Evidence-Based Annotated Bibliography on Technology in Nursing Essay

Evidence-Based Annotated Bibliography on Technology in Nursing Essay

Healthcare providers should assess institutional and professional needs and recommend FDA-approved evidence-based technology to enhance care quality and safety and minimize healthcare costs. The topic I chose for this assessment is remote patient monitoring devices. Remote patient monitoring is an umbrella term that refers to technologies that continuously collect and send data from the patient to the healthcare provider regardless of the physical distance. These devices include vital sign monitors (blood pressure and glucose monitors) and movement detectors. The reason for selecting the topic is the growing need to increase patient monitoring in and outside the facility. In addition, there is a need to ensure patients are continually monitored at home, which may prove difficult to achieve without the devices (Malasinghe et al., 2019). I utilized Boolean logic and keywords to obtain relevant articles from reputable databases such as CINAHL plus, Cochrane database (Wiley Library), EBSCO, PubMed/Medline, and Cochrane Central Register of Controlled Trials (Wiley). Some of the keywords used were “remote patient monitoring,” “continuous patient monitoring,” “patient monitoring and safety,” patient monitoring technology, and “patient safety.” The following annotated bibliography analyzes research on remote patient monitoring devices and develops recommendations for their implementation in healthcare institutions.

Annotated Bibliography

Tabacof, L., Kellner, C., Breyman, E., Dewil, S., Braren, S., Nasr, L., … & Putrino, D. (2021). Remote patient monitoring for home management of coronavirus disease 2019 in New York: a cross-sectional observational study. Telemedicine and e-Health, 27(6), 641-648. https://doi.org/10.1089/tmj.2020.0339

COVID-19 brought worry and fear, which negatively affected the utilization of healthcare services. Remote patient monitoring using technology has brought light into patient care by ensuring quality care delivery and flawless communication despite the geographical barrier. Tabacof et al. (2021) conducted a cross-sectional observational study to evaluate the effectiveness of remote patient monitoring at home in New York. The research is of interest because it addresses a key and current global healthcare issue (a disease of public significance) affecting all populations. This study recruited patients presenting with Covid-like symptoms at the clinic and monitored them in their homes. Among them, only half the patients had positive PCR tests for COVID-19. The study monitored patients for the severity of Covid-19 symptoms. Some patients with severe symptoms were referred to the ED for urgent medical attention, while the rest were advised to stay home for continued monitoring. During the program, patient self-reporting of vital signs and other required parameters and the availability of reporting devices were the most important factors in determining the success of patient monitoring. Tabacof et al. (2022) show that remote patient monitoring is promising in monitoring patients at home, reducing clinic visits, ensuring patient safety (preventing the spread of contagious diseases), and promoting quality health outcomes.

Alboksmaty, A., Beaney, T., Elkin, S., Clarke, J. M., Darzi, A., Aylin, P., & Neves, A. L. (2022). Effectiveness and safety of pulse oximetry in remote patient monitoring patients with COVID-19: a systematic review. The Lancet Digital Health, 4(4), e279-e289.https://doi.org/10.1016/S2589-7500(21)00276-4

Covid-19 affected care delivery and increased healthcare providers’ need to monitor patients at home. Alboksmaty et al. (2022) evaluated the effectiveness of a remote patient monitoring device (pulse oximetry) in promoting better patient care. The research is of significance because it is more specific to monitoring devices. It identifies and tests a monitoring device for safety and effectiveness. Aboksmaty et al. (2022) evaluated the device’s ability to effectively detect the risk of deterioration and the need for advanced care for further action. One of the major presentations in covid-19 patients is respiratory changes, majorly hypoxia due to respiratory failure. A pulse oximeter measures oxygen saturation in the blood and notifies the patient and healthcare provider of the respiratory distress and need for action. The researchers carried out a systematic review and conducted a thematic analysis. Their search identified the significance of pulse oximetry in RPM, but limited evidence of their safety or efficacy compared to other studies. The study shows that pulse oximetry, an RPM, can be used in patient monitoring for conditions with respiratory presentations or that affect oxygen supply to the tissues. Healthcare professionals should utilize their respective technologies for effective patient management.

Taylor, M. L., Thomas, E. E., Snoswell, C. L., Smith, A. C., & Caffery, L. J. (2021). Does remote patient monitoring reduce acute care use? A systematic review. BMJ open, 11(3), e040232. http://dx.doi.org/10.1136/bmjopen-2020-040232

Tylor et al. (2021) conducted a systematic review to determine if remote patient monitoring reduces acute care use. The objectives of remote patient monitoring are to promote patient access to consultation services and early access to advanced care services, reduce health complications, and reduce clinical visits and the burden in clinician offices. This research is of great significance because it tests the effectiveness/ significance of remote patient monitoring in acute care use. Acute care use, also called emergency care, is broad to accommodate all conditions requiring urgent attention. Tylor et al. (2021) evaluated 91 studies, and RPM for all diseases was identified to reduce acute care admissions, length of stay, and emergency care symptoms in about 49% of the cases. Most other studies reported no change, with few reporting an increase in acute care use.

On analyzing the various conditions, non-invasive monitoring achieved the greatest success in COPD, while invasive RPM achieved the greatest success in cardiovascular diseases than in other diseases. The study results showed that the RPM application is based on the specific device and the condition of interest. Care providers can alternate between invasive and non-invasive monitoring interventions to achieve the desired results. Evidence of RPM use in the specific condition, patient population, and environment is thus critical.

Jung, H. Y., Jeon, Y., Kim, Y. S., Kim, D. K., Lee, J. P., Yang, C. W., Ko E.J., Ryu D. R., Kang S. W., Park J. T., Lim J. H, Choi J. Y., Cho J. H., Kim C. D., Kim Y.L., & Park, S. H. (2021). Outcomes of Remote Patient Monitoring for Automated Peritoneal Dialysis: A Randomized Controlled Trial. Nephron, 145(6), 702-710. https://doi.org/10.1159/000518364

Automated peritoneal dialysis is a more effective way of promoting quality care delivery. Juang et al. (2021) note that patients under automated peritoneal dialysis portray more success in dialysis than in-center dialysis because APD does not allow toxins to accumulate in the blood. This research is significant because it is a clinical trial whose results can be used to promote further research and implement changes in practice. However, they are associated with more risk for infection at the incision site. Patient education is vital to promote self-care, patient safety, quality care delivery, and patient safety. Juang et al. (2021) hypothesized that guidance using remote patient monitoring to patients helps improve outcomes and patient self-management. The study’s results nullify the hypothesis because there was no statistical significance between patients under normal care and those under RPM care. However, there were improvements in specific parameters such as sleep and quality of life. The results were also rather comparable. Patient satisfaction scores also showed significant changes hence the clinical significance of RPM. RPM has great potential in managing various chronic conditions

Summary of Recommendations

Remote patient monitoring is a viable technology in various fields. RPM implementation and significance have gained familiarity, especially in the Covid-19 era. Patients and healthcare professionals opt for RPM compared to physical clinic visits due to their ability to promote self-care, promote patient satisfaction, and increase care quality (Tylor t al., 2021). The studies also present conflicting data and show that RPM is not applicable in all healthcare conditions, and extensive research ad clinical trials are necessary before implementation (Juang et al., 2021). Tabacof et al. (2020) show that RPM can help promote early access to advanced care services and prevent unnecessary physician clinic visits. Alboksmaty et al. (2022) showed the significance of specific devices in RPM and their effectiveness in patient monitoring. The study also presents gaps that include patient safety. It recommends that healthcare providers assess RPM interventions for efficacy and safety before implementing them in managing specific healthcare conditions.

RPM increase patient monitoring, data collection, and communication between patient and care providers. They enhance care continuity and produce data for multidisciplinary teams, enhancing their success (Malasinghe et al., 2019). Specific technologies, such as those in Covid-19 management, provoke prompt action by interdisciplinary teams and help with early access to advanced care. Patients thus report better satisfaction, and the healthcare organization enjoys a good reputation following quality healthcare outcomes. RPM is particularly important in enhancing care continuity in patients and promoting better patient outcomes. Healthier patients mean better patient self-reported healthcare experiences. Thus, RPM is a viable and promising healthcare technology.

A lot of work goes into the preparation and implementation of RPM. They may be efficient for the patients but may increase the workload and training needs of the healthcare providers. In addition, resources are required to run these programs. The lack of extensive research in this field limits the utilization of RPM technologies. With adequate funding and extensive research in RPM, these technologies could prove useful in promoting better patient outcomes, safety, and quality care delivery. Nurses should consider these technologies in improving the quality of their facilities.

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References

Malasinghe, L. P., Ramzan, N., & Dahal, K. (2019). Remote patient monitoring: a comprehensive study. Journal of Ambient Intelligence and Humanized Computing, 10(1), 57-76. https://doi.org/10.1007/s12652-017-0598-x

Tabacof, L., Kellner, C., Breyman, E., Dewil, S., Braren, S., Nasr, L., Tosto, J., Cortes, M., & Putrino, D. (2021). Remote patient monitoring for home management of coronavirus disease 2019 in New York: a cross-sectional observational study. Telemedicine and e-Health, 27(6), 641-648. https://doi.org/10.1089/tmj.2020.0339

Jung, H. Y., Jeon, Y., Kim, Y. S., Kim, D. K., Lee, J. P., Yang, C. W., Ko E.J., Ryu D. R., Kang S. W., Park J. T., Lim J. H, Choi J. Y., Cho J. H., Kim C. D., Kim Y.L., & Park, S. H. (2021). Outcomes of Remote Patient Monitoring for Automated Peritoneal Dialysis: A Randomized Controlled Trial. Nephron, 145(6), 702-710. https://doi.org/10.1159/000518364

Taylor, M. L., Thomas, E. E., Snoswell, C. L., Smith, A. C., & Caffery, L. J. (2021). Does remote patient monitoring reduce acute care use? A systematic review. BMJ Open, 11(3), e040232. http://dx.doi.org/10.1136/bmjopen-2020-040232

Alboksmaty, A., Beaney, T., Elkin, S., Clarke, J. M., Darzi, A., Aylin, P., & Neves, A. L. (2022). Effectiveness and safety of pulse oximetry in remote patient monitoring patients with COVID-19: a systematic review. The Lancet Digital Health, 4(4), e279-e289. https://doi.org/10.1016/S2589-7500(21)00276-4

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.

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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.

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.

(1) 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:

(2) 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.

(3) 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.

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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.