NURS 6051 Literature Review The Use of Clinical Systems to Improve Outcomes and Efficiencies

Sample Answer for NURS 6051 Literature Review The Use of Clinical Systems to Improve Outcomes and Efficiencies 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.

RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.

WEEKLY RESOURCES

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/annotatedbibliographiesLinks to an external site.

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.
Use the Safe Assign Drafts to check your match percentage before submitting your work.

BY DAY 7 OF WEEK 8

Submit your completed Assignment.

SUBMISSION INFORMATION

Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.

To submit your completed assignment, save your Assignment as WK8Assgn_LastName_Firstinitial
Then, click on Start Assignmentnear the top of the page.
Next, click on Upload Fileand select Submit Assignment for review.

A Sample Answer For the Assignment: NURS 6051 Literature Review The Use of Clinical Systems to Improve Outcomes and Efficiencies

Title: NURS 6051 Literature Review The Use of Clinical Systems to Improve Outcomes and Efficiencies

The use of technology to leverage care interventions in different clinical settings and facilities cannot be overemphasized because of the critical role that it plays in enhancing patient safety and care outcomes. Clinical systems are essential tools in improving patients’ outcomes and efficiencies in healthcare delivery by reducing medication errors, promoting medication compliance and enabling providers to leverage technology for better decisions and informed interventions (Dykes et al., 2017). Personal health records or portals are some of the critical aspects that providers and healthcare systems use to support patients that have recently been diagnosed with diabetes. These portals offer access to health information from an organization’s electronic health record (EHR) and allow patients to conduct different medical-associated tasks like electronically communicating with their providers and even recording their symptoms (Tapuria et al., 2021). The purpose of this paper is to offer an annotated bibliography of the impact of personal health records or patient portals for individuals newly diagnosed with diabetes.

Coughlin, S. S., Williams, L. B., & Hatzigeorgiou, C. (2017). A systematic review of studies

of web portals for patients with diabetes mellitus. MHealth, 3(6). https://doi.org/10.21037/mhealth.2017.05.05

In this systematic review of studies on the portal for patients with diabetes mellitus, the researchers evaluate the impact of patient health records to improve outcomes from interventions to control glycemic levels. The authors identified 12 studies on the topic that include three cross-sectional and five randomized controlled trials. The researchers required web portals meant for diabetes patients and those tethered to electronic medical records. The findings show that web portals enhance the ability of patients to communicate with their clinicians and attain enhanced glycemic control. The authors emphasize the need for additional research to understand the level of control for patients. However, they are categorical that web portals improve glycemic control for these patients.

The study shows that web portals are essential and improve outcomes for diabetic patients since they enhance communication between them and their clinicians. Through effective communication, clinicians improve efficiencies in care provisions for diabetes patients. The study indicates that providers should leverage technologies and encourage their patients to embrace them to reduce adverse disease outcomes. A critical lesson learned from the use of web portals based on the study is that few patients embrace this technology to enhance diabetes self-management and self-care. Consequently, providers should be trained to leverage its use to improve self-care interventions for patients in remote locations.

Sun, R., Korytkowski, M. T., Sereika, S. M., Saul, M. I., Li, D., & Burke, L. E. (2018).

Patient Portal Use in Diabetes Management: Literature Review. JMIR Diabetes, 3 (4): e11199. https://doi.org/10.2196/11199.

In this article, the researchers affirm the critical role that health information technology tools have in promoting engagement, improvement of patient-provider communication, and enhancing clinical outcomes in the management of chronic disorders like diabetes mellitus. Based on a review of literature, the researchers focus on evidence about the efficacy of patient portal use by patients with diabetes mellitus type 1 and 2. The study examines the link between patient portal use and diabetes mellitus-related outcomes. The authors identified opportunities for future improvement in the management of the condition. The findings also demonstrate the low levels of patient portal use among diabetes patients. The authors observed inconsistency in their findings of the use of these technologies among patients due to several barriers among patients and providers. While these portals enhance care and patient outcomes engagement of both providers and users will be critical to improving uptake.

Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: NURS 6051 Literature Review The Use of Clinical Systems to Improve Outcomes and Efficiencies

The article shows that patient portal are critical to enhancing outcomes for individuals suffering from diabetes mellitus (DM). The

NURS 6051 Literature Review The Use of Clinical Systems to Improve Outcomes and Efficiencies

portals improve communication and engagement between providers and patients. Effective engagement is a core aspect of patient participation and leads to better outcomes. These systems also improve efficiency as it eases interaction between nurses, clinicians and patients, and their families. The vital lesson learned from the study is that providers should encourage patients to embrace technology as a way to reduce over-reliance on clinicians to make decisions. These portals allow patients to check different components of their disease status and employ the right interventions to address any challenges. The article also implores further research to address the inconsistencies in results about the efficacy of patient portals to enhance care among diabetes patients, especially those newly diagnosed.

Sieverink, F., Kelders, S., Braakman-Jansen, A., & van Gemert-Pijnen, J. (2019).

Evaluating the implementation of a personal health record for chronic primary and secondary care: a mixed-methods approach. BMC medical informatics and decision making, 19(1), 1-12. https://doi.org/10.1186/s12911-019-0969-7

In this study, the authors focus on evaluating the fidelity of personal health records (PHRs) in chronic care based on the level of implementation to ascertain the found effects or impacts. Using a mixed-method design, the researchers measure the responsiveness, the differences, and similarities between the intended and the real use of PHRs among a certain population sample. The study findings show that many providers were unaware of how to deploy the PHR in their present working routines. As such, they find it challenging to motivate and encourage their patients to use PHR. However, those participating in the user group indicated the value of a PHR in future interactions with their clinicians or care providers. The usability participants asserted that improvement in utilization among care providers will highly influence their decision to deploy the patient portals.

The findings show that the actual use of PHR by patients depended on the responsiveness of caregivers. Caregiver responsiveness relies on perceived support and fidelity by patients. However, the use of PHR intends to enhance efficiency and outcomes for patients with chronic conditions as outlined by the study. The critical lesson learned from this article is that providers have a substantial influence on technology uptake by patients in their settings, especially in the management of chronic conditions like diabetes mellitus. Fidelity by patients to PHR is an added advantage in enhancing the use of this technology among patients and their families. The study indicates that responsiveness from providers is a critical aspect of encouraging diabetic patients to embrace patient portals to enhance efficiency and care provision. The implication is that nurses should focus on interactive sessions and engage their diabetes patients to leverage technologies like web portals to improve care outcomes.

Reed, M. E., Huang, J., Brand, R. J., Neugebauer, R., Graetz, I., Hsu, J., … & Grant, R.

(2019). Patients with complex chronic conditions: Health care use and clinical events associated with access to a patient portal. PLoS One, 14(6), e0217636. https://doi.org/10.1371/journal.pone.0217636

In this article, the researcher asserts that patients with diabetes can leverage patient portals to support self-management and coordination of health care services. The authors’ objective in the study was to examine the effects of access to the patient portal on the frequency of visits, emergency visits, and preventable admissions or hospitalizations. Using an observational study design, the researchers compare the visit rates with or without portal access among patients with chronic conditions, especially diabetes.

The study shows that access to patient portals is linked to increased rates of outpatient office visits in both diabetic patients and those with multiple complex conditions. Patient portals have a significant reduction on overall visits, right from emergency to office physician visits among diabetes and chronically ill patients. These findings show that portals web technology enhances care provision remotely for diabetes patients and improves expected outcomes. Access enhances engagement in outpatient visits allowing providers to address unmet clinical needs. The portals also reduce downstream health events that may necessitate emergency and hospital care, especially for diabetes patients and those with complex comorbidities.

Findings from this study are categorical that patient portals improve outcomes as they increase engagement between clinicians and patients in different care settings. The results also show that the motivation to use PHR is based on provider knowledge and engagement with patients and their families. The study demonstrates the need for providers to leverage educational interventions to enhance the deployment of patient portals for the management of diabetes and multiple chronic conditions.

Vital lessons learned from the use of the patient portal include the need for an interactive approach among the providers, patients, and the healthcare system. The study also shows the need to patients to enhance their engagement with technology to enhance overall outcomes and reduce visits to emergency rooms and physician offices. The article demonstrates the crucial role that web portals play in overall care delivery for diabetes patients.

Conclusion

The findings from the four peer-reviewed research articles demonstrate that patient portals are a critical component of enhancing overall care for individuals with diabetes, particularly those newly diagnosed. The portals allow patients to interact with providers remotely, record their symptoms, access tests, and laboratory results, and review their care plans. while several obstacles and factors influence the use of these portals, it is evident that they continue to constitute a core response to improve care delivery for patients with chronic conditions like diabetes. Studies by Abd-alrazaq et al. (2019) and Ruh and Chugh (2021) show that despite certain barriers to their deployment and embracement, patient portals are enhancing overall care delivery and allowing users to interact more. Through these interventions, clinicians and patients and their families work collaboratively to enhance overall care outcomes. These products provide a host of content, connectivity, and collaboration-associated features and functions for their users. The overall value of these technologies goes beyond the constituents of the health care delivery chain. However, there is a need for further research to enhance usability, adoption, and value among providers and patients to attain effective benefits and leverage from patient portals.

References

Abd-Alrazaq, A. A., Bewick, B. M., Farragher, T., & Gardner, P. (2019). Factors that affect the

use of electronic personal health records among patients: a systematic review. International journal of medical informatics, 126, 164-175. https://doi.org/10.1016/j.ijmedinf.2019.03.014

Dykes, P. C., Rozenblum, R., Dalal, A., Massaro, A., Chang, F., Clements, M., Collins, S.

…Bates, D. W. (2017). Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The Promoting Respect and Ongoing Safety Through Patient Engagement Communication and Technology Study. Critical Care Medicine, 45(8), e806–e813. https://doi.org/10.1097/CCM.0000000000002449

Coughlin, S. S., Williams, L. B., & Hatzigeorgiou, C. (2017). A systematic review of studies

of web portals for patients with diabetes mellitus. MHealth, 3(6). https://doi.org/10.21037/mhealth.2017.05.05

Tapuria, A., Porat, T., Kalra, D., Dsouza, G., Xiaohui, S., & Curcin, V. (2021). Impact of patient

access to their electronic health record: a systematic review. Informatics for Health and Social Care, 46(2), 192-204. https://doi.org/10.1080/17538157.2021.1879810

Reed, M. E., Huang, J., Brand, R. J., Neugebauer, R., Graetz, I., Hsu, J., … & Grant, R.

(2019). Patients with complex chronic conditions: Health care use and clinical events associated with access to a patient portal. PLoS One, 14(6), e0217636. https://doi.org/10.1371/journal.pone.0217636

Ruhi, U., & Chugh, R. (2021). Utility, Value, and Benefits of Contemporary Personal Health

Records: Integrative Review and Conceptual Synthesis. Journal of medical Internetresearch, 23(4), e26877. https://doi.org/10.2196/26877

Sieverink, F., Kelders, S., Braakman-Jansen, A., & van Gemert-Pijnen, J. (2019).

Evaluating the implementation of a personal health record for chronic primary and secondary care: a mixed-methods approach. BMC medical informatics and decisionmaking, 19(1), 1-12. DOI: https://doi.org/10.1186/s12911-019-0969-7

Sun, R., Korytkowski, M. T., Sereika, S. M., Saul, M. I., Li, D., & Burke, L. E. (2018).

Patient Portal Use in Diabetes Management: Literature Review. JMIR Diabetes, 3 (4): e11199. DOI: 10.2196/11199.

As we begin this session, I would like to take this opportunity to clarify my expectations for this course:

Please note that GCU Online weeks run from Thursday (Day 1) through Wednesday (Day 7).

Course Room Etiquette:

It is my expectation that all learners will respect the thoughts and ideas presented in the discussions.
All postings should be presented in a respectful, professional manner. Remember – different points of view add richness and depth to the course!

Office Hours:

My office hours vary so feel free to shoot me an email at [email protected] or my office phone is 602.639.6517 and I will get back to you within one business day or as soon as possible.
Phone appointments can be scheduled as well. Send me an email and the best time to call you, along with your phone number to make an appointment.
I welcome all inquiries and questions as we spend this term together. My preference is that everyone utilizes the Questions to Instructor forum. In the event your question is of a personal nature, please feel free to post in the Individual Questions for Instructor forumI will respond to all posts or emails within 24 or sooner.

Late Policy and Grading Policy

Discussion questions:

I do not mark off for late DQ’s.
I would rather you take the time to read the materials and respond to the DQ’s in a scholarly way, demonstrating your understanding of the materials.
I will not accept any DQ submissions after day 7, 11:59 PM (AZ Time) of the week.
Individual written assignments – due by 11:59 PM AZ Time Zone on the due dates indicated for each class deliverable.

Assignments:

Assignments turned in after their specified due dates are subject to a late penalty of -10%, each day late, of the available credit. Please refer to the student academic handbook and GCU policy.
Any activity or assignment submitted after the due date will be subject to GCU’s late policy
Extenuating circumstances may justify exceptions, which are at my sole discretion. If an extenuating circumstance should arise, please contact me privately as soon as possible.
No assignments can be accepted for grading after midnight on the final day of class.
All assignments will be graded in accordance with the Assignment Grading Rubrics

Participation

Participation in each week’s Discussion Board forum accounts for a large percentage of your final grade in this course.
Please review the Course Syllabus for a comprehensive overview of course deliverables and the value associated with each.
It is my expectation that each of you will substantially contribute to the course discussion forums and respond to the posts of at least three other learners.
A substantive post should be at least 200 words. Responses such as “great posts” or “I agree” do notmeet the active engagement expectation.
Please feel free to draw on personal examples as you develop your responses to the Discussion Questions but you do need to demonstrate your understanding of the materials.
I do expect outside sources as well as class materials to formulate your post.
APA format is not necessary for DQ responses, but I do expect a proper citation for references.
Please use peer-related journals found through the GCU library and/or class materials to formulate your answers. Do not try to “Google” DQ’s as I am looking for class materials and examples from the weekly materials.
I will not accept responses that are from Wikipedia, Business com, or other popular business websites. You will not receive credit for generic web searches – this does not demonstrate graduate-level research.
Stay away from the use of personal pronouns when writing.As a graduate student, you are expected to write based on research and gathering of facts. Demonstrating your understanding of the materials is what you will be graded on. You will be marked down for lack of evidence to support your ideas.

Plagiarism

Plagiarism is the act of claiming credit for another’s work, accomplishments, or ideas without appropriate acknowledgment of the source of the information by including in-text citations and references.
This course requires the utilization of APA format for all course deliverables as noted in the course syllabus.
Whether this happens deliberately or inadvertently, whenever plagiarism has occurred, you have committed a Code of Conduct violation.
Please review your LopesWrite report prior to final submission.
Every act of plagiarism, no matter the severity, must be reported to the GCU administration (this includes your DQ’s, posts to your peers, and your papers).

Plagiarism includes:

Representing the ideas, expressions, or materials of another without due credit.
Paraphrasing or condensing ideas from another person’s work without proper citation and referencing.
Failing to document direct quotations without proper citation and referencing.
Depending upon the amount, severity, and frequency of the plagiarism that is committed, students may receive in-class penalties that range from coaching (for a minor omission), -20% grade penalties for resubmission, or zero credit for a specific assignment. University-level penalties may also occur, including suspension or even expulsion from the University.
If you are at all uncertain about what constitutes plagiarism, you should review the resources available in the Student Success Center. Also, please review the University’s policies about plagiarism which are covered in more detail in the GCU Catalog and the Student Handbook.
We will be utilizing the GCU APA Style Guide 7th edition located in the Student Success Center > The Writing Center for all course deliverables.

LopesWrite

All course assignments must be uploaded to the specific Module Assignment Drop Box, and also submitted to LopesWrite every week.
Please ensure that your assignment is uploaded to both locations under the Assignments DropBox. Detailed instructions for using LopesWrite are located in the Student Success Center.

Assignment Submissions

Please note that Microsoft Office is the software requirement at GCU.
I can open Word files or any file that is saved with a .rtf (Rich Text Format) extension. I am unable to open .wps files.
If you are using a “.wps” word processor, please save your files using the .rtf extension that is available from the drop-down box before uploading your files to the Assignment Drop Box.

Grade of Incomplete

The final grade of Incomplete is granted at the discretion of the instructor; however, students must meet certain specific criteria before this grade accommodation is even possible to consider.
The grade of Incomplete is reserved for times when students experience a serious extenuating circumstance or a crisis during the last week of class which prevents the completion of course requirements before the close of the grading period. Students also must pass the course at the time the request is made.
Please contact me personally if you are having difficulties in meeting course requirements or class deadlines during our time together. In addition, if you are experiencing personal challenges or difficulties, it is best to contact the Academic Counselor so that you can discuss the options that might be available to you, as well as each option’s academic and financial repercussions.

Grade Disputes

If you have any questions about a grade you have earned on an individual assignment or activity, please get in touch with mepersonally for further clarification.
While I have made every attempt to grade you fairly, on occasion a misunderstanding may occur, so please allow me the opportunity to learn your perspective if you believe this has occurred. Together, we should be able to resolve grading issues on individual assignments.
However, after we have discussed individual assignments’ point scores, if you still believe that the final grade you have earned at the end of the course is not commensurate with the quality of work you produced for this class, there is a formal Grade Grievance procedurewhich is outlined in the GCU Catalog and Student Handbook.