Assessment 3-4040

Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing

INSTRUCTIONS- 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.

INTRODUCTIONS- 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- 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:

· 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.

Context- 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.

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.

Scoring Guide

Use the scoring guide to understand how your assessment will be evaluated.

View Scoring Guide

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.

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.

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.

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.

TO PREPARE

• Refer to the “Population-Focused Nurse Practitioner Competencies” in the Learning Resources, and consider the quality measures or indicators advanced practice nurses must possess in your specialty.
• Refer to your “Clinical Skills Self-Assessment Form” you submitted in Week 1 and consider your strengths and opportunities for improvement.
• Refer to your Patient Log in Meditrek; consider the patient activities you have experienced in your practicum experience and reflect on your observations and experiences.

In 450–500 words, address the following:

Learning From Experiences

• Revisit the goals and objectives from your Practicum Experience Plan. Explain the degree to which you achieved each during the practicum experience.
• Reflect on the 3 most challenging patients you encountered during the practicum experience. What was most challenging about each? 
• What did you learn from this experience? 
• What resources were available?
• What evidence-based practice did you use for the patients?
• What would you do differently? 
• How are you managing patient flow and volume?  How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

• Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.
• Answer these questions: How am I doing? What is missing? 
• Reflect on the formal and informal feedback you received from your Preceptor. 

how to apply theory to be an efficient nurse educator

During the course, you have done a thorough analysis of a company and the health care subsector in which the company operates now is the time to look at all your findings and insights and frame the situation of the company in terms of cost, access, and quality. Specifically:

1. Are there any major cost-containment policies or practices from private insurers or the government that affect your company? Are there any internal/ competitive forces that are trying to do the same?
2. How does your company (and industry) is assessed in terms of its ability to offer access to all populations?
3. What kind of quality assessment and assurance is done? Are there any positive or negative stories about the quality of health care services of the organization?

    

Nicole Washington 

        Explain the agonist-to-antagonist spectrum of action of  psychopharmacologic agents, including how partial and inverse agonist  functionality may impact the efficacy of psychopharmacologic treatments.

Neurotransmitters and some drugs that stimulate receptors are  called agonists. Agonists stimulate receptors to their fullest signal  transduction. Drugs that act as agonists are useful in patients who lack  or are deficient in agonist neurotransmitters. In situations where the  actions of a full agonist or partial agonists are undesirable, an  antagonist is required to revert the receptor back to the state where no  agonist exists, back to neutral. Partial agonists act as they sound,  and produce a conformational change of a receptor that is halfway  between the changes of a full agonist and the baseline conformation of  that receptor. An antagonist can also reverse the effects of inverse  agonists to the receptors baseline. An inverse agonist acts to change  the conformation of a receptor to completely inactivate it and remove  the baseline constitutive activity. 

Compare and contrast the actions of g coupled proteins and ion gated channels.

Both G protein coupled receptors and Ion gated channels are a  form of signal transduction cascades in the brain. They are both  triggered by neurotransmitters, and many of the psychotropic drugs used  today affect one of these two cascades. They both perform when an  extracellular first messenger passes a message to an intracellular  second messenger. However, G protein’s second messenger is a chemical,  such as adenosine monophosphate, while the ion channel second messenger  can be an ion, such as calcium. There are two classes of ion channels,  Ligand gated and voltage sensitive ion channels. The ligand gated ion  channels act similar to g protein receptors because they use the agonist  spectrum. Voltage sensitive ion channels are opened and closed based on  the voltage charge across the membrane.

Explain how the role of epigenetics may contribute to pharmacologic action.

Epigenetics determines if inherited genes are expressed or not  expressed into proteins that make up the story of any one person. The  mechanism of epigenetics turns genes on or off by modifying chromatin.  These modifications are regulated by neurotransmitters, drugs and the  environment. So drugs introduced to patients can affect a person’s  epigenetics.

Explain how this information may impact the way you prescribe  medications to patients. Include a specific example of a situation or  case with a patient in which the psychiatric mental health nurse  practitioner must be aware of the medication’s action.

Understanding the way medications will affect patients based on  their genetic makeup, their current medications, the condition being  treated, what causes the imbalance, is all important when prescribing  medications. For example imipramine, a tricyclic antidepressant,  inhibits the reuptake of serotonin and norepinephrine, elevating these  neurotransmitters in the brain. It is important to understand if this is  the cause of the patients depression before prescribing this medication  because if incorrectly prescribed it could alter the patients  epigenetic mechanisms in an inverse way (Boks, et al. 2012).