Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies

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Assignment: 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.

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In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings.

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/annotatedbibliographies

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.

 

Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies

The importance of using technology to leverage care interventions in various clinical settings and facilities cannot be overstated due to the critical role it plays in improving patient safety and care outcomes. Clinical systems are critical tools for improving patient outcomes and healthcare delivery efficiencies by reducing medication errors, promoting medication compliance, and enabling providers to leverage technology for better decisions and informed interventions (Dykes et al., 2017). Personal health records and portals are important tools that providers and healthcare systems use to help patients who have recently been diagnosed with diabetes. These portals provide patients with access to health information from an organization’s electronic health record (EHR) and allow them to perform various medical-related tasks such as electronically communicating with their providers and even recording their symptoms (Tapuria et al., 2021). The goal of this paper is to provide an annotated bibliography on the impact of personal health records or patient portals for people who have recently been diagnosed with diabetes.

The researchers evaluate the impact of patient health records on improving outcomes from glycemic control interventions in this systematic review of studies on the portal for patients with diabetes mellitus. The authors found 12 studies on the subject, including three cross-sectional studies and five randomized controlled trials. The researchers required diabetes-specific web portals as well as those linked to electronic medical records. The findings show that web portals improve patients’ ability to communicate with their clinicians and achieve better glycemic control. The authors emphasize the importance of additional research to better understand patients’ levels of control. They are, however, unequivocal in their belief that web portals improve glycemic control in these patients.

The study found that web portals are important for diabetic patients because they improve communication between them and their clinicians. Clinicians improve efficiencies in diabetes care provision through effective communication. According to the study, providers should leverage technologies and encourage their patients to embrace them in order to reduce negative disease outcomes. According to the study, a critical lesson learned from the use of web portals is that few patients embrace this technology to improve diabetes self-management and self-care. As a result, providers should be trained to use it to improve self-care interventions for patients in remote areas.

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.

 

Name: NURS_5051_Module04_Week08_Assignment_Rubric

Great informational post, Morgan,

And nice discussion points! I have been watching the patient care portal trends with great interest, as it does seem promising. It is good to be able to collaborate in the care of patients, as long as we do not allow one profession to be dictating the actions of the other. So far, in my humble opinion, the multidisciplinary teams seem to be a misnomer – in our area they are called that, but they are really physician led teams. For example, we are not allowed to use nursing terms like nursing diagnoses in the rounds, because supposedly those terms are too hard for other disciplines to understand. That seems like some non-nurse somewhere is trying to dictate nursing care. That’s a little unsettling.

What kinds of nursing notes do you see in the patient portal? I ask because in my area, nurses do not do much free typing or additional notes in the electronic health records. Pretty much, they select things that are set up like choices in the chart, not really adding much of what they are assessing and planning and intervening. It is hard to tell what the nurse really did for the patient, that was not ordered by the physician – the way our electronic health records are currently set up.

I have to admit, I am starting to get pretty worried about the state of our electronic health records (EHRs) – and I always call them electronic health records because the use of the term electronic medical records seems to move things under the purview of physicians, which is not always in the best interest of nurses and other health care workers.

Anyway, I have been involved in some ongoing research about nursing documentation patterns and how what nurses do is making a difference in patient outcomes.  Sadly, since nurses currently and ALL over the country, only document what they are compelled to do legally, all that can be shown about nursing documentation is that they follow doctors’ orders.  There is no evidence that the nurse is applying critical thinking and providing patient care based on his or her independent assessment of the patient’s condition and needs. There is only evidence that he or she is following the doctor’s orders.  And as we all know, anyone can be trained to follow a doctor’s orders. In our area, we have medical assistants who can easily follow those orders, and they are a LOT cheaper to employ than nurses.

 

So by not correctly documenting what he or she is doing based on an assessment of the patient and/or patient data, nurses are slowly but surely making a case that they are not needed in the care of the patients. Obviously, they are, of course, but there is no way to demonstrate this in the current EHR. That is really scary because sooner or later, someone is going to notice this and start suggesting that nurses be replaced with less expensive help.

 

Why am I telling you this? Because nurses need to start standing up and voicing their opinions about what is missing in the EHR. They need to have nursing cares added in the systems – things like nursing interventions and nursing outcomes and yes, I will say that dirty word – nursing CARE PLANS. If nurses are not needed to ensure good care of the patient – as currently demonstratable in the EHR – then pretty soon we are expendable.

 

That is what worries me – and I am not talking out of my hat. Literally, the research is starting to show this.

 

What do you think?  Are things any better in your neck of the woods?

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