Assessing the Problem
Part 1
The proposed intervention that is recommended for providing high quality, safe, and efficient care to the patient with stroke is offering coordinated care via telehealth. Telehealth is a digital technology in healthcare that facilitates the provision of patient care remotely. The technology enables patients and their healthcare providers to interact and share ideas on ways of ensuring the optimum management of their health problems (Lawson et al., 2020). Telehealth has proven effective in use in patients suffering from chronic and acute illnesses. Evidence shows that besides providing effective care coordination remotely in stroke, telehealth also enhances the care outcomes for patients suffering from conditions such as asthma, depression, heart disease, and chronic obstructive pulmonary disease among others (Rutledge et al., 2017).
The effectiveness of telehealth in providing coordinated care to the patient is that it enhances the safety, quality, and efficiency of care. The improvement in safety of care is attributable to continuity in care provision to patients even after discharge from the hospital. The patient is also assured of timely care and attention when needed, minimizing the risk of adverse events due to recurrent strokes and associated complications. Telehealth promotes cost-effectiveness by reducing the costs that the patient could have incurred travelling for unnecessary assessments (Hubert et al., 2021). It also prevents adverse events such as complications that would result in high costs of care, hence, cost efficiency. Therefore, the use of telehealth is anticipated to improve the safety, quality and efficiency of care given to the patient and burden of the disorder to the healthcare system (Bashir, 2020). Each of the following considerations shaped my understanding of the problem (stroke) and need for telehealth to address the care needs of the patient.
Leadership: Leadership in nursing is important for the promotion of the health and wellbeing of the patient with stroke. Nurses have to demonstrate their leadership skills in proposing and implementing evidence-based interventions that will minimize the burden of stroke to the patient, family and healthcare system. Nurses also demonstrate leadership by strengthening teamwork, active stakeholder collaboration, and open communication in addressing the care needs of the patient (Morley & Cashell, 2017). Therefore, leadership informed my understanding of the severity of the problem and the needed interventions that could enhance the health outcomes of the patient and his family.
Collaboration: The realization of optimum outcomes for the patient with stroke requires effective inter-professional collaboration. Healthcare providers from different specialties are needed to work together in the assessment, planning, implementation, monitoring, and evaluation of the care needs of the patients. They also have to work together in determining the advanced care needs of the patient that should be met to prevent and minimize complications. Having the different healthcare providers working together from the same setting may be a challenge in healthcare organizations (Morley & Cashell, 2017). As a result, telehealth for care coordination is an effective alternative to achieve the desired collaboration in patient care.
Communication: Communication is an important aspect in ensuring the provision of high quality, efficient and safe care to the patient. Communication strategies such as open communication, consistency, and conciseness in communication should be encouraged in working with the patient in the project. Through open communication, healthcare providers involved in the care process will understand the needs, views, and concerns of the others and patient in the care process (Lawson et al., 2020). The consideration of communication therefore shaped my understanding of the vital aspects of communication that should be incorporated into care coordination for the patient.
Change management: The effective management of stroke using interventions such as technology, care coordination and community resources is a change initiative on its own. Healthcare providers involved in the care process have to transform their existing systems and processes to ensure the optimum health outcomes of the patient. They also need to have the desired competencies in utilizing technologies to address the care needs of the patient. Therefore, change management interventions such as training, open communication, and active stakeholder invol
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