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.
Rapid changes in information technology go hand-in-hand with progress in quality health care delivery, nursing practice, and interdisciplinary team collaboration. Technology is essential to the advancement of the nursing profession, maintaining quality care outcomes, patient safety, and research.
Before you begin to develop the assessment, you are encouraged to complete the Annotated Bibliography Formative Assessment and select a Sentinel-U simulation to complete for practice. Completing these activities will help you succeed with the assessment. The Annotated Bibliography Formative Assessment will count towards engagement.
To successfully complete this assessment, perform the following preparatory activities:
Before you begin to develop the assessment, you are encouraged to complete the Annotated Bibliography Formative Assessment and select a Sentinel-U simulation to complete for practice. Completing these activities will help you succeed with the assessment. The Annotated Bibliography Formative Assessment will count towards engagement.
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.
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 five peer-reviewed publications focused on your selected topic that are the most interesting to you.
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.
Evaluate how your chosen technology can be integrated with Artificial Intelligence to improve patient safety, nurse workflow, or efficient healthcare delivery.
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.
Review the technologies presented in the “Sentinel U: Telehealth Nursing Series Medical/Surgical: Lynn Tan” activity. There are 3 patients listed under “Cases”. Pick one case and select ONE of the technology options used in the SIM to use as the focus for this assessment. The SIM report must demonstrate 100% complete. You will upload the completed SIM report with your assignment.
Next prepare a 4–6 page paper in which you introduce your selected technology and describe at least five peer-reviewed publications that promote the use of your selected technology to enhance quality and safety standards in nursing. You will conclude your paper by summarizing why you recommend a particular technology by underscoring the evidence-based resources you presented. Be sure that your paper includes all of the following elements:
Introduction to the Selected Technology Topic
What is your rationale for selecting this particular technology topic? What is interesting about it?
What research process did you employ?
Which databases did you use?
Which 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.
Artificial Intelligence (AI)
How can AI be used with your chosen technology to improve patient care, nursing workflow, or efficient healthcare delivery. Be sure one of your journal articles supports this.
Summary of Recommendation
How would you tie together, or integrate, the key learnings from each of the five publications you examined?
Describe which 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? This is the section where you will justify (prove) that the implementation of the
patient care technology is appropriate or not. The evidence should be cited from the literature that was noted in the annotated bibliography.
Consider the impact of the technology on the health care organization, patientcare/satisfaction, and interdisciplinary team productivity, satisfaction, and retention.
Full Answer Section
My research process began with a broad search within the Capella University Library databases. I primarily utilized CINAHL Complete, PubMed, and Scopus. My initial search terms included broad concepts such as "remote patient monitoring," "telehealth," and "digital health." As I narrowed my focus, I refined my search terms to include more specific phrases and keywords such as "remote patient monitoring AND nursing," "RPM AND patient safety," "telehealth AND chronic disease management," "remote monitoring AND quality of care," "interdisciplinary team AND remote patient monitoring," "AI AND remote patient monitoring," and "wearable sensors nursing." I also employed filters to ensure results were limited to peer-reviewed publications and published within the last five years (2020-2025). This iterative process allowed me to identify highly relevant and current literature.
Annotation Elements
(Note: The following are hypothetical annotations based on common research themes in RPM. You would replace these with actual articles you find and summarize.)
1. Article 1
Reference: Jones, A. M., Smith, L. K., & Williams, C. R. (2023). The impact of remote patient monitoring on heart failure readmission rates: A systematic review. Journal of Advanced Nursing, 79(5), 1800-1815.
Focus of Research/Review Article: This systematic review synthesizes recent evidence on the effectiveness of remote patient monitoring (RPM) interventions in reducing readmission rates for patients with heart failure. It explores various RPM modalities and their reported outcomes across different healthcare settings.
Summary Overview: The authors conducted a comprehensive search of multiple databases, identifying 30 randomized controlled trials and cohort studies published between 2018 and 2022 that investigated RPM's impact on heart failure readmissions. Their analysis reveals a consistent trend: RPM, particularly when coupled with nurse-led telemonitoring, significantly reduces 30-day and 90-day readmission rates. The review highlights that daily weight and symptom monitoring, coupled with timely nurse intervention based on thresholds, are key to its success. It also emphasizes the importance of patient engagement and education in optimizing RPM benefits.
Impact on Patient Safety and Quality of Care: This technology significantly enhances patient safety by enabling early detection of deteriorating conditions (e.g., fluid retention, dyspnea) in heart failure patients, allowing for proactive interventions before an acute crisis necessitates hospitalization. This reduces the risk of adverse events associated with acute hospitalizations. Quality of care is improved through continuous, personalized monitoring that facilitates timely adjustments to medication, dietary guidance, and activity levels, thereby preventing symptom exacerbation and improving overall health stability.
Relevance to Nursing Practice and Interdisciplinary Team: For nursing practice, RPM shifts the nurse's role towards proactive management, patient education, and critical data interpretation. Nurses become central in triaging alerts, providing telephonic coaching, and coordinating care based on real-time data. It fosters closer collaboration within the interdisciplinary team (IDT) by providing shared, objective data that informs treatment decisions by physicians, pharmacists, and dietitians, leading to more coordinated and efficient care pathways for heart failure patients.
Why this publication is important: I selected this publication because heart failure is a prevalent chronic condition with high readmission rates, making it a critical area for quality improvement. This systematic review provides strong, evidence-based support for RPM's effectiveness in a specific, high-impact clinical area. It underscores that RPM is not just about technology but about the integration of technology with skilled nursing assessment and intervention. It’s crucial for healthcare practitioners to read this to understand the concrete benefits of RPM in reducing readmissions and how nursing expertise is central to its success.
2. Article 2
Reference: Chen, L., Wu, J., & Kim, H. (2022). Home-based remote monitoring for older adults: A qualitative study on patient and caregiver experiences. Geriatric Nursing, 47(3), 200-207.
Focus of Research/Review Article: This qualitative study explores the lived experiences of older adults and their caregivers using home-based remote monitoring devices, focusing on their perceptions of usability, benefits, challenges, and impact on their daily lives.
Summary Overview: Through in-depth interviews with 20 older adult patients with various chronic conditions (e.g., hypertension, diabetes) and 15 primary caregivers, the study identified key themes. Participants reported increased feelings of security and peace of mind due to continuous monitoring, reduced anxiety about health crises, and improved self-management skills. However, challenges included initial technical difficulties, concerns about privacy, and the need for ongoing technical support. The study highlights that user-friendliness and personalized training are crucial for successful adoption and sustained engagement.
Impact on Patient Safety and Quality of Care: RPM enhances patient safety by fostering a sense of constant oversight, which can empower older adults and caregivers to report concerns earlier. It improves quality of care by increasing patient adherence to health regimens and enabling a more proactive, preventative approach to managing chronic conditions, reducing the likelihood of acute episodes. The data collected also provides a more holistic and accurate picture of a patient's health trends over time, leading to better-informed care plans.
Relevance to Nursing Practice and Interdisciplinary Team: Nurses play a critical role in addressing the challenges identified in this study. They are essential for initial patient and caregiver education on RPM devices, troubleshooting technical issues, and providing ongoing emotional support. Their interactions build trust and address concerns about privacy and data interpretation. The IDT benefits from the richer qualitative context provided by patient and caregiver experiences, allowing them to tailor care plans that are not only clinically effective but also practical and acceptable to the patient's lifestyle and capabilities.
Why this publication is important: This article is important because it shifts the focus from purely clinical outcomes to the vital aspect of the patient experience with RPM. For healthcare practitioners, especially nurses, understanding the patient and caregiver perspectives is paramount for successful implementation and sustained use of technology. It highlights the human element of technology adoption and provides insights into how to foster greater acceptance and adherence, ultimately impacting patient safety and quality of care positively by ensuring consistent monitoring.
3. Article 3
Reference: Gao, L., Li, J., & Zhang, Y. (2021). The role of nurses in optimizing telehealth and remote monitoring for chronic obstructive pulmonary disease (COPD) management. Journal of Telemedicine and Telecare, 27(8), 490-498.
Focus of Research/Review Article: This research explores the diverse and expanding roles of nurses in managing chronic obstructive pulmonary disease (COPD) patients through telehealth and remote monitoring platforms, identifying best practices and challenges.
Summary Overview: The study used a mixed-methods approach, combining a survey of 150 nurses involved in telehealth COPD management with qualitative interviews of 20 nurse telehealth coordinators. Findings indicated that nurses are instrumental in patient enrollment, initial device setup, daily symptom monitoring (e.g., oxygen saturation, respiratory rate), conducting virtual check-ins, delivering personalized education on inhaler technique and exacerbation signs, and coordinating follow-up care. Challenges included managing a high volume of alerts and ensuring digital literacy among patients.
Impact on Patient Safety and Quality of Care: For patient safety, RPM, particularly in COPD, allows for continuous vigilance over respiratory status, enabling nurses to detect early signs of exacerbations (e.g., decreasing SpO2, increased shortness of breath) and initiate interventions (e.g., medication adjustment, emergency services) before severe respiratory distress occurs. This proactive approach significantly reduces hospitalizations and emergency department visits. Quality of care is enhanced through consistent symptom management, personalized education, and continuous support, leading to better disease control and improved patient comfort.
Relevance to Nursing Practice and Interdisciplinary Team: This article directly underscores the specialized nursing skills required for effective RPM implementation. Nurses leverage their assessment, critical thinking, patient education, and communication skills to interpret data, triage alerts, and empower patients for self-management. Within the IDT, nurses act as the central hub for RPM data, providing physicians with concise summaries, alerting pharmacists to medication needs, and coordinating with respiratory therapists for optimized breathing techniques, thereby ensuring a holistic and integrated approach to COPD management.
Why this publication is important: I chose this publication because it provides a clear, in-depth look at the nursing-specific contributions to RPM success, particularly for a complex chronic respiratory condition. It validates the expansion of the nursing role into telehealth and provides actionable insights into how nurses can effectively manage caseloads and deliver high-quality care remotely. For practitioners, it demonstrates the critical value of nurses in optimizing technology for chronic disease management and highlights specific competencies required.