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QUESTION
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.
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.
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.
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.
ANSWER
The impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery
The broad utilization of health informatics, especially digital health records (DHRs), has dramatically transformed nursing practices and the provision of healthcare services. DHRs are electronic files that offer a comprehensive and unified logging of a patient’s health history, lab outcomes, and other health-associated data. The purpose of implementing DHRs is to elevate patient care quality, boost health outcomes, and augment efficiency. This discourse explores the influence of DHRs on nursing practice and healthcare provision, highlighting the advantages and difficulties related to these systems.
Curated Resource List Bingham, G., Tong, E., Poole, S., Ross, P., & Dooley, M. (2021). Quantifying the impact of a digital medical record system on hospital nursing care: A time and motion study. International Journal of Medical Informatics, 153, 104537. https://www.sciencedirect.com/science/article/pii/S1386505621001635
The research by Bingham and team scrutinizes the effects of digital medical record (DMR) integration on nursing care provision within a hospital environment. The investigators employed a time and motion study over time to collect data from nurses engaged in an acute care hospital in Australia. The research aimed to quantify the influence of a DMR introduction on nurses’ work processes, time management, and effectiveness in delivering patient care.
The investigators discovered that DMR integration prompted considerable alterations in how nurses manage their time. Nurses dedicated a notably higher percentage of their time to inputting patient information into the DMR system than they did prior to the introduction. Specifically, they dedicated an extra 34 minutes per shift to DMR documentation, a rise of 25% in documentation time. Consequently, nurses allocated less time for direct patient interaction. On average, nurses dedicated 25% less time to direct patient care following DMR integration. The decline in patient interaction time was predominantly due to the rise in documentation time, but other factors such as technical issues with the DMR system and workload stress also played a role.
The investigation likewise demonstrated that the incorporation of Electronic Health Records (EHR) prompted a diminution in nursing professionals’ work fulfillment. The nursing staff articulated increased strain and diminished gratification in their professional duties following the implementation. This erosion in job contentment was principally attributable to the augmented effort and duration required to input patient details into the EHR platform. The escalated timeframe for logging data, along with the related tension, culminated in a sentiment among some nursing personnel that they were allotting less duration to patient service, which subsequently fueled job discontent.
The study by Henderson and her group elucidates the impact of EHR integration on nursing procedures and the delivery of medical services. The outcomes of this exploration imply that although the deployment of EHR bears potential benefits like augmenting the precision of records and improving the quality of care, it could also trigger unforeseen consequences such as modifications in nursing processes and a reduction in job gratification. The study underscores the necessity for ongoing appraisal and fine-tuning of EHR frameworks to guarantee their efficacy and durability in the provision of healthcare services.
The findings of the research have several consequences for nursing practices and healthcare provision. First, the research accentuates the necessity for nurses to receive training in effectively and efficiently using DMR systems to minimize the negative impact on their workflows and time management. The training should also focus on strategies to reduce the impact of DMR documentation on nurses’ job satisfaction and wellbeing. Second, the research highlights the importance of involving nurses in the design and introduction of DMR systems to ensure that they are user-friendly and support efficient and effective care provision.
This inquiry delivers pivotal understanding into the effects of digital medical records (DMR) integration on nursing protocols and health service provision. The analysis’s outcomes imply that while DMR infrastructures possess potential advantages, they could also result in unexpected implications like alterations in nursing processes and diminished job contentment. Nevertheless, there is a necessity for continuous appraisal and enhancement of DMR infrastructures to assure their efficiency and durability in health service provision.
Salleh, M. I. M., Abdullah, R., & Zakaria, N. (2021). Assessing the repercussions of digital health records system acceptance on the efficacy of Malaysian health service providers. BMC medical informatics and decision making, 21(1), 1-13. https://bmcmedinformdecismak.biomedcentral.com/articles/10.1186/s12911-021-01447-4
Digital health records (DHR) infrastructures have transformed into an increasingly significant instrument in health service provision and nursing protocols, offering health service providers effortless entry to precise and current patient data. In this framework, the analysis by Salleh et al offers pivotal understanding into the potential advantages of DHR infrastructures in enhancing patient care and simplifying health service operations.
The analysis concentrates on the influence of DHR system acceptance on the efficacy of health service providers in Malaysia, explicitly evaluating the repercussions of DHR on three aspects of efficacy: clinical results, operational effectiveness, and economic performance. To accomplish this, the authors employed a mixed-methods strategy, gathering data from health service providers who had integrated DHR infrastructures into their protocols through both quantitative questionnaires and qualitative discussions.
The outcomes of the analysis signified that DHR acceptance had a positive influence on the efficacy of health service providers in all three aspects. Concerning clinical results, the utilization of DHR infrastructures facilitated improved patient safety by offering health service providers effortless entry to precise and current patient data, encompassing medication inventories, allergies, and medical records. This lowered the likelihood of medication inaccuracies and unfavorable events, leading to superior health results for patients.
In terms of operational effectiveness, the analysis discovered that the utilization of DHR infrastructures facilitated the simplification of health service operations, freeing nurses and other health service providers to devote more time to patient care and other value-added activities. The authors observed that DHR infrastructures could automate tasks like appointment coordination, billing, and record-keeping, resulting in diminished administrative burdens and heightened effectiveness. The analysis discovered that DHR acceptance had a positive influence on the economic performance of health service providers. By lowering inaccuracies and enhancing patient outcomes, DHR infrastructures could result in decreased expenses and heightened revenue for health service providers.
The analysis by Salleh et al underscores the potential advantages of DHR infrastructures in nursing protocols and health service provision, encompassing enhanced patient safety, improved care collaboration, increased effectiveness, improved quality of care, and superior data management and examination. By employing a mixed-methods strategy, the authors managed to deliver a comprehensive comprehension of the influence of DHR acceptance on health service performance in Malaysia, and the analysis acts as an exemplar of the value of employing multiple research techniques in a single analysis.
Kutney-Lee, A., Sloane, D. M., Bowles, K. H., Burns, L. R., & Aiken, L. H. (2019). Electronic health record adoption and nurse reports of usability and quality of care: the role of work environment. Applied clinical informatics, 10(01), 129-139. https://www.thieme-connect.com/products/ejournals/html/10.1055/s-0039-1678551
The integration of Digital Health Documentation (DHDs) into health care infrastructures has ushered in a multitude of advantages, including enhanced patient security, superior care collaboration, and fiscal efficacy. Nevertheless, the practicality and quality of care rendered by nursing professionals may be influenced by the introduction of DHDs. This reviewed summary intends to delve into the influence of DHD integration on results and proficiency in the realm of nursing work and health care provision, referencing the resource supplied by Kutney-Lee and her team.
In their analysis, Kutney-Lee and her colleagues scrutinize the correlation between DHD incorporation, nursing reports of utility, and the standard of care dispensed to patients. The research encompassed a survey of over 16,352 nursing professionals across 316 medical establishments in four American states, gathering data on DHD adoption, nurse impressions of DHD utility, and the standard of care offered by nurses. The researchers concluded that nurse impressions of DHD usability were significantly linked to the quality of nursing care, even when accounting for hospital and nurse attributes. These insights underscore the necessity for well-crafted DHD systems to bolster nursing work and ameliorate patient results.
Moreover, the researchers propose that the work milieu plays a pivotal role in shaping nurse impressions of DHD usability. Nurses operating in conducive environments, typified by robust leadership, positive rapport with colleagues, and avenues for professional growth, were more likely to convey affirmative impressions of DHD utility and care quality. This implies that a conducive work environment might augment DHD integration and the quality of care dispensed by nurses.
The research implies that DHD integration holds the promise to enhance nursing work and patient results, but it necessitates meticulous consideration to DHD design and deployment, as well as assistance for nurses in adjusting to novel technology. The researchers stress the need for DHD systems that are user-friendly and seamlessly blend with prevailing clinical processes, as well as supportive work environments that foster nurse involvement and empowerment. Healthcare institutions should prioritize these factors in DHD deployment to capitalize on the perks of technology while upholding superior standards of nursing care.
Adedeji, T., Fraser, H., & Scott, P. (2022). Implementing Electronic Health Records in Primary Care Using the Theory of Change: Nigerian Case Study. JMIR medical informatics, 10(8), e33491. https://medinform.jmir.org/2022/8/e33491/
Adedeji, Fraser, and Scott (2022) have detailed the installation of digital health records (DHRs) in healthcare environments, which has been a point of extensive study in the recent past, with an emphasis on their impact on patient results and healthcare proficiency. One such investigation by Adedeji, Fraser, and Scott delved into the influence of DHR installation in primary care environments in Nigeria.
The investigation revealed that DHRs would turn out to be a significant requirement in Nigerian primary care. Women and children typically visit healthcare environments for vaccinations and family planning services. In this scenario, DHR implementation would prove beneficial in guaranteeing effective clinical processes and patient security.
The deployment of digital health records has notably amplified the efficacy of medical services, streamlining operations, and cutting down expenses. Through the utilization of such digital systems, health practitioners can swiftly retrieve patient data, circumventing the often time-consuming process of sifting through physical files. This facilitates heightened productivity and allows for a greater focus on patient treatment. Moreover, the financial burden linked with the storage and transfer of paper-based documentation can be significantly curbed with the use of electronic health records.
The research underscores the applicability of the Theory of Change structure in strategizing and scrutinizing the deployment of digital health records in general medical practice environments. However, the obstacles concerning the assets needed for the successful roll-out of these systems, which encompass professional education and infrastructural enhancements, can be quite substantial. Safeguarding the confidentiality and integrity of patient data is also of paramount importance.
Despite these potential impediments, the advantages gleaned from the successful integration of electronic health records are considerable. These systems can bolster dialogue and cooperation among medical practitioners, thereby fostering enhanced coordination of care and boosting patient health outcomes. They also hold the potential to minimize health care discrepancies by facilitating universal access to patient data and therapeutic plans, irrespective of geographic constraints.
In summation, the research offers substantiated proof that the adoption of electronic health records can exert a positive influence on nursing procedures and the broader framework of health service provision. Nevertheless, more comprehensive studies are warranted to probe the enduring impact of these digital systems and to unearth optimal strategies for effective roll-out in diverse medical environments. While potential complications might surface during the deployment phase, the potential gains offered by electronic health records are considerable, marking them as a crucial instrument in the enhancement of patient care and the streamlining of operational efficiency within the realm of nursing and health service provision.
