NURS 5051 Module 4 Week 8 Assignment The Use of Clinical Systems to Improve Outcomes and Efficiencies Essay

NURS 5051 Module 4 Week 8 Assignment The Use of Clinical Systems to Improve Outcomes and Efficiencies Essay

NURS 5051 Module 4 Week 8 Assignment The Use of Clinical Systems to Improve Outcomes and Efficiencies Essay

Health Information Technology (Health IT) use has proliferated in every healthcare setting with the promise of positive clinical outcomes. Undoubtedly, health IT systems have transformed healthcare enabling efficient delivery of services and care to multiple populations with enhanced healthcare. However, not every case of health IT implementation is automatic because of various challenges and barriers that nurse managers and administrators must be aware of. Evaluating the outcomes of these health IT systems and their impact on nursing practice is critical to enhancing their effectiveness. Moreover, lessons learnt and barriers encountered during implementation inform changes for continuous improvement and excellence in care and nursing practice. The purpose of this bibliography is to review scholarly sources documenting the impact of health IT systems on the clinical outcomes of quality, patient safety, patient experience, cost, and nursing practice.

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Annotated Bibliography

Askari-Majdabadi, H., Valinejadi, A., & Mohammadpour, A. (2019). Use of Health Information Technology in Patients Care Management: a Mixed Methods Study in Iran. Acta Informatica Medica. AIM : Journal of the Society for Medical Informatics of Bosnia & Herzegovin, 27(5):311-317. https://doi.10.5455/aim.2019.27.311-317.

In a qualitative study, Askari-Majdabadi et al. (2019) examined the outcomes of using health information technology in the management and care of patients. The study involved both observational data collection and questionnaire interviews of 10 respondents. The participants included nurses, physicians, head nurses, IT managers, and radiology experts. The respondents expressed satisfaction with the health IT system for the care and management of patients and believed that it serves its purpose. The results also revealed a high utilization rate for health IT systems for certain activities but underutilization for other functions. For example, nurses used the system to access patient information, conduct observation, admission, and discharge patients at a 100% rate.

Similarly, giving medicine, equipment, and transfer of patients was another category that recorded a high rate of usage by the respondents at 92.3% (Askari-Majdabadi et al., 2019). However, concerning evidence retrieval and evaluation of diagnostic radiological procedures, the usage was at 0% (Askari-Majdabadi et al., 2019). The lesson learnt is that health IT is beneficial in the clinical environment for the patient care management process; however, ensuring full utilization of system features such as electronic health records requires adjustment of organizational policies and staff motivation. For example, the staff should be taken through vigorous training to understand the benefits of EHR and how to use it to ensure they maximize its potential for management and care of patients for positive outcomes.

Farokhzadian, J., Khajouei, R., & Hasman, A. (2020). Nurses’ experiences and viewpoints about the benefits of adopting information technology in health care: a qualitative study in Iran. BMC Med Inform Decis Mak , 20, 240. https://doi.org/10.1186/s12911-020-01260-5.

No doubt, health information technology (Health IT) has transformed nursing practice with positive outcomes on patient care. Based on this understanding, Farokhzadian et al. (2020) examined the outcomes associated with IT implementation in healthcare from the perspective of nurses. Nursing practice is significantly impacted by such systems implemented in the clinical environment because nurses are the frontline staff directly involved in IT systems such as electronic health records, remote patient monitoring devices, etc. The study’s objective was to evaluate nurses’ viewpoints and experiences regarding the benefits of using health IT in the clinical environment. The qualitative study selected 14 participants from four different large hospitals in the country. The data was collected through semi-structured interviews and analyzed through a content analysis approach.

According to the results, six themes emerged concerning the benefits of integrating IT into the clinical environment to enhance nursing practice. The highlighted themes were improvement in quality, patient care, and efficiency, enhancement of resource management, facilitation of professional and organizational development, improvement of policymaking and management performance, facilitation of technological communication management, improvement in documentation, monitoring, and management, and lastly, better resource management.  

Moore, E. C., Tolley, C., Bates, D., & Slight, S. (2020). A systematic review of the impact of health information technology on nurses’ time. Journal of the American Medical Informatics Association, 798–807, https://doi.org/10.1093/jamia/ocz231.

Moore et al. (2020) investigated how implementing health IT impacts nursing time outcomes. Nursing time is critical in clinical care with a high cost for outcomes, particularly mental health. The article is based on a systematic review of 33 articles that met the set inclusion criteria. The study reviewed the impact implementation of health IT, including the barcode medication administration (BCMA) and EHR, had on nurses’ documentation time. According to the results, the outcome of the implementation of EHR and BCMA was increased documentation time for nurses. However, the time taken for medication administration was reduced by 33%. Another outcome noted from the reviewed implementations was redistribution in nursing time. Nurses spent more time in value-adding activities compared to pre-implementation. For example, the outcomes showed that nurses spent more time providing direct care to patients and inter-professional communication to enhance the patient care process and nursing practice outcomes. The lesson learnt from the implementation is that the implementation of health IT has the negative impact of increasing documentation time for nurses. However, this is complemented by redistribution of nursing time in other areas to focus on spending more time in areas that add value to the care and management process, such as delivering direct patient care.

Veet, C., Radomski, T., & D’Avella, C. (2020). Impact of Healthcare Delivery System Type on Clinical, Utilization, and Cost Outcomes of Patient-Centered Medical Homes: a Systematic Review. J GEN INTERN MED , 35, 1276–1284. https://doi.org/10.1007/s11606-019-05594-3.

Veet et al. (2020) investigated the outcomes of health delivery systems on clinical outcomes and cost-effectiveness. The clinical delivery system is reviewed in the context of patient-centred medical homes (PCMHs). The study aimed to evaluate the outcomes related to the utilization, quality, patient satisfaction, economic, and clinical practice. The authors reviewed 64 studies; a mix of clinical trials and systematic studies based on technological delivery systems used in PCMHs. The study revealed that the implementation of patient-centred medical homes decreased the use of emergency departments, cost, and primary care use. The study also investigated the delivery system government systems, which reported an outcome of increased utilization of primary care. Overall, the results are positive outcomes on costs, clinical nursing practices, quality of care, and patient satisfaction. One of the lessons learnt from this implementation is that it enhances care coordination across various facilities, including government-based administrations such as the Veteran facilities. Similarly, the study reveals that the type of delivery system used directly impacts clinical, quality, and patient outcomes. Moreover, the implementation of PCMH is sensitive to populations, which must be considered when choosing a delivery system.

Conclusion

The benefits of health IT systems in clinical outcomes cannot be emphasized enough. These systems, including EHR, barcode medication administration, decision support systems, patient monitoring devices, and communication systems, have revolutionized nursing practice and patient care. The studies reveal several outcomes of implementing different health IT systems for patient management and care delivery. First, an investigation of staff experience and viewpoints demonstrate significant usage of health IT systems with positive outcomes on quality and patient care. The respondents also reported improved quality, patient management, and overall delivery. Similarly, other studies show that implementing health IT systems positively impacts outcomes on nursing time. For example, even though documentation time is likely to increase, the system will redirect nurses to spend more time in care activities of value, such as one-on-one time with the patient and enhanced inter-professional communication. In summation, implementing various health IT systems is directly linked to positive clinical outcomes and benefits for nursing practice outcomes.

References

Askari-Majdabadi, H., Valinejadi, A., & Mohammadpour, A. (2019). Use of Health Information Technology in Patients Care Management: a Mixed Methods Study in Iran. Acta Informatica Medica. AIM : Journal of the Society for Medical Informatics of Bosnia & Herzegovin, 27(5):311-317. https://doi.10.5455/aim.2019.27.311-317.

Farokhzadian, J., Khajouei, R., & Hasman, A. (2020). Nurses’ experiences and viewpoints about the benefits of adopting information technology in health care: a qualitative study in Iran. BMC Med Inform Decis Mak , 20, 240. https://doi.org/10.1186/s12911-020-01260-5.

Moore, E. C., Tolley, C., Bates, D., & Slight, S. (2020). A systematic review of the impact of health information technology on nurses’ time. Journal of the American Medical Informatics Association, 798–807, https://doi.org/10.1093/jamia/ocz231.

Veet, C., Radomski, T., & D’Avella, C. (2020). Impact of Healthcare Delivery System Type on Clinical, Utilization, and Cost Outcomes of Patient-Centered Medical Homes: a Systematic Review. J GEN INTERN MED , 35, 1276–1284. https://doi.org/10.1007/s11606-019-05594-3.

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Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies
New technology—and the application of existing technology—only appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of positive impact on outcomes or efficiencies.

Nurse informaticists and healthcare leaders formulate clinical system strategies. As these strategies are often based on technology trends, informaticists and others have then benefited from consulting existing research to inform their thinking.

In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings.

To Prepare:

Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.

Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”
Identify and select 4 peer-reviewed research articles from your research.
For information about annotated bibliographies, visit https://academicguides.waldenu.edu/writingcenter/assignments/annotatedbibliographies

The Assignment: (4-5 pages not including the title and reference page)

In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:

Identify the 4 peer-reviewed research articles you reviewed, citing each in APA format. Include an introduction explaining the purpose of the paper.
Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.
In your conclusion, synthesize the findings from the 4 peer-reviewed research articles. Use APA format and include a title page.
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By Day 7 of Week 8
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 Name: NURS_5051_Module04_Week08_Assignment_Rubric

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In a 4- to 5-page paper, synthesize the peer-reviewed research you

reviewed. Format

your Assignment as an Annotated Bibliography. Be sure to address the following:

• Properly identify 4 peer-reviewed research articles

you reviewed.

Excellent

18 (18%) – 20 (20%)

The response

identifies 4 peer- reviewed research articles for the Assignment.

Good

16 (16%) – 17 (17%)

The response

identifies 3 peer- reviewed research articles and one

peer-reviewed article for the Assignment.

Fair

14 (14%) – 15 (15%)

The response

identifies 4 or less peer-reviewed articles

Poor

0 (0%) – 13 (13%)

The response

identifies less than 4 peer-reviewed articles or peer- reviewed articles are missing

Excellent

Good

Fair

Poor

 

 

 

Excellent

Good

Fair

Poor

	Excellent	Good	Fair	Poor
Written Expression and Formatting – APA: The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in- text citations, and reference list.	5 (5%) – 5 (5%) Uses correct APA format with no errors.	4 (4%) – 4 (4%) Contains a few (1-2) APA format errors.	3 (3%) – 3 (3%) Contains several (3- 4) APA format errors.	0 (0%) – 2 (2%) Contains many (≥ 5) APA format errors.

 Name: NURS_5051_Module04_Week08_Assignment_Rubric