NRS 493 Topic 5 DQ 2 Technology is integral to successful implementation in many projects

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Topic 5 DQ 2

May 16-20, 2022

Technology is integral to successful implementation in many projects, through either support or integration or both. Name at least one technology that could improve the implementation process and the outcomes of your capstone project change proposal. Do you plan to use this technology? If not, what are the barriers that prevent its use?

Raimol Joseph

Posted Date

May 22, 2022, 11:52 PM

Any type of new technology like phones, laptops, tablets, and computers would be significantly useful in improving the implementation program. My specific program is concerns the population that have low incomes and financial unstable therefore technology might not be the biggest advantage or successful move in implementing this specific change proposal. However, in order for this change proposal to become legitimate and gain the support and attention it needs to successfully jumpstart change in the targeted population, technology is necessary to advertise and market the program (The impact of technology in Healthcare 2022). By posting this plan on all various social media platforms and even starting a GoFundMe would not only spread the popularity and familiarity of this program by ths imple spreaf of information as was seen in sial movement like MeToo which is cost effective, reaches almost llmop

Expert, T. K. L. P. D., & Kenn3mony, T. (2020, November 26). What am I doing with my life? find your answer here. Lifehack. Retrieved May 23, 2022, from https://www.lifehack.org/713166/what-am-i-doing-with-my-life

The impact of technology in Healthcare. AIMS Education. (2022, May). Retrieved May 23, 2022, from https://aimseducation.edu/blog/the-impact-of-technology-on-healthcare

Sharia Jones

Posted Date

May 22, 2022, 6:46 PM

Replies to Raimol Joseph

The application of medical technology has played a critical role not only in enhancing health outcomes but also in reducing healthcare costs. Some medical technologies help facilitate early diagnosis and treatment of potentially chronic and fatal illnesses. One technology, if included in the implementation process that can lead to better outcomes of managing CAUTI bladder scanning technology (Secretariat, 2016). Bladder scanners are used to assess and confirm urinary retention before placing a catheter to address suspected urinary retention in order to reduce unnecessary catheterization when the bladder’s volume is not the cause of the patient’s symptoms. Portable bladder scanners use ultrasound, a noninvasive way to determine the volume of urine remaining in the bladder after voiding (i.e., postvoid residual) to inform whether a urinary catheterization is needed.

I plan to incorporate bladder scanning technology in my change proposal project. Portable bladder ultrasounds will be used in an inpatient rehabilitation unit to determine whether a patient has sufficient urinary retention to justify catheterization. According to the AHRQ (Agency for Healthcare Research and Quality), Nurse-driven protocols and handheld bladder scanners have been shown to reduce the risk of CAUTI (Agency for Healthcare Research and Quality, 2022).

References

Agency for Healthcare Research and Quality. (2022). Technical Interventions to Prevent CAUTI. https://www.ahrq.gov/hai/cauti-tools/guides/implguide-pt3.html

Secretariat, M. A. (2016). Portable Bladder Ultrasound: An Evidence-Based Analysis. Ontario Health Technology Assessment Series, 6(11), 1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3379524

Natalie Ripley

replied toSharia Jones

May 22, 2022, 7:25 PM

Replies to Sharia Jones

Sharia, bladder scanning via portable scanners is a wonderful use of technology to improve patient outcomes. We use our bladder scanner often on our unit, not only to assess retention and the need to insert a new catheter but also after foley removal to assess post-void retention. I work at a trauma level 1 acute care facility with 600 + beds and we have one bladder scanner for the 30 beds on our surgical oncology unit. In long-term care facilities, the use of bladder scanners in long-term care facilities would be beneficial given the level of urinary tract infections among the aging population. The article by Christianson and colleagues states, “going forward, staff education about continence care including the use of bladder scanners, as well as exploring scopes of practice are needed for effective assessment, management, and treatment of continence in LTC settings” (Christianson et al., 2021).

The stakeholders, leadership to purchase the bladder scanners, managers to ensure education on the use of bladder scanners, and nurses willing to implement the use of bladder scanners on patients in need of assessment.

Reference

Christianson, T. M., Hoot, T. J., & Todd, M. (2021). Understanding Nursing Knowledge of Continence Care and Bladder Scanner Use in Long-Term Care: An Evaluation Study. Gerontology and Geriatric Medicine, 7, 233372142110460. https://doi.org/10.1177/23337214211046090

Coraline Powell

replied toSharia Jones

May 22, 2022, 9:32 PM

Replies to Sharia Jones

Hello Sharia,

The use of technology in healthcare is instrumental. Not only does technology improve the efficiency of healthcare, it also empowers nurses in making clinical decisions. For instance, there are those technologies like Medscape which provide a host of medical information that nurses can use to augment clinical decision making and thus, enhance the quality of care that the nurse delivers. That said, as your technology directly involves patients, there are a number of considerations that you have to make. First, patient perceptions of technology vary and there are those that have yet to build a positive perception and relationship with technology (Curtis et al., 2019). This would significantly influence how receptive they are to the use of technology and this would also influence how effective the technologies are. In this case, it is important to appreciate that as a nurse, your role now extends beyond just

NRS 493 Topic 5 DQ 2 Technology is integral to successful implementation in many projects

administering the technology. You have to ensure that the patients are receptive to the said technology and this includes educating the patient on the technology, and empowering the patient to ensure that they cooperate it the intervention.

It is also important that you become more culturally competent and this entails understanding that not everyone has the same experience with technology as we do. This will then involve ensuring that we assess the type of relationship that our patients share with technology and then chart a path that is mutually beneficial for both the nurse and the patient.

References

Curtis, E., Jones, R., Tipene-Leach, D., Walker, C., Loring, B., Paine, S. J., & Reid, P. (2019). Why cultural safety rather than cultural competency is required to achieve health equity: a literature review and recommended definition. International journal for equity in health, 18(1), 174. https://doi.org/10.1186/s12939-019-1082-3

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