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.
RESOURCES
- McGonigle, D., & Mastrian, K. G. (2022). Nursing informatics and the foundation of knowledge(5th ed.). Jones & Bartlett Learning.
- Chapter 14, “The Electronic Health Record and Clinical Informatics” (pp. 293–316)
- Chapter 15, “Informatics Tools to Promote Patient Safety, Quality Outcomes, and Interdisciplinary Collaboration” (pp. 323–349)
- Chapter 16, “Patient Engagement and Connected Health” (pp. 357–378)
- Chapter 17, “Using Informatics to Promote Community/Population Health” (pp. 383–397)
- Chapter 18, “Telenursing and Remote Access Telehealth” (pp. 403–432)
- Benda, N. C., Veinot, T. C., Sieck, C. J., & Ancker, J. S. (2020). Broadband internet access is a social determinant of health!Links to an external site.. American Journal of Public Health, 110(8), 1123-1125. https://doi.org/10.2105/AJPH.2020.305784
- Dykes, P. C., Rozenblum, R., Dalal, A., Massaro, A., Chang, F., Clements, M., Collins, S. …Bates, D. W. (2017). Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The Promoting Respect and Ongoing Safety Through Patient Engagement Communication and Technology StudyDownload Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The Promoting Respect and Ongoing Safety Through Patient Engagement Communication and Technology Study. Critical Care Medicine, 45(8), e806–e813. doi:10.1097/CCM.0000000000002449
- gov. (2018c). What is an electronic health record (EHR)?Links to an external site.Retrieved from
https://www.healthit.gov/faq/what-electronic-health-record-ehr - Rao-Gupta, S., Kruger, D. Leak, L. D., Tieman, L. A., & Manworren, R. C. B. (2018). Leveraging interactive patient care technology to Improve pain management engagementLinks to an external site.. Pain Management Nursing, 19(3), 212–221.
- Sieck, C. J., Sheon, A., Ancker, J. S., Castek, J., Callahan, B., & Siefer, A. (2021). Digital inclusion as a social determinant of healthLinks to an external site.. NPJ Digital Medicine, 4(1), 52. https://doi.org/10.1038/s41746-021-00413-8
- Skiba, D. (2017). Evaluation tools to appraise social media and mobile applicationsLinks to an external site.. Informatics, 4(3), 32–40.
- Sharma, P., & Patten, C. A. (2022). A need for digitally inclusive health care service in the United States: Recommendations for clinicians and health care systemsLinks to an external site.. Permanente Journal, 26(3). https://doi.org/10.7812/TPP/21.156
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
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/annotatedbibliographiesLinks to an external site.
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.
- Use the Safe Assign Drafts to check your match percentage before submitting your work.
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In this literature review assignment, you are tasked with summarizing four peer-reviewed research articles on the application of clinical systems to improve outcomes and efficiencies in healthcare. Below, I have provided summaries of the selected articles, along with an introduction and a conclusion.
Introduction: The use of clinical systems in healthcare has the potential to significantly impact patient outcomes and operational efficiencies. To assess the evidence supporting this, four peer-reviewed research articles were selected, each offering insights into the application of clinical systems in various healthcare contexts.
Selected Peer-Reviewed Research Articles:
- Title: Broadband Internet Access is a Social Determinant of Health!
- Authors: Benda, N. C., Veinot, T. C., Sieck, C. J., & Ancker, J. S.
- Publication Year: 2020
- Summary: This article discusses how broadband internet access plays a crucial role in healthcare by enabling telehealth and patient engagement. It highlights the importance of equitable access to technology, as limited access to broadband can negatively impact health outcomes, particularly for underserved populations. The research demonstrates that improving internet access can lead to better healthcare access and outcomes.
- Title: Prospective Evaluation of a Multifaceted Intervention to Improve Outcomes in Intensive Care: The Promoting Respect and Ongoing Safety Through Patient Engagement Communication and Technology Study.
- Authors: Dykes, P. C., Rozenblum, R., Dalal, A., et al.
- Publication Year: 2017
- Summary: This study evaluates the impact of a multifaceted intervention, including the use of technology, in improving outcomes in intensive care units (ICUs). The intervention incorporated patient engagement tools and communication technology. Results showed improved patient outcomes, reduced adverse events, and enhanced communication among healthcare teams, thus underscoring the benefits of clinical systems in intensive care settings.
- Title: Leveraging Interactive Patient Care Technology to Improve Pain Management Engagement.
- Authors: Rao-Gupta, S., Kruger, D., Leak, L. D., Tieman, L. A., & Manworren, R. C. B.
- Publication Year: 2018
- Summary: This research examines the use of interactive patient care technology to enhance pain management in healthcare. The study demonstrates that technology-driven interventions can improve patient engagement in pain management, leading to better pain control and overall patient satisfaction. It underscores the value of clinical systems in addressing specific healthcare challenges, such as pain management.
- Title: Digital Inclusion as a Social Determinant of Health.
- Authors: Sieck, C. J., Sheon, A., Ancker, J. S., et al.
- Publication Year: 2021
- Summary: This article explores digital inclusion as a social determinant of health and its role in healthcare access and outcomes. It emphasizes that disparities in digital access can lead to health inequalities. The research suggests that promoting digital inclusion through clinical systems can bridge these disparities, improve access to care, and enhance overall health outcomes.
Conclusion: The reviewed research articles collectively illustrate the positive impact of clinical systems on healthcare outcomes and efficiencies. From enhancing patient engagement in pain management to improving ICU outcomes through multifaceted interventions, and addressing digital inclusion as a social determinant of health, these studies emphasize the transformative potential of technology in healthcare. These findings underscore the importance of continued research and investment in clinical systems to drive improvements in healthcare delivery and patient outcomes.