Annotated Bibliography: Telestroke Technology in Nursing

Stroke remains a leading cause of disability and death, requiring immediate medical intervention for optimal patient outcomes. Telestroke technology enables remote neurologist consultation, facilitating timely diagnosis and treatment, especially in underserved regions. I selected Telestroke for this assessment because it enhances patient safety, quality of care, and interdisciplinary collaboration: Annotated Bibliography: Telestroke Technology in Nursing.

Using PubMed and CINAHL, I searched for peer-reviewed studies published within the last five years, applying keywords such as Telestroke, stroke management, patient outcomes, and telemedicine in nursing. The annotated bibliography analyzes Telestroke’s impact on nursing practice and its integration into healthcare systems.

Annotated Bibliography

Harahsheh, E., English, S. W., Hrdlicka, C. M., & Demaerschalk, B. (2022). Telestroke’s Role Through the COVID-19 Pandemic and Beyond. Current Treatment Options in Neurology, 24(11), 589–603. https://doi.org/10.1007/s11940-022-00737-0

This study examines Telestroke’s evolution during the COVID-19 pandemic and its transition from emergency use to routine stroke care. The authors discuss Telestroke’s implementation challenges, effectiveness, and future role in healthcare. They conclude that Telestroke enhances accessibility, enabling neurologist consultations even during global health crises. By incorporating Telestroke into regular clinical practice, the study emphasizes its permanent role in ensuring timely stroke treatment, especially in settings lacking on-site neurologists.

The study found that Telestroke significantly reduces the time to treatment, allowing for earlier thrombolysis administration, which improves neurological recovery and minimizes disability risks. Timely treatment is crucial, especially for acute ischemic stroke, where rapid intervention has the potential to dramatically change patient outcomes. The article emphasizes that Telestroke’s rapid diagnostics and consultations ensure more accurate decision-making, significantly enhancing overall patient safety.

This study highlights the important role of nurses in Telestroke implementation. Nurses are responsible for initial stroke assessments, coordinating imaging, and ensuring timely communication with remote neurologists. Nurses also serve as critical liaisons, ensuring smooth transitions between local and remote teams. By enhancing interdisciplinary collaboration, Telestroke promotes a coordinated effort between nurses, emergency physicians, and neurologists, ensuring high-quality care delivery.

I selected this article because it demonstrates Telestroke’s value during an emergency, showing how the technology adapts to crises and remains a critical tool for routine stroke care. Its focus on nursing involvement in Telestroke deployment makes it highly relevant for nurses integrating telemedicine into their practice.

Lazarus, G., Permana, A. P., Nugroho, S. W., Audrey, J., Wijaya, D. N., & Widyahening, I. S. (2020). Telestroke strategies to enhance acute stroke management in rural settings: A systematic review and meta‐analysis. Brain and Behavior, 10(10). https://doi.org/10.1002/brb3.1787

This systematic review and meta-analysis evaluate Telestroke’s impact in rural hospitals where neurology specialists are unavailable. The authors assess treatment delays, survival rates, and post-stroke recovery across multiple studies. Findings indicate that Telestroke significantly improves stroke care accessibility, particularly in rural settings where immediate access to neurologists is limited.

The review concludes that Telestroke significantly enhances patient safety by expediting thrombolysis administration, reducing long-term disability and stroke-related mortality. Rapid access to stroke specialists results in better treatment outcomes, which improves overall patient safety. The study found that patients in Telestroke-equipped hospitals had higher survival rates and better functional outcomes, especially in the first 24 hours following treatment.

The results of the current study show that telestroke in rural hospitals depend on nurses to enhance the program’s success. Its functions include data acquisition from the patient, making an evaluation, and relaying information between central and peripheral staff members. Through this study, understanding how Telestroke develops nursing collaboration with remote neurologists is beneficial to the care of patients. The involvement of the nurses in stroke management results in timely attention to the patients, which is very crucial in managing strokes.

I chose this article because it gives quantitative data on the effectiveness of Telestroke in the rural areas. It highlights nurses’ key functions in addressing disparities and providing optimal care to patients with stroke and those in areas where access to specialist physicians is scarce.

Mohamed, A., Elsherif, S., Legere, B., Fatima, N., Shuaib, A., & Maher Saqqur. (2023). Is Telestroke More Effective than Conventional Treatment for Acute Ischemic Stroke? A Systematic Review and Meta-Analysis of Patient Outcomes and Thrombolysis Rates. International Journal of Stroke, 19(3). https://doi.org/10.1177/17474930231206066

This meta-analysis compares Telestroke outcomes with conventional in-hospital stroke treatment. Reviewing over 40 clinical trials, the study evaluates patient survival rates, thrombolysis effectiveness, and recovery potential. The authors conclude that Telestroke is equally—if not more—effective than conventional stroke care, particularly in hospitals without neurologists.

The findings show that patients treated through Telestroke received thrombolysis faster, leading to better neurological outcomes. Early intervention with thrombolytics reduces stroke-related disability and improves patient safety by minimizing brain damage. The article also confirms that Telestroke reduces misdiagnosis rates, ensuring that patients receive accurate and timely care.

Nurses’ roles in Telestroke are emphasized, as they assist in coordinating remote consultations and ensuring immediate care delivery. Nurses’ responsibility in preparing patients for remote specialist consultations enhances interdisciplinary teamwork by fostering communication between emergency teams and remote neurologists. This study underscores the increased involvement of nurses in telemedicine-driven care, thus improving patient outcomes.

I selected this study because it provides direct comparisons between Telestroke and conventional care, showing Telestroke’s superiority in faster thrombolysis administration and better patient outcomes, particularly in under-resourced hospitals.

Worthmann, H., Winzer, S., Schuppner, R., Gumbinger, C., & Barlinn, J. (2023). Telestroke networks for area-wide access to endovascular stroke treatment. Neurological Research and Practice, 5(1). https://doi.org/10.1186/s42466-023-00237-9

This study investigates Telestroke networks and their role in facilitating endovascular stroke treatments. The authors discuss how remote specialists guide local teams, ensuring timely triage and intervention for eligible patients. The study emphasizes Telestroke’s expanding role in advanced neurovascular care.

The findings confirm that Telestroke networks significantly improve access to endovascular treatments, such as thrombectomy, which are critical for severe stroke cases. Early and accurate treatment ensures lower mortality rates and higher recovery rates for stroke patients. This approach increases patient safety by reducing delays in life-saving procedures.

Nurses contribute significantly by ensuring patients are triaged quickly, prepared for intervention, and transferred to appropriate facilities for endovascular procedures. This study underscores how Telestroke strengthens collaboration between nurses, neurologists, and interventionists, improving stroke treatment. Nurses facilitate seamless communication, ensuring optimal patient care.

I selected this study because it highlights Telestroke’s role in complex stroke interventions, particularly endovascular thrombectomy. It demonstrates how Telestroke expands access to specialized care, making it vital for enhancing patient safety in the treatment of severe stroke cases.

Summary of Recommendation

Key Learnings from the Four Publications

The four published articles presented herein demonstrate that Telestroke technology provokes increased patient safety, increased treatment effectiveness in stroke cases, and the augmentation of interprofessional interactions. Studies have shown that contrary to the foregoing, Telestroke also improves the shorter door-to-needle time for thrombolysis, thus, better neurological and mortality rates (Harahsheh et al., 2022; Mohamed et al., 2023).

However, using the findings mentioned above and the results of the surveys shown in the previous sections, Lazarus et al. (2020) also justify Telestroke’s recognition of equitable access to specialists irrespective of the location of the hospital. According to Worthmann et al. (2023), Telestroke leads to a better collaboration between emergency workers, neurologists, and nurses which, in turn, leads to better patient care coordination and reduced latency.

Organizational Factors Influencing Telestroke Implementation

Several organizational characteristics that affect Telestroke implementation include funding, telemedicine policies, training and education programs, and administrative commitment. Telemedicine services need an initial investment in technologies such as high-quality imaging systems, video conferencing, and integration with electronic health records (Lazarus et al., 2020).

Further, knowledge of stroke signs, organization of Telestroke consultation services, and patient transport should be introduced within a nurse training program (Worthmann et al., 2023). Telemedicine rules, HIPAA laws, and rules concerning reimbursement also pose considerable challenges to healthcare facilities.

Justification for the Implementation and Use of Telestroke in Healthcare Settings

The benefits of Telestroke are evident: it increases the chances of survival, makes more health options available to patients, fosters cross-team collaboration, and cuts overall long-term health costs. According to Worthmann et al. (2023), Telestroke leads to increased efficiency, satisfaction, and patient trust among hospital institutions. For such reasons, Telestroke should be adopted more widely as it improves patient outcomes, has cost-saving measures, and betters stroke care. It is an evidence-based practice that enhances patients’ quality of care and enhances the overall healthcare system.

References

Harahsheh, E., English, S. W., Hrdlicka, C. M., & Demaerschalk, B. (2022). Telestroke’s role through the COVID-19 pandemic and beyond. Current Treatment Options in Neurology, 24(11), 589–603. https://doi.org/10.1007/s11940-022-00737-0

Lazarus, G., Permana, A. P., Nugroho, S. W., Audrey, J., Wijaya, D. N., & Widyahening, I. S. (2020). Telestroke strategies to enhance acute stroke management in rural settings: A systematic review and meta‐analysis. Brain and Behavior, 10(10). https://doi.org/10.1002/brb3.1787

Mohamed, A., Elsherif, S., Legere, B., Fatima, N., Shuaib, A., & Maher Saqqur. (2023). Is telestroke more effective than conventional treatment for acute ischemic stroke? A systematic review and meta-analysis of patient outcomes and thrombolysis rates. International Journal of Stroke, 19(3). https://doi.org/10.1177/17474930231206066

Worthmann, H., Winzer, S., Schuppner, R., Gumbinger, C., & Barlinn, J. (2023). Telestroke networks for area-wide access to endovascular stroke treatment. Neurological Research and Practice, 5(1). https://doi.org/10.1186/s42466-023-00237-9

ORDER A PLAGIARISM-FREE PAPER HERE

We’ll write everything from scratch

---

Assessment 3: Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing
Write a 4 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
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.

Professional Context
Rapid changes in information technology go hand-in-hand with progress in quality health care delivery, nursing practice, and interdisciplinary team collaboration. Technology is essential to the advancement of the nursing profession, maintaining quality care outcomes, patient safety, and research.

Preparation
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.

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

• Review the technologies presented in the Assessment 03 Supplement: Evidence-Based Proposal and Annotated Bib on Tech in Nursing [PDF] Download Assessment 03 Supplement: Evidence-Based Proposal and Annotated Bib on Tech in Nursing [PDF]resource and select one of the options to use as the focus for this assessment.
  • 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.
• Conduct a library search using the various electronic databases available through the Capella University Library.
  • Consult the BSN Program Library Research Guide 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.

Instructions
First, review the technologies presented in the Assessment 03 Supplement: Evidence-Based Proposal and Annotated Bib on Tech in Nursing [PDF] resource and select one of the options to use as the focus for this assessment.

Next 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? What is interesting about it?
    • 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:

• Assessment 3 Example [PDF]

Additional Requirements

• Written communication: Ensure written communication is free of errors that detract from the overall message.
• Length: 4-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 Evidence and APA 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.

Scoring Guide

• Use the scoring guide to understand how your assessment will be evaluated.