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

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

Sample Answer for Assessment 3: Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing Included

A Sample Answer For the Assignment: Assessment 3: Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing

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

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

NURS-FPX 4040 Assessment 3: Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing

Interdisciplinary transition care coordination strategies are critical approaches that allow healthcare organizations and providers to reduce hospital readmission in medical surgical units in acute care. Using five articles from the “Literature Evaluation Table” this paper provides an annotated bibliography of five quantitative articles that address the issue of interdisciplinary transition care coordination. The annotation provides a concise description about the quality, accuracy and relevance of each article to the PICOT-D.

PICOT-D Question: In a medical-surgical unit at an urban acute care hospital setting serving the adult population, does implementing interdisciplinary transition care coordination strategies from hospital to home reduce 30-day readmissions within eight weeks?

Kripalani, S., Chen, G., Ciampa, P., Theobald, C., Cao, A., McBride, M., Dittus, R. S., & Speroff, T. (2019). A transition care coordinator model reduces hospital readmissions and costs. Contemporary Clinical Trials, 81, 55–61. https://doi-org.lopes.idm.oclc.org/10.1016/j.cct.2019.04.014

In this article, Kripalani et al. (2019) provide a model based on transition care coordination to reduce readmissions and costs. Using a quasi-experimental design, the researchers compared transition care coordinator (TCC) model of care to the standard or normal care. Despite the controls that they had, the study shows a positive correlation as it concludes that TCCCs lowered 30-and90-day readmissions and related costs.

The article is of high quality though under control and provides an accurate description of the effects of TCCs in reducing readmissions. The study is a controlled randomized trial implying that it is at level one on the evidence pyramid. The accuracy of the article is high given its level of evidence and allows practitioners to integrate these interventions to reduce readmissions. The article is relevant to the PICOT-D question since it shows that evidence-base practice models are effective in addressing the issue of readmission.

Pugh, J., Penney, L. S., Noël, P. H., Neller, S., Mader, M., Finley, E. P., Lanham, H. J., &

Leykum, L. (2021). Evidence based processes to prevent readmissions: more is better, a ten-site observational study. BMC Health Services Research, 21(1), 1–11. https://doi-org.lopes.idm.oclc.org/10.1186/s12913-021-06193-x

In this article, Pugh et al. (2021) conducted a mixed method, multi-stepped observational study to assess the association between of evidence-based transitional procedures deployed and possibility of readmission rates. The researchers observe that facilities that use recommended care transition processes have increased chances of reducing the risk for readmission based on the (RSRR) model. The study observes that implementation variability and hurdles highlighted by provider to perform these interventions require the use of novel strategies to facilitate increased uptake of the model. Consistent use can help facilities that underutilize the processes and entail patient involvement and engagement in discharge planning as well as enhanced leveraging on community support.

The article demonstrates high quality evidence based on its level on evidence pyramid as it is at level III which gives evidence from well-designed controlled trials that have no randomization or quasi experimental approach. The article is relevant to the PICOT-D question as it shows that transition care coordination reduces the risk of readmissions in care facilities. The article also shows that effective care coordination requires the involvement of patients in their care plans.

Snyder, M. E., Krekeler, C. E., Jaynes, H. A., Davis, H. B., Lantaff, W. M., Mu Shan,

Perkins, S. M., & Zillich, A. J. (2020). Evaluating the effects of a multidisciplinary

transition care management program on hospital readmissions. American Journal of Health-System Pharmacy, 77(12), 931–937. https://doi-org.lopes.idm.oclc.org/10.1093/ajhp/zxaa091

The article by Snyder et al. (2020) assesses the effects of a pharmacist-developed transition of care programs to reduce the rates of 30-day all-cause readmissions and follow-up. Using a retrospective cohort design, the study shows the effectiveness of a pharmacist-led TOC program to lower 30-day readmissions in the facility. The study demonstrates that having interventions that incorporate healthcare professionals like pharmacists is critical to attaining transition of care programs that address patient needs. The article is accurate since it is a cohort study where participants were followed for 90 days to see if the intervention is effective in addressing the issue of readmissions. The quality of the article is good since it falls under level IV on the evidence pyramid. Level IV contains articles that use well-designed case-control and cohort research. Further, the article supports the PICOT-D as it shows that health care professions can initiate programs that offer benefits not just to patients but also health care providers.

Provencher, V., Clemson, L., Wales, K., Cameron, I. D., Gitlin, L. N., Grenier, A., &

Lannin, N. A. (2020). Supporting at-risk older adults transitioning from hospital to home: who benefits from an evidence-based patient-centered discharge planning intervention? Post-hoc analysis from a randomized trial. BMC Geriatrics, 20(1). https://doi-org.lopes.idm.oclc.org/10.1186/s12877-020-1494-3

The article by Provencher et al. (2020) demonstrates for health care providers to support geriatric patients moving from hospital to home by using evidence-based patient-centric discharge planning strategies. Using randomized control approach, the study notes that hospitalized elderly suffering from moderate cognitive impairment can attain benefits from the home model. The approach entails preparation and after-charge support to mitigate and prevent possible unplanned readmissions. The authors record the need to have improved discharge outcomes among the at-risk subgroups after getting an expert-led interventions to enable best care services.

Finlayson, K., Chang, A. M., Courtney, M. D., Edwards, H. E., Parker, A. W., Hamilton, K., Pham, T. D. X., & O’Brien, J. (2018). Transitional care interventions reduce unplanned hospital readmissions in high-risk older adults. BMC Health ServicesResearch, 18(1). https://doi-org.lopes.idm.oclc.org/10.1186/s12913-018-3771-9

In their article Finlayson et al. (2018) assert that transitional care interventions are essential in reducing unplanned hospital readmissions at elevated risk older individuals. Using a randomized controlled model involving 222 subjects, the authors show that multifaceted transitional care strategies in different settings can lower readmissions within the first three months of implementation. Utilizing different interventions cohorts, the study demonstrates that transitional care interventions are a critical aspect of ensuring quality care and reducing the cost burden. The study is accurate based on the statistical aspects that it demonstrates and the outcome measures that it uses to evaluate the outcomes across the four cohorts that they use.

The quality of the article is good based on its level of evidence as depicted by the evidence level pyramid.  The article’s evidence level is II since it designed randomized control trials in different sites to evaluate the effects of different transitional care interventions on hospital readmissions. Imperatively, the article is relevant to the PICOT-D question as it demonstrates clear evidence that effective transitional care approaches can reduce hospital readmissions across care continuum and settings.

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

Conclusion

The annotated bibliography shows that effective transitional care interventions can reduce readmissions when adult patients are discharged from hospital to home within eight weeks. A host of the articles show that readmissions drastically decline when the transitional care involves an interdisciplinary team approach and patients. However, the articles are not explicit is such interventions also work effective in medical-surgical units.

 

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

Finlayson, K., Chang, A. M., Courtney, M. D., Edwards, H. E., Parker, A. W., Hamilton, K.,

Pham, T. D. X., & O’Brien, J. (2018). Transitional care interventions reduce unplanned hospital readmissions in high-risk older adults. BMC Health Services Research, 18(1). https://doi-org.lopes.idm.oclc.org/10.1186/s12913-018-3771-9

Kripalani, S., Chen, G., Ciampa, P., Theobald, C., Cao, A., McBride, M., Dittus, R. S., &

Speroff, T. (2019). A transition care coordinator model reduces hospital readmissions and costs. Contemporary Clinical Trials, 81, 55–61. https://doi-org.lopes.idm.oclc.org/10.1016/j.cct.2019.04.014

Provencher, V., Clemson, L., Wales, K., Cameron, I. D., Gitlin, L. N., Grenier, A., & Lannin, N.

  1. (2020). Supporting at-risk older adults transitioning from hospital to home: who benefits from an evidence-based patient-centered discharge planning intervention? Post-hoc analysis from a randomized trial. BMC Geriatrics, 20(1). https://doi-org.lopes.idm.oclc.org/10.1186/s12877-020-1494-3

Pugh, J., Penney, L. S., Noël, P. H., Neller, S., Mader, M., Finley, E. P., Lanham, H. J., &

Leykum, L. (2021). Evidence based processes to prevent readmissions: more is better, a ten-site observational study. BMC Health Services Research, 21(1), 1–11. https://doi-org.lopes.idm.oclc.org/10.1186/s12913-021-06193-x

Snyder, M. E., Krekeler, C. E., Jaynes, H. A., Davis, H. B., Lantaff, W. M., Mu Shan, Perkins, S.

M., & Zillich, A. J. (2020). Evaluating the effects of a multidisciplinary transition care management program on hospital readmissions. American Journal of Health-System Pharmacy, 77(12), 931–937. https://doi-org.lopes.idm.oclc.org/10.1093/ajhp/zxaa091

Demidowich, A. P., Lu, K., Tamler, R., Bloomgarden, Z. (2018). An evaluation of diabetes-related mobile apps: A systematic review. Diabetes Technology & Therapeutics, 20(11), 734-739.

This systematic review evaluates the effectiveness and usability of diabetes-related mobile applications. The authors discovered that a large number of applications have limited usability and lack clinical validation. However, they also note that certain apps have the potential to enhance diabetes patient self-management. This research is pertinent to our proposal because it emphasizes the significance of designing mobile health applications with usability and clinical validation in mind.

 

Casillas, A., Abhat, A., Mahajan, A., Moreno, G., Brown, A. F., Simmons, S., & Szilagyi, P. (2020). Portals of change: how patient portals will ultimately work for safety net populations. Journal of medical Internet research, 22(10), e16835.

The article gives examples of how patient portals may help people who don’t get enough care get the care they need. Casillas et al. (2020) say that research shows a link between using patient portals and better care and health outcomes, especially for people with long-term illnesses. The authors also say that patients can manage many parts of their care from the comfort of their own homes using patient portals, which were described in the last sentence (Casillas et al., 2020). Because of this, patients may be able to talk to the interdisciplinary care team through patient portals. Make sure that all of their health worries are taken care of. The authors found that in the last few years, a number of patient portals have been added to safety net systems. Patient portals have made it possible for healthcare systems to talk directly to patients and share information with them over the internet. This makes them a safety net. Most of these patients have problems during their clinical visits, so patient portals could help improve the overall quality of care that vulnerable patients get. The number of low-income patients who are interested in patient portals has gone up, according to new data that the authors used. The data show that the people who are part of the safety net are getting more excited about and willing to use patient portals. The authors suggest that healthcare systems work together to set up patient portals so that medical care can be given effectively to vulnerable groups. The article’s findings show that nurses and other members of the interdisciplinary team can use patient portals to help all of their patients, even those on the safety net, get the care they need. The authors have shown through credible evidence that using a patient portal can improve patient outcomes and make it easier for patients to talk to their care providers (Casillas et al., 2020). So, I strongly suggest that healthcare organizations look into the possibility of adding patient portals to their system to make sure that all of their patients have access to their own health information and can talk to their care providers. In the long run, this will help patients do better.

Graham, T. A., Ali, S., Avdagovska, M., & Ballermann, M. (2020). Effects of a web-based patient portal on patient satisfaction and missed appointment rates: survey study. Journal of medical Internet research, 22(5), e17955.

This article provides compelling evidence that the use of patient portals is linked to lower rates of patients skipping appointments, lower costs of medical care, and better patient experiences. The patient portal enables digital access to the self-management of patients’ health concerns, as well as scheduling features and important health information, according to Graham et al’s findings from 2020. The authors’ findings indicate that patients can use online portals to schedule and attend appointments, as well as have private communications with their healthcare providers (Graham et al., 2020). As a result, nurses and other members of the interdisciplinary team are able to monitor the health status of their patients and, if necessary, alter the care plan if the patient’s condition does not improve. The patient portal is associated with advantages for the healthcare system, the study’s findings indicate. These advantages include lower costs as a result of spending less time mailing paper documents, less time fielding appointment-related phone calls, and fewer clinical appointments being missed (Graham et al., 2020). One of the many important advantages that patient portals can offer the healthcare system is the potential improvement of the clinical workflow. Therefore, I strongly advise medical facilities to adopt the use of patient portals in order to increase both patient satisfaction and the general quality of healthcare.

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

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 devices.
  • Robotics.
  • Electronic medical records.
  • Data management resources.
  • Ready access to current science.

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.

Preparation

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 you. 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 barcoding.
    • Electronic clinical documentation with clinical decision support.
    • Patient sensor devices/wireless communication solutions.
    • Real-time location systems.
    • Remote patient monitoring.
    • Artificial intelligence.
    • Telehealth.
    • Telestroke.
    • Tele-icu.
    • Tele-psychiatry.
    • Tele-genetics.
    • Workflow management systems.
  • 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 technology.
  • Select four peer-reviewed publications focused on your selected topic that are the most interesting to you.
  • 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.

Notes

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

An Evidence-based Recommendation for Selected Technology Implementation

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 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:

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 point.
  • 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 a selected technology in a health care setting.
  • 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.
    • Follow APA style and formatting guidelines for all bibliographic entries.

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

CRITERIA NON-PERFORMANCE BASIC PROFICIENT DISTINGUISHED
Analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team. Does not analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team. Identifies but does not analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team. Analyzes current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team. Provides a rigorous, scholarly, and perceptive analysis of 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. Does not 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. Integrates some evidence about the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation, but the work lacks detail or is missing critical information. Integrates current evidence about the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation. Integrates well-researched and current evidence about the impact of a selected innovative patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation. Provides clear insight into the potential implications of the technology on patient safety and quality of care.
Describe organizational factors influencing the selection of a technology in the health care setting. Does not describe organizational factors influencing the selection of a technology in the health care setting. Identifies but does not fully describe organizational factors influencing the selection of a technology in the health care setting. Describes organizational factors influencing the selection of a technology in the health care setting. Provides a scholarly, comprehensive, and well-researched description of organizational factors influencing the selection of a technology in the health care setting.
Justify the implementation and use of a selected technology in a health care setting. Does not justify the implementation and use of a selected technology in a health care setting. Explains but does not justify the implementation and use of a selected technology in a health care setting. Justifies the implementation and use of a selected technology in a health care setting. Justifies the implementation and use of a selected technology in a health care setting. Provides an in-depth and well-researched analysis of the impact of the technology on quality care and patient safety.
Create a clear, well-organized, and professional annotated bibliography that is generally free from errors in grammar, punctuation, and spelling. Does not create a clear, well-organized, and professional annotated bibliography that is generally free from errors in grammar, punctuation, and spelling. Provides an annotated bibliography that has errors in grammar, punctuation, and spelling and exhibits a lack of preparation. Creates a clear, well-organized, and professional annotated bibliography that is generally free from errors in grammar, punctuation, and spelling. Creates a clear, well-organized, and professional annotated bibliography that is free from errors in grammar, punctuation, and spelling.
Follow APA style and formatting guidelines for all bibliographic entries. Does not follow APA style and formatting guidelines for citations and references. Partially follows APA style and formatting guidelines for citations and references. Follows APA style and formatting guidelines for all bibliographic entries. Follows APA style and formatting guidelines for citations and references with flawless precision and accuracy.