NURS-FPX4040 Assessment 3 Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing

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.

Also Read: NURS-FPX4040 Assessment 4 Here.

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.

NURS-FPX4040 Assessment 3 Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing

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.

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.

Evidence-based Proposal and Annotated Bibliography on Technology in Nursing Example

Telepsychiatry

There has been a notable global increase in the use of telehealth and telemedicine within the healthcare setting. This is particularly true with massive adoption, especially during the onset of the COVID-19 pandemic. Telehealth has enabled integrative quality patient-centered care, including psychiatric and mental health care. One such intervention is telepsychiatry, which is the use of telecommunications technology to provide mental health and psychiatric services to patients.

Annotated_Bibliography_on_Technology_in_Nursing Paper

In addition to being as effective as conventional real-time care, telepsychiatry increases accessibility to mental health care, especially for the underserved population in remote areas. It also allows for collaborative distant consultation and is cost-effective (Hilty et al., 2018). These benefits improve the quality and safety of standard patient care.

Telepsychiatric care is achieved through simple technology such as mobile phones, emails, and video conferencing, among others. It allows for patient assessment, patient care, patient education, and remote follow-up virtually without the need for face-to-face services. The adoption of telepsychiatry in the healthcare system has not reached its full potential. Various scientific studies have been conducted on the same to understand telepsychiatry’s implementation, benefits, and barriers. The purpose of this annotated bibliography is to present scientific resources on various aspects of telepsychiatry.

Annotated Bibliography

Raveesh, B. N., & Munoli, R. N. (2020). Ethical and Legal Aspects of Telepsychiatry. Indian Journal Of Psychological Medicine, 42(5 Suppl), 63S–69S. https://doi.org/10.1177/0253717620962033

With the increasing global adoption of telemedicine, there is a need to protect the rights of patients and healthcare professionals in line with this new type of practice. This article provides insights into the ethical and legal frameworks for using telepsychiatry to provide standard and quality psychiatric and mental health care. It deals with legal and ethical principles in the use of technology to meet the needs of mental health patients in addition to the existing conventional real-time care.

Matters of privacy, confidentiality, autonomy, and patient safety have been addressed concerning telepsychiatry. Recent technological practices present novel issues in the methods of assessing, documenting, consulting, and mental health tele-psychotherapies, thus the need for integration of additional guidelines. The findings are crucial to nursing practice, especially with further studies on telepsychiatry, to further improve the application and acceptance of these novel frameworks within the healthcare setting. These guidelines will ensure that services are provided to meet the patient’s expectations and interests and cause no harm to the patient.

Cowan, K., McKean, A., Gentry, M., & Hilty, D. (2019). Barriers to Use of Telepsychiatry: Clinicians as Gatekeepers. Mayo Clinic Proceedings, 94(12), 2510-2523. https://doi.org/10.1016/j.mayocp.2019.04.018

Integration of telepsychiatry has been shown to effective and efficient in mental health patient care. However, certain challenges still hinder its use within the health sector. This article describes various barriers to telepsychiatry’s adoption, implementation, and sustainability in the delivery of psychiatric care. These barriers were based on the perspectives of both the patients and healthcare professionals. The identified barriers were majorly medico-legal, technological, and authoritative.

These included concerns regarding safety, privacy, and restrictions of the technological intervention, resources, and skills required for implementation. The article identifies crucial barriers that may be anticipated with the use of this method. This information can also help formulate policies to solve such issues for better and more effective patient telehealth care.

Gardner, J. S., Plaven, B. E., Yellowlees, P., & Shore, J. H. (2020). Remote Telepsychiatry Workforce: a Solution to Psychiatry’s Workforce Issues. Current Psychiatry Reports, 22(2), 8. https://doi.org/10.1007/s11920-020-1128-7

The shortage of psychiatrists and healthcare professionals, in general, has been a major challenge in the healthcare setting. This is worsened by the higher demand for psychiatric management in the general population. As a result, the available mental health workforce is predisposed to work overload, unfavorable patient-healthcare-professional ratios, and resultant burnout. Mental health patients may thus have limited access to care, receive substandard care, and are more predisposed to harm, for example, from medical errors.

This article describes how telepsychiatry enables a remote workforce through technology, thus improving access to mental health care. There is also a reduced workload and wider coverage of the affected population, thus increasing productivity. The article also points out various challenges encountered in the implementation of the telepsychiatry workforce and possible solutions to these barriers. This article is beneficial to the nursing profession in that it could provide solutions to the existing crisis of health workforce shortage. It also enlists expected challenges and ways to mitigate them for better patient outcomes and satisfaction.

Gude, J., Subhedar, R. V., Zhang, M. H., Jain, P., Bhela, J., Bangash, F., Veluri, N., Hsieh, Y. C., Sheikh, B. Z., Shah, M. R., Mansuri, Z., Aedma, K., Patel, U. K., & Parikh, T. (2021). Emerging Needs and Viability of Telepsychiatry During and Post COVID-19 Era: A Literature Review. Cureus, 13(8), e16974. https://doi.org/10.7759/cureus.16974

The traditional real-time mental health assessment and management were adversely affected by the onset of the highly contagious COVID-19 pandemic. The pandemic necessitated the uptake of several preventive measures to mitigate its spread, including restructuring and alteration in methods and practices of healthcare delivery. This included the use of telehealth to ensure continuity of care to overcome barriers to healthcare presented by the pandemic, such as social distancing and stay-at-home orders.

This article discusses the adoption of telepsychiatry, one of the telehealth interventions, to bridge the gap between healthcare providers and their patients. This enables the provision of services to a patient without the necessity of fact-to-face interactions in an effective and time-saving manner. The benefits that were experienced were not only for the patient but also for the healthcare providers. These included reduced risk of infection by the virus, increased accessibility to healthcare, flexible working hours, and cost-effectiveness in offering services. This article clearly shows the efficiency of telepsychiatry which can be adopted not only in the setting of future pandemics but also in everyday patient care.

Thomas, J., Novins, D., Hosokawa, P., Olson, C., Hunter, D., & Brent, A. et al. (2018). The Use of Telepsychiatry to Provide Cost-Efficient Care During Pediatric Mental Health Emergencies. Psychiatric Services, 69(2), 161-168. https://doi.org/10.1176/appi.ps.201700140

Telepsychiatry can be successfully employed in psychiatric consultation, especially in psychiatric emergencies in a remote setting. This article explores how telepsychiatric consultation can be used in pediatric emergencies. This was done in comparison to standard consultation care, where the patient would be taken physically to the hospital for consultation before admission or appropriate discharge and follow-up. Reduction in overall costs, as well as time-saving, was enhanced with the telepsychiatric consultation. This is particularly important in the nursing profession for the provision of timely psychiatric emergencies without delays caused the standard consultation care.

Naik, S. S., Manjunatha, N., Kumar, C. N., Math, S. B., & Moirangthem, S. (2020). Patient’s Perspectives of Telepsychiatry: The Past, Present, and Future. Indian Journal Of Psychological Medicine, 42(5 Suppl), 102S–107S. https://doi.org/10.1177/0253717620963341

The difference in accessibility to treatment services exists due to disparities in various factors related to geography, healthcare access, culture, and vulnerable populations. This difference can be bridged by telepsychiatry, which significantly improves access to mental health care across all populations. This article describes various aspects of patients’ perspectives on the use of telepsychiatry to deliver health services. The aspects in question include the outcomes of care, financial implications, and resolution of any associated issues.

This is important in addressing key patient factors such as adherence to treatment, continuity of care, affordability, accessibility to care, and reduction in discriminatory events that could result from in-person care. The ultimate results include enhanced patient outcomes together with satisfactory patient-centered care. This will be achieved through patient-centered health interventions such as virtual patient education, evaluation, and psychotherapeutic interventions, all per patients’ expectations.

Li, Z., Harrison, S., Li, X., & Hung, P. (2021). Telepsychiatry adoption across hospitals in the United States: a cross-sectional study. BMC Psychiatry, 21(1). https://doi.org/10.1186/s12888-021-03180-8

This article was an outcome of a cross-sectional study that evaluated the implementation of telepsychiatry across various healthcare settings within the United States. Various characteristics were compared, including rural and urban hospitals, those providing inpatient versus outpatient psychiatric services, hospital size, and private versus county hospitals, among others. Access to psychiatric care is critical for patients discharged from hospital psychiatric units to ensure continuity of care. The adoption was majorly beneficial, especially in settings where the real-time provision of services and subsequent follow-up were challenging. The variations were intended to bring out any gaps in access to telepsychiatry to improve patient care.

Conclusion

This annotated bibliography entails an overview of the application of technology in nursing, specifically in telepsychiatry. Various sources were obtained from online journal resources. All the resources were published between the year 2018 to 2022 and are peer-reviewed. The annotated bibliography summarizes multiple aspects of the telepsychiatric management of mental health patients. This includes the anticipated challenges in adoption, application in psychiatric emergencies, and various patients’ perspectives on its adoption. The benefits of the integration of telepsychiatry into conventional health practices have also been elucidated.

The successful massive adoption of telepsychiatry necessitated by the COVID-19 pandemic has also been described. All of these provide technical and essential knowledge to healthcare providers, including nurses, as well as other appropriate healthcare stakeholders on telepsychiatry. It equips them with necessary information on the benefits and barriers to the adoption of telehealth in general. It is, therefore, beneficial in ensuring quality, safe, and patient-centered care through novel, cost-effective, timely, and accessible psychiatric intervention.

References

Cowan, K., McKean, A., Gentry, M., & Hilty, D. (2019). Barriers to Use of Telepsychiatry: Clinicians as Gatekeepers. Mayo Clinic Proceedings, 94(12), 2510-2523. https://doi.org/10.1016/j.mayocp.2019.04.018

Gardner, J. S., Plaven, B. E., Yellowlees, P., & Shore, J. H. (2020). Remote Telepsychiatry Workforce: a Solution to Psychiatry’s Workforce Issues. Current Psychiatry Reports, 22(2), 8. https://doi.org/10.1007/s11920-020-1128-7

Hilty, D. M., Sunderji, N., Suo, S., Chan, S., & McCarron, R. M. (2018). Telepsychiatry and other technologies for integrated care: evidence base, best practice models and competencies. International Review Of Psychiatry (Abingdon, England), 30(6), 292–309. https://doi.org/10.1080/09540261.2019.1571483

Li, Z., Harrison, S., Li, X., & Hung, P. (2021). Telepsychiatry adoption across hospitals in the United States: a cross-sectional study. BMC Psychiatry, 21(1). https://doi.org/10.1186/s12888-021-03180-8

Raveesh, B. N., & Munoli, R. N. (2020). Ethical and Legal Aspects of Telepsychiatry. Indian Journal Of Psychological Medicine, 42(5 Suppl), 63S–69S. https://doi.org/10.1177/0253717620962033

Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing Scoring Guide

Criteria	Non-performance	Basic	Proficient	Distinguished
Analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.	Does not analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.	Identifies but does not analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.	Analyzes current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.	Provides a rigorous, scholarly, and perceptive analysis of 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.	Does not 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.	Integrates some evidence about the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation, but the work lacks detail or is missing critical information.	Integrates current evidence about the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation.	Integrates well-researched and current evidence about the impact of a selected innovative patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation. Provides clear insight into the potential implications of the technology on patient safety and quality of care.
Describe organizational factors influencing the selection of a technology in the health care setting.	Does not describe organizational factors influencing the selection of a technology in the health care setting.	Identifies but does not fully describe organizational factors influencing the selection of a technology in the health care setting.	Describes organizational factors influencing the selection of a technology in the health care setting.	Provides a scholarly, comprehensive, and well-researched description of 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.	Does not justify the implementation and use of a selected technology in a health care setting.	Explains but does not justify the implementation and use of a selected technology in a health care setting.	Justifies the implementation and use of a selected technology in a health care setting.	Justifies the implementation and use of a selected technology in a health care setting. Provides an in-depth and well-researched analysis of the impact of the technology on quality care and patient safety.
Create a clear, well-organized, and professional annotated bibliography that is generally free from errors in grammar, punctuation, and spelling.	Does not create a clear, well-organized, and professional annotated bibliography that is generally free from errors in grammar, punctuation, and spelling.	Provides an annotated bibliography that has errors in grammar, punctuation, and spelling and exhibits a lack of preparation.	Creates a clear, well-organized, and professional annotated bibliography that is generally free from errors in grammar, punctuation, and spelling.	Creates a clear, well-organized, and professional annotated bibliography that is free from errors in grammar, punctuation, and spelling.
Follow APA style and formatting guidelines for all bibliographic entries.	Does not follow APA style and formatting guidelines for citations and references.	Partially follows APA style and formatting guidelines for citations and references.	Follows APA style and formatting guidelines for all bibliographic entries.	Follows APA style and formatting guidelines for citations and references with flawless precision and accuracy.