NRS 493 Name at least one technology that could improve the implementation process and the outcomes of your capstone project change proposal
NRS 493 Name at least one technology that could improve the implementation process and the outcomes of your capstone project change proposal
Any type of new technology like phones, laptops, tablets, and computers would be significantly useful in improving the implementation program. My specific program is concerns the population that have low incomes and financial unstable therefore technology might not be the biggest advantage or successful move in implementing this specific change proposal. However, in order for this change proposal to become legitimate and gain the support and attention it needs to successfully jumpstart change in the targeted population, technology is necessary to advertise and market the program (The impact of technology in Healthcare 2022). By posting this plan on all various social media platforms and even starting a GoFundMe would not only spread the popularity and familiarity of this program by ths imple spreaf of information as was seen in sial movement like MeToo which is cost effective, reaches almost llmop
Expert, T. K. L. P. D., & Kenn3mony, T. (2020, November 26). What am I doing with my life? find your answer here. Lifehack. Retrieved May 23, 2022, from https://www.lifehack.org/713166/what-am-i-doing-with-my-life
The impact of technology in Healthcare. AIMS Education. (2022, May). Retrieved May 23, 2022, from https://aimseducation.edu/blog/the-impact-of-technology-on-healthcare
The application of medical technology has played a critical role not only in enhancing health outcomes but also in reducing healthcare costs. Some medical technologies help facilitate early diagnosis and treatment of potentially chronic and fatal illnesses. One technology, if included in the implementation process that can lead to better outcomes of managing CAUTI bladder scanning technology (Secretariat, 2016). Bladder scanners are used to assess and confirm urinary retention before placing a catheter to address suspected urinary retention in order to reduce unnecessary catheterization when the bladder’s volume is not the cause of the patient’s symptoms. Portable bladder scanners use ultrasound, a noninvasive way to determine the volume of urine remaining in the bladder after voiding (i.e., postvoid residual) to inform whether a urinary catheterization is needed.
I plan to incorporate bladder scanning technology in my change proposal project. Portable bladder ultrasounds will be used in an inpatient rehabilitation unit to determine whether a patient has sufficient urinary retention to justify catheterization. According to the AHRQ (Agency for Healthcare Research and Quality), Nurse-driven protocols and handheld bladder scanners have been shown to reduce the risk of CAUTI (Agency for Healthcare Research and Quality, 2022).
Agency for Healthcare Research and Quality. (2022). Technical Interventions to Prevent CAUTI. https://www.ahrq.gov/hai/cauti-tools/guides/implguide-pt3.html
Secretariat, M. A. (2016). Portable Bladder Ultrasound: An Evidence-Based Analysis. Ontario Health Technology Assessment Series, 6(11), 1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3379524
The use of technology in healthcare is instrumental. Not only does technology improve the efficiency of healthcare, it also empowers nurses in making clinical decisions. For instance, there are those technologies like Medscape which provide a host of medical information that nurses can use to augment clinical decision making and thus, enhance the quality of care that the nurse delivers. That said, as your technology directly involves patients, there are a number of considerations that you have to make. First, patient perceptions of technology vary and there are those that have yet to build a positive perception and relationship with technology (Curtis et al., 2019). This would significantly influence how receptive they are to the use of technology and this would also influence how effective the technologies are. In this case, it is important to appreciate that as a nurse, your role now extends beyond just administering the technology. You have to ensure that the patients are receptive to the said technology and this includes educating the patient on the technology, and empowering the patient to ensure that they cooperate it the intervention.
It is also important that you become more culturally competent and this entails understanding that not everyone has the same experience with technology as we do. This will then involve ensuring that we assess the type of relationship that our patients share with technology and then chart a path that is mutually beneficial for both the nurse and the patient.
Curtis, E., Jones, R., Tipene-Leach, D., Walker, C., Loring, B., Paine, S. J., & Reid, P. (2019). Why cultural safety rather than cultural competency is required to achieve health equity: a literature review and recommended definition. International journal for equity in health, 18(1), 174. https://doi.org/10.1186/s12939-019-1082-3
Technology advancement is crucial in the rapid developments in the healthcare sector by automation most healthcare operations. For instance, data collection and maintenance have proven to become advanced with the invention of the Electronic Health Records system. The retrieval, updating, and tracking of medical data collected have also been made easier by technological advancement.
The data collection methods can either collect qualitative or quantitative healthcare data. The primary qualitative healthcare data collection strategies used in my organization include online focus groups and interviews. In contrast, the major quantitative data collection methods include records and documents review, surveys, and questionnaires. The record and documents review method have an advantage since it allows for a full review of the data collected (Ainsworth, 2021, June 22). Survey and questionnaires as data collection methods have an advantage due to their anonymity, ensuring that they are candid in their responses. Experimental research is also a critical data collection methodology that allows scientific methods to determine relationships between variables. All the data collected from the data collection strategies are then stored in an Electronic Health Record system.
The information and data collected are essential in providing quality healthcare services to patients. The major use of the healthcare data and information collected is making an informed decision in providing quality care for patients. The healthcare professionals used all the data collected in determining patients’ diagnoses and medication in providing quality healthcare. The data collected is also essential as it acts as a communication tool between the patients and doctors, thus enhancing the quality of care (Sakovich, 2019, April 9). The data obtained is also vital in supporting advanced treatment to patients, thus improving the quality of services. Finally, patient care and outcomes are also enhanced by data collected as it guarantees that a holistic view of the patient is developed.
Ainsworth, Q. (2021, June 22). Data collection methods. JotForm. https://www.jotform.com/data-collection-methods/
Sakovich, N. (2019, April 9). The importance of data collection in healthcare. SaM Solutions. https://www.sam-solutions.com/blog/the-importance-of-data-collection-in-healthcare/#:~:
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Thank you for your informational post. The way that those of us who work in health care go about our lives on a daily basis and find new ways to influence the medical services business is being revolutionized by technological advancements. The nursing profession has found that a significant number of these new clinical improvements assist them with routine cycles and minimize the number of human errors and faults that can occur from a couple of nurses working extended shifts with such a large number of patients. My capstone project is taking place in a small building with few resources, and I’m one of the only students here. Over the past few years, charting has transitioned from being done on paper to being done on computers. Some nurses are only getting used to using the computer for charting now. I strongly believe that technology could support numerous things, including carrying out tasks in a more efficient manner; however, this would be the least necessary motivation for making more prominent use of technology within the division. During the course of my capstone project, I aim to make use of recent developments in electronic health records, which will be of assistance. The utilization of this technology will make it possible for me to record the treatment that I provided to my patients.
Cassano, C. (2014). The Right Balance –Technology and Patient Care. Online Journal of Nursing Informatics. Vol. 18. Number 3. Retrieved from https://www.himss.org/online-journalnursing-informatics-volume-18-number-3
The development and adoption of health information technology was in part due to the need to improve patient safety outcomes. The use of these systems helps to reduce medical errors, adverse drug reactions, and improve compliance to practice guidelines. Computerized physician order entry systems (CPOE) usually integrates with a clinical decision support system which acts as an error prevention tool through guiding the prescriber on the preferred drug dose, route, and frequency of administrations (Alotaibi & Federico, 2017). Additional forms of technology in healthcare include bar code medication administration, smart pumps, and automated medication dispensing technology. “There should be no doubt that health information technology is an important tool for improving healthcare quality and safety, but healthcare organizations need to be selective in which technology to invest in, as literature shows that some technologies have limited evidence in improving patient safety outcomes” (Alotaibi & Federico, 2017, 1179).
Alotaibi, Y. K., & Federico, F. (2017). The impact of health information technology on patient safety. Saudi medical journal, 38(12), 1173–1180. https://doi.org/10.15537/smj.2017.12.20631
There is no gainsaying the significant impact technology hasin aiding and improving the healthcare system’s efficiency and the adherent benefits to stakeholders and patients. Health services and data furnished through Internet and other similar technologies are defined as E-health. E-health by enablingelectronic access to health resources allows healthcare services to be revamped and redesigned in order to make them more dynamic and adaptable to technological updates and advances.
The move toward patient-centered interoperability is in vogue for some time now which has the potential to explore new avenues in data sharing in healthcare. Patient-specificinteroperability brings in new challenges in terms of data privacy and security, governance and technology that must be addressed as deemed fit for this type of model to succeed.
I have discussed hereunder the application of blockchain technology to aid in the aforementioned interoperability. Thanks to its emphasis on distribution, sharing and encryption, I find blockchain increasingly appealing. Advanced and innovative blockchain ventures hold a huge promise and there is no paucity of buzz when it comes to its untapped potential in the healthcare field.
Interoperability in healthcare and its adherent benefits are manifold. To name a few, a well-oiled, smooth communicating network is a huge boost in terms of operational efficiency. Interoperability can also reduce and eliminate duplicate clinical interventions thereby minimizing waste and reducing the cost (Iroju et al, 2013). Withinteroperability driven via blockchain, the patient not only receives data directly from the institution but can authorize sharing of clinical data between department and institutions. These authorization regulations and rules are captured in the blockchain layer. Patients can update the authorization criteria as and when needed. The cryptographic designs integral to blockchain technology stave off any attempt to interpret or misuse the data (Bell et al., 2018).
Having highlighted the advantages of blockchain technology in interoperability, few concerns still weigh in my mind when it comes to using the technology which I have briefed under.
Exchange of information and data between different institutions can at times be cumbersome and difficult and requires close and effective cooperation among the parties involved. Complex and complicated algorithms and protocols so inherent in such technologies need to be overcome before any exchange of data happen real time. Other worrying obstacle is authentication coupled with transaction protocolconsidering the sheer size of the data to be handled.
Bell, L., Buchanan, W. J., Cameron, J., & Lo, O. (2018). Applications of blockchain within healthcare. Blockchain in healthcare today.
Iroju, O., Soriyan, A., Gambo, I., & Olaleke, J. (2013). Interoperability in healthcare: benefits, challenges and resolutions. International Journal of Innovation and Applied Studies, 3(1), 262-270.
Over the years the use of technology has supported the delivery of healthcare, thus optimizing patient outcomes and professional practice. Most healthcare facilities have captured the use of electronic health records and the use of technology-based interventions to change professional practice (Keyworth et al., 2018). The advancement in technology in the field of healthcare is now changing several aspects of healthcare delivery, such as wearable devices that provide earlier diagnoses with treatment tailored to individuals’ needs. Another technology in healthcare is telehealth services that connect patients to healthcare professionals from the comfort of their homes in a virtual space. If this technology is utilized in evidence-based projects, it can have a significant impact on the delivery of patient care to improve outcomes. Technology also supports the way healthcare professionals gather and analyze information and provide improved patient care (Keck School of Medicine 2021).
Even though technology-based interventions can improve change proposal outcomes. The writer will create an SBAR template with the use of a PowerPoint presentation to provide education to nursing staff on the effective use of the SBAR tool to improve communication in a behavioral health setting. To facilitate the use of SBAR, the writer must first identify professionals’ needs to use the tool effectively and how tasks and responsibilities are perceived by each nursing professional. This will help to generate professional feedback and role modeling of the use of the SBAR template (Coolen et al., 2020).
Coolen, E., Engbers, R., Draaisma, J., Heinen, M., & Fluit, C. (2020, November 15). The use of SBAR as a structured communication tool in the pediatric non-acute care setting: bridge or barrier for interprofessional collaboration?. In Taylor & Francis Online. Retrieved from https://www.tandfonline.com/doi/full/10.1080/13561820.2020.1816936?scroll=top&needAccess=true
Keck School Of Medicine, . (2021, July 14). 5 Public Health Technologies to Revolutionize Health Care Delivery. In Keck School of Medicine. Retrieved from https://mphdegree.usc.edu/blog/public-health-technology/
Keyworth, C., Heart, J., Armitage, C., & Tully, M. P. (2018). What maximizes the effectiveness and implementation of technology-based interventions to support healthcare professional practice? A systematic literature review . In NCBI. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6223001/
Medication reconciliation is a process of reassuring a patient’s medication record is updated with the most recent information. This process is significant during transitions of care to prevent medication unintentional discrepancies that can contribute to patient harm. The systematic reviews demonstrate that medication reconciliation decreases medication errors, which reduces adverse patient outcomes, hospital readmissions, emergency visits, and excess health care expenditures. Medication reconciliation is an indicator of safe and efficient organizational care. Initially, the medication reconciliation process was practiced using a pen and paper; the introduction of medical setting (hospital, long-term care facility) based electronic medical record (EMR) systems led to the development of improved electronic medication reconciliation systems that are related to the patient’s facility medication records. The effect of the EMR system on patient care is unclear regarding reducing inappropriate medication use and improving patient care. A research study evaluated methods in potentially inappropriate medication use after hospital discharge before and after the adoption of an electronic medication reconciliation system. The study evaluated a process outcome (patients who received a benzodiazepine, antipsychotic or gastric acid suppressant started during the hospital stay) and a clinical outcome (the proportion of patients who returned to the hospital with a fall or fracture among patients who got benzodiazepine, or antipsychotic during hospitalization). The study assumed there would be fewer continued outpatient use of these medications, and fewer falls, and fracture after the application of the enhanced EMR system. When patients move between care settings could be unintentional medication discrepancies, and discharge from the hospital is a specific risky transition. The study reflected on the effect of an enhanced EMR system, introduced through a commercial EMR upgrade in hospitals, an association with a significant decrease in the proportion of older patients who filled prescriptions for inappropriate, unsafe medications (benzodiazepine, antipsychotic, or gastric acid suppressants) after hospital discharge. Among patients who were prescribed these types of medications was a significant decrease in the proportion of patients who returned to the hospital with a fall or fracture (adverse effects of benzodiazepine and antipsychotic medications in the elderly). Despite technological upgrades in medication reconciliation, a few studies reflected that commercially available EMR systems require many interventions to support medication reconciliation such as approaches of pharmacist involvement, post-discharge follow-up, or patient education. The outcomes of commercial EMR implications emphasize evidence of a benefit when shared with physicians and health administrators in other medical settings and may improve patient care by adopting this EMR system (Welk et al., 2021). On the medication reconciliation aspect, mobile devices play a role by replacing paper. Some of the patients often print out copies and hand them out as they have them for testing and appointments. The use of smartphones for the medication reconciliation process remains a unidirectional role in most situations with average results on use and impact. Unidirectional based on patient-oriented from paper to apps is a step in the aggregation process. With the capabilities of smartphones to take a picture of medication and identify medications with some certainty, the safety of care is addressed and secured. The direction of technology and healthcare reveals an environment where the smooth information transition occurs at the touch of a phone which implies generation, aggregation, and analysis at the appropriate time (Premium Official News, 2015).
Premium Official News. (2015). Strategies for Success – Information Communications Technology and the Impact on Medication Reconciliation and ICUs. GALE ONEFILE. https://go-gale-com.lopes.idm.oclc.org/ps/i.do?p=STND&u=canyonuniv&id=GALE%7CA425737016&v=2.1&it=r&sid=ebsco
Welk et al. (2021). Effect of electronic medication reconciliation at the time of hospital discharge on inappropriate medication use in the community: an interrupted time-series analysis. CMAJ OPEN