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.

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 and select a Sentinel-U simulation to complete for practice. Completing these activities will help you succeed with the assessment. The Annotated Bibliography Formative Assessment will count towards engagement.

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

· Before you begin to develop the assessment, you are encouraged to complete the Annotated Bibliography Formative Assessment and select a Sentinel-U simulation to complete for practice. Completing these activities will help you succeed with the assessment. The Annotated Bibliography Formative Assessment will count towards engagement.

· 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.

· 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 five 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.

· Evaluate how your chosen technology can be integrated with Artificial Intelligence to improve patient safety, nurse workflow, or efficient healthcare delivery.

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

Review the technologies presented in the “Sentinel U: Telehealth Nursing Series Medical/Surgical: Lynn Tan” activity. There are 3 patients listed under “Cases”. Pick one case and select ONE of the technology options used in the SIM to use as the focus for this assessment.  The SIM report must demonstrate 100% complete. You will upload the completed SIM report with your assignment.

Next prepare a 4–6 page paper in which you introduce your selected technology and describe at least five 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? What is interesting about it?

· 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.

· Artificial Intelligence (AI)

· How can AI be used with your chosen technology to improve patient care, nursing workflow, or efficient healthcare delivery. Be sure one of your journal articles supports this.

· Summary of Recommendation

· How would you tie together, or integrate, the key learnings from each of the five publications you examined?

· Describe which 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.

· Upload: You must upload the completed SIM report from “Sentinel U: Telehealth Nursing Series Medical/Surgical: Lynn Tan” with your annotated bibliography.

· Number of resources: Cite a  minimum of five peer-reviewed publications, not websites. At least four for the annotation elements and at least one for your justification of AI.

· 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.

· Describe one's rationale for selecting a technology topic, including the process used to identify it.

· Describe current evidence on the impact and relevance 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.

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Criterion 1

Describe one's rationale for selecting a technology topic, including the process used to identify it.

Distinguished

Describes one's rationale for selecting a technology topic, including the process used to identify it, and the assumptions behind the selection process.

Proficient

Describes one's rationale for selecting a technology topic, including the process used to identify it.

Basic

Describes one's rationale for selecting a technology topic.

Non Performance

Does not describe one's rationale for selecting a technology topic, including the process used to identify it.

Criterion 2

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

Distinguished

Describes current evidence on the impact and relevance of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team. Describes what makes each particular source of evidence an important contribution to the topic.

Proficient

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

Basic

Identifies but does not describe current evidence on the impact and relevance of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.

Non Performance

Does not describe current evidence on the impact and relevance of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.

Criterion 3

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. 

Distinguished

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.

Proficient

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. 

Basic

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.

Non Performance

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.

Criterion 4

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

Distinguished

Provides a scholarly, comprehensive, and well-researched description of organizational factors influencing the selection of a technology in the health care setting.

Proficient

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

Basic

Identifies but does not fully describe organizational factors influencing the selection of a technology in the health care setting.

Non Performance

Does not describe organizational factors influencing the selection of a technology in the health care setting.

Criterion 5

Justify the implementation and use of a selected technology in a health care setting. 

Distinguished

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.

Proficient

Justifies the implementation and use of a selected technology in a health care setting. 

Basic

Explains but does not justify the implementation and use of a selected technology in a health care setting.

Non Performance

Does not justify the implementation and use of a selected technology in a health care setting.

Criterion 6

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

Distinguished

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

Proficient

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

Basic

Provides an annotated bibliography that has errors in grammar, punctuation, and spelling and exhibits a lack of preparation.

Non Performance

Does not create a clear, well-organized, and professional annotated bibliography that is generally free from errors in grammar, punctuation, and spelling.

Criterion 7

Follow APA style and formatting guidelines for all bibliographic entries. 

Distinguished

Follows APA style and formatting guidelines for citations and references with flawless precision and accuracy.

Proficient

Follows APA style and formatting guidelines for all bibliographic entries.

Basic

Partially follows APA style and formatting guidelines for citations and references.

Non Performance

Does not follow APA style and formatting guidelines for citations and references.

Criterion 8

Upload the Sentinel U telehealth simulation report showing completion.

Distinguished

Uploads the Sentinel-U telehealth SIM report and it is 86-100% complete.

Proficient

Uploads the Sentinel-U telehealth simulation report and it is between 31-85% complete.

Basic

Uploads the Sentinel-U telehealth simulation report, but it is only 30% complete.

Non Performance

Does Not upload the telehealth Sentinel-U simulation report.

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

1

Technology in Nursing

Name

School of Nursing and Health Sciences, Capella University

NURS-FPX4045

Instructor

Month Day, Year

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

ANNOTATED BIBLIOGRAPHY ON TECHNOLOGY IN NURSING 2

Technology in Nursing

Pulse oximetry is one of the most common methods of measuring the percentage of

oxygen saturation in blood (Narayen et al., 2016). Pulse oximeters play a crucial role in critical

care settings by detecting low levels of oxygen saturation. Pulse oximeters are also adopted by

anesthesiologists in recovery, emergency, and pediatric wards; operation theatres; and neonatal

units (Hendaus, Jomha, & Alhammadi, 2015). This annotated bibliography provides insight into

how pulse oximeters are used, their limitations and accuracy, and patient outcomes.

Annotated Bibliography

Hendaus, M. A., Jomha, F. A., & Alhammadi, A. H. (2015). Pulse oximetry in bronchiolitis: Is it

needed? Therapeutics and Clinical Risk Management, 11, 1573–1578.

https://dx.doi.org/10.2147%2FTCRM.S93176

This article discusses the use of pulse oximetry in pediatric wards. The authors state that

hospitals in the United States admit a significant number of children every year with

bronchiolitis and other respiratory problems. These problems are usually monitored with

the help of a pulse oximeter, an instrument used to measure the saturation of oxygen in

the blood. Oxygen saturation levels are used by health care providers to evaluate a

patient’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 and

pediatric wards) and in emergency departments. Pulse oximeters are used to monitor

oxygen saturation during resuscitations, while estimating perfusion, while detecting

pulsus paradoxus, and while screening infants for congenital heart disease. Though the

source does not fully explain why the limitations occur, it identifies several cases in

which pulse oximeters are likely to be inaccurate. Pulse oximeters have certain

Commented [A1]: Comprehensive information regarding the types of pulse oximetry devices, selection criteria, decision makers, and associated costs is not available in the selected papers. The two types of pulse oximeters and their advantages over the others is provided; however, information on the various types of pulse oximeters is not available and the associated costs are not provided. This paper does mention that this technique is cost-effective which can fulfill the required criteria.

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

ANNOTATED BIBLIOGRAPHY ON TECHNOLOGY IN NURSING 3

limitations due to inadequate signals. Inadequate signals occur in cases of anemia, bright

external light, dark skin, nail polish, low perfusion, and intravenous dye. Pulse oximeters

show 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 pulse

oximeter. Pulse oximeters might not detect hypoxemia in patients with elevated arterial

oxygen tension levels because of the sigmoidal shape of the oxyhemoglobin dissociation

curve. Also, pulse oximeters provide unreliable readings in cases of methemoglobinemia.

The source highlights several limitations, which will help readers exercise caution when

using pulse oximeters. However, despite these limitations, the use of pulse oximeters in

pediatrics is recommended because they are handy and allow for noninvasive measuring

of arterial oxygen saturation.

Jubran, A. (2015). Pulse oximetry. Critical Care, 19(1), 272.

https://dx.doi.org/10.1186%2Fs13054-015-0984-8

This article provides insight into the principles, accuracy, functioning, and outcome of

pulse oximeters. It discusses the potential advantages of multiwavelength pulse oximeters

over conventional pulse oximeters. Multiwavelength pulse oximeters are capable of

estimating the blood levels of carboxyhemoglobin and methemoglobin, whereas

conventional pulse oximeters assume that dyshemoglobins such as carboxyhemoglobin

and methemoglobin are absent because they can only distinguish between hemoglobin

and oxyhemoglobin. Hence, physicians prefer to use multiwavelength pulse oximeters for

more accurate results. In hospital settings, the transfer rate from a postsurgical care floor

to the intensive care unit (ICU) is an important factor that influences the use of pulse

oximeters. The resource reviews a study by Ochroch et al. in which patients were Commented [A3]: Deals with criterion 3: Organizational factors that influence the selection of a technology in health care setting.

Commented [A2]: Meets criterion 3 as it deals with organizational factors that influence the selection of a technology in health care setting.

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

ANNOTATED BIBLIOGRAPHY ON TECHNOLOGY IN NURSING 4

monitored by pulse oximeters either continuously (oximeter group) or intermittently

based on clinical needs as judged by a physician or a nurse (control group). The rate of

ICU transfers for pulmonary complications was lower in the oximeter group than in the

control group. Additionally, for patients who did require ICU transfers, the estimated cost

of treatment from enrollment to the completion of the study was lower for the oximeter

group ($15,481) than for the control group ($18,713) despite the patients in the oximeter

group being older and having higher comorbidity. The reduction in pulmonary transfers

to the ICU in the oximeter group was speculated to be the result of early recognition and

treatment of postoperative pulmonary complications. As cited in Jubran, another study by

Moller et al. indicates that anesthesiologists considered pulse oximetry to be of immense

value as it guides clinical management.

oximeters because they believe that maintaining oxygenation within limits might help

prevent irreversible injury. Pulse oximetry is, therefore, a key part of the standard

protocol 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, how

and why? Archives of Disease in Childhood – Fetal and Neonatal Edition, 101(2),

F162–F167. http://dx.doi.org/10.1136/archdischild-2015-309205

This article describes how pulse oximetry is being implemented worldwide for the

screening of critical congenital heart defects (CCHD). The use of pulse oximetry to

screen 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 are

computer based can improve pulse oximetry screening. Pulse oximetry helps detect

significant pathology and is reliable for keeping track of CCHD, which requires constant

Anesthesiologists recommend the use of pulse Commented [A4]: Deals with criterion 3: Organizational factors that influence the selection of a technology in health care setting.

Commented [A5]: Fulfills the rubric criteria: Justify the implementation and use of a selected technology in a health care setting. And also fulfills: Describes organizational factors influencing the selection of a technology in the health care setting.

http://dx.doi.org/10.1136/archdischild-2015-309205

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

ANNOTATED BIBLIOGRAPHY ON TECHNOLOGY IN NURSING 5

diagnosis and immediate medical intervention. In almost every infant with CCHD,

clinically undetectable hypoxemia is identified by pulse oximeters. Early studies of

neonatal pulse oximetry screening for CCHD showed accurate details. As a result, the

U.S. Secretary of Health and Human Services advised adding CCHD screening to the

recommended uniform screening panel. According to a meta-analysis of 13 screening

studies, pulse oximetry screening reported a specificity of 99.9 percent, a sensitivity of

76.5 percent, and a false positive rate of 0.14 percent. Therefore, the authors concluded

that the universal screening criteria were met by pulse oximetry screening. Pulse

oximetry screening shows no difference in accuracy when pre-ductal and post-ductal

pulse oximetry measurements are performed. The authors also observed that pulse

oximetry screening done 24 hours after birth increases the risk of late detection of CCHD

in infants but decreases the false positive rate. Therefore, the use of pulse oximeters can

be crucial for the early detection of CCHD and helps reduce mortality and improve

postoperative outcomes.

Nitzan, M., Romem, A., & Koppel, R. (2014). Pulse oximetry: Fundamentals and technology

update. Medical Devices: Evidence and Research, 7, 231–239.

https://doi.org/10.2147/MDER.S47319

This article offers comprehensive insight into how pulse oximetry works; particularly, it

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