NURS-FPX 4040 Assessment Three: Evidence-Based Proposal and Annotated Bibliography

Evidence-Based Proposal and Annotated Bibliography

This course has been completed and no further assessments may be submitted.

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.

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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.

Professional Context

Rapid changes in information technology go hand-in-hand with progress in quality health care delivery, nursing practice, and interdisciplinary team collaboration. Technology is essential to the advancement of the nursing profession, maintaining quality care outcomes, patient safety, and research.

Preparation

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.

To successfully complete this assessment, perform the following preparatory activities:

• 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.

  • 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.

• 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.

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:

• Assessment 3 Example [PDF] Download Assessment 3 Example [PDF].

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.

Resources

Use the resources linked below to help complete this assessment.

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Patient Portal Considerations: Health Literacy and Accessibility

• Elkind, E. C., & Higgins, K. M. Patient portal considerations. Nursing Management, 49(3), 9–11.

  • This article explores the need for a collaborative team approach to helping patients take a more active role in their health care by utilizing the patient portal.

• Heath, S. (2018). Using NLP to improve patient portal use, patient health literacy. https://patientengagementhit.com/news/using-nlp-to-improve-patient-portal-use-patient-health-literacy

  • Heath reviews research that demonstrates natural language processing (NLP) as a practical solution for patient portal use to better engage patients with personal health information.

• Heath, S. (2018). Patient recall suffers as patients remember half of health info. https://patientengagementhit.com/news/patient-recall-suffers-as-patients-remember-half-of-health-info

  • This article reviews a study out of Brown University School of Public Health on the shortcomings of patients’ memories when given information by their doctors.

• Heath, S. (2017). Simpler medical language key for patient portal lab result notes. https://patientengagementhit.com/news/simpler-medical-language-key-for-patient-portal-lab-result-notes

  • Heath reports on a study that showed the need to simplify medical language in patient portals.

• Lyles, C. R., Fruchterman, J., Youdelman, M., & Schillinger, D. (2017). Legal, practical, and ethical considerations for making online patient portals accessible for all. American Journal of Public Health, 107(10), 1608–1611.

  • This article explains the need to improve the accessibility of portals for more vulnerable patient populations, especially patients with limited health literacy or limited English proficiency, and individuals with disabilities.

Sustained Utilization of Patient Portals

• Agency for Healthcare Research and Quality. (n.d.). Health information technology integration. https://www.ahrq.gov/ncepcr/tools/health-it/index.html

• Barnett, J. (2017). Beyond meaningful use: The value of patient portals. https://www.healthitoutcomes.com/doc/beyond-meaningful-use-the-value-of-patient-portals-0001

  • Barnett discusses the value of patient portals across clinical and financial operations.

• Graham, T. A. D., 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–e17955. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7267992/

  • This article focuses on patients’ autonomy while using web-based portals.

• Heath, S. (2018). Can hospital patient portal use boost inpatient outcomes measures? https://patientengagementhit.com/news/can-hospital-patient-portal-use-boost-inpatient-outcomes-measures

  • This article examines how the use of inpatient hospital patient portals could improve inpatient outcomes.

• Heath, S. (2018). Patient engagement technology useful for Medicaid innovation. https://patientengagementhit.com/news/patient-engagement-technology-useful-for-medicaid-innovation

  • Heath discusses the use of patient engagement technology and other smart technologies to help enhance program efficiencies in state Medicaid programs.

• Legler, A., Price, M., Parikh, M., Nebeker, J. R., Ward, M. C., Wedemeyer, L., & Pizer, S. D. (2019). Effect on VA patient satisfaction of provider’s use of an integrated viewer of multiple electronic health records. Journal of General Internal Medicine, 34(1), 132–136. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6318162/

  • The authors review studies on ways that patient portal functionality can help patients make informed personal health care decisions.

Workflow and Data Mining

• Baek, H., Cho, M., Kim, S., Hwang, H., Song, M., & Yoo, S. (2018). Analysis of length of hospital stay using electronic health records: A statistical and data mining approach. PLoS ONE, 13(4), 1–16.

  • This study explores factors associated with length of hospital stay based on electronic health records.

• USF Health. (n.d.). Data mining in healthcare. https://www.usfhealthonline.com/resources/healthcare/data-mining-in-healthcare/

  • This article explains how health care providers are using electronic health records to improve the efficiency and quality of their organizations using data mining.

• Heath, S. (2018). AMIA outlines data use guideline for patient-centered care, PGHD. https://patientengagementhit.com/news/amia-outlines-data-use-guideline-for-patient-centered-care-pghd

  • Heath explains the AMIA data use guidelines for patient-centered care specifically in regard to how medical professionals can look at the social determinants of health.

• Heath, S. (2017). E-consent forms useful for patient data sharing in research. https://patientengagementhit.com/news/e-consent-forms-useful-for-patient-data-sharing-in-research

  • The author reports on a study that shows that e-consent tools for patient data sharing in research need more assurances of data security.

• de Leoni, M., van der Aalst, W. M. P., & Dees, M. (2016). A general process mining framework for correlating, predicting and clustering dynamic behavior based on event logs. Information Systems, 56, 235–257.

  • This study examines different process mining research techniques and proposes a new framework.

• Meenan, C., Erickson, B., Knight, N., Fossett, J., Olsen, E., Mohod, P., Chen, J., & Langer, S. G. Workflow lexicons in healthcare: Validation of the SWIM lexicon. Journal of Digital Imaging, 30(3), 255–266.

  • The authors of this study measured workflow steps in a real-world clinical setting to determine how accurately departmental information systems captured patient flow.

Activity

Complete this activity, which provides an opportunity to critique annotated bibliographies for accuracy.

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