Evidence-Based Annotated Bibliography- Telehealth
Telehealth remains one of the most valuable health information technologies in current use. It utilizes technological devices to facilitate and deliver health and healthcare-related services. Accordingly, I chose telehealth because of its relevance to the modern healthcare landscape. I am interested in the topic because it continues to redefine care and its impact on enhancing care delivery to remote places. As healthcare provision shifts to virtual care, telehealth will become handy in facilitating healthcare delivery. In this paper, I employed web searches on Google Scholar and PubMed databases using the search terms “telehealth” and “Telemedicine.” This paper details four research papers on telehealth, detailing its current use, its role in nursing, barriers and challenges to its use, and prospects for its utility.
Annotated Bibliography
Current Use of Telehealth
Kichloo, A., Albosta, M., Dettloff, K., Wani, F., El-Amir, Z., & Singh, J. et al. (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
This article is a systematic review that examines the current state of telehealth utility in the wake of the COVID-19 pandemic. Telehealth utilization in healthcare delivery has considerably increased. The COVID-19 pandemic highlighted its significance in bridging gaps in care delivery accustomed to poor access. Research findings highlighted by Kichloo et al. (2020) reveal that telehealth use has the potential to not only enhance access to quality care but also lower the cost of healthcare services by eliminating logistical costs incurred when pursuing healthcare services. Telehealth devices, such as remote monitoring devices and video teleconferencing, can be used by nurses and other healthcare providers to deliver health services and health information remotely, thereby lowering physical encounters that otherwise perpetuate the spread of the virus (Kichloo et al., 2020). Reducing physical contact ensures the safety of the patients by minimizing the spread of infectious diseases. It also ensures that patients get quality healthcare services by allowing direct communication between them and their caregivers. Nurses, being front liners in care provision, can employ telehealth as a safety enhancement measure for spreading infection and providing care to their patients. Other interdisciplinary team members can also use these devices to remotely provide care to their patients and coordinate care with them. This article highlights the current state of telehealth utility and gives insight into its relevance to healthcare practice. Provisions from this article can inform the implementation of telehealth in other healthcare facilities.
Role of Telehealth in Nursing
Love, S., Harrison, L., O’Connell, M., Rotter, T., & Bath, B. (2022). A physical therapist and nurse practitioner model of care for chronic back pain using telehealth: Diagnostic and management concordance. Journal Of Telemedicine And Telecare, 1357633X2210989. https://doi.org/10.1177/1357633×221098904
This qualitative research details a classical case of telehealth utility in the management of back pain. It compares physical therapists’ and nurse practitioners’ care models of managing back pain via teleconferencing versus physical patient encounters and finds similarities in interventions and subsequent efficacy in pain relief. According to Lovo et al. (2022), telehealth devices can be used to provide quality care to patients remotely. They also provide safety safeguards for the patient by ensuring that effective healthcare interventions are done for the patients. It also highlights how nursing care roles can be executed remotely to elicit similar efficacy as physical patient-nurse encounters. Nurses and the interdisciplinary team in its entirety can utilize provisions from this article in the chronic care and care continuum. It shifts the paradigm of comprehensive care by giving insights into delivery approaches where nurses can collaborate with other interdisciplinary team members in recommending healthcare interventions to their patients remotely. This article details the effectiveness of telehealth in remote patient management. It is relevant and gives insight into the utility of this technology in the care continuum and management recommendations.
Barriers and Challenges to the Implementation of Telehealth
Annaswamy, T., Verduzco-Gutierrez, M., & Frieden, L. (2020). Telemedicine barriers and challenges for persons with disabilities: COVID-19 and beyond. Disability And Health Journal, 13(4), 100973. https://doi.org/10.1016/j.dhjo.2020.100973
This is a review article that details the challenges and barriers to the implementation of telehealth for persons with disabilities. These challenges include infrastructural and access barriers, regulatory barriers, operational challenges, and communication and legislative barriers. Persons with disabilities, being a vulnerable population, are disproportionately affected by these challenges. According to Annaswamy et al. (2020), the barriers to telehealth use among people with disabilities considerably affect their access to quality care. These barriers may also jeopardize their safety by denying them access to care. Nurses play a role in advancing these technologies in vulnerable groups such as persons with disabilities. As health educators, they can educate these groups on the effective use of these technologies and custom solutions to address the barriers affecting telehealth implementation. The interdisciplinary team also plays a role in coordinating efforts to address these barriers and advance the use of these technologies. This article highlights how barriers to telehealth implementation disproportionately affect vulnerable groups such as persons with disabilities. It informs on the need to address these barriers as a measure for promoting health equity.
Prospects of Telehealth Utility
Barberio, J., & Jenkins, M. (2021). Transitioning to Telehealth: Today’s Guidelines for Future Sustainability. The Journal For Nurse Practitioners, 17(7), 795-798. https://doi.org/10.1016/j.nurpra.2021.04.001
This review article details the prospects of telehealth use, emphasizing the future adoption of telehealth into mainstream care provision. Barberio & Jenkins (2021) recap the impacts telehealth has had on care operationalization and how they have changed care approaches from traditional physical encounters to virtual encounters with healthcare professionals. This has considerably enhanced access to quality care and eliminated barriers to care accustomed to geographical locations. As care approaches shift towards patient-centered approaches and self-care, telehealth will continue to underline these approaches. Regulatory and legislative changes will have to be made to enhance operational flexibility and cross-border care provision for nurse practitioners and other care providers to ensure the advancement of telehealth. Telehealth provides a framework for quality care provision and safety enhancement by allowing remote care delivery and patient monitoring and surveillance (Barberio & Jenkins, 2021). Provisions from this article are relevant to nursing practice as they define prospects on the scope of nursing practice and how nurses can employ telehealth to deliver care. It also informs the role of the interdisciplinary team in future practice and why they should transition to telehealth as a future model of healthcare delivery. This article details the prospects for health. It informs on current changes that can be made to enhance the future operational efficiency of telehealth, such as wavering restrictive laws.
Conclusion
Telehealth remains a valuable health information technology utilizable in the remote management of patients. This technology eliminates the traditional barriers to access to healthcare accustomed to geographical location and other physical barriers. Telehealth gained dominance during the COVID pandemic when movement restrictions were imposed, and physical encounters with healthcare providers were challenging. This healthcare technology maintains effectiveness in patient management and utilizes similar interventions as those used in contact management of various illnesses. As care approaches shift to patient-centered approaches, virtual care through telehealth remains a viable option for addressing various patient complaints. Furthermore, these approaches ensure patients have access to quality care and lower costs by eliminating logistical costs in pursuing healthcare. Prospects of the use of telehealth reveal that care approaches are shifting to telehealth use, with telehealth devices expected to dominate care interventions and approaches.
References
Annaswamy, T., Verduzco-Gutierrez, M., & Frieden, L. (2020). Telemedicine barriers and challenges for persons with disabilities: COVID-19 and beyond. Disability and Health Journal, 13(4), 100973. https://doi.org/10.1016/j.dhjo.2020.100973
Barberio, J., & Jenkins, M. (2021). Transitioning to Telehealth: Today’s Guidelines for Future Sustainability. The Journal for Nurse Practitioners, 17(7), 795-798. https://doi.org/10.1016/j.nurpra.2021.04.001
Kichloo, A., Albosta, M., Dettloff, K., Wani, F., El-Amir, Z., & Singh, J. et al. (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
Love, S., Harrison, L., O’Connell, M., Rotter, T., & Bath, B. (2022). A physical therapist and nurse practitioner model of care for chronic back pain using telehealth: Diagnostic and management concordance. Journal of Telemedicine and Telecare, 1357633X2210989. https://doi.org/10.1177/1357633×221098904
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Question 
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.
Evidence-Based Annotated Bibliography- Telehealth
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 count towards course engagement.
Rapid changes in information technology go hand-in-hand with progress in quality healthcare delivery, nursing practice, and interdisciplinary team collaboration. The following are only a few examples of how the healthcare 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 the 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 the 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 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.
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 the 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 healthcare 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 healthcare 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 healthcare setting? This is the section where you will justify (prove) whether 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, patient care/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: 4–6-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 points.
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 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 healthcare setting.
Competency 5: Apply professional, scholarly communication to facilitate the 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.