Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing Essay

 

Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing Essay

Telestroke in Nursing Care

Stroke is one of the multisystemic diseases with devastating patient outcomes. Management of stroke benefits from preventive and remote care strategies such as the use of technologies. Telestroke technology has been implemented in some healthcare settings and communities to manage stroke and related outcomes telestroke. Telestroke, also known as stroke telemedicine, is a remote telehealth technology that allows patients to access specialist services remotely and prevent complications through timely management and consultation. Trained stroke specialists work collaboratively with local emergency departments to direct timely care and save patients with stroke or with signs of impending stroke. This technology interests me because it concerns quality care in my clinical field of interest in my future professional nursing. As a nurse, I will be the patient care coordinator and advocate. Therefore, this technology will help ensure that my patients receive timely, effective, efficient, and safe care. The purpose of this paper is to present an annotated bibliography of evidence-based sources with information on the implementation use and outcomes of telestroke in nursing and healthcare.

Literature Search

My search strategy was to assemble primary and secondary literature sources. This included primary research studies and review studies from peer-reviewed and scholarly resources. I searched literature resources from the Cochrane library, PubMed, and Medline databases. Key terms that I used were telestroke, nursing, nursing care, primary care, and telestroke outcomes. I then filtered the returned results to display only research articles published within the past five years, that is, from 2019 to 2023. Search filtering also included selecting results based on their methodology in the PubMed database. Articles that were unavailable as full texts in non-premium access to these databases were not included.

Annotated Bibliography

Chen, N., Wu, X., Zhou, M., Yang, R., Chen, D., Liao, M., Deng, Y., Hong, Z., Zhou, D., & He, L. (2021). Telestroke for the treatment of ischemic stroke in Western China during the COVID-19 pandemic: A multicenter observational study. Frontiers in Neurology, 12, 822342. https://doi.org/10.3389/fneur.2021.822342

This resource is a multisite observational study conducted by Chen and colleagues in China. It focuses on the use of telestroke technology for the treatment of ischemic stroke in Western China during the COVID-19 pandemic. The authors of this study aimed at investigating the feasibility and effectiveness of telestroke in the treatment of acute ischemic stroke during the COVID-19 outbreak. According to this study, telestroke improved the speed of treatment and reduced the risk of complications, leading to improved patient safety and quality of care. I selected this source because it provides valuable information on the use of telestroke technology in a real-world setting during a pandemic, which is a unique and important context for healthcare practitioners to consider in contemporary practice. Implementing this technology in nursing will require considering organizational policies, resources, culture/social norms, commitment, training programs, and employee empowerment for usability, safety, and efficiency purposes.

Lazarus, G., Permana, A. P., Nugroho, S. W., Audrey, J., Wijaya, D. N., & Widyahening, I. S. (2020). Telestroke strategies to enhance acute stroke management in rural settings: A systematic review and meta-analysis. Brain and Behavior, 10(10), e01787. https://doi.org/10.1002/brb3.1787

I selected this resource because it is a high level of evidence, thus asserting its credibility in providing trustworthy information on the use and benefits of telestroke use in primary care settings, especially rural settings. The authors of this article the authors aimed to investigate the effectiveness of telestroke in improving stroke outcomes in rural areas. The summary of the findings of this article supports the use of telestroke in rural areas because of its improved clinical outcomes compared to usual care for stroke patients. This article emphasizes prehospital and in-hospital telestroke implementation to improve the emergency approach to stroke.

Sevilis, T., McDonald, M., Avila, A., Heath, G., Gao, L., O’Brien, G., Zaman, M., Heller, A., Masud, M., Mowzoon, N., & Devlin, T. (2022). Telestroke: Maintaining quality acute stroke care during the COVID-19 pandemic. Telemedicine Journal and E-Health: The Official Journal of the American Telemedicine Association, 28(4), 481–485. https://doi.org/10.1089/tmj.2021.0149

This resource explores stroke management in the COVID-19 pandemic era using the telestroke approach. I selected this article because the authors assessed the impacts that COVID-19 had on stroke management using telestroke acute stroke services. This article assessed the timeliness and frequency of access to telestroke services in the pandemic era. This multisite study involved 19 states that included 171 hospitals with participants in pre-intervention and post-intervention groups. This article found that telestroke improves acute stroke care continuity with reduced interruptions. The time within which stroke patients received care after being seen by the doctor was significantly reduced. Implementation of these findings would aim at improving care timeliness, one of the healthcare quality domains. Therefore, an organization focused on reducing the reception of care by acute care stroke patients would select this technology to improve care quality.

Shea, C. M., Turner, K., Alishahi Tabriz, A., & North, S. (2019). Implementation strategies for telestroke: A qualitative study of telestroke networks in North Carolina. Telemedicine Journal and E-Health: The Official Journal of the American Telemedicine Association, 25(8), 708–716. https://doi.org/10.1089/tmj.2018.0131

This resource focuses on the implementation and logistics of telestroke network technologies. I selected this article because it focused on the implementation aspect of telestroke technology and provides sustainability information from research perspectives. Getting the best of a given technology depends on the usability and sustainability of the given technology to ensure that users and patients benefit from the technology. The authors of this study found that tailoring technology to meet hospital and user needs is paramount and should be a priority of future research. Implementing these recommendations would require systematic needs analysis that would favor the technologies sustainability.

Zachrison, K. S., Sharma, R., Wang, Y., Mehrotra, A., & Schwamm, L. H. (2021). National trends in telestroke utilization in US commercial platforms before the COVID-19 pandemic. Journal of Stroke and Cerebrovascular Diseases: The Official Journal of National Stroke Association, 30(10), 106035. https://doi.org/10.1016/j.jstrokecerebrovasdis.2021.106035

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This resource focuses on national data on telestroke networks and platforms before the COVID-19 pandemic. The authors of this article focused on the characteristics of telestroke consultation systems nationally. I selected this article due to its credibility academically and relevance to the national practice of stroke management and technology use. The usual emergency stroke management ranges from ED arrival to NIHSS, CT scan, imaging review, consult, and alteplase administration. Alteplase is a thrombolytic agent whose early use prevents the further development of clots and breaks the already formed ones, thus preventing the worsening of ischemic stroke. This process averts adverse outcomes from a stroke but has a timeline for implementation. Making this decision depends on the time for patient timely consultation and the specialist’s decision-making that telestroke technology aims at reducing. This article collected, analyzed and reported national data related to this process of telestroke use. The key findings from this study were that alteplase administration time was reduced, participation in telestroke activities increased, and time for consultation was reduced. Organizations willing to implement telestroke technologies should consider workforce and system readiness to adopt this technology so that time taken to receive care is reduced and evidence based.

Conclusion

This annotated bibliography included five scholarly peer-reviewed and systematically selected sources from known journals and databases. The annotated sources explored evidence-based data and information on telestroke technology implementations and benefits. Evidence-based information on how technology promotes patient safety, care quality, and the need for interdisciplinary participation are emphasized in these sources. Telestroke improves the speed of treatment and reduces the risk of complications, leading to improved patient safety and quality of care. The use of telestroke in rural areas improves clinical outcomes as compared to usual care for stroke patients due to improved patient safety and healthcare quality. This is because telestroke improves acute stroke care continuity due to reduced interruptions. The time within which stroke patients received care after being seen by the doctor was significantly reduced. However, tailoring technology to meet hospital and user’s needs is paramount and should be a priority of future research. Key care qualities focused on by this technology are timeliness, safety, equitability, patient-centeredness, and efficiency.

References

Chen, N., Wu, X., Zhou, M., Yang, R., Chen, D., Liao, M., Deng, Y., Hong, Z., Zhou, D., & He, L. (2021). Telestroke for the treatment of ischemic stroke in Western China during the COVID-19 pandemic: A multicenter observational study. Frontiers in Neurology, 12, 822342. https://doi.org/10.3389/fneur.2021.822342

Lazarus, G., Permana, A. P., Nugroho, S. W., Audrey, J., Wijaya, D. N., & Widyahening, I. S. (2020). Telestroke strategies to enhance acute stroke management in rural settings: A systematic review and meta-analysis. Brain and Behavior, 10(10), e01787. https://doi.org/10.1002/brb3.1787

Sevilis, T., McDonald, M., Avila, A., Heath, G., Gao, L., O’Brien, G., Zaman, M., Heller, A., Masud, M., Mowzoon, N., & Devlin, T. (2022). Telestroke: Maintaining quality acute stroke care during the COVID-19 pandemic. Telemedicine Journal and E-Health: The Official Journal of the American Telemedicine Association, 28(4), 481–485. https://doi.org/10.1089/tmj.2021.0149

Shea, C. M., Turner, K., Alishahi Tabriz, A., & North, S. (2019). Implementation strategies for telestroke: A qualitative study of telestroke networks in North Carolina. Telemedicine Journal and E-Health: The Official Journal of the American Telemedicine Association, 25(8), 708–716. https://doi.org/10.1089/tmj.2018.0131

Zachrison, K. S., Sharma, R., Wang, Y., Mehrotra, A., & Schwamm, L. H. (2021). National trends in telestroke utilization in a US commercial platform before the COVID-19 pandemic. Journal of Stroke and Cerebrovascular Diseases: The Official Journal of National Stroke Association, 30(10), 106035. https://doi.org/10.1016/j.jstrokecerebrovasdis.2021.106035

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.
• 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:

• 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.