Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing
Current Evidence on the Impact of Tele-ICU
Hassan, E. (2018). Tele-ICU and patient safety considerations. Critical Care Nursing Quarterly, 41(1), 47–59. https://doi.org/10.1097/cnq.0000000000000185
The article covers the function of tele-ICUs (Intensive Care Units) in healthcare, highlighting that they should be used in addition to bedside clinical knowledge in treating severe illnesses. There are two primary forms of tele-ICUs: centralized and decentralized, each having advantages and disadvantages. NURS FPX4040 Assessment 3 Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing The data-backed centralized paradigm is associated with more favorable patient outcomes and cost efficiency. This is accomplished by encouraging best practices, implementing care plans outside of regular business hours, and assuring prompt reactions to physiological instability.
NURS FPX4040 Assessment 3 Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing
Between the tele-ICU and bedside doctors, effective communication and frequent patient evaluations are essential. Although technology is developing quickly, the essay claims that it is unlikely for technology to improve clinical results on its own. Instead, it will make it easier to incorporate advanced prediction algorithms into real-time data processing. Distant and bedside teams should work together to create care processes that increase monitoring, rank jobs, regulate procedures, and accelerate care delivery to improve patient care and safety significantly.
In conclusion, the tele-ICU approach can potentially improve patient outcomes when combined with conventional clinical care by streamlining care procedures, encouraging best practices, and assuring prompt responses to life-or-death situations. It emphasizes how crucial it is for technology and healthcare personnel to work together to improve patient safety and efficiency.
Evidence-Based Approach About Potential Implications of Tele-ICU
Michael Robie, E., Cole, S., Suwal, A., & Coustasse, A. (2022). Tele-ICU in the United States: Is a cost-effective model? International Journal of Healthcare Management, 15(4), 1–8. https://doi.org/10.1080/20479700.2022.2040877
To satisfy the augmented necessity for serious care, mainly driven by an older populace with comorbidities and a prolonged life expectation, the United States Society of Critical Care Medicine has highlighted a severe lack of intensivists. Tele-ICU programs have been developed to solve this problem, allowing intensivists to care for patients from a distance. This research examined the possible cost-effectiveness of tele-ICU program implementation in hospitals.
The research discovered that the deployment of tele-ICU resulted in a stunning 36% reduction in hospital length of visit and had favorable financial results, including return on investment and cost-efficiency. These shorter LOS periods resulted in significant price savings of $11.5 million. The debate emphasized how tele-ICU programs have significantly influenced healthcare’s financial and clinical aspects. Notably, the strategies helped lower death rates, increase patient safety, raise the standard of care, and cut down on ventilator days. Overall, this research highlights how well tele-ICU technology works to solve the scarcity of intensivists and enhance patient outcomes in critical care settings.
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Organizational Factors Influencing Tele-ICU in the Healthcare Setting
Becker, C. D., Fusaro, M. V., & Scurlock, C. (2019). Deciphering factors that influence the value of tele-ICU programs. Intensive Care Medicine, 45(7), 1046–1051. https://doi.org/10.1007/s00134-019-05591-4
The article goes through the motivations for and results of ICU telemedicine programs. The disparity between the demand for critical care resources and their availability is one of the main reasons for developing tele-ICU systems. An elderly population and a concentration NURS FPX4040 Assessment 3 Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing of Intensivists in metropolitan areas worsen this mismatch by making access difficult in other locations. According to a systematic study and meta-analysis, ICU mortality and length of stay (LOS) are favorably impacted by the introduction of tele-ICU. Due to non-ICU-related causes, the impacts on hospital mortality and length of stay (LOS) are less pronounced.
NURS FPX4040 Assessment 3 Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing
Careful planning, stakeholder support, tight team integration, ongoing monitoring, and computer-based alarm systems are all necessary for tele-ICU initiatives to be successful. According to ethnographic research, tele-ICU deployment’s effectiveness mainly depends on leadership, perceived value, change management, and organizational structure. With the adoption of tele-ICU, a financial outcomes analysis revealed considerable advantages, such as higher yearly direct ICU contribution margins, lower hospital LOS, and increased case volume. Large healthcare systems may improve results by combining Logistics Center services to increase critical care access, capacity optimization, and standardization. In one instance, this strategy produced significant gains in contribution margins, decreased hospital LOS, and more substantial case volumes, illustrative of the potential of such functions to improve capacity and boost access to critical care, particularly in large healthcare systems using tele-ICUs.
Justifying the Implementation and Use of Tele-ICU
Arneson, S. L., Tucker, S. J., Mercier, M., & Singh, J. (2020). Answering the call: Impact of tele-ICU nurses during the COVID-19 pandemic. Critical Care Nurse, 40(4), e1–e7. https://doi.org/10.4037/ccn2020126
Because of a lack of manpower and insufficient nursing experience, the demand for critical care nurses in intensive care units (ICUs) during the COVID-19 epidemic was further aggravated. This article describes how a health system responded to these difficulties by changing the emphasis of experienced tele-intensive care unit (tele-ICU) nurses from one on patients to one on clinicians. The health system made several adjustments to address these problems, including revising processes, creating home workstations, and changing staffing patterns. The main objective was to provide bedside nurses with increased clinical care while limiting their exposure to highly infectious infections and preserving personal protective equipment. During this shift, approximately 200 mobile carts were deployed, over 300 clinicians had access to technology allowing remote patient care, and more than 20 tele-ICU nurses could work from home.
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The findings showed that tele-ICU nursing was crucial in transferring clinical information to nurses in existing and newly enlarged critical care units. Tele-ICU nursing substantially lowered the danger to bedside nurses while keeping high standards of patient care by using technology, virtual rounding, and excellent teamwork. In conclusion, tele-ICU nurses developed an innovative strategy in virtual healthcare delivery during the COVID-19 pandemic, setting a precedent for crisis response in the future. They not only supported an upbeat and holistic method of caring for seriously ill patients through camera-based interactions as a segment of their regular plan.
Conclusion
In conclusion, the annotated bibliography on technology in nursing and the evidence-based proposal highlights the great potential of technology NURS FPX4040 Assessment 3 Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing especially Tele-ICU, to improve patient care and healthcare outcomes. According to the studies examined in the annotated bibliography, telemedicine has several benefits, including increased patient safety, shorter hospital stays, and improved clinical and economic aspects of healthcare. To improve patient care, it highlights the significance of technology-human cooperation and excellent communication. Also demonstrating the flexibility and promise of technology in critical care settings is the creative use of tele-ICU nurses during the COVID-19 epidemic. Overall, incorporating technology into nursing is an essential step toward enhancing patient outcomes and the healthcare process.
References
Arneson, S. L., Tucker, S. J., Mercier, M., & Singh, J. (2020). Answering the call: Impact of tele-ICU nurses during the COVID-19 pandemic. Critical Care Nurse, 40(4), e1–e7. https://doi.org/10.4037/ccn2020126
Becker, C. D., Fusaro, M. V., & Scurlock, C. (2019). Deciphering factors that influence the value of tele-ICU programs. Intensive Care Medicine, 45(7), 1046–1051. https://doi.org/10.1007/s00134-019-05591-4
Hassan, E. (2018). Tele-ICU and patient safety considerations. Critical Care Nursing Quarterly, 41(1), 47–59. https://doi.org/10.1097/cnq.0000000000000185
Krick, T., Huter, K., Domhoff, D., Schmidt, A., Rothgang, H., & Wolf-Ostermann, K. (2019). Digital technology and nursing care: A scoping review on acceptance, effectiveness and efficiency studies of informal and formal care technologies. BMC Health Services Research, 19(1). https://doi.org/10.1186/s12913-019-4238-3
- Michael Robie, E., Cole, S., Suwal, A., & Coustasse, A. (2022). Tele-ICU in the United States: Is a cost-effective model? International Journal of Healthcare Management, 15(4), 1–8. https://doi.org/10.1080/20479700.2022.2040877
