Assignment: NURS FPX 4040 Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing
Assignment: NURS FPX 4040 Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing
Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing
Health information technologies have transformed healthcare delivery in the modern world. Health organizations rely on health technologies for efficiency, safety, and quality outcomes. This paper is an annotated bibliography about electronic medication administration with barcoding. Barcode medication administration is a healthcare technology that prevents and minimizes the risk of medication errors. The technology promotes patient safety and quality of care if used accurately. The technology automates the verification process by scanning the patient identification barcode and that on the medication to confirm the five rights of medication. Evidence credits barcode medication administration technology for medication error prevention and enhanced safety and quality of patient care (Mulac et al., 2021). Therefore, this technology was chosen to determine the evidence of effectiveness in preventing medication errors and promoting patient safety. The annotation also assesses organizational factors influencing the technology’s use and its need in healthcare organizations. Articles for the annotated bibliography were obtained from databases, including EMBASE, CINAHL, and EMBASE. Search terms, including electronic medication administration with barcoding, the effectiveness of barcode medication administration technology, and influencing factors to its adoption. Articles published in the last five years were selected.
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Annotated Bibliography
Mulac, A., Mathiesen, L., Taxis, K., & Gerd Granås, A. (2021). Barcode medication administration technology use in hospital practice: A mixed-methods observational study of policy deviations. BMJ Quality & Safety, 30(12), 1021–1030. https://doi.org/10.1136/bmjqs-2021-013223
The above article is a mixed methods research that provided insights into nurses’ use of barcode technology during medication administration and dispensing. The research also recorded the number and type of deviations in barcode medication administration and their causes. The researchers conducted the study in two hospital wards where medication administration rounds were observed using field notes and a digital tool. According to the authors, barcode medication administration technology prevents medication errors. It also promotes patient safety if utilized accurately. It prevents medication errors by automating the five rights of medication administration. Patient safety improves due to the prevention of medication administration errors consequences. The reviewed evidence in the article shows that the technology increases patient identity verification and error detection rates. The authors assert that organizations should implement barcode medication administration technology in nursing to prevent and reduce medication errors.
Despite its benefits, the study shows that most hospitals have struggled to implement the technology utilization because of infrastructure, workload, and disrupted workflow challenges. The study also demonstrated the impact of organizational deviations, including policy, technological, and environmental factors that hinder the successful use of barcode technology in healthcare. This article was selected because of its focus on the significance of barcode medication administration technology and the deviations that affect its adoption in healthcare. Healthcare providers can use the article to implement strategies to minimize challenges associated with technology utilization.
Owens, K., Palmore, M., Penoyer, D., & Viers, P. (2020). The Effect of Implementing Bar-Code Medication Administration in an Emergency Department on Medication Administration Errors and Nursing Satisfaction. Journal of Emergency Nursing, 46(6), 884–891. https://doi.org/10.1016/j.jen.2020.07.004
The above research is a before-and-after study that determined the impact of barcode medication administration on medication errors and nursing satisfaction in an emergency department. The study was conducted in a community hospital emergency department. Researchers made 676 medication administration observations during the study period. Results showed that barcode medication administration significantly reduced medication administration errors from 2.96% to 0.76%. It was also found that nurses’ satisfaction is a crucial predictor of successful utilization of barcode medication administration. This could be seen in an increase in Medication Administration System-Nurse Assessment of Satisfaction score from 2.29 to 2.60. A literature review undertaken by the authors revealed that the technology reduces and prevents patient harm, and medication errors, and eliminates variations in order entry and processing. These benefits enhance nursing care efficiency in emergency departments where medical evaluations evolve with assessments and changing patient conditions. The authors identified additional factors, including a high number of verbal orders, a chaotic emergency department environment, and variable patient load, which necessitate barcode medication administration technology. This article was selected for this annotated bibliography because it provides insights into the effectiveness of barcode medication administration technology use in outpatient and emergency department settings.
Grailey, K., Hussain, R., Wylleman, E., Ezzat, A., Huf, S., & Franklin, B. D. (2023). Understanding the facilitators and barriers to barcode medication administration by nursing staff using behavioural science frameworks. A mixed methods study. BMC Nursing, 22(1), 378. https://doi.org/10.1186/s12912-023-01382-x
The above study is a mixed methods research that explored the barriers and facilitators to barcode medication administration technology. The study was conducted in a London hospital. Interviews were conducted with the nursing staff to elicit barriers associated with barcode medication administration technology. The authors identified that barcode medication administration technology improves medication safety. It supports nursing staff medication administration processes by scanning patients’ barcodes on a wristband and medication packaging. Accurate technology use increases nurses’ adherence to the five rights of medication administration. Despite its benefits, the literature reviewed revealed challenges associated with barcode medication administration technology, including process issues, technology concerns, and staff resistance. The review also identified additional barriers such as longer medication administration rounds, technology being not user-friendly, and limited involvement of nurses in technology design and implementation. Study participants in this research reported barriers, including poor trolley ergonomics and time inefficiency. Participants reported facilitators, including adequate training, perceived technology benefits, and streamlined medication administration process. This article was selected for the annotated bibliography since it provides insights into the barriers and facilitators to barcode medication administration technology implementation. Healthcare providers can utilize the study findings to implement strategies to prevent and manage barriers to barcode medication administration technology.
Jessurun, J. G., Hunfeld, N. G. M., Van Rosmalen, J., Van Dijk, M., & Van Den Bemt, P. M. L. A. (2021). Effect of automated unit dose dispensing with barcode scanning on medication administration errors: An uncontrolled before-and-after study. International Journal for Quality in Health Care, 33(4), mzab142. https://doi.org/10.1093/intqhc/mzab142
The above study is an uncontrolled before-and-after research. It investigated the effect of a central automated unit dose dispensing with barcode-assisted medication administration on the prevalence rate of medication administration errors. The study was conducted in six clinical wards in a Dutch university hospital. Observations were used to collect medication administration errors. The authors argued that barcode-assisted medication administration and automated unit dose dispensing prevent and reduce medication administration errors. Accurate implementation of these technologies prevents unintended harm, permanent disability, or death due to medication administration errors. Barcode medication administration technology provides nurses with a closed-loop system that minimizes the likelihood of a medication administration error. The study results revealed that barcode medication administration technology reduced medication administration errors, omission rates, wrong doses, and potentially harmful medication administration errors in the post-intervention period. Despite the benefits, the researchers identified potential barriers to the successful barcode medication administration technology adoption. They include low compliance among nurses, low satisfaction rates among nurses, and workload concerns. This article was selected because it provides accurate insights into the effectiveness of combining barcode medication administration technology with other technologies for medication dispensing. It provides insights into the benefits and barriers of barcode medication administration technology.
Summary and Recommendation
The reviewed articles demonstrate the benefits of barcode medication administration technology. Authors agree that the technology reduces and prevents medication administration errors. It also prevents unintended patient harm from medication administration errors. Nursing staff benefit from streamlined processes that lower the risk of safety issues in medication administration. The articles also show that barcode medication administration technology automates the five rights of medication administration. Medication administration automation reduces the risk of the wrong drugs being administered to the wrong patient, improving medication safety (Mulac et al., 2021; Owens et al., 2020). The articles also provide insights into organizational factors that influence technology selection in a healthcare setting. They include infrastructure, increased workload, and disrupted workflow challenges. Technology-related issues, including not being user-friendly and rigid also affect barcode medication administration technology use in healthcare. The participants in the reviewed studies expressed their limited involvement in technology design and implementation (Grailey et al., 2023; Jessurun et al., 2021). Inadequate nursing staff participation hinders the successful adoption and sustainable use of the barcode medication administration technology.
It is justified for healthcare organizations to implement barcode medication administration technology. First, the technology prevents medication administration errors, which can cause unintended harm to patients. The technology also streamlines systems and processes used by nurses in medication administration. Accurate adoption of the barcode medication administration technology increases patient identification rates, cost efficiency, and overall safety and quality of care. Nursing satisfaction rates also increase with the adoption of barcode medication administration technology (Jessurun et al., 2021; Mulac et al., 2021). Therefore, health organizations should consider the adoption of this technology for improved outcomes.
References
Grailey, K., Hussain, R., Wylleman, E., Ezzat, A., Huf, S., & Franklin, B. D. (2023). Understanding the facilitators and barriers to barcode medication administration by nursing staff using behavioural science frameworks. A mixed methods study. BMC Nursing, 22(1), 378. https://doi.org/10.1186/s12912-023-01382-x
Jessurun, J. G., Hunfeld, N. G. M., Van Rosmalen, J., Van Dijk, M., & Van Den Bemt, P. M. L. A. (2021). Effect of automated unit dose dispensing with barcode scanning on medication administration errors: An uncontrolled before-and-after study. International Journal for Quality in Health Care, 33(4), mzab142. https://doi.org/10.1093/intqhc/mzab142
Mulac, A., Mathiesen, L., Taxis, K., & Gerd Granås, A. (2021). Barcode medication administration technology use in hospital practice: A mixed-methods observational study of policy deviations. BMJ Quality & Safety, 30(12), 1021–1030. https://doi.org/10.1136/bmjqs-2021-013223
Owens, K., Palmore, M., Penoyer, D., & Viers, P. (2020). The Effect of Implementing Bar-Code Medication Administration in an Emergency Department on Medication Administration Errors and Nursing Satisfaction. Journal of Emergency Nursing, 46(6), 884–891. https://doi.org/10.1016/j.jen.2020.07.004
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Assessment 3
Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing
Instruction
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.
Introduction
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.
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Instructions
First, review the technologies presented in the Assessment 03 Supplement: Evidence-Based Proposal and Annotated Bib on Tech in Nursing [PDF] Download Assessment 03 Supplement: Evidence-Based Proposal and Annotated Bib on Tech in Nursing [PDF]resource and select one of the options to use as the focus for this assessment.
Next, 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? What is interesting about it?
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 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 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 The example will be in the order attachment.
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 a 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 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
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