Assessment 3: Annotated Bibliography On Technology In Nursing

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Assessment 3 Instructions: Annotated Bibliography on Technology in Nursing

 

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  • 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.
    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.
    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.
      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.
      Demonstration of Proficiency
      By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment 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.
    • Preparation
      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 that is 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.
      • Telehealth.
      • 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.
    • 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.
    • Annotated Bibliography
      Prepare a 4–6 page annotated bibliography in which you identify and describe peer-reviewed publications that promote the use of your selected technology to enhance quality and safety standards in nursing. Be sure that your annotated bibliography 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?
        • What databases did you use?
        • What 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.
    • Conclusion/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? Consider the impact of the technology on the health care organization, patient care/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 4 peer-reviewed resources.
    • Font and font size: Use Times New Roman, 12 point.
    • APA: Follow APA style and formatting guidelines for all bibliographic entries.
    • Portfolio Prompt: Save your presentation to your ePortfolio. Submissions to the ePortfolio will be part of your final capstone course.

Medication Error

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This is just rewrite to avoid plagiarism 

A medication error is an error (of commission or omission) at any step along the pathway that begins when a clinician prescribes a medication and ends when the patient actually receives the medication (Agency for Health Care Research and Quality, 2019).

In a study conducted by Da Silva and Krishnamurthy (2016), they state that preventable medication errors impact more than 7 million patients and cost almost $21 billion annually across all care settings. About 30% of hospitalized patients have at least one discrepancy on discharge medication reconciliation. Medication errors are an underreported burden that adversely affects patients, providers, and the economy. The study involved a 71-year-old female who accidentally received thiothixene (Navane), an antipsychotic, instead of her anti-hypertensive medication amlodipine (Norvasc) for 3 months. She sustained physical and psychological harm including ambulatory dysfunction, tremors, mood swings, and personality changes and had multiple hospital visits within the 3 months. Despite the many opportunities for intervention, multiple health care providers overlooked her symptoms. Admission medication reconciliation (MED REC) revealed that she was taking metoprolol, doxazosin, alprazolam, citalopram, and thiothixene (Navane) 10 mg twice daily. Upon review of her pill bottles, it was found that her outpatient pharmacy accidentally dispensed Navane (an antipsychotic) instead of Norvasc, and she dutifully took this medication for 3 months. The written prescription was deemed legible. A diagnosis of thiothixene-related drug-induced Parkinsonism was made. Thiothixene was discontinued and her clinical status improved.

Da Silva and Krishnamurthy (2018) note that important steps to prevent medication error include clear patient instructions with indications for use on every prescription, utilization of EHR medication import (when available) to review outpatient prescription history, and creating a culture within the medical field of error discussion. Possibilities include medication teams who review admission and discharge reconciliations, team rounding with a pharmacist, encouraging postgraduate trainees and faculty to question indications and utility of medications, and distribution of national and institution data regarding errors, and adverse events. Mandatory training should occur for those providers who fail to document and reconcile medications properly.

As a nurse practitioner it is important to monitor the patient especially when poor treatment response occurs or unusual symptoms develop, it is imperative that a review of medications and pill bottle review be part of the initial evaluation. I will implement and use multilevel safeguards, starting with error recognition. Medical error was recently described as the third leading cause of death and only by creating a culture of humility, communication, and teamwork can we learn from our mistakes and hope to decrease preventable errors.

References

Agency for Health Care Research and Quality. (2019). Medication Errors and Adverse Drug Events. Retrieved from https://psnet.ahrq.gov/primers/primer/23/Medication-Errors-and-Adverse-Drug-Events

Da Silva, B., Krishnamurthy, M. 92016). The alarming reality of medication error: a patient case and review of Pennsylvania and National data. Retrieved from https://www.tandfonline.com/doi/full/10.3402/jchimp.v6.31758

Obsessive Compulsive Disorder Research Paper

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Mental Health Research Paper – Due according to the syllabus (please see syllabus)

Please read all the instructions very carefully and speak to your instructor if you have any questions, issues or concerns.

Please write a five (5)-page paper (not including reference or title page) with at least 4 references from a credible source in APA format. Please use LIRN platform for your research. Paper and must include the require elements presented below.

Please write paper on this MENTAL HEALTH DISORDERS:

 

· OBSESSIVE-COMPULSIVE DISORDER

 

Required elements Points

Introduction with a full description of the disorder 15

(including DSM V criteria and ICD 10 code)

Cultural Component/History & Background 15

Epidemiology/ Prevalence/Prognosis of the Disorder 10

(must include some statistics)

Clinical features/ manifestations 10

Sub-types of the Disorder / Differential Diagnosis 10

Treatment Approaches 10

Patient and Family teaching 10

Conclusion/ Summary 10

Cites four (4) APA format references (at least 5 years old) 10

TOTAL 100

Write an explanation of two criteria for evaluating the quality of qualitative research designs.

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Typically, when speaking of validity, qualitative researchers are referring to research that is credible and trustworthy, i.e., the extent to which one can have confidence in the study’s findings (Lincoln & Guba, 1985). Generalizability, a marker of reliability, is typically not a main purpose of qualitative research because the researcher rarely selects a random sample with a goal to generalize to a population or to other settings and groups. Rather, a qualitative researcher’s goal is often to understand a unique event or a purposively selected group of individuals. Therefore, when speaking of reliability, qualitative researchers are typically referring to research that is consistent or dependable (Lincoln & Guba, 1985), i.e., the extent to which the findings of the study are consistent with the data that was collected.

References

Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. Thousand Oaks, CA: Sage.

For this Discussion, you will explain criteria for evaluating the quality of qualitative research and consider the connection of such criteria to philosophical orientations. You will also consider the ethical implications of designing qualitative research.

With these thoughts in mind:

Write an explanation of two criteria for evaluating the quality of qualitative research designs. Next, explain how these criteria are tied to epistemological and ontological assumptions underlying philosophical orientations and the standards of your discipline (Healthcare Science). Then, identify a potential ethical issue in qualitative research and explain how it might influence design decisions. Finally, explain what it means for a research topic to be amenable to scientific study using a qualitative approach.

Explain in 1-2 pages. Be sure to support your Main Issue Post and Response Post with reference to the week’s Learning Resources and other scholarly evidence in APA Style.

Research Theory, Design, and Methods Walden University

© 2016 Laureate Education, Inc. Page 1 of 3

Trustworthiness (Lincoln & Guba, 1985)

Trustworthiness is 1. The extent to which one can have confidence in the study’s findings 2. Parallel of reliability, validity, and objectivity in traditional “quantitative”

research Trustworthiness Criteria Credibility

Findings and interpretations are plausible to the “researched” (the participants) Do findings accurately reflect reality as seen by participants?

Transferability

Applicability of findings based on comparability of contexts Are conditions similar enough to make findings applicable?

Dependability

Account for factors of instability and change within the natural context Document naturally occurring phenomena (stability and change)

Confirmability

Capacity to authenticate the internal coherence of data, findings, interpretations, and recommendations Document “researcher as instrument” and potential sources of bias

 

 

 

Research Theory, Design, and Methods Walden University

© 2016 Laureate Education, Inc. Page 2 of 3

Insuring Trustworthiness Action Description Insures Prolonged engagement

Investing sufficient time to learn the culture, build trust with stakeholders, understand the scope of target phenomena, and test for misinformation/misinterpretation due to distortion by the researcher or informant

Credibility (internal validity)

Persistent observation

Continuing data collection process to permit identification and assessment of salient factors, and investigation in sufficient detail to separate relevant (typical) from irrelevant (atypical)

Credibility (internal validity)

Triangulation

Data collection and analysis interpretation based on multiple sources, methods, investigators, and theories

Credibility (internal validity)

Peer debriefing

Engage in analytic discussions with neutral peer (e.g., colleague not involved in the project)

Credibility (internal validity)

Member checks

Test veracity of the data, analytic categories (e.g., codes), interpretations, and conclusions with stakeholders to ensure accurate representation of emic perspectives

Credibility (internal validity)

Thick description

Describe procedures, context, and participants in sufficient detail to permit judgment by others of the similarity to potential application sites; specify minimum elements necessary to “recreate” findings

Transferability (external validity)

Audit trail

Records that include raw data; documentation of process and products of data reduction, analysis, and synthesis; methodological process notes; reflexive notes; and instrument development/piloting techniques

Dependability Confirmability (reliability and objectivity)

Negative case analysis

Investigate “disconfirming” instance or outlier; continue investigation until all known cases are accounted for so that data reflects range of variation (vs. normative portrayal)

Credibility (internal validity)

 

 

Research Theory, Design, and Methods Walden University

© 2016 Laureate Education, Inc. Page 3 of 3

Action Description Insures Reflexive journal

Researcher’s personal notes; documentation of researcher’s thinking throughout the research process

Credibility (internal validity) Transferability (external validity) Dependability Confirmability (reliability and objectivity)

Referential adequacy

Archiving of a portion of the raw data for subsequent analysis and interpretation, for verification of initial findings and conclusions

Credibility (internal validity)

 

References Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. Thousand Oaks, CA:

Sage.

 

 

  • Trustworthiness
    • Trustworthiness is
    • Trustworthiness Criteria
    • Insuring Trustworthiness
      • Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. Thousand Oaks, CA: Sage.