta, M., Dettloff, K., Wani, F., El-Amir, Z., Singh, J., Aljadah, M., Chakinala, R. C., Kanugula, A. K., Solanki, S., & Chugh, S. (2020). Telemedicine, the current COVID-19 pandemic, and the future: a narrative review and perspectives moving forward in the USA. Family medicine and community health, 8(3), e000530. https://doi.org/10.1136/fmch-2020-000530

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This week we learned about the Eye and Ear examinations and the multiple screening tests utilized during these examinations to ensure the patient’s vision and hearing are adequate. Vision and hearing are two of the major senses we utilize to learn and individuals who have hearing or vision impairments overcome these disadvantages in a variety of ways. For this assignment you will identify an article that discusses and provides support for a therapy, intervention or supportive device that assists individuals with vision or hearing impairments. You will then provide a review of the article including a brief description of the intervention, the evidence supporting the use of the intervention and how it benefits this population. The document should be no longer than 2 pages. The assignment must include references in APA format.

Criteria Ratings Pts
This criterion is linked to a Learning OutcomePhysical Exam Components
25 pts

Exemplary

Comprehensive Physical examination completed. Includes each of the essential components of the system examined.

23.5 pts

Proficient

Few components of the physical exam not included.

20.5 pts

Developing

Multiple components of the physical exam not included.

18.25 pts

Unsatisfactory

Examination not complete.

25 pts
This criterion is linked to a Learning OutcomePhysical Exam Techniques
25 pts

Exemplary

Proper examination techniques utilized throughout exam. Student is Proficient with the skills performed.

23.5 pts

Proficient

Student moderately uses proper examination techniques. Student is competent with the skills performed.

20.5 pts

Developing

Student minimally uses proper examination techniques. Does not include all of the components of the examination.

18.25 pts

Unsatisfactory

Student does not use proper examination techniques. Assessment is unorganized.

25 pts
This criterion is linked to a Learning OutcomeRespects patient privacy
25 pts

Exemplary

Student is respectful and courteous towards patient throughout physical examination.. Respects patient ‘s privacy.

23.5 pts

Proficient

Student is moderately respectful and courteous towards patient.

20.5 pts

Developing

Student shows minimal respect toward patient.

18.25 pts

Unsatisfactory

Student does not show respect and courtesy towards patient Student does not consider patient’s privacy during examination

25 pts
This criterion is linked to a Learning OutcomeVideo Submission
25 pts

Exemplary

Video is submitted using Kaltura, video quality is excellent, and does not exceed 5 minute time limit for completion

23.5 pts

Proficient

Video is submitted using Kaltura, exceeds 5 minute time limit

20.5 pts

Developing

Video is submitted using Kaltura, exceeds 5 minute time limit, parts of the exam are not audible

18.25 pts

Unsatisfactory

Video is not submitted using Kaltura, exceed 10 minute time limit, not able to hear or see the examination

25 pts
Total Points: 100

 

https://www.nidcd.nih.gov/health/assistive-devices-people-hearing-voice-speech-or-language-disorders

 
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