Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing

The selected technology topic is telehealth because it is an important technology that optimizes the delivery of healthcare services. Firstly, it allows remote patient monitoring (RPM). RPM creates flexibility in care delivery and allows healthcare providers to conduct regular patient follow-ups (Bitar & Alismail, 2021). Secondly, telehealth promotes interdisciplinary collaboration to increase the quality of healthcare services (Groom et al., 2021. Collaboration among team members is an enabler for care coordination, quality patient care, and improved patient safety.

I used online medical databases such as PubMed to conduct my research. These databases allow users to customize their searches and access the most relevant information. In this context, I selected articles published between 2019 and 2022. I used words such as “healthcare” and “telehealth” to complete my searches. Furthermore, I checked for the credibility of the sources by evaluating their timeliness, purpose, and accuracy.

Annotation Elements

Bitar, H., & Alismail, S. (2021). The role of eHealth, telehealth, and telemedicine for chronic disease patients during COVID-19 pandemic: A rapid systematic review. Digital Health, 7, 1–19. https://doi.org/10.1177/20552076211009396

The article aims to evaluate existing evidence about the role of electronic health and telehealth in healthcare delivery for patients with chronic conditions during the COVID-19 pandemic. The authors conducted a systematic review of articles sourced from various online databases such as Science Direct, Google Scholar, and PubMed.

According to the authors, telehealth and electronic health (e-health) impacted the quality of healthcare services differently. Firstly, the technology improved patient follow-up. This is attributed to remote patient monitoring using wearables and real-time interactions via videoconferencing. Secondly, the technology facilitated interdisciplinary collaboration by allowing healthcare providers to participate in patient care remotely. Thirdly, telehealth and e-health provided an opportunity for training nurses and other members of the interdisciplinary team. By so doing, the quality of healthcare services was improved. Fourthly, telehealth improved adherence to treatment plans. This was achieved using features such as alarms, reminders, and messages. Fifthly, technology improved communication between patients and members of the interdisciplinary team. Effective communication minimizes confusion and increases medication adherence.

This article is relevant because it analyzes the impact of telehealth and e-health during the COVID-19 pandemic. It reveals that telehealth and e-health improve the quality of healthcare delivery to patients with chronic conditions. Furthermore, the article details the specific ways in which technology impacts healthcare services.

Groom, L. L., McCarthy, M. M., Stimpfel, A. W., & Brody, A. A. (2021). Telemedicine and Telehealth in Nursing Homes: An Integrative Review. Journal of the American Medical Directors Association, 22(9), 1784-1801.e7. https://doi.org/10.1016/j.jamda.2021.02.037

This article seeks to identify the impact of telehealth on access to specialist care, patient safety, and care models. The authors conducted an integrative review of qualitative and quantitative journal articles. These articles were sourced from databases such as Web of Science, Embase, PubMed, and CINAHL.

The authors report that telehealth impacted patient care by reducing hospitalizations, lowering healthcare costs, eliminating physical or geographical barriers, improving access to specialists, and allowing remote patient monitoring. Telehealth improved medication adherence, promoted interdisciplinary collaboration, and allowed patient monitoring. This optimized the quality of care and minimized hospitalizations and healthcare costs. Furthermore, telehealth improved workflow by eliminating the necessity of physical interactions with the healthcare provider and other specialists. Also, the authors found that telehealth allowed patients to access and select their preferred specialist.

This article is relevant because it evaluates and explores the relevance of telehealth in nursing homes. The article reveals that telehealth improves access to care, improves the quality of care, and lowers healthcare costs. This information is relevant for members of the interdisciplinary team.

Kaplan, B. (2020). Revisiting Health Information Technology Ethical, Legal, and Social Issues and Evaluation: Telehealth/Telemedicine and COVID-19. Internation Journal of Medical Informatics, 143(January). https://doi.org/10.1016/j.ijmedinf.2020.104239

This article seeks to identify ethical and legal concerns associated with the use of telehealth technology. The authors conducted a retrospective study of published journal articles. Furthermore, they evaluated guidelines formulated by professional organizations and the European Union. According to the authors, examples of social, ethical, and legal issues include autonomy, quality care, confidentiality, privacy, and policies. Accordingly, healthcare providers should uphold patient autonomy when using telehealth services. Patients are key stakeholders in the treatment process. Their opinions and preferences should be considered. Further, healthcare providers should uphold the privacy and confidentiality of patients when using healthcare technology. Notably, they should protect personal health information and ensure that only authorized users can access this information. In addition, healthcare providers should respect patients’ rights and provide quality healthcare services to all patients. This can be accomplished by adopting evidence-based practice (EBP). EBP relies on findings from research that are backed by data. Finally, Healthcare providers should adhere to organizational and governmental policies when using telehealth technology. For example, they should adhere to the provisions of the Health Insurance Portability and Accountability Act.

This article is relevant because it evaluates the legal, ethical, and social implications of using telehealth. These findings will enable members of the interdisciplinary team to avoid breaching the law and respect patient rights. As a result, the likelihood of penalization is reduced. Furthermore, the ethical use of telehealth will ensure that the best quality of care is provided to patients.

Steingass, S. K., & Maloney-Newton, S. (2020). Telehealth Triage and Oncology Nursing Practice. Seminars in Oncology Nursing, 36(3), 151019. https://doi.org/10.1016/j.soncn.2020.151019

This article aims to explore the role of telehealth in the oncology unit. The authors conducted a systematic review of articles from online databases such as CINAHL. According to the authors, telehealth impacts oncology nursing practice in various ways. Firstly, it allows them to conduct telephone triage. This allows nurses to assess, prioritize, and refer patients to the pertinent level of care. Secondly, telehealth facilitates real-time interactions between nurses and patients. Essentially, this can be accomplished via videoconferencing and audio. Real-time interactions allow nurses to discuss or identify potential side effects and evaluate responses to treatment. Thirdly, telehealth enables nurses to transmit key information, such as radiological tests, to specialists via asynchronous technology. Fourthly, telehealth allows remote patient monitoring, allowing nurses to monitor patients continually. Subsequently, the quality of nursing care is improved.

This article is relevant because it identifies the applicability of telehealth in the oncology unit. Notably, it enables nurses to conduct telephone triage and allows information sharing and continuous patient monitoring. The article is current and relevant to nursing practice.

Summary of Recommendations

Various organizational factors impact the selection of telehealth technology. Both financial and human resources should be allocated adequately to facilitate the acquisition and implementation of telehealth technology. Furthermore, organizational policy impacts the selection and implementation of telehealth. For instance, policies that advocate for continuous patient follow-ups, teamwork, and quality care will necessitate the acquisition and implementation of relevant telehealth technology.

Telehealth is relevant and should be implemented in all healthcare settings. It improves the quality of healthcare services by allowing remote patient monitoring, real-time interactions, increasing access to specialists, and interdisciplinary collaboration (Bitar & Alismail, 2021; Groom et al., 2021; Steingass & Maloney-Newton, 2020). Quality care reduces hospitalizations and improves patient safety. As a result, healthcare costs are lowered, and higher patient satisfaction rates are achieved. Quality care also gives the healthcare organization a competitive advantage over other facilities. Furthermore, nurses and other interdisciplinary team members should uphold ethical, legal, and social provisions when using telehealth. Notably, they should embrace patient autonomy, privacy, and confidentiality and provide quality care (Kaplan, 2020).

References

Kaplan, B. (2020). Revisiting Health Information Technology Ethical, Legal, and Social Issues and Evaluation: Telehealth/Telemedicine and COVID-19. Internation Journal of Medical Informatics, 143(January). https://doi.org/10.1016/j.ijmedinf.2020.104239.

Steingass, S. K., & Maloney-Newton, S. (2020). Telehealth Triage and Oncology Nursing Practice. Seminars in Oncology Nursing, 36(3), 151019. https://doi.org/10.1016/j.soncn.2020.151019.

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Assessment 3 Instructions: Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing
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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 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.

Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing