Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing

Technology can improve the quality of healthcare service delivery and promote better patient outcomes. Examples of such advances include robotics, simulations, telehealth, electronic medication administration, and electronic medical records (Rademacher et al., 2019). Technological advancements that embrace interprofessional collaboration should be adopted to increase teamwork in clinical decision-making (Rademacher et al., 2019). This proposal evaluates a selected technology using an annotated bibliography and provides a summary of recommendations.

The Selected Technology Topic

The selected technology topic is telehealth. Telehealth entails delivering healthcare services using remote technologies (Hatcher-Martin et al., 2021). Examples of telehealth technologies include mobile health via smartphones, video conferencing, audio technologies, and store and forward (Hatcher-Martin et al., 2021). Additionally, wearable devices can facilitate remote patient monitoring. Digital photography is the other technology that applies to telehealth (Hatcher-Martin et al., 2021). Accordingly, I am interested in telehealth technology because it provides flexibility in service delivery and optimizes workflows. Virtual interactions with patients enable them to receive timely healthcare information, access specialists easily, and eliminate the need for time-consuming physical queues for appointments (Hatcher-Martin et al., 2021). In addition, telehealth promotes interprofessional collaboration using virtual technologies hence achieving a teamwork clinical decision-making process (Hatcher-Martin et al., 2021), which is important because the quality of health care services is improved. Therefore, telehealth is a relevant technology that should be embraced.I used three online medical databases in my research. These include PubMed, Google Scholar, and the Cumulative Index to Nursing and Allied Health Literature (CINAHL). I used keywords such as ‘telehealth,’ ‘patient safety,’ ‘quality of healthcare,’ and ‘interprofessional collaboration’ to search for my research articles. Furthermore, I used the customized features to search for articles published within the past five years, 2019 to 2022. After that, I compared the search results and selected the most appropriate articles. I used the CRAAP criterion to select the articles. This criterion evaluates the credibility of sources based on their currency, relevance, accuracy, and purpose (Esparrago-Kalidas, 2021).

Annotated Bibliography

George, L. A., & Cross, R. K. (2020). Remote Monitoring and Telemedicine in IBD: Are We There Yet? Current Gastroenterology Reports, 22(3). https://doi.org/10.1007/s11894-020-0751-0

The article evaluates the impact of telehealth technology on the management of patients with inflammatory bowel disease (IBD). Remote patient monitoring and mobile health are the two telehealth technologies of interest. According to the authors, remote patient monitoring through web applications is associated with improved quality of life, compliance with medication, and lower treatment costs. The web applications have electronic symptom diaries that allow patients to report their symptoms and progress. These reports stratify patients into various categories, indicating those in remission and those with flareups. This information recommends modifications to the patient’s medication or treatment plans. The utility of web-based symptom reporting resulted in better medication adherence and improved quality of life among 333 IBD patients taking 5-aminosalicylate.

According to the article, mobile health has more than fifty-six applications related to IBD. The applications contain features such as symptom and nutrition diaries, medication reminders, and disease-related information. A specific example of a mobile health IBD-based application is the GI Monitor. In addition, mobile health enables healthcare providers to monitor patients and predict their prognosis. Patients with a poor diagnosis are prioritized for treatment plan modification. Consequently, this leads to better patient outcomes. Nurses and other interdisciplinary team members use this technology to keep in touch with patients, address their concerns, and monitor their prognosis. Furthermore, smartphone features such as videoconferencing via Zoom allow nurses and other clinicians to collaborate in real-time clinical decision-making regarding patients’ progress and treatment plans.

This article is credible because it meets the CRAAP criteria of currency, relevance, authority, accuracy, and purpose. It is relevant because it explains how nurses and other healthcare practitioners can collaborate and embrace telehealth to improve the quality of services delivered to patients with IBD. Furthermore, it identifies various telehealth technologies that are relevant in this context.

Harding, S. L., Eyllon, M., Twigden, A., Hogan, A., Barry, D., Mirsky, J. E., Barnes, B., & Nordberg, S. (2022). Power On: The Rapid Transition of a Large Interdisciplinary Behavioral Health Department to Telemental Health during the COVID-19 Pandemic. Journal of Interprofessional Education and Practice, 27(December 2021), 100506. https://doi.org/10.1016/j.xjep.2022.100506

The article aims to evaluate the use of telemental health by the behavioral health department in a primary care organization. According to the author, the COVID-19 pandemic increased the need for embracing telemental health when providing behavioral health services. Behavioral health clinicians reported that telemental health (TMH) had optimized their workflows. The specific TMH technology used in this context was videoconferencing to deliver synchronous services. Accordingly, TMH resulted in increased patient access to care. Results demonstrated that there was an estimated 10% increase in the completion of behavioral health visits after the introduction and implementation of TMH. The authors report that the introduction of TMH increased flexibility when delivering patient care. It enabled patients to choose clinicians based on their unique needs. Accordingly, patients were able to access clinician specialists or their preferred clinicians. It also promoted flexibility in scheduling appointment times because physical presence was not required. Besides, clinicians served numerous patients within a short timeframe and made timely interventions. Additionally, the authors reported that additional resources are required to facilitate the changes in communication, technology, and clinical processes.

The article reports that telemental health promoted interdisciplinary collaboration. This was achieved using web cameras and a smart behavioral health order within the electronic medical records. The smart order enables primary healthcare providers from various health professions to interact with behavioral health clinicians. This permits teamwork in the clinical decision-making process, hence better quality of service delivery and improved patient outcomes. Furthermore, TMH embraced interaction with external stakeholders by partnering with other healthcare organizations using telehealth. This interaction increased the patient population and ensured coordinated behavioral health services that promote the well-being of the patient.

This article is credible because it meets the CRAAP criteria of currency, relevance, authority, accuracy, and purpose. It is important because it evaluates the impact of introducing new telehealth technology in behavioral health services. It describes the specific technology used (videoconferencing) and explains how it improves clinical workflows, quality of service delivery, and interprofessional collaboration. For instance, the article reports an increase in access to care by patients and clinicians spending a shorter timeframe to serve each patient.

Hatcher-Martin, J. M., Busis, N. A., Cohen, B. H., Wolf, R. A., Jones, E. C., Anderson, E. R., Fritz, J. V., Shook, S. J., & Bove, R. M. (2021). American Academy of Neurology Telehealth Position Statement. Neurology, 97(7), 334–339. https://doi.org/10.1212/WNL.0000000000012185

The article evaluates the position of the American Academy of Neurology on telehealth. The article defines telehealth as the use of digital information and technologies to provide healthcare services remotely. In addition, telehealth embraces different members of the interprofessional team, such as physicians, nurses, physiotherapists, and pharmacists. Examples of telehealth technologies include mobile health, videoconferencing, remote patient monitoring, and audio and text messaging. Additionally, the patient’s needs should guide the choice of telehealth technology. Telehealth has numerous merits for patients and healthcare providers. It enables ease of access to healthcare specialists. Also, it is convenient for patients with limited mobility, allows timely interventions to be initiated by healthcare providers, and provides a better evaluation of social determinants of health. Ease of access to specialists ensures that the best patient-centered services are provided, hence better outcomes. Timely interventions by clinicians improve the prognosis of the disease and promote better patient outcomes. An evaluation of the social determinants of health, such as those in the patient’s environment, can facilitate the formulation of policies or interventions to support the patients. Telehealth allows interdisciplinary team members to be involved in real-time patient interventions via videoconferences or audio. This ensures that the best evidence-based practices are adopted and improve patient outcomes. Furthermore, telehealth can protect patients and healthcare practitioners from infectious diseases such as COVID-19 and minimize the need for personal protective equipment.

The article identifies various interventions that can be used to minimize barriers to telehealth. The first intervention is the provision of nationwide high-speed internet. High-speed internet will ensure that more people have access to telehealth services. Access can also be increased by allocating resources to facilitate translation for patients with a language barrier. The second intervention involves reimbursement and payment parity to eliminate barriers for providers who wish to implement telehealth technology in their facilities. The other intervention is streamlining the hospital credentialing process and stipulating the roles of various stakeholders involved in telehealth. The authors note that racial, ethnic, and socioeconomic disparities necessitate interventions in technological and digital literacy.

This article is credible because it meets the CRAAP criteria of currency, relevance, authority, accuracy, and purpose. It is relevant for healthcare practitioners because it equips them with adequate facts concerning telehealth. These include the definitions, merits, possible shortcomings, interventions to address various shortcomings, and knowledge gaps.

Taylor, A. M., Bingham, J., Schussel, K., Axon, D. R., Dickman, D. J., Boesen, K., Martin, R., & Warholak, T. L. (2018). Integrating Innovative Telehealth Solutions into an Interprofessional Team-Delivered Chronic Care Management Pilot Program. Journal of Managed Care and Specialty Pharmacy, 24(8), 813–818. https://doi.org/10.18553/jmcp.2018.24.8.813

The article evaluates an interprofessional telehealth program involved in the chronic care management of patients. The study involved patients with at least three comorbidities or those taking at least five medications. The interprofessional team members involved include pharmacists, physicians, and nurses. Telehealth technology used in this context involved videoconferencing. According to the authors, the telepharmacist was away from the healthcare facility, unlike physicians and nurses. The telepharmacist used videoconferencing to provide a comprehensive medication review for the patient. This entailed services such as checking for drug-drug interactions, polypharmacy, and appropriate medication use counseling services. By so doing, the telepharmacist detected medication-related problems and took necessary interventions. The interventions were initiated after discussing with the other stakeholders: nurses and physicians.

In addition, the authors report that the telepharmacist recorded all interventions in the electronic health record system. The records allowed the other team members to view and modify the recommendations. The telepharmacist recommended a total of 200 clinical interventions. After the deliberation by members of the interprofessional team, 75 of the recommendations were upheld. Safety-related recommendations entailed issues such as drug-drug interactions, polypharmacy, therapeutic optimization, and monitoring issues. According to the article, in addition to being key players in the clinical decision-making process, nurses ensured the program’s success by creating patient buy-in and coordinating the clinical services.

This article is credible because it meets the CRAAP criteria of currency, relevance, authority, accuracy, and purpose. The article is relevant for healthcare practitioners; it helps to identify the role of each member of the interdisciplinary team in ensuring telehealth is effectively implemented to improve the quality of services and patient outcomes. Additionally, the research paper identifies the specific type of telehealth technology that can be incorporated into appropriate medication use.

Summary of Recommendation

Findings from the research articles mentioned above indicate that telehealth technology improves the quality of service delivery and patient outcomes and promotes interprofessional collaboration. Quality of service delivery is improved via optimized workflow, such as remote patient monitoring and an interdisciplinary approach to decision-making (George & Cross, 2020). Subsequently, this ensures that the best interventions are provided to patients, hence better outcomes.

Moreover, various organizational factors can influence the choice of technology. The first factor is the availability of monetary resources. New technology requires financing for hardware and software acquisition and staff training. An organization is most likely to select a cost-effective technology. Secondly, the other organizational factor involves policies. The presence of policies that advocate for specific organizational processes can influence the choice of technology. An example is a policy that advocates for constant patient follow-ups that can necessitate the acquisition of telehealth to facilitate remote patient monitoring.

Telehealth is an important technology and should be implemented. It enables healthcare practitioners to monitor patients remotely. Accordingly, they can make timely interventions, such as modifying medication regimens or adopting alternative treatment plans (George & Cross, 2020). This is associated with better patient outcomes. Besides, telehealth offers flexibility to patients and healthcare providers (Harding et al., 2022). Patients can select specialists of their choice and schedule their appointments (Harding et al., 2022). Also, healthcare providers can serve more patients within a short time (Harding et al., 2022), which improves access to care and promotes better outcomes. In addition, telehealth provides an opportunity for interprofessional collaboration (Taylor et al., 2018). Teamwork in clinical decision-making ensures that evidence-based approaches are adopted. Therefore, telehealth should be implemented.

References

Esparrago-Kalidas, A. J. (2021). The Effectiveness of CRAAP Test in Evaluating Credibility of Sources. International Journal of TESOL & Education, 1(2), 1–14

George, L. A., & Cross, R. K. (2020). Remote Monitoring and Telemedicine in IBD: Are We There Yet? Current Gastroenterology Reports, 22(3). https://doi.org/10.1007/s11894-020-0751-0

Harding, S. L., Eyllon, M., Twigden, A., Hogan, A., Barry, D., Mirsky, J. E., Barnes, B., & Nordberg, S. (2022). Power On: The Rapid Transition of a Large Interdisciplinary Behavioral Health Department to Telemental Health During the COVID-19 Pandemic. Journal of Interprofessional Education and Practice, 27(December 2021), 100506. https://doi.org/10.1016/j.xjep.2022.100506

Rademacher, N. J., Cole, G., Psoter, K. J., Kelen, G., Fan, J. W. Z., Gordon, D., & Razzak, J. (2019). Use of telemedicine to screen patients in the emergency department: Matched Cohort Study Evaluating Efficiency and Patient Safety of Telemedicine. JMIR Medical Informatics, 7(2), 1–10. https://doi.org/10.2196/11233

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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 Proposal and Annotated Bibliography on Technology 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 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 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:
o Delivery robots.
o Electronic medication administration with barcoding.
o Electronic clinical documentation with clinical decision support.
o Patient sensor devices/wireless communication solutions.
o Real-time location systems.
o Telehealth.
o Workflow management systems.
• Conduct a library search using the various electronic databases available through the Capella University Library.
o Consult the BSN Program Library Research Guide for help in identifying scholarly and/or authoritative sources.
o 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.
o Analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.
o 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
o What is your rationale for selecting this particular technology topic? Why are you interested in this?
o What research process did you employ?
o Which databases did you use?
o Which search terms did you use?
o 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
o For each resource, include the full reference followed by the annotation.
o Explain the focus of the research or review article you chose.
o Provide a summary overview of the publication.
o According to this source, what is the impact of this technology on patient safety and quality of care?
o According to this source, what is the relevance of this technology to nursing practice and the work of the interdisciplinary health care team?
o 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
o How would you tie together the key learnings from each of the four publications you examined?
o 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.
o 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.
o 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: 4–6-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 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.
o Analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.
o 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.
o Describe organizational factors influencing the selection of a technology in the health care setting.
o 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.
o Create a clear, well-organized, and professional annotated bibliography that is generally free from errors in grammar, punctuation, and spelling.
o Follow APA style and formatting guidelines for all bibliographic entries.

Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing