LITERATURE REVIEW

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.

RESOURCES

Be sure to review the Learning Resources before completing this activity. Click the weekly resources link to access the resources. 

WEEKLY RESOURCES

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.waldenu.edu/writingcenter/assignments/annotatedbibliographiesLinks to an external site.

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.

BY DAY 7 OF WEEK 8

Submit your completed Assignment.

SUBMISSION INFORMATION

Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the  Turnitin Drafts from the  Start Here area. 

1. To submit your completed assignment, save your Assignment as  WK8Assgn_LastName_Firstinitial

2. Then, click on  Start Assignment near the top of the page.

3. Next, click on  Upload File and select  Submit Assignment for review.

LEARNING RESOURCES

Required Readings

· McGonigle, D., & Mastrian, K. G. (2022).  Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.

· Chapter 14, “The Electronic Health Record and Clinical Informatics” (pp. 293–316)

· Chapter 15, “Informatics Tools to Promote Patient Safety, Quality Outcomes, and Interdisciplinary Collaboration” (pp. 323–349)

· Chapter 16, “Patient Engagement and Connected Health” (pp. 357–378)

· Chapter 17, “Using Informatics to Promote Community/Population Health” (pp. 383–397)

· Chapter 18, “Telenursing and Remote Access Telehealth” (pp. 403–432)

· Benda, N. C., Veinot, T. C., Sieck, C. J., & Ancker, J. S. (2020).  Broadband internet access is a social determinant of health!Links to an external site. .  American Journal of Public Health,  110(8), 1123-1125. https://doi.org/10.2105/AJPH.2020.305784 

· Dykes, P. C., Rozenblum, R., Dalal, A., Massaro, A., Chang, F., Clements, M., Collins, S. …Bates, D. W. (2017).  Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The Promoting Respect and Ongoing Safety Through Patient Engagement Communication and Technology Study  Download Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The Promoting Respect and Ongoing Safety Through Patient Engagement Communication and Technology Study .  Critical Care Medicine, 45(8), e806–e813. doi:10.1097/CCM.0000000000002449

· HealthIT.gov. (2018c).  What is an electronic health record (EHR) ?Links to an external site.  Retrieved from  https://www.healthit.gov/faq/what-electronic-health-record-ehr

· Rao-Gupta, S., Kruger, D. Leak, L. D., Tieman, L. A., & Manworren, R. C. B. (2018).  Leveraging interactive patient care technology to Improve pain management engagementLinks to an external site. .  Pain Management Nursing, 19(3), 212–221. 

· Sieck, C. J., Sheon, A., Ancker, J. S., Castek, J., Callahan, B., & Siefer, A. (2021).  Digital inclusion as a social determinant of healthLinks to an external site. .  NPJ Digital Medicine,  4(1), 52.  https://doi.org/10.1038/s41746-021-00413-8 

· Skiba, D. (2017).  Evaluation tools to appraise social media and mobile applicationsLinks to an external site. .  Informatics, 4(3), 32–40. 

· Sharma, P., & Patten, C. A. (2022).  A need for digitally inclusive health care service in the United States: Recommendations for clinicians and health care systemsLinks to an external site. .  Permanente Journal,  26(3). https://doi.org/10.7812/TPP/21.156 

Required Media

Optional Resources

· Iott, B. E., Adler-Milstein, J., Gottlieb, L. M., & Pantell, M. S. (2022).  Characterizing the relative frequency of clinician engagement with structured social determinants of health dataLinks to an external site. .  Journal of the American Medical Informatics Association, 30(3), 503-510.  https://doi.org/10.1093/jamia/ocac251 Links to an external site.

· Lyles, C. R., Sharma, A. E., Fields, J. D., Getachew, Y., Sarkar, U., & Zephyrin, L. (2022).  Centering health equity in telemedicineLinks to an external site. .  The Annals of Family Medicine,  20(4), 362-367. https://doi.org/10.1370/afm.2823 

· Romain, C. V., Trinidad, S., & Kotagal, M. (2022).  The effect of social determinants of health on telemedicine access during the COVID-19 pandemicLinks to an external site. .  Pediatric Annals,  51(8), e311-e315. https://doi.org/10.3928/19382359-20220606-04 

· Singh, P., Jonnalagadda, P., Morgan, E., & Fareed, N. (2022).  Outpatient portal use in prenatal care: differential use by race, risk, and area social determinants of healthLinks to an external site. .  Journal of the American Medical Informatics Association,  29(2), 364-371. https://doi.org/10.1093/jamia/ocab242 

· Ye, J., & Ma, Q. (2021).  The effects and patterns among mobile health, social determinants, and physical activity: a nationally representative cross-sectional studyLinks to an external site. .  AMIA Summits on Translational Science Proceedings, 653-662.  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8378627/

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.

RESOURCES

Be sure to review the Learning Resources before completing this activity. Click the weekly resources link to access the resources. 

WEEKLY RESOURCES

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.waldenu.edu/writingcenter/assignments/annotatedbibliographiesLinks to an external site.

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.

BY DAY 7 OF WEEK 8

Submit your completed Assignment.

SUBMISSION INFORMATION

Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the  Turnitin Drafts from the  Start Here area. 

1. To submit your completed assignment, save your Assignment as  WK8Assgn_LastName_Firstinitial

2. Then, click on  Start Assignment near the top of the page.

3. Next, click on  Upload File and select  Submit Assignment for review.

LEARNING RESOURCES

Required Readings

· McGonigle, D., & Mastrian, K. G. (2022).  Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.

· Chapter 14, “The Electronic Health Record and Clinical Informatics” (pp. 293–316)

· Chapter 15, “Informatics Tools to Promote Patient Safety, Quality Outcomes, and Interdisciplinary Collaboration” (pp. 323–349)

· Chapter 16, “Patient Engagement and Connected Health” (pp. 357–378)

· Chapter 17, “Using Informatics to Promote Community/Population Health” (pp. 383–397)

· Chapter 18, “Telenursing and Remote Access Telehealth” (pp. 403–432)

· Benda, N. C., Veinot, T. C., Sieck, C. J., & Ancker, J. S. (2020).  Broadband internet access is a social determinant of health!Links to an external site. .  American Journal of Public Health,  110(8), 1123-1125. https://doi.org/10.2105/AJPH.2020.305784 

· Dykes, P. C., Rozenblum, R., Dalal, A., Massaro, A., Chang, F., Clements, M., Collins, S. …Bates, D. W. (2017).  Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The Promoting Respect and Ongoing Safety Through Patient Engagement Communication and Technology Study  Download Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The Promoting Respect and Ongoing Safety Through Patient Engagement Communication and Technology Study .  Critical Care Medicine, 45(8), e806–e813. doi:10.1097/CCM.0000000000002449

· HealthIT.gov. (2018c).  What is an electronic health record (EHR) ?Links to an external site.  Retrieved from  https://www.healthit.gov/faq/what-electronic-health-record-ehr

· Rao-Gupta, S., Kruger, D. Leak, L. D., Tieman, L. A., & Manworren, R. C. B. (2018).  Leveraging interactive patient care technology to Improve pain management engagementLinks to an external site. .  Pain Management Nursing, 19(3), 212–221. 

· Sieck, C. J., Sheon, A., Ancker, J. S., Castek, J., Callahan, B., & Siefer, A. (2021).  Digital inclusion as a social determinant of healthLinks to an external site. .  NPJ Digital Medicine,  4(1), 52.  https://doi.org/10.1038/s41746-021-00413-8 

· Skiba, D. (2017).  Evaluation tools to appraise social media and mobile applicationsLinks to an external site. .  Informatics, 4(3), 32–40. 

· Sharma, P., & Patten, C. A. (2022).  A need for digitally inclusive health care service in the United States: Recommendations for clinicians and health care systemsLinks to an external site. .  Permanente Journal,  26(3). https://doi.org/10.7812/TPP/21.156 

Required Media

Optional Resources

· Iott, B. E., Adler-Milstein, J., Gottlieb, L. M., & Pantell, M. S. (2022).  Characterizing the relative frequency of clinician engagement with structured social determinants of health dataLinks to an external site. .  Journal of the American Medical Informatics Association, 30(3), 503-510.  https://doi.org/10.1093/jamia/ocac251 Links to an external site.

· Lyles, C. R., Sharma, A. E., Fields, J. D., Getachew, Y., Sarkar, U., & Zephyrin, L. (2022).  Centering health equity in telemedicineLinks to an external site. .  The Annals of Family Medicine,  20(4), 362-367. https://doi.org/10.1370/afm.2823 

· Romain, C. V., Trinidad, S., & Kotagal, M. (2022).  The effect of social determinants of health on telemedicine access during the COVID-19 pandemicLinks to an external site. .  Pediatric Annals,  51(8), e311-e315. https://doi.org/10.3928/19382359-20220606-04 

· Singh, P., Jonnalagadda, P., Morgan, E., & Fareed, N. (2022).  Outpatient portal use in prenatal care: differential use by race, risk, and area social determinants of healthLinks to an external site. .  Journal of the American Medical Informatics Association,  29(2), 364-371. https://doi.org/10.1093/jamia/ocab242 

· Ye, J., & Ma, Q. (2021).  The effects and patterns among mobile health, social determinants, and physical activity: a nationally representative cross-sectional studyLinks to an external site. .  AMIA Summits on Translational Science Proceedings, 653-662.  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8378627/