NURS 6051 Assignment: Use of Clinical Systems to Improve Outcomes

Sample Answer for NURS 6051 Assignment: Use of Clinical Systems to Improve Outcomes Included After Question

New technology—and the application of existing technology—only appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of positive impact on outcomes or efficiencies.

Nurse Informaticists and healthcare leaders formulate clinical system strategies. As these strategies are often based on technology trends, Informaticists and others have then benefited from consulting existing research to inform their thinking.

In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings.

To Prepare:

Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.
Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”
Identify and select 4 peer-reviewed research articles from your research.
For information about annotated bibliographies, visit https://academicguides.waldenu.edu/writingcenter/assignments/annotatedbibliographies

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The Assignment: (4-5 pages not including the title and reference page)

In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:

Identify the 4 peer-reviewed research articles you reviewed, citing each in APA format.
Include an introduction explaining the purpose of the paper.
Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.
In your conclusion, synthesize the findings from the 4 peer-reviewed research articles.
Use APA format and include a title page.
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A Sample Answer For the Assignment: NURS 6051 Assignment: Use of Clinical Systems to Improve Outcomes

Title: NURS 6051 Assignment: Use of Clinical Systems to Improve Outcomes

Mobile technologies have largely been used to improve the care given to patients in the modern world. Mobile technologies provide patients and care givers the opportunity to interact on issues related to health. Mobile health technologies have been shown to provide options for low-cost and effective care for patient populations with chronic diseases such as diabetes, heart failure and obesity. mHealth technology is one of the mobile health technologies that is used for the management of health problems such as smoking, obesity, heart disease and tuberculosis. mHealth uses technologies such as applications that provide the needed health education messages for positive lifestyle and behavioral change in populations at risk of health problems. The use of mHealth technology has been shown to result in outcomes such as patient satisfaction, increased access to care and reduction in cost of care incurred by patients and healthcare providers. Therefore, this research paper examines the outcomes of using mHealth technologies in health.

Wang, Y., Xue, H., Huang, Y., Huang, L., & Zhang, D. (2017). A Systematic Review of Application and Effectiveness of mHealth Interventions for Obesity and Diabetes Treatment and Self-Management. Advances in Nutrition, 8(3), 449–462. https://doi.org/10.3945/an.116.014100

mHealth technologies are effective when used in the management of diabetes and obesity. The above study investigated the effectiveness of mhealth interventions for diabetes and obesity treatment as well as self-management. The study was a systematic review of studies conducted in the past on the topic. The authors performed a comprehensive analysis of the interventional studies on mhealth use in treatment of obesity and diabetes and developed recommendations for future practice and research. The articles used in the study were obtained from PubMed database where the inclusion criteria included those that focused on the topic of the study and published between 2000 and 2016. The application of the developed inclusion and exclusion criteria led to 24 articles, which mhealth interventions that included text messaging, monitoring devices and applications running on smartphones. The primary outcomes of the investigation included weight loss and reduction or maintenance of blood glucose level.

The secondary outcomes of the investigation included behavioral changes, self-efficacy and acceptability of the use of mhealth programs. The analysis of data revealed that the use of mhealth technologies was associated with more than 50% improvement in weight, blood glucose, behavioral change, self-efficacy, and acceptability of use of the technology. The effects of the mhealth interventions were sustained over a long-term period, translating into the effective management of diabetes and obesity. The lesson learned from this article is that mhealth technologies are associated with significant benefits in use in chronic diseases such as obesity and diabetes. The technology also promotes self-management of these conditions as seen in the improvement in the self-efficacy and behavioral change of the participants. Therefore, mhealth should be incorporated into the management interventions for chronic illnesses in health.

Changizi, M., & Kaveh, M. H. (2017). Effectiveness of the mHealth technology in improvement of healthy behaviors in an elderly population—A systematic review. MHealth, 3. https://doi.org/10.21037/mhealth.2017.08.06

mHealth technologies can also be used to promote positive behavioral and lifestyle changes in the elderly population. The above study investigated the effectiveness of using mhealth technology to improve healthy behaviors in the elderly population. The authors conducted a systematic review using previously published studies. The articles that were used in the review were obtained from databases that included Web of Science, PubMed, Scopus, Embase and Science Direct. The authors used a pre-developed inclusion and exclusion criteria to select studies that were to be used in the investigation. The search performed on the above databases led to 12 studies that met the inclusion and exclusion criteria for the investigation. The analysis of data showed that the use of mhealth technology is associated with numerous benefits to the elderly populations.

The benefits included improvement in care, self-efficacy, self-management, and behavior promotion and medication adherence. The authors further found that the use of mhealth technology is effective for disease prevention, management of diseases such as diabetes and cardiovascular disease and promoting lifestyle changes in the elderly populations. The above study is associated with the strength that it used a bigger number of articles to determine the effect of mhealth on the elderly populations. The authors also investigated the use of the technology in the vulnerable populations. It can be learnt from the study that the use of mhealth technology is effective for individuals of all ages. The technology improves the treatment outcomes, adherence and adoption of healthy lifestyles in the elderly populations. Consequently, healthcare providers, including nurses should educate the elderly populations on the use of different mhealth technologies in the management of their health problems.

Liu, H., Xiao, X., Lu, C.-M., Ling, D.-L., & Wei, R.-H. (2018). A systematic review of the effect of mobile health on cardiac rehabilitation among coronary heart disease patients. Frontiers of Nursing, 5(3), 217–226. https://doi.org/10.1515/fon-2018-0029

As noted in the above annotations, mhealth technology can be used to improve the treatment outcomes of patients with chronic conditions. The above study investigated the effect of using mhealth technologies on cardiac rehabilitation in patients with heart disease. The study was a systematic review of previous studies conducted to determine the effectiveness of mhealth technologies in patients with cardiac problems. The authors used articles that were obtained from performing a systematic search on databases that included NICE, Embase, CINAHL, Google Scholar, Medline, and Cochrane library. The researchers used mainly randomized controlled studies that were published between 2002 and 2017. The search led to eight articles that were used in the systematic review. The analysis of data showed that the use of mhealth has positive impact on behaviors that included medicine adherence, engagement in physical activity and quality of life.

However, the effect of mhealth on the level of anxiety and smoking cessation was inconsistent in studies. The authors therefore recommended studies that use large sample sizes to be conducted to provide conclusive evidence on the effect of mhealth technologies on patients on cardiac rehabilitation. It can be learned from this article that mhealth technologies have some benefits to patients with cardiac problems. The technology promotes healthy lifestyle and behavioral change that improves the outcomes of treatment in patients with cardiac health problems. Therefore, nurses and other healthcare providers should explore the possibilities of incorporating mhealth technologies into the treatment of cardiac-related health problems.

Xiong, S., Berkhouse, H., Schooler, M., Pu, W., Sun, A., Gong, E., & Yan, L. L. (2018). Effectiveness of mHealth interventions in improving medication adherence among people with hypertension: a systematic review. Current Hypertension Reports, 20(10), 86. https://doi.org/10.1007/s11906-018-0886-7

The above study investigated the effectiveness of using mhealth interventions to improve adherence to medication in people with hypertension. The authors conducted a systematic review of the studies that have examined the effect of mhealth technologies on medication adherence in people with hypertension. The authors performed search on professional databases that included Web of Science, PubMed and Embase. The search yielded 21 studies that were included following the application of the developed inclusion and exclusion criteria. The studies used in the investigation were published between 2000 and 2017. The results of the analysis showed that the use of mhealth technologies was associated with significant improvement in treatment adherence alongside blood pressure control in people with hypertension. The authors projected that the use of mhealth technologies had sustained benefits to patients with hypertension. Therefore, it can be learned from this study that mhealth can improve the treatment outcomes due to adherence in patients with hypertension. The improvement also enhances the control of blood pressure in these patients. Therefore, the use of mhealth should be incorporated into the self-management interventions used in the management of hypertension.

Conclusion

The above annotation has shown that mHealth technology is effective when used in healthcare. mHealth technologies provide the opportunities to reduce the cost of care incurred by the patients and health organizations. The analysis has also shown that mhealth technologies promote behavioral changes. The behavioral changes can be seen from the improved adherence to treatment and engagement in physical activity among patients with obesity, hypertension and diabetes. The analysis also showed that mhealth promotes the self-management of chronic health problems that include diabetes, hypertension and obesity. mHealth has also be shown to improve the self-efficacy of patients with different health problems. The improvement in self-efficacy implies that the use of this technology in health has a high possibility of sustainability. In addition, the acceptability level of mhealth technology is significantly high. The high rate of acceptability implies that its utilization in health will result in enhanced outcomes of treatment for the patients. Healthcare providers including nurses should therefore consider incorporating mhealth technology into their plans of care. The technology will optimize the treatment outcomes for value-based care in health.

References

Wang, Y., Xue, H., Huang, Y., Huang, L., & Zhang, D. (2017). A systematic review of application and effectiveness of mHealth interventions for obesity and diabetes treatment and self-management. Advances in Nutrition, 8(3), 449–462. https://doi.org/10.3945/an.116.014100

Grading Rubric

Performance Category	100% or highest level of performance 100% 16 points	Very good or high level of performance 88% 14 points	Acceptable level of performance 81% 13 points	Inadequate demonstration of expectations 68% 11 points	Deficient level of performance 56% 9 points	Failing level of performance 55% or less 0 points
Total Points Possible= 50	16 Points	14 Points	13 Points	11 Points	9 Points	0 Points
Scholarliness Demonstrates achievement of scholarly inquiry for professional and academic topics.	Presentation of information was exceptional and included all of the following elements: Provides evidence of scholarly inquiry relevant to required TD topic(s). Presents specific information from scholarly sources to develop a comprehensive presentation of facts. Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.* Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.	Presentation of information was good, but was superficial in places and included all of the following elements: Provides evidence of scholarly inquiry relevant to required TD topic(s). Presents specific information from scholarly sources to develop a comprehensive presentation of facts. Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.* Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.	Presentation of information was minimally demonstrated in all of the following elements: Provides evidence of scholarly inquiry relevant to required TD topic(s). Presents specific information from scholarly sources to develop a comprehensive presentation of facts. Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.* Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.	Presentation of information is unsatisfactory in one of the following elements: Provides evidence of scholarly inquiry relevant to required TD topic(s). Presents specific information from scholarly sources to develop a comprehensive presentation of facts. Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.* Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.	Presentation of information is unsatisfactory in two of the following elements: Provides evidence of scholarly inquiry relevant to required TD topic(s). Presents specific information from scholarly sources to develop a comprehensive presentation of facts. Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.* Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.	Presentation of information is unsatisfactory in three or more of the following elements Provides evidence of scholarly inquiry relevant to required TD topic(s). Presents specific information from scholarly sources to develop a comprehensive presentation of facts. Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.* Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information
	16 Points	14 Points	13 Points	11 Points	9 Points	0 Points
Application of Course Knowledge Demonstrate the ability to analyze and apply principles, knowledge and information learned in the outside readings and relate them to real-life professional situations	Presentation of information was exceptional and included all of the following elements: Applies principles, knowledge and information from scholarly resources to the required topic. Applies facts, principles or concepts learned from scholarly resources to a professional experience. Application of information is comprehensive and specific to the required topic.	Presentation of information was good, but was superficial in places and included all of the following elements: Applies principles, knowledge and information from scholarly resources to the required topic. Applies facts, principles or concepts learned from scholarly resources to a professional experience. Application of information is comprehensive and specific to the required topic.	Presentation of information was minimally demonstrated in the all of the following elements: Applies principles, knowledge and information from scholarly resources to the required topic. Applies facts, principles or concepts learned from scholarly resources to a professional experience. Application of information is comprehensive and specific to the required topic.	Presentation of information is unsatisfactory in one of the following elements: Applies principles, knowledge and information from scholarly resources to the required topic. Applies facts, principles or concepts learned from and scholarly resources to a professional experience. Application of information is comprehensive and specific to the required topic.	Presentation of information is unsatisfactory in two of the following elements: Applies principles, knowledge and information from scholarly resources to the required topic. Applies facts, principles or concepts learned from scholarly resources to a professional experience. Application of information is comprehensive and specific to the required topic.	Presentation of information is unsatisfactory in three of the following elements Applies principles, knowledge and information and scholarly resources to the required topic. Applies facts, principles or concepts learned scholarly resources to a professional experience. Application of information is comprehensive and specific to the required topic.
	10 Points	9 Points			6 Points	0 Points
Interactive Dialogue Initial post should be a minimum of 300 words (references do not count toward word count) The peer and instructor responses must be a minimum of 150 words each (references do not count toward word count) Responses are substantive and relate to the topic.	Demonstrated all of the following: Initial post must be a minimum of 300 words. The peer and instructor responses must be a minimum of 150 words each. Responses are substantive Responses are related to the topic of discussion.	Demonstrated 3 of the following: Initial post must be a minimum of 300 words. The peer and instructor responses must be a minimum of 150 words each. Responses are substantive Responses are related to the topic of discussion.			Demonstrated 2 of the following: Initial post must be a minimum of 300 words. The peer and instructor responses must be a minimum of 150 words each. Responses are substantive Responses are related to the topic of discussion.	Demonstrated 1 or less of the following: Initial post must be a minimum of 300 words. The peer and instructor responses must be a minimum of 150 words each. Responses are substantive Responses are related to the topic of discussion.
	8 Points	7 Points	6 Points	5 Points	4 Points	0 Points
Grammar, Syntax, APA Points deducted for improper grammar, syntax and APA style of writing. The source of information is the APA Manual 6th Edition Error is defined to be a unique APA error. Same type of error is only counted as one error.	The following was present: 0-3 errors in APA format AND Responses have 0-3 grammatical, spelling or punctuation errors AND Writing style is generally clear, focused on topic,and facilitates communication.	The following was present: 4-6 errors in APA format. AND/OR Responses have 4-5 grammatical, spelling or punctuation errors AND/OR Writing style is somewhat focused on topic.	The following was present: 7-9 errors in APA format. AND/OR Responses have 6-7 grammatical, spelling or punctuation errors AND/OR Writing style is slightly focused on topic making discussion difficult to understand.	The following was present: 10- 12 errors in APA format AND/OR Responses have 8-9 grammatical, spelling and punctuation errors AND/OR Writing style is not focused on topic, making discussion difficult to understand.	The following was present: 13 – 15 errors in APA format AND/OR Responses have 8-10 grammatical, spelling or punctuation errors AND/OR Writing style is not focused on topic, making discussion difficult to understand. AND/OR The student continues to make repeated mistakes in any of the above areas after written correction by the instructor.	The following was present: 16 to greater errors in APA format. AND/OR Responses have more than 10 grammatical, spelling or punctuation errors. AND/OR Writing style does not facilitate communication
	0 Points Deducted					5 Points Lost
Participation Requirements	Demonstrated the following: Initial, peer, and faculty postings were made on 3 separate days					Failed to demonstrate the following: Initial, peer, and faculty postings were made on 3 separate days
	0 Points Lost					5 Points Lost
Due Date Requirements	Demonstrated all of the following: The initial posting to the graded threaded discussion topic is posted within the course no later than Wednesday, 11:59 pm MT. A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT.					Demonstrates one or less of the following. The initial posting to the graded threaded discussion topic is posted within the course no later than Wednesday, 11:59 pm MT. A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT.