NURS-FPX4040 Assessment 3: Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing

Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing

In health practice, patient care outcomes depend on the approaches health care providers use in health care delivery. Over time, technology use has intensified as health care providers advance their processes to optimize quality and safety standards. As technology use intensifies, it is crucial to examine its use and how it enhances quality and safety. Current and past research studies provide extensive literature promoting technology use in health care delivery. The purpose of this paper is to provide an annotated bibliography of a selected technology for enhancing quality and safety in nursing.

Introduction to the Selected Technology Topic

Telehealth has become an integral part of the present technology-driven health practice. I selected this technology since it is a highly advancing area whose role has become more vivid during the COVID-19 pandemic. It also enhances patient safety and quality of care in multiple dimensions, including communication, efficiency, interprofessional collaboration, and remote care. To understand how the technology works, I reviewed past literature relevant to the topic after searching relevant articles from leading nursing databases. Such databases include CINAHL Complete, PubMed, Medline with Full-Text, Google Scholar, and the Journal of the American Medical Association (JAMA). Search terms included “telehealth and patient safety,” “telehealth and health care quality,” and “use of telehealth in health care delivery.” Many articles explore the topic differently, but the most relevant are annotated below.

Annotated Bibliography

Gajarawala, S. N., &Pelkowski, J. N. (2021).Telehealth benefits and barriers. The Journal for Nurse Practitioners: JNP17(2), 218–221. https://doi.org/10.1016/j.nurpra.2020.09.013

This article is a narrative review of telehealth benefits in health care delivery and the barriers that health care providers must address to achieve better outcomes. The central emphasis is that telehealth was primarily developed to provide basic care in rural and underserved areas, but its use has increased since the outbreak of the COVID-19 pandemic. Gajarawala and Pelkowski (2021) describe telehealth as a reliable technology to enhance patient satisfaction, efficient and quality care, and minimize health care costs. It achieves these outcomes through tech-driven services such as medical education that creates an informed patient population, remote patient monitoring, and patient consultation via videoconferencing and wireless health care devices.

Patients’ physical visits and wait times to health care providers have been reduced due to telehealth, a benefit that increases patient safety by reducing their exposure to infections and health complications. Above all, communication through health applications promotes interprofessional collaboration, leading to better health care quality due to shared decision-making. According to this source, telehealth is crucial in the nursing practice since it promotes a collaborative practice and improves patient-provider connection. Enabling health care providers to serve patients remotely is another benefit that justifies its use in modern practice. The article is detailed about the role of technology in improving the quality of care and patient safety. It also highlights barriers that should be addressed to maximize its use, such as technology use among older adults and technology access in rural areas.

Neville, C. W. (2018). Telehealth: A balanced look at incorporating this technology into practice. SAGE Open Nursing4, 2377960818786504. https://doi.org/10.1177%2F2377960818786504

This review article focuses on telehealth’s ability to provide health care through interactive technology and telecommunication tools. It highlights how the technology has grown over time, reaching multiple specialties and enabling health care providers to serve a larger patient population. Regarding the impact of telehealth on patient safety and quality of care, the article highlights three main outcome areas demonstrating its value compared to other technologies. The first area is teleconsultations. Through teleconsultations, patients receive information that enables them to understand and manage the problem or are referred to a specialist where necessary. The second outcome area is remote patient monitoring. Here, telehealth allows health care providers to monitor vital signs from a distance and relay instructions depending on the patient’s condition. Such an approach enables health care providers to serve more patients and more promptly.

The third outcome area is access to health care services and health care professionals. Telehealth promotes access to health care services unavailable in rural areas. According to this source, telehealth has revolutionized the nursing practice by reducing physical visits and enabling nurses to serve a broader patient population. The interdisciplinary team can also link up with different technologies under telehealth to provide different health services, including education, treatment, and referrals. Out of the many possible options, the resource is highly informative on the main outcome areas that justify telehealth use in nursing practice. The outcome areas are grouped into different categories, enabling readers to understand the importance of telehealth comprehensively.

Tian, E. J., Venugopalan, S., Kumar, S., & Beard, M. (2021). The impacts of and outcomes from telehealth delivered in prisons: A systematic review. PloS One16(5), e0251840. https://doi.org/10.1371/journal.pone.0251840

This article is a systematic review of the impacts and outcomes delivered in prisons. It analyzes how telehealth enables patients to receive health care services in their convenient locations (prisons). According to this source, telehealth reduces travel to health care settings, and exposure of patients with mental health needs to injuries since they can be observed and advised remotely. Reduced exposure to harm, minimal interaction, and timely access to health care services increase the quality of care. Such outcomes ensure that patients in prisons can be served when and how they need it.

The article emphasizes the importance of telehealth as an advancing technology for promoting care access to prisoners as an underserved population. Primary outcomes include more access to care, efficiency, and high patient safety. To achieve these outcomes, health care teams must collaborate and embrace technology in health care delivery. Overall, the article reviews the importance of telehealth in expanding care to unique patient populations. This knowledge is vital for health care practitioners as they intensify efforts to increase access to health care services across populations.

Monaghesh, E., &Hajizadeh, A. (2020). The role of telehealth during COVID-19 outbreak: A systematic review based on current evidence. BMC Public Health20(1), 1-9. https://doi.org/10.1186/s12889-020-09301-4

This article is a systematic review of telehealth use during the COVID-19 pandemic. It examines how telehealth and related technologies enable health care providers to reach patients while adhering to quality and safety standards. On patient safety, telehealth reduces direct transmission of the infectious agent from person to person. It has been noted as an effectual and affordable option for reducing transmission and the need for travel to health care settings when people are advised to observe travel restrictions. The ability of telehealth to facilitate optimal service delivery, access to health care services, and optimize safety improves the overall quality of care. As the nursing practice evolves and adapts to changes, telehealth must be increasingly adopted. Health care teams should collaborate to benefit maximally. Overall, the resource explores the importance of telehealth while focusing on a current issue (COVID-19). Health care practitioners should read to understand how to provide remote care and collaborate through technologies while keeping patients safe from infections.

Summary of Recommendation

Technology and modern nursing practice are inseparable. As the nursing practice continues to be more technology-reliant, nurses and other health care providers must adopt innovative ways of providing health care services. Telehealth has emerged as an effective and reliable technology for educating patients and providing other health care services remotely (Gajarawala & Pelkowski, 2021; Monaghesh & Hajizadeh, 2020). It also enables health care providers to collaborate through digital devices. Other outcomes justifying its use include reducing exposure to harm, allowing health care providers to serve underserved and unique populations, and reducing travels to health care providers (Neville 2018; Tian et al., 2021). It is a technology that care practitioners cannot overlook as they look forward to more accessible, quick, and safer nursing practice.

Telehealth use depends on many factors. According to Bokolo (2021), technology adoption is expensive since it forces health care organizations to change health care delivery models. Massive resources are also spent to acquire and implement new technologies, implying that organizational resources are a key influence as far as technology selection is concerned. The situation and government policies also influence technology use in a health care setting. Monaghesh and Hajizadeh (2020) mentioned that telehealth adoption has increased due to government regulation to reduce physical interaction and observe social distancing. Culture/social norms are another determinant. In rural settings, health care facilities cannot intensify technology use if patients are not tech-savvy or receptive to technology use.

Telehealth implementation can only be justified by analyzing its outcomes in health practice. Firstly, telehealth is associated with better patient outcomes. For instance, it ensures that patients receive a wide range of health care services, including health education, treatment advice, and monitoring, at their convenient locations (Gajarawala&Pelkowski, 2021; Monaghesh & Hajizadeh, 2020). Telehealth also promotes access to health care services. Besides enabling health care providers to serve many populations, it ensures that providers are accessible and health care services are more affordable (Neville 2018; Tian et al., 2021). Health care organizations looking forward to safe and satisfactory patient care based on a collaborative practice should also consider telehealth.

Conclusion

The current health practice is largely tech-driven. In response, health care organizations must implement the necessary technologies as situations prompt. From the annotated bibliography, health care research demonstrates the vital role of telehealth in promoting access to care and as an effective, reliable option for safe and quality care. Health care teams also collaborate through telehealth as they monitor, serve, and advise patients remotely.

References

Bokolo, A. J. (2021). Exploring the adoption of telemedicine and virtual software for care of outpatients during and after COVID-19 pandemic. Irish Journal of Medical Science (1971-)190(1), 1-10. https://doi.org/10.1007/s11845-020-02299-z

Gajarawala, S. N., &Pelkowski, J. N. (2021).Telehealth benefits and barriers. The Journal for Nurse Practitioners: JNP17(2), 218–221. https://doi.org/10.1016/j.nurpra.2020.09.013

Monaghesh, E., &Hajizadeh, A. (2020). The role of telehealth during COVID-19 outbreak: A systematic review based on current evidence. BMC Public Health20(1), 1-9. https://doi.org/10.1186/s12889-020-09301-4

Neville, C. W. (2018). Telehealth: A balanced look at incorporating this technology into practice. SAGE Open Nursing4, 2377960818786504. https://doi.org/10.1177%2F2377960818786504

Tian, E. J., Venugopalan, S., Kumar, S., & Beard, M. (2021). The impacts of and outcomes from telehealth delivered in prisons: A systematic review. PloS One16(5), e0251840. https://doi.org/10.1371/journal.pone.0251840

 

 

Write a 4-6 page annotated bibliography where you identify peer-reviewed publications that promote the use of a selected technology to enhance quality and safety standards in nursing.

Introduction

Before you begin to develop the assessment you are encouraged to complete the Annotated Bibliography Formative Assessment. Completing this activity will help you succeed with the assessment and counts towards course engagement.

Rapid changes in information technology go hand-in-hand with progress in quality health care delivery, nursing practice, and interdisciplinary team collaboration. The following are only a few examples of how the health care field uses technology to provide care to patients across multiple settings:

  • Patient monitoring devices.
  • Robotics.
  • Electronic medical records.
  • Data management resources.
  • Ready access to current science.

Technology is essential to the advancement of the nursing profession, maintaining quality care outcomes, patient safety, and research.

This assessment will give you the opportunity to deepen your knowledge of how technology can enhance quality and safety standards in nursing. You will prepare an annotated bibliography on technology in nursing. A well-prepared annotated bibliography is a comprehensive commentary on the content of scholarly publications and other sources of evidence about a selected nursing-related technology. A bibliography of this type provides a vehicle for workplace discussion to address gaps in nursing practice and to improve patient care outcomes. As nurses become more accountable in their practice, they are being called upon to expand their role of caregiver and advocate to include fostering research and scholarship to advance nursing practice. An annotated bibliography stimulates innovative thinking to find solutions and approaches to effectively and efficiently address these issues.

Preparation

To successfully complete this assessment, perform the following preparatory activities:

  • Select a SINGLE direct or indirect patient care technology that is relevant to your current practice or of interest to you. Direct patient care technologies require an interaction, or direct contact, between the nurse and patient. Nurses use direct patient care technologies every day when delivering care to patients. Electronic thermometers or pulse oximeters are examples of direct patient care technologies. Indirect patient care technologies, on the other hand, are those employed on behalf of the patient. They do not require interaction, or direct contact, between the nurse and patient. A handheld device for patient documentation is an example of an indirect patient care technology. Examples of topics to consider for your annotated bibliography include:
    • Delivery robots.
    • Electronic medication administration with barcoding.
    • Electronic clinical documentation with clinical decision support.
    • Patient sensor devices/wireless communication solutions.
    • Real-time location systems.
    • Remote patient monitoring.
    • Artificial intelligence.
    • Telehealth.
    • Telestroke.
    • Tele-icu.
    • Tele-psychiatry.
    • Tele-genetics.
    • Workflow management systems.
  • Conduct a library search using the various electronic databases available through the Capella University Library.
    • Consult the for help in identifying scholarly and/or authoritative sources.
    • Access the NHS Learner Success Lab, linked in the courseroom navigation menu, for additional resources.
  • Scan the search results related to your chosen technology.
  • Select four peer-reviewed publications focused on your selected topic that are the most interesting to you.
  • Evaluate the impact of patient care technologies on desired outcomes.
    • Analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.
    • Integrate current evidence about the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation.
Notes
  • Publications may be research studies or review articles from a professional source. Newspapers, magazines, and blogs are not considered professional sources.
  • Your selections need to be current—within the last five years.

An Evidence-based Recommendation for Selected Technology Implementation

Prepare a 4–6 page paper in which you introduce your selected technology and describe at least four peer-reviewed publications that promote the use of your selected technology to enhance quality and safety standards in nursing. You will conclude your paper by summarizing why you recommend a particular technology by underscoring the evidence-based resources you presented. Be sure that your paper includes all of the following elements:

  • Introduction to the Selected Technology Topic
    • What is your rationale for selecting this particular technology topic? Why are you interested in this?
    • What research process did you employ?
      • Which databases did you use?
      • Which search terms did you use?
      • Note: In this section of your bibliography, you may use first-person since you are asked to describe your rationale for selecting the topic and the research strategies you employed. Use third person in the rest of the bibliography, however.
  • Annotation Elements
    • For each resource, include the full reference followed by the annotation.
    • Explain the focus of the research or review article you chose.
    • Provide a summary overview of the publication.
      • According to this source, what is the impact of this technology on patient safety and quality of care?
      • According to this source, what is the relevance of this technology to nursing practice and the work of the interdisciplinary health care team?
      • Why did you select this publication to write about out of the many possible options? In other words, make the case as to why this resource is important for health care practitioners to read.
  • Summary of Recommendation
    • How would you tie together the key learnings from each of the four publications you examined?
    • What organizational factors influence the selection of a technology in a health care setting? Consider such factors as organizational policies, resources, culture/social norms, commitment, training programs, and/or employee empowerment.
    • How would you justify the implementation and use of the technology in a health care setting? This is the section where you will justify (prove) that the implementation of the
      patient care technology is appropriate or not. The evidence should be cited from the literature that was noted in the annotated bibliography.
      • Consider the impact of the technology on the health care organization, patientcare/satisfaction, and interdisciplinary team productivity, satisfaction, and retention.

Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

Additional Requirements
  • Written communication: Ensure written communication is free of errors that detract from the overall message.
  • Length: 4–6-typed, double-spaced pages.
  • Number of resources: Cite a minimum of four peer-reviewed publications, not websites.
  • Font and font size: Use Times New Roman, 12 point.
  • APA: Follow APA style and formatting guidelines for all bibliographic entries. Refer to as needed.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

  • Competency 3: Evaluate the impact of patient care technologies on desired outcomes.
    • Analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.
    • Integrate current evidence about the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation.
  • Competency 4: Recommend the use of a technology to enhance quality and safety standards for patients.
    • Describe organizational factors influencing the selection of a technology in the health care setting.
    • Justify the implementation and use of a selected technology in a health care setting.
  • Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.
    • Create a clear, well-organized, and professional annotated bibliography that is generally free from errors in grammar, punctuation, and spelling.
    • Follow APA style and formatting guidelines for all bibliographic entries.