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

The incorporation of advanced technology into nursing practice is a profound step toward achieving the overarching objectives of process accuracy, efficiency, timeliness, and effectiveness. According to Huter et al. (2020), digital technologies in healthcare facilitate nursing practices by mitigating the effects of the shortages of skilled workers, reducing care costs, and enhancing care processes. Telehealth is one of the most advanced technologies that demonstrate a significant potential to transform care practices and enable healthcare organizations to achieve various desired outcomes, including care access, affordability, and utilization. Neville (2018) contend that telehealth technology entails various modalities of delivering care, including patient consultations through video conferencing, e-health portals, and wireless applications. The rationale for incorporating telehealth modalities into nursing practices is to promote distant care delivery, alleviate the need for in-person care, and improve access to care for people in underserved remote areas. Amidst the contribution of telehealth in nursing practice, this paper summarizes scholarly articles that support the incorporation of telehealth technology in healthcare.

The employed research processes

The process of selecting ideal scholarly sources that justify the rationale for telehealth technology in the current nursing practice entailed utilizing keywords and subtitles, as well as reputable databases for evidence. According to Melnyk & Fineout-Overholt (2019), it is essential to understand the fundamental differences between licensed scientific databases before locating evidence to inform research questions. As a result, I accessed three licensed online databases, including Elsevier, SAGE, and BioMed Central (BMC). These databases publish recent, peer-reviewed, and relevant journal articles for nursing-related topics, including health information technology. Further, I used keywords and subtitles, such as ‘telehealth technology,’ ‘telehealth and quality care,’ ‘telehealth technology during the COVID-19 pandemic,’ and ‘telehealth technology and patient satisfaction‘ to select appropriate evidence sources. This search process yielded four journal articles published between 2018 and 2021.

Annotated Bibliography

Haleem, A., Javaid, M., Singh, R. P., & Suman, R. (2021). Telemedicine for healthcare: Capabilities, features, barriers, and applications. Sensors International, 2(2), 100117. https://doi.org/10.1016/j.sintl.2021.100117

In this scholarly article, Haleem et al. (2021) explore the capabilities, features, barriers, and applications of telemedicine technology in healthcare, especially during the COVID-19 era. According to the researchers, regular visits to healthcare facilities are often cost-intensive for people in rural areas. In the same vein, the COVID-19 pandemic rendered physical interactions risky, prompting healthcare organizations to implement an alternative care delivery system that accommodates virtual and distant care delivery modalities. According to Haleem et al. (2020), telemedicine technology facilitates effective care delivery by enabling patients to receive medical attention at their convenience. Equally, this technology is safe since it eliminates the need for in-person consultations and hospital visits, especially during the COVID-19 pandemic era. Other capabilities of telemedicine technology are the employment of electronic communication media, image-sharing modalities, remote patient surveillance, virtual appointments, and information interoperability. This article provides evidence-based justifications for telemedicine and up-to-date information on the technology’s effectiveness. As a result, it is a profound resource and evidence source for healthcare professionals.

Neville, C. W. (2018). Telehealth: A balanced look at incorporating this technology into practice. SAGE Open Nursing, 4, 1–5. https://doi.org/10.1177/2377960818786504

In this peer-reviewed journal article, Neville (2018) explores the use of telehealth technology and its ability to provide quality care to patients by accommodating and capitalizing on interactive technology and telecommunication tools. According to the researcher, telehealth refers to a combination of various routes of care delivery, including “patient consultations via video conferencing, transmitting still images, e-health with patient portals, remote monitor of vital signs, continual medical education, consumer-focused wireless applications, and nursing call centers” (p. 1). Further, Neville (2018) contends that telehealth technology’s entry into the healthcare system is beneficial to patients to the extent of convincing the Centers for Medicare & Medicaid Services (CMS) to announce changes for expanding reimbursement for telehealth. These benefits include teleradiology which entails virtual transmission of radiological images and diagnoses, telesurgery (remote robotic surgery), and teleconsultations through video conferencing, phone calls, text messages, E-mail, and nursing call centers. Other benefits of this technology are remote patient surveillance and monitoring, remote retinal imaging, and the subsequent improvement in access to care for patients and cost reduction. This journal article is a valuable evidence source for nurses because it is peer-reviewed and provides up-to-date scholarly justifications that are valid and relevant to the topic.

Kichloo, A., Albosta, M., Dettloff, K., Wani, F., El-Amir, Z., Singh, J., Aljadah, M., Chakinala, R. C., Kanugula, A. K., Solanki, S., & Chugh, S. (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

Kichloo et al. (2020) conducted a narrative review to examine the current state of telemedicine utilization and evaluate its benefits amidst challenges exacerbated by the COVID-19 pandemic. The researchers reviewed 42 articles from reputable databases, including PubMed, Google Scholar, Cochrane Library, and Ovid MEDLINE. Further, Kichloo et al. (2020) adopted a definition by the Centers for Medicare and Medicaid Services [CMS) that defines telemedicine as “a service that seeks to improve a patient’s health by permitting two-way, real-time interactive communication between the patient and the physician at a distant site” (p. 1). Based on this definition, it is valid to argue that the primary premises of telehealth technology include promoting interactions between healthcare professionals and patients, reducing delays through real-time care delivery modalities, and eliminating distance barriers. The reviewed articles consistently supported the rationale for telehealth technology by citing the technology’s effectiveness in increasing care utilization, improving public health emergencies beyond facilitating triage, enhancing follow-up activities, and enhancing access to care among rural patients. This narrative review is insightful and consistent with the need to explore the importance of incorporating telehealth into clinical practices. Therefore, nurse researchers can use it as a profound source of valid, justifiable, up-to-date, and relevant evidence.

Monaghesh, E., & Hajizadeh, A. (2020). The role of telehealth during COVID-19 outbreak: A systematic review based on current evidence. BMC Public Health, 20(1), 1–9. https://doi.org/10.1186/s12889-020-09301-4

In this systematic review of current evidence, Monaghesh & Hajizadeh (2020) aimed to identify the role of telehealth services in preventing, diagnosing, treating, and controlling diseases amidst the COVID-19 era. Consequently, the researchers identified and reviewed 8 studies from 5 databases; PubMed, Scopus, Embase, Web of Science, and Science Direct. Before delving into an insightful analysis of the selected studies, Monaghesh & Hajizadeh (2020) identified the COVID-19 pandemic as a burdensome disease that forced countries to implement different restrictive regulations, including quarantine, travel restrictions, and social distancing policies to reduce the risk of exposure to the viral disease. These restrictions constrained in-person care delivery, prompting healthcare organizations and professionals to incorporate technology-aided care delivery modalities. The reviewed studies associated telehealth technology with multiple benefits, including eliminating the need to send patients to overpopulated and overwhelmed hospitals, providing real-time consultations, facilitating effective capturing, storing, and processing of patient medical records, enhancing information interoperability to real-time data exchange and preventing in-hospital COVID-19 transmission. Other benefits captured in the reviewed studies are cost reduction due to the reduced need for in-person hospital visits, effective management of patients with chronic conditions, and reduced burden on practice resources. This systematic review provides evidence-based justifications for the implementation of telehealth technology during the COVID-19 pandemic. Its findings are transferable, meaning nurses can use this information to inform the future incorporation of telehealth technology into nursing practices.

Summary of Recommendation

Based on the reviewed publications, telehealth technology provides an advanced alternative for care delivery that bridges distance, geographical, and time barriers. This technology impacts healthcare organizations, patient satisfaction, interdisciplinary team productivity, and employee retention by mitigating the impacts of understaffed departments, reducing resource burdens associated with in-hospital care delivery, improving process efficiency and accuracy, reducing service delays, and improving interprofessional communication and collaboration necessary for care coordination.

Amidst these benefits, healthcare organizations must address organizational factors that act as barriers to the effective implementation of telehealth technology. According to Scott Kruse et al. (2018), organizational barriers to telehealth adoption include resistance to change, constrained institutional capacity, cost issues, technically challenged staff, reimbursement concerns, infrastructural deficiencies, and unsupportive organizational culture. Evidence-based strategies for addressing these challenges include improving staff’s computer literacy through training, establishing reimbursement changes to accommodate telehealth technology, establishing multidisciplinary collaboration to promote telehealth implementation, adopting up-to-date information systems that support telehealth, and addressing resistance to change through engaging all stakeholders and obtaining employee buy-in.

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References

Haleem, A., Javaid, M., Singh, R. P., & Suman, R. (2021). Telemedicine for healthcare: Capabilities, features, barriers, and applications. Sensors International, 2(2), 100117. https://doi.org/10.1016/j.sintl.2021.100117

Huter, K., Krick, T., Domhoff, D., Seibert, K., Wolf-Ostermann, K., & Rothgang, H. (2020). Effectiveness of digital technologies to support nursing care: Results of a scoping review. Journal of Multidisciplinary Healthcare, Volume 13, 1905–1926. https://doi.org/10.2147/jmdh.s286193

Kichloo, A., Albosta, M., Dettloff, K., Wani, F., El-Amir, Z., Singh, J., Aljadah, M., Chakinala, R. C., Kanugula, A. K., Solanki, S., & Chugh, S. (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

Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Wolters Kluwer Health.

Monaghesh, E., & Hajizadeh, A. (2020). The role of telehealth during COVID-19 outbreak: A systematic review based on current evidence. BMC Public Health, 20(1), 1–9. https://doi.org/10.1186/s12889-020-09301-4

Neville, C. W. (2018). Telehealth: A balanced look at incorporating this technology into practice. SAGE Open Nursing, 4, 1–5. https://doi.org/10.1177/2377960818786504

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/10.1177/1357633×16674087

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

 

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.

 

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.

Rapid changes in information technology go hand-in-hand with progress in quality health care delivery, nursing practice, and interdisciplinary team collaboration. The following are only a few examples of how the health care field uses technology to provide care to patients across multiple settings:

• Patient monitoring
• Electronic medical
• Data management
• Ready access to current

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.

 

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 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:

« Delivery robots.

• Electronic medication administration with

« Electronic clinical documentation with clinical decision support.

Patient sensor devices/wireless communication solutions.

• Real-time location

« Remote patient monitoring.

• Artificial
• Tele-
• Tele-
• Tele-
• Workflow management

• 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
• Select four peer-reviewed publications focused on your selected topic that are the most interesting to
• Evaluate the impact of patient care technologies on desired
  • 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,

Notes            quality of care, and the interdisciplinary team into a recommendation.

• Publications may be research studies or review articles from a professional Newspapers, magazines, and blogs are not considered professional sources.
• Your selections need to be current—within the last five

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 Use third person in the rest of the bibliography, however.
• Annotation Elements
  • For each resource, include the full reference followed by the
  • Explain the focus of the research or review article you

 

• Provide a summary overview of the
  • 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—6-typed, double-spaced pages.

• Number of resources: Cite a minimum of four peer-reviewed publications, not
• Font and font size: Use Times New Roman, 12

•      APA: Follow APA style and formatting guidelines for all bibliographic entries. Refer to Evidence and APA as needed.

 

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
• Justify the implementation and use of a selected technology in a health care

•      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.

o Follow APA style and formatting guidelines for all bibliographic entries.