Nurs-fpx 4040 Assessment 3 – Annotated Bibliography on Technology in Nursing

The criticality of the healthcare sector to a nation cannot be overemphasized. In the United States, for example, approximately 85% of the population record at least one encounter with health care annually (Rosen et al., 2018). Research further indicates that at least one-quarter of the said population records 4 to 9 healthcare encounters annually (Rosen et al., 2018). Conventionally, a single healthcare encounter calls for collaboration among clinicians, administrators, patients, and their families & friends. Therefore, in light of such cooperation, an interdisciplinary team comprising the various stakeholders can play a pivotal role in gathering and reporting quality indicator data required to enhance safety, patient care outcomes, and organizational performance.

The Technology

Evidence or data gathered is needed to support the effectiveness of the technology. An example of technology that stands to benefit from such findings is Telehealth, referred to as telemedicine in certain quarters. In simple terms, Telehealth refers to the deployment of information and communication (ICT) technologies in offering long-distance healthcare-related services. In essence, Telehealth mitigates the need for physical presence. The increased application of Telehealth, especially following COVID-19, warrants an evaluation of its effectiveness/suitability. A U.S.-based survey in 2020 established that 40% of patients with a clinical condition used Telehealth in the spring of 2020 (Predmore et al., 2021). The increased use of Telehealth did not come totally as a surprise. Pre-COVID-19 surveys indicated that 49% to 66% of people were willing to use video visits, with most of them preferring Telehealth when interacting with clinicians they were familiar with as opposed to new ones (Predmore et al., 2021). The resources outlined below offer evidence that can be used by healthcare organizations to enhance the quality of care, patient outcomes, and organizational performance using Telehealth.

Nurs-fpx 4040 Assessment 3 – Annotated Bibliography on Technology in Nursing

Annotated Bibliography

American Hospital Association. (2020, May). Telehealth and Virtual Care Best Practices. American Hospital Association. Retrieved July 11, 2022, from https://www.aha.org/system/files/media/file/2020/04/COVID-19-Telehealth-Best- Practices_final.pdf

This article by the American Hospital Association outlines a host of best practices relating to the use of Telehealth. Although much of the information contained in the article focuses on the management of COVID-19 cases, the American Hospital Association identifies several tools that can be used to improve the application of Telehealth. Zoom for Healthcare and Updox are examples of tools highlighted in the article that can assist healthcare organizations in supporting the application of Telehealth. Emanating from the American Hospital Association, the information contained in this article is both credible and reliable. Healthcare organizations can use such information to mitigate some of the challenges encountered in the use of Telehealth. In addition, the article directs healthcare organizations on where to access telehealth applications. Some of the major telehealth vendors, according to the AHA, are Teladoc Health, Doctor on Demand Inc., and Amwell.

Bartz, C. C. (2020). Telehealth nursing research: adding to the evidence-base for Healthcare. Journal of the International Society for Telemedicine and e-Health, 8, e19-1. https://doi.org/10.29086/JISfTeH.8.e19

In this journal article, the researcher reviews the available nurse-led research on Telehealth. The researcher conducts the review with the target of offering evidence for nursing practice. Importantly, this review comes in a period characterized by the increased use of Telehealth due to challenges generated by the COVID-19 pandemic. Specific from this research can play a key role in applying Telehealth. As per Bartz’s findings, individuals with healthcare needs perform better with individual attention and enhanced follow-up. Bartz further established that people have a significant level of tolerance for technology applied aimed at improving quality of life and care; however, there is a point at which technology becomes overbearing. From such findings, while the use of Telehealth is recommended, its use should be customized to match the needs of a patient.

Davis, S. M., Jones, A., Jaynes, M. E., Woodrum, K. N., Canaday, M., Allen, L., & Mallow, J. A. (2020). Designing a multifaceted telehealth intervention for a rural population using a model for developing complex interventions in nursing. BMC Nursing, 19(1), 1-9. https://doi.org/10.1186/s12912-020-0400-9

Nurs-fpx 4040 Assessment 3 – Annotated Bibliography on Technology in Nursing

Importantly, in this journal article, the authors begin by recognizing that evidence shows that Telehealth is a cost-effective care, education, and communication platform. Such findings offer a justification for the increased application of Telehealth. But, as established in this article, Telehealth benefits certain demographics more than others. In express terms, Davis et al. indicate that Telehealth is yet to be exploited optimally, specifically in rural areas as a result of complex and sophisticated processes that typify its design and implementation.

In terms of resourcefulness, findings from this article vindicate the need for Telehealth. Secondly, the article identifies challenges that continue to hamper the application of Telehealth in rural settings. Such problems include lack of support, remoteness, logistics, and complex-interpersonal issues. As members of an interdisciplinary team, nursing informaticists can use such information to influence policy and decision-making.

Fathi, J. T., Modin, H. E., & Scott, J. D. (2017). Nurses advancing telehealth services in the era of healthcare reform. OJIN: The Online Journal of Issues in Nursing, 22(2), 1320-1325. https://doi.org/10.3912/OJIN.Vol22No02Man02

In this journal article, the authors propound the need for Telehealth while at the same time identifying critical bottlenecks in its application. To highlight, the authors note that telemedicine has become increasingly popular because it is a mechanism that fosters the delivery of more efficient patient-focused services. More importantly, Telehealth allows for patient-centered care for people who face barriers in accessing the care, for instance, due to distance. In terms of underlying issues, an overarching theme is inequalities. If not applied properly, Telehealth can play a major role in exacerbating disparities in the delivery of healthcare. The findings presented in this article are useful to any healthcare organization and policy-makers. To illustrate, the authors call for collaboration to strengthen the infrastructure of medical practice, the need for delegation of tasks to expand the spectrum of caregivers, and the essence of developing care pathways & models in telemedicine to meet quality and reimbursement requirements outlined in the law.

Hoffman, D. A. (2020). Increasing access to care: Telehealth during COVID-19. Journal of Law and the Biosciences, 7(1), lsaa043. https://doi.org/10.1093/jlb/lsaa043

Nurs-fpx 4040 Assessment 3 – Annotated Bibliography on Technology in Nursing

In this journal article, the author presents evidence to support the application of Telehealth. Importantly, the evidence offered in the article comes following the COVID-19 pandemic, a period that saw increased adoption of Telehealth. According to the evidence, Telehealth has exhibited the capacity to reduce the transmission of communicable infections as well as to free up hospital beds & other resources for individuals most in need. In addition to this, as a journal of law, the article identifies legal and regulatory issues that need to be addressed to enhance the application of Telehealth. Some of the areas highlighted include reimbursement requirements, privacy/cybersecurity, licensing, and liability.

Insights from this article are medical because they cover both the clinical and, legal & regulatory aspects. An interdisciplinary team can use such information to help healthcare organizations adopt plans aimed at realizing the best benefits offered by Telehealth. Scott Kruse, C., Karem, P., Shifflett, K., Vegi, L., Ravi, K., & Brooks, M. (2018). Evaluating barriers to adopting telemedicine worldwide: a systematic review. Journal of Telemedicine and Telecare, 24(1), 4-12. https://doi.org/10.1177/1357633X16674087 Unique to other resources presented above, this journal article offers global perspectives as to the barriers encountered in the application of telemedicine. Some of the barriers to the adoption of telemedicine, according to this research, are cost, privacy and confidentiality risks, legal risks, remoteness, and the lack of updated healthcare equipment.

The evidence presented in this article can help in the development of telehealth adoption plans that match the needs of healthcare systems globally. The identification of barriers to the use of Telehealth, for instance, could help in forging public policies and practices strategies to mitigate them in several nations. To this end, regional blocs such as the European Union (EU) could benefit considerably from such findings.

References

Rosen, M., Diaz-Granados, D., Dietz, A., Benishek, L., Thompson, D., Pronovost, P., & Weaver, (2018). Teamwork in healthcare: Key discoveries enabling safer, high-quality care. American Psychologist, 73(4), 433-450. https://doi.org/10.1037/amp0000298

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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.