Conduct a library search using the various electronic databases available through the Capella University Library. o   Consult the BSN Program Library Research Guide for help in identifying scholarly and/or authoritative sources.

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.

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Introduction

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.

Professional Context

Rapid changes in information technology go hand-in-hand with progress in quality health care delivery, nursing practice, and interdisciplinary team collaboration. Technology is essential to the advancement of the nursing profession, maintaining quality care outcomes, patient safety, and research.

Preparation

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.

To successfully complete this assessment, perform the following preparatory activities:

·        Review the technologies presented in the Assessment 03 Supplement: Evidence-Based Proposal and Annotated Bib on Tech in Nursing [PDF] Download Assessment 03 Supplement: Evidence-Based Proposal and Annotated Bib on Tech in Nursing [PDF]resource and select one of the options to use as the focus for this assessment.

o   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.

o   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.

·        Conduct a library search using the various electronic databases available through the Capella University Library.

o   Consult the BSN Program Library Research Guide for help in identifying scholarly and/or authoritative sources.

o   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.

o   Analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.

o   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.

Instructions

First, review the technologies presented in the Assessment 03 Supplement: Evidence-Based Proposal and Annotated Bib on Tech in Nursing [PDF] Download Assessment 03 Supplement: Evidence-Based Proposal and Annotated Bib on Tech in Nursing [PDF] (DOWN BELOW) resource and select one of the options to use as the focus for this assessment.

Next 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

o   What is your rationale for selecting this particular technology topic? What is interesting about it?

o   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

o   For each resource, include the full reference followed by the annotation.

o   Explain the focus of the research or review article you chose.

o   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

o   How would you tie together the key learnings from each of the four publications you examined?

o   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.

o   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] Download Assessment 3 Example [PDF]. (DOWN BELOW)

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.

o   Analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.

o   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.

o   Describe organizational factors influencing the selection of a technology in the health care setting.

o   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.

o   Create a clear, well-organized, and professional annotated bibliography that is generally free from errors in grammar, punctuation, and spelling.

o   Follow APA style and formatting guidelines for all bibliographic entries.

 

Assessment 03 – Evidence-Based Proposal and AnnotatedBibliography on Technology in NursingFor this assessment, you will write a 4–6 page annotated bibliography where you identify peer-reviewed publications that promote the use of one of the technologies presented below thatenhance quality and safety standards in nursing.Before you complete the detailed instructions in the courseroom, first review the technologiesbelow and select the one you’re most interested in researching.After selecting one of the following technologies to be the focus of your assessment, return tothe courseroom to review the detailed instructions there.· Telestroke: Telestroke services allow neurologists to provide remote consultation tostroke patients in hospitals that might not have neurology specialists. Quick interventioncan significantly improve outcomes for stroke patients.· Fall Detection and Prevention Systems: These systems use sensors and algorithmsto detect when a patient or elderly individual falls. Early detection can lead to rapidintervention, reducing the risk of serious injury.· Automated Wound Assessment Systems: These systems use imaging and othertechnologies to assess wounds, measure their size, and monitor healing. This can leadto more accurate treatment plans and better wound care outcomes.

 

EXAMPLE

 

Annotated Bibliography on Technology in NursingLearner’s NameCapella UniversityNURSFPX4040: Managing Health Information and TechnologyInstructor NameAugust 1, 2019

Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

Technology in NursingPulse oximetry is one of the most common methods of measuring the percentage ofoxygen saturation in blood (Narayen et al., 2016). Pulse oximeters play a crucial role in criticalcare settings by detecting low levels of oxygen saturation. Pulse oximeters are also adopted byanesthesiologists in recovery, emergency, and pediatric wards; operation theatres; and neonatalunits (Hendaus, et al., 2015). This annotated bibliography provides insight into how pulseoximeters are used, their limitations and accuracy, and patient outcomes.Annotated BibliographyHendaus, M. A., Jomha, F. A., & Alhammadi, A. H. (2015). Pulse oximetry in bronchiolitis: Is itneeded? Therapeutics and Clinical Risk Management, 11, 1573–1578.https://doi.org/10.2147%2FTCRM.S93176This article discusses the use of pulse oximetry in pediatric wards. The authors state thathospitals in the United States admit a significant number of children every year withbronchiolitis and other respiratory problems. These problems are usually monitored withthe help of a pulse oximeter, an instrument used to measure the saturation of oxygen inthe blood. Oxygen saturation levels are used by health care providers to evaluate apatient’s respiratory status and are one of the deciding factors for a patient’s discharge.Pulse oximetry is frequently used in pediatrics (in pediatric intensive care units andpediatric wards) and in emergency departments. Pulse oximeters are used to monitoroxygen saturation during resuscitations, while estimating perfusion, while detectingpulsus paradoxus, and while screening infants for congenital heart disease. Though thesource does not fully explain why the limitations occur, it identifies several cases inwhich pulse oximeters are likely to be inaccurate. Pulse oximeters have certainCommented [A1]: Comprehensive information regarding thetypes of pulse oximetry devices, selection criteria, decision makers,and associated costs is not available in the selected papers. The twotypes of pulse oximeters and their advantages over the others isprovided; however, information on the various types of pulseoximeters is not available and the associated costs are not provided.This paper does mention that this technique is cost-effective whichcan fulfill the required criteria.

Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.3limitations due to inadequate signals. Inadequate signals occur in cases of anemia, brightexternal light, dark skin, nail polish, low perfusion, and intravenous dye. Pulse oximetersshow low readings in cases of venous pulsations such as severe right heart failure,tricuspid regurgitation, and blood pressure cuffs or tourniquets above the site of the pulseoximeter. Pulse oximeters might not detect hypoxemia in patients with elevated arterialoxygen tension levels because of the sigmoidal shape of the oxyhemoglobin dissociationcurve. Also, pulse oximeters provide unreliable readings in cases of methemoglobinemia.The source highlights several limitations, which will help readers exercise caution whenusing pulse oximeters. However, despite these limitations, the use of pulse oximeters inpediatrics is recommended because they are handy and allow for noninvasive measuringof arterial oxygen saturation.Jubran, A. (2015). Pulse oximetry. Critical Care, 19(1), 272.https://doi.org/10.1186%2Fs13054-015-0984-8This article provides insight into the principles, accuracy, functioning, and outcome ofpulse oximeters. It discusses the potential advantages of multiwavelength pulse oximetersover conventional pulse oximeters. Multiwavelength pulse oximeters are capable ofestimating the blood levels of carboxyhemoglobin and methemoglobin, whereasconventional pulse oximeters assume that dyshemoglobins such as carboxyhemoglobinand methemoglobin are absent because they can only distinguish between hemoglobinand oxyhemoglobin. Hence, physicians prefer to use multiwavelength pulse oximeters formore accurate results. In hospital settings, the transfer rate from a postsurgical care floorto the intensive care unit (ICU) is an important factor that influences the use of pulseoximeters. The resource reviews a study by Ochroch et al. in which patients were Commented [A3]: Deals with criterion 3: Organizational factorsthat influence the selection of a technology in health care setting.Commented [A2]: Meets criterion 3 as it deals withorganizational factors that influence the selection of a technology inhealth care setting.

Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.4monitored by pulse oximeters either continuously (oximeter group) or intermittentlybased on clinical needs as judged by a physician or a nurse (control group). The rate ofICU transfers for pulmonary complications was lower in the oximeter group than in thecontrol group. Additionally, for patients who did require ICU transfers, the estimated costof treatment from enrollment to the completion of the study was lower for the oximetergroup ($15,481) than for the control group ($18,713) despite the patients in the oximetergroup being older and having higher comorbidity. The reduction in pulmonary transfersto the ICU in the oximeter group was speculated to be the result of early recognition andtreatment of postoperative pulmonary complications. As cited in Jubran, another study byMoller et al. indicates that anesthesiologists considered pulse oximetry to be of immensevalue as it guides clinical management.oximeters because they believe that maintaining oxygenation within limits might helpprevent irreversible injury. Pulse oximetry is, therefore, a key part of the standardprotocol for monitoring critically ill patients.Narayen, I. C., Blom, N. A., Ewer, A. K., Vento, M., Manzoni, P., & te Pas A. B. (2016).Aspects of pulse oximetry screening for critical congenital heart defects: When, howand why? Archives of Disease in Childhood – Fetal and Neonatal Edition, 101(2),F162–F167. http://doi.org/10.1136/archdischild-2015-309205This article describes how pulse oximetry is being implemented worldwide for thescreening of critical congenital heart defects (CCHD). The use of pulse oximetry toscreen for CCHD is highly recommended because it is effective, quick, simple, and cost-effective. The authors state that training parents and caregivers and using tools that arecomputer based can improve pulse oximetry screening. Pulse oximetry helps detectsignificant pathology and is reliable for keeping track of CCHD, which requires constantAnesthesiologists recommend the use of pulse Commented [A4]: Deals with criterion 3: Organizational factorsthat influence the selection of a technology in health care setting.Commented [A5]: Fulfills the rubric criteria: Justify theimplementation and use of a selected technology in a healthcare setting.And also fulfills: Describes organizational factors influencingthe selection of a technology in the health care setting.

Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.5diagnosis and immediate medical intervention. In almost every infant with CCHD,clinically undetectable hypoxemia is identified by pulse oximeters. Early studies ofneonatal pulse oximetry screening for CCHD showed accurate details. As a result, theU.S. Secretary of Health and Human Services advised adding CCHD screening to therecommended uniform screening panel. According to a meta-analysis of 13 screeningstudies, pulse oximetry screening reported a specificity of 99.9 percent, a sensitivity of76.5 percent, and a false positive rate of 0.14 percent. Therefore, the authors concludedthat the universal screening criteria were met by pulse oximetry screening. Pulseoximetry screening shows no difference in accuracy when pre-ductal and post-ductalpulse oximetry measurements are performed. The authors also observed that pulseoximetry screening done 24 hours after birth increases the risk of late detection of CCHDin infants but decreases the false positive rate. Therefore, the use of pulse oximeters canbe crucial for the early detection of CCHD and helps reduce mortality and improvepostoperative outcomes.Nitzan, M., Romem, A., & Koppel, R. (2014). Pulse oximetry: Fundamentals and technologyupdate. Medical Devices: Evidence and Research, 7, 231–239.https://doi.org/10.2147/MDER.S47319This article offers comprehensive insight into how pulse oximetry works; particularly, itlooks at the techniques involved in measurement, the limitations of using the techniques,and the accuracy that can be expected while determining oxygen saturation. Oxygensaturation (SaO2) is the measurement of the percentage of oxygen in hemoglobin. Pulseoximeters detect the significant decline of oxygen in the respiratory function of patients.Measurements of oxygen saturation in pulse oximeters (SpO2) are often inaccurate whenCommented [A6]: Fulfills the rubric criteria: Justify theimplementation and use of a selected technology in a healthcare setting.

Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.6critically ill patients receive supplemental oxygen. The difference between SpO2 andSaO2 determines the accuracy of a pulse oximeter. Though the outcome of pulse oximetryin measuring SaO2 in sick patients is 3–4 percent inaccurate, pulse oximeters quicklydetect the abrupt drop of SpO2 in anesthetized patients and in patients in intensive careunits. Despite the limitations of pulse oximetry, SpO2 values obtained from the pulseoximeter are considered reliable for the detection of deterioration in respiratory function.Further, pulse oximetry has the advantage of being a noninvasive technique to measureoxygen saturation. Studies suggest that pulse oximetry should not be the only method tomonitor SaO2 in the neonatal intensive care unit because of infants’ vulnerability toretinopathy of prematurity, which is induced by the high partial pressure of oxygen inarterial blood. The authors conclude that technological advancements in pulse oximetersover the years have enabled them to diagnose and monitor patients better.ConclusionDespite their limitations, pulse oximeters are recommended for monitoring oxygensaturation levels in patients with respiratory problems. The use of pulse oximeters helps reducethe rate of pulmonary transfers of patients from a postsurgical floor to the ICU. They play acrucial role in screening infants for CCHD, and therefore, the use of pulse oximeters in pediatricwards is highly recommended. Pulse oximetry helps in the early detection of certain diseases,thereby preventing irreversible damage to organs and reducing the rate of mortality. Pulseoximeters are a cost-effective resource in hospitals. They can easily detect a significant declineof oxygen in the respiratory function of patients. The rate of transfers to the intensive care unitdue to pulmonary complications was significantly lower in patients who were continuouslymonitored using pulse oximeters than in patients who were intermittently monitored using pulseCommented [A8]: Fulfills criteria 3: Describes organizationalfactors influencing the selection of a technology in the healthcare setting.Commented [A7]: Fulfills the criteria: Justifies theimplementation and use of a selected technology in a healthcare setting. Provides an in-depth and well-researchedanalysis of the impact of the technology on quality care andpatient safety.

Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.7oximeters. The readings obtained from pulse oximeters are reliable and help make immediateadjustments to a patient’s oxygen supply, which can help prevent irreversible damage or death.The limitations of conventional pulse oximeters are overcome by multiwavelength pulseoximeters, which can estimate the levels of carboxyhemoglobin and methemoglobin in blood.Medical practitioners in interdisciplinary teams, such as pediatricians, pulmonologists, andanesthesiologists, can collectively use the readings obtained from pulse oximetry to assess thecondition of a patient before administering treatment. Hence, pulse oximetry is valuable inhospital settings, helping medical practitioners decide the correct course of treatment and provideimmediate and effective care to patients.

Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.8ReferencesHendaus, M. A., Jomha, F. A., & Alhammadi, A. H. (2015). Pulse oximetry in bronchiolitis: Is itneeded? Therapeutics and Clinical Risk Management, 11, 1573–1578.https://doi.org/10.2147%2FTCRM.S93176Jubran, A. (2015). Pulse oximetry. Critical Care, 19(1), 272.https://doi.org/10.1186%2Fs13054-015-0984-8Narayen, I. C., Blom, N. A., Ewer, A. K., Vento, M., Manzoni, P., & te Pas, A. B. (2016).Aspects of pulse oximetry screening for critical congenital heart defects: When, how andwhy? Archives of Disease in Childhood – Fetal and Neonatal Edition, 101(2), F162–F167. http://doi.org/10.1136/archdischild-2015-309205Nitzan, M., Romem, A., & Koppel, R. (2014). Pulse oximetry: Fundamentals and technologyupdate. Medical Devices: Evidence and Research, 7, 231–239.