Impact of Electronic Health Record on Nursing Practice

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 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.

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.

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?

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.

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 four peer-reviewed resources.

Font and font size: Use Times New Roman, 12 point.

APA: Follow APA style and formatting guidelines for all bibliographic entries. Refer to Evidence and APA as needed.

 Impact of Electronic Health Record on Nursing Practice

The recent challenges that have faced the health care provision in American and the world demonstrate that information technology through Electronic Health records can enhance the administration, application, and implication of the health care system. Electronic Health Record (EHR) is an evolving concept in the health system that borders the systematic collection of health information about patients. This topic is significant because it addresses the critical elements in managing digital format information through a network interface that connects enterprise-wide information systems. The research will utilize a qualitative approach of case study in understanding the impact of EHR in nursing practice. The study will draw sources from Ebscohost and Proquest databases available through the Capella University Library. Search teams will be limited to the Electronic health record, impact, and nursing practice.

Annotated Bibliography

Graber, M. L., Byrne, C., & Johnston, D. (2017). The impact of electronic health records on the diagnosis. Diagnosis, 4(4), 211-223.

The authors highlight the significance of EHR in reducing diagnostic errors and promoting patient safety. The source underscores how EHR is a universal tool that integrates elements of care information technology and its use in the diagnostic process.  EHR conceptualizes a systemic approach to inclusive documentation of a patient’s encounters that entirely allows for the streamlining and automation of workflow in the broader health care setting. The source’s findings show that EHR technologies increase safety by making it possible for evidence-based decision support, outcome reporting, and quality management.

The source is credible in evaluating how EHR and health information technology improve nursing practice’s diagnostic and efficiency. Graber, Byrne, and Johnston (2017) outline that EHR has vastly reduced medical errors by providing physicians with decision support. Fast access to medical reports and literature enhance the proliferation of the ongoing efforts to improve health care efficacy.

The source relates to a vast literature examining the emerging challenges of diagnostic errors and how they affect healthcare delivery. The technology improves issues of the compilation of hospitalization as well as ambulant services of the patient. It also enhances access to vital information is enhanced with browser capabilities that refer to given coding concepts and information on medical procedures. Although technology comes with a host of challenges, the benefits outweigh the challenges, and information technology in hospitals and health institutions is one step ahead in safeguarding life. Electronic Health Record provides admittance to a large amount of clinical data, which enhances the level of knowledge of efficiency in medical practices.

Stevenson, J. E., Israelsson, J., Petersson, G., & Bath, P. A. (2018). Factors influencing the quality of vital sign data in electronic health records: A qualitative study. Journal of clinical nursing, 27(5-6), 1276-1286.

The authors examine the principles of EHR. The literature on EHR stems from the need to address existing challenges. For this reason, Stevenson et al. (2018) investigate a wide of reasons for inadequate documentation of vital signs in EHR. Towards implementing an electronic health record in the facility, hospital administrators take a more organic view and consider the extent to which healthcare facilities will integrate electronic systems with the already existing business process. The authors note that the primary step includes defining what electronic system means throughout the health institution.

The source is authentic in providing in-depth knowledge of using EHR to help nurses detect and respond to patients’ deterioration. The source offers credible data that is useful in examining the need for EHR and the challenges nursing practitioners encounter. Every healthcare environment functions differently, making it hard to come up with an electronic health system that is one-size-fits-all. The primary mechanism to achieve the objective of including vital signs in the EHR calls for the customization interface EHR. The physician creates an ideal system that has record standardization within each provider environment. Healthcare practitioners should customize their EHR through regulations.

Documenting vital signs in EHR has limited focus. Nursing practice needs to focus on the association between monitoring a patient’s progress and attending to their emergences.  () note that the primary step includes defining what electronic system means throughout the health institution.

Vehko, T., Hyppönen, H., Puttonen, S., Kujala, S., Ketola, E., Tuukkanen, J., … & Heponiemi, T. (2019). Experienced time pressure and stress: electronic health records usability and information technology competence play a role. BMC medical informatics and decision making, 19(1), 1-9.

The journal article the role of nurses in their informatics competence to achieve high efficiency of EHR. The authors draw on the nationwide survey on working-age registered nurses to show that most nurses experience challenges with their EHRs. Therefore, the informatics competence among the nurses plays a critical role in promoting the part of this technology.

The source is credible given its methodology. The authors connect the EHR usability factors relating them with the nurse’s informatics competence and the psychological distress they experience (Vehko et al., 2019). Training and staffing issues are a challenge because it needs the deployment of medical informatics who are expensive to pay. As a result, most nurses associate the competence factors with training health providers on the logistics of using electronic health systems. New employees will require constant training for the sake of efficiency, whether on a permanent or temporary basis. Competence implies that the system should provide multimedia data from specialists within cardiology, radiology, and many other departmental medical health units.

The study shows that lack of proper training and technological competencies led to high time pressure ad poor use of the system. Hospitals should set appropriate expectations by promoting and accepting the process of change in data collection and storage. A careful plan of transition from the paper plan process to the final deployment of the electronic health record promotes the decision-making of nurses and other practitioners. Hospitals should choose the technology partner in the most appropriate way to work togetEHR with the heath provider on the advisory schema for the entire electronic health system. Electronic Health Record is a software technology that advances at a rapid rate. The system requires frequent and constant updates, which comes with continuous training needs for improving nurse competence.

Kruse, C. S., Mileski, M., Vijaykumar, A. G., Viswanathan, S. V., Suskandla, U., & Chidambaram, Y. (2017). Impact of electronic health records on long-term care facilities: a systematic review. JMIR medical informatics, 5(3), e35.

The source conducts a systematic review to identify the benefits of implementing the EHR system. The standard conditions of implementing the EHR help address the nursing informatics (Kruse et al., 2017). EHR enhances the value of health care by making it possible for health institutions to capture the information about the patient as regards assessment, clinical reports, billing reports, and the medical history of the patient. The success of Electronic Health Records and the implementation of clinical documentation must concise with workflow designs and engage specific measures that would lead to the realization of medical benefits of customization and information interface across hospitals.

The source is credible because it articulates critical issues in EHR. The systematic review from PubMed and Medline databases help to achieve the reliability of data in EHR use.  In essence, the source demonstrates how the use of EHR impacts the satisfaction of the physician and patient. The authors give an overview of the electronic health record features and the underlying functions, implementation and application, and the possible implication of the whole plan.

The source reveals that the implementation of EHR is effective in healthcare facilities. Most technologies that establish EHR have led nurses to improve the management of clinical documentation. The immediate impact of this is its role in improving decision-making. The source reviews how electronic health records would lead to efficiency in clinical research and thus improve the modes of data collection and storage within the health care system.

Conclusion

Electronic Health Records thus encompass handling data in a comprehensive form. It captures the medical history, demographics, immunization status, medication status, laboratory tests results, billing information, and radiology images. The annotation explains that hospitals can achieve EHR benefits if the information system is widespread and interoperable at regional and national levels. Therefore, various methods share the medical data, thereby avoiding the possible failure that can violate the patients’ privacy and entirely injure them. Concerning this, the best and accurate practices in software engineering and medical informatics must be integrated. Similarly, connecting many electronic medical systems reflects why health institutions should purchase electronic health records. However, the application of this system must meet specific criteria such as cost and legal provision since it involves the human affair.  This implication involves the obstacles in line with implementing Electronic Health Record, such as training, staffing issues, identity issues, and security.

References

Graber, M. L., Byrne, C., & Johnston, D. (2017). The impact of electronic health records on diagnosis. Diagnosis, 4(4), 211-223.

Kruse, C. S., Mileski, M., Vijaykumar, A. G., Viswanathan, S. V., Suskandla, U., & Chidambaram, Y. (2017). Impact of electronic health records on long-term care facilities: systematic review. JMIR medical informatics, 5(3), e35.

Stevenson, J. E., Israelsson, J., Petersson, G., & Bath, P. A. (2018). Factors influencing the quality of vital sign data in electronic health records: A qualitative study. Journal of clinical nursing, 27(5-6), 1276-1286.

Vehko, T., Hyppönen, H., Puttonen, S., Kujala, S., Ketola, E., Tuukkanen, J., … & Heponiemi, T. (2019). Experienced time pressure and stress: electronic health records usability and information technology competence play a role. BMC medical informatics and decision making, 19(1), 1-9.