NURS FPX 4040 Assessment 3 Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing

NURS FPX 4040 Assessment 3 Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing

Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing

The use of technology in the medical field has advanced significantly in recent years, especially in Intensive Care Units (ICUs). Integrating technology into nursing practice (NURS FPX 4040 Assessment 3 Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing) has revolutionized healthcare delivery, with Tele-ICU emerging as a prominent advancement. Tele-ICU utilizes telecommunications and information technology to remotely monitor and manage critically ill patients in Intensive Care Units (ICUs) (Khurrum et al., 2020). The rationale for selecting Tele-ICU technology as the topic of interest is that I believe it has the significant potential to revolutionize my nursing practice and improve patient outcomes in critical care settings.

Also, as a healthcare professional, staying informed about new technology and developments in the field is essential. Tele-ICU represents a convergence of healthcare and technology, offering remote monitoring and managing critically ill patients through telecommunications and information technology (Gogia, 2020). This proposal explores the potential of Tele-ICU technology in nursing practice and its impact on patient outcomes. I searched various medical sources, including PubMed, NCBI, and Science Direct, and performed keyword searches for Tele-ICU, nursing, and healthcare to complete my assessment.

Also Check:
NURS Fpx 4040 Assessment 2 Protected Health Information (PHI): Privacy, Security, and Confidentiality Best Practices

Evidence of the Impact of Tele-ICU Patient Care Technology on Patient Safety

Khunlertkit, A., & Carayon, P. (2020). Contributions of Tele–Intensive Care Unit (Tele-ICU) technology to quality of care and patient safety. Journal of Critical Care, 28(3), 315.e1–315.e12. https://doi.org/10.1016/j.jcrc.2012.10.005

This study (NURS FPX 4040 Assessment 3 Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing) conducted a scoping review to explore the existing evidence on telemedicine interventions in Intensive Care Units (ICUs). This study aimed to identify the specific aspects of tele-ICU technology that contribute to care processes and patient outcomes, whether positively or negatively. The study conducted a qualitative study using semi-structured interviews with 61 tele-ICU staff from 5 different tele-ICUs. Through inductive content analysis of the interview data, the researchers identified 19 positive and nine negative/neutral contributions of tele-ICU to care processes and patient outcomes.

Positive aspects included the availability of extra resources, reducing mortality and length of stay, serving as a quality trigger to improve evidence-based medicine compliance, supporting medication management and improving medication safety, and helping to reduce the risk of patient falls and libration through software alerts and camera monitoring.

However, the study (NURS FPX 4040 Assessment 3 Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing) also found that tele-ICU physicians could make poor care decisions, leading to medication errors if they lacked patient-related information. The study provides insights into how tele-ICU technology can influence care processes and patient outcomes, highlighting its potential benefits and challenges. It underscores the importance of effectively implementing and integrating tele-ICU technology into ICU workflows to maximize its positive impact on patient care.

Impact of a Tele-ICU Innovative Patient Care Technology on Patient Safety

Krupp, A., Di Martino, M., Chung, W., Chaiyachati, K., Agarwal, A. K., Huffenberger, A. M., & Laudanski, K. (2021). Communication and role clarity inform tele-ICU use: A qualitative analysis of opportunities and barriers in an established program using AACN framework. BioMed Central Health Services Research, 21(1). https://doi.org/10.1186/s12913-021-06287-6

This study (NURS FPX 4040 Assessment 3 Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing)delved into using tele-intensive Care Unit (ICU) services within an established consulting-style tele-ICU model. The study used qualitative methods to interview ICU and tele-ICU nurses to understand their experiences and perceptions. Through analysis, three main themes emerged: firstly, nurses highlighted their unique tele-ICU knowledge and technological skills; secondly, the study noted how the tele-ICU partnership supported quality improvement initiatives; and thirdly, this study identified how elements of the work environment, such as effective communication and role clarity, influenced perceptions and usage of tele-ICU services.

The study suggested that flexible, provider-driven approaches to integrating tele-ICU services into daily practice could define its future applicability, emphasizing the importance of effective communication and role clarity in this integration process. The study NURS FPX 4040 Assessment 3 Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing showed that Telemedicine in the Intensive Care Unit (tele-ICU) has evolved significantly since its inception in the 1970s, aiming to provide remote acute care for critically ill patients, especially during resource scarcity like the COVID-19 pandemic. While tele-ICU programs offer patient monitoring and consultation by trained ICU providers, their financial return on investment remains unclear.

Efforts to match tele-ICU services with ICU demands are crucial for advancement, with provider roles ranging from supervision to co-management. Leadership and organizational characteristics, rather than technology quality, drive the success of tele-ICU programs. Nurses play a critical role in tele-ICU delivery due to their proximity to patients, yet little is known about how nursing workflows adapt to tele-ICU services. While guidelines exist for establishing tele-ICU nursing practices, their presence in practice is uncertain.

 In summary, the study (NURS FPX 4040 Assessment 3 Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing) provides evidence that a flexible tele-ICU program with no rigid provider roles fosters innovation and can address unmet care needs in our system. Nurse interactions between ICU and tele-ICU environments can naturally shape optimal healthcare delivery models. This organic adaptation of tele-ICU services can explain its success during COVID-19. Understanding the current implementation process can inform future tele-ICU program expansion and support for ICU-level care.

Organizational Factors Influencing the Tele-ICU 

Guinemer, C., Boeker, M., Weiss, B., Poncette, A.-S., Fuerstenau, D., Mörgeli, R., & Balzer, F. (2021). Telemedicine in intensive care units: A scoping review. (Preprint). Journal of Medical Internet Research, PMC8600441(articles/PMC8600441/). https://doi.org/10.2196/32264

The study (NURS FPX 4040 Assessment 3 Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing) conducted a scoping review to explore the existing evidence on tele-intensive care unit (ICU) interventions. The aim was to understand the organizational factors that influence the efficacy of telemedical treatments in the ICU and identify areas for further technological research in this field. By following a systematic approach and using the PRISMA-ScR guidelines, the researchers retrieved 3019 results and ultimately included 25 studies in their analysis.

Through the NURS FPX 4040 Assessment 3 Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing’s review, the study categorized tele-ICU interventions into three main use cases: extending coverage, improving compliance, and facilitating transfer. Extending coverage involves interventions aimed at making intensive care capabilities more widely available. Improving compliance includes interventions to enhance patient safety, adhere to best practices, and improve the overall quality of care. Facilitating transfer refers to telemedicine interventions focused on managing patient transfers to or from the ICU.

The study (NURS FPX 4040 Assessment 3 Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing) also concluded that tele-ICU interventions have demonstrated benefits, particularly in centralized systems that extend critical care capabilities in community settings and improve compliance in tertiary hospitals. However, the study noted weak evidence regarding reducing patient transfers following tele-ICU intervention. Overall, this study provides valuable insights into the diverse applications and potential benefits of tele-ICU interventions. It highlights the need for further research to understand their effectiveness better and optimize their implementation in different healthcare settings.

Justification for the Implementation and Use of Tele-ICU

McLeroy, R. D., Ingersoll, J., Nielsen, P., & Pamplin, J. (2020). Implementation of Tele-critical care at General Leonard Wood Army Community Hospital. Military Medicine, 185(1-2), e191–e196. https://doi.org/10.1093/milmed/usz147

This study (NURS FPX 4040 Assessment 3 Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing) focused on implementing a Tele-Intensive Care Unit (tele-ICU) program at General Leonard Wood Army Community Hospital (GLWACH), a small medical facility with limited critical care resources. By partnering with a Tele-ICU service provider, this study aimed to address gaps in critical care capabilities, such as the lack of board-certified critical care physicians and limited surgical opportunities.

The study also identified to assess the impact of the tele-ICU program, the hospital monitored various metrics including patient volume, acuity, case mix index, and purchased care costs before and after implementation. The study also administered a Safety Attitudes Questionnaire (SAQ) to gauge staff perceptions before and after the program.

This study (NURS FPX 4040 Assessment 3 Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing) showed several positive outcomes: increased hospital and ICU patient volume, surgical patient volume, and complexity. Purchased care costs decreased by 30% in the year following implementation, and the return on investment was calculated at 19%. Additionally, all measurements of the SAQ improved following implementation, indicating enhanced staff satisfaction and confidence in patient care. The study suggested that implementing a tele-ICU program can effectively address critical care gaps in small medical facilities, improving patient outcomes, reducing costs, and increasing staff satisfaction. It highlights the potential benefits of tele-ICU services in enhancing care quality and safety, particularly in settings with limited resources.

Conclusion – NURS FPX 4040 Assessment 3 Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing

The studies in this evidence-based proposal and supplementary material provide persuasive evidence that Tele-ICU technology improves patient safety, nursing practice, and healthcare outcomes. The studies show that Tele-ICU technology can considerably minimize medication mistakes, adverse drug events, and patient harm while improving medication administration accuracy, medication reconciliation, and provider communication. Tele-ICU technology can also help nurses improve their workflow, save paperwork time, and raise their understanding of medication safety. Healthcare organizations must carefully evaluate these issues (NURS FPX 4040 Assessment 3 Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing) when selecting and deploying Tele-ICU technology to guarantee that it is used efficiently and effectively.

References

NURS FPX 4040 Assessment 3 Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing: Khurrum, M., Asmar, S., & Joseph, B. (2020). Telemedicine in the ICU: Innovation in the Critical Care Process. Journal of Intensive Care Medicine, 36(12), https://doi.org/10.1177/0885066620968518

NURS FPX 4040 Assessment 3 Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing: Khunlertkit, A., & Carayon, P. (2020). Contributions of Tele–Intensive Care Unit (Tele-ICU) technology to quality of care and patient safety. Journal of Critical Care, 28(3), 315.e1–315.e12. https://doi.org/10.1016/j.jcrc.2012.10.005

NURS FPX 4040 Assessment 3 Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing: Krupp, A., Di Martino, M., Chung, W., Chaiyachati, K., Agarwal, A. K., Huffenberger, A. M., & Laudanski, K. (2021). Communication and role clarity inform TeleICU use: A qualitative analysis of opportunities and barriers in an established program using AACN framework. BioMed Central Health Services Research, 21(1). https://doi.org/10.1186/s12913-021-06287-6

NURS FPX 4040 Assessment 3 Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing: Guinemer, C., Boeker, M., Weiss, B., Poncette, A.-S., Fuerstenau, D., Mörgeli, R., & Balzer, F. (2021). Telemedicine in intensive care units: A scoping review. (Preprint). Journal of Medical Internet Research, PMC8600441(articles/PMC8600441/). https://doi.org/10.2196/32264

NURS FPX 4040 Assessment 3 Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing: McLeroy, R. D., Ingersoll, J., Nielsen, P., & Pamplin, J. (2020). Implementation of Tele-critical care at General Leonard Wood Army Community Hospital. Military Medicine, 185(1-2), e191–e196. https://doi.org/10.1093/milmed/usz147

NURS FPX 4040 Assessment 3 Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing: Gogia, S. (2020, January 1). Chapter 2 – Rationale, history, and basics of telehealth (S. Gogia, Ed.). ScienceDirect; Academic Press. https://www.sciencedirect.com/science/article/abs/pii/B9780128143094000021

Leave a Comment

Your email address will not be published. Required fields are marked *

Please Fill The Following to Resume Reading

    Please Enter Active Contact Information For OTP

    Verification is necessary to avoid bots.
    Please Fill The Following to Resume Reading

      Please Enter Active Contact Information For OTP

      Verification is necessary to avoid bots.
      Scroll to Top
      × How can I help you?