NURS 6051: Transforming Nursing and Healthcare Through Information Technology

Introduction

Clinical systems are computer-based systems that save, exchange, and examine medical details. Hoffer-Hawlik and colleagues (2021) mentioned that medical details help to improve patient care and handle medical records. Furthermore, it aids in making communication easier between healthcare providers and patients. Clinical systems are used to monitor patient treatments, medicines, lab tests, and other medical information. The particular clinical system under review in this report is telemedicine. Omboni and team (2020) clarified that telemedicine is a kind of clinical system utilizing technology to offer medical care and consultations across long distances. This system permits healthcare providers and patients to communicate through video, phone, or the Internet. Hoffer-Hawlik et al. (2021) noted that this technology is employed to diagnose and treat patients, conduct medical consultations, offer medical advice, and monitor their progress.

Telemedicine can serve for follow-up appointments, emergency care, and remote surgeries. It has the potential to cut down travel expenses and enhance access to medical services for patients residing in distant or underserved regions. Telemedicine can also lower the frequency of hospital visits and enhance the standard of patient care. This study aims to choose peer-reviewed articles on telemedicine and the control of hypertension in primary care. The selected sources will be assessed for relevance and quality, and an annotated bibliography will be crafted to sum up each article’s crucial details and discoveries. The investigation will provide a summary of the present evidence regarding the effectiveness of telemedicine in managing hypertension and its implications for primary care providers. Additionally, the outcomes of this study will guide future approaches for controlling hypertension through telemedicine.

Annotated Bibliography

Omboni, S., McManus, R. J., Bosworth, H. B., Chappell, L. C., Green, B. B., Kario, K., Logan, A. G., Magid, D. J., Mckinstry, B., Margolis, K. L., Parati, G., & Wakefield, B. J. (2020). Evidence and recommendations on the use of telemedicine for the management of arterial hypertension. Hypertension, 76(5), 1368–1383. https://doi.org/10.1161/hypertensionaha.120.15873

In this expert viewpoint paper, the authors delved into telemedicine’s utilization in overseeing arterial hypertension. They explored proof and proposals for telemedicine utilization, including remote tracking and transmission of vital signs, adherence to medication, and education on lifestyle and risk factors. The authors proposed that the optimal healthcare model should incorporate video consultations and a diverse clinical team (doctor, nurse, or pharmacist).

There are two enhanced outcomes highlighted by the researchers. Firstly, telemedicine facilitated improved access to care. It offers expanded access to care for individuals residing in rural or distant regions, enabling patients with conditions like arterial hypertension to receive medical assistance that might otherwise be out of reach. Secondly, researchers noted improved outcomes through heightened patient involvement. Omboni and colleagues mentioned that telemedicine contributed to better patient engagement by providing greater convenience and flexibility in accessing care.

Two efficiency enhancements achieved through telemedicine included reducing the necessity for in-person visits and enhancing the efficiency and precision of treatment decisions. The authors discovered that telemedicine decreased the need for physical visits by enabling patients to monitor and manage their hypertension remotely. Moreover, telemedicine technology facilitated more precise and efficient treatment decisions by gathering and analyzing patient data. One instance of the insights gained from the application of telemedicine is the significance of having access to precise data and the ability to promptly assess it. Patients under remote monitoring need to swiftly and accurately transmit data from their medical devices, such as blood pressure monitors, to their healthcare provider. This enables healthcare providers to promptly evaluate the data and adjust the patient’s treatment plan as necessary.

Hoffer-Hawlik, M., Moran, A., Zerihun, L., Usseglio, J., Cohn, J., & Gupta, R. (2021). Telemedicine interventions for hypertension management in low-and middle-income countries: A scoping review. PLOS One, 16(7), e0254222. https://doi.org/10.1371/journal.pone.0254222

This scoping review examined the impacts of telemedicine interventions for managing blood pressure in low- and middle-income countries, analyzing 530 articles and incorporating 14 studies. Findings revealed that the majority of studies exhibited improved outcomes and a notable decrease in blood pressure with telemedicine intervention. Another evident benefit was the reduction in costs. The ability for blood pressure patients to communicate and be monitored remotely significantly slashed the need for travel, resulting in substantial savings on expenses.

The authors concluded that while telemedicine shows promise, more research is necessary to establish its impact and role. Most studies in this review showcased a significant enhancement in efficiencies through telemedicine. Remote communication meant patients could be monitored promptly and efficiently. The time saved from traveling to healthcare facilities was utilized to provide early and much-needed monitoring and treatment. This review indicated that telemedicine interventions for blood pressure management in low- and middle-income countries led to a substantial decrease in blood pressure, with changes in systolic blood pressure ranging from 0.4 to 13.2 mmHg.

The takeaway from this study is that telemedicine interventions for hypertension management in low- and middle-income countries (LMICs) hold potential for improving health outcomes. This resource is crucial as it offers a comprehensive review of the available evidence on the utilization of telemedicine in LMICs, empowering healthcare providers to make more informed decisions regarding these interventions. Furthermore, it underscores the necessity for further research into the effectiveness and impact of telemedicine interventions in LMICs.

Wang, J. G., Li, Y., Chia, Y. C., Cheng, H. M., Minh, H. V., Siddique, S., Sogunuru, G. P., Tay, J. C., Teo, B. W., Tsoi, K., Turana, Y., Wang, T. D., Zhang, Y. Q., & Kario, K. (2021). Telemedicine in the management of hypertension: Evolving technological platforms for blood pressure telemonitoring. The Journal of Clinical Hypertension, 23(3), 435–439. https://doi.org/10.1111/jch.14194

In this study, the researchers looked into how telemedicine could help control blood pressure better. They explored how communication technology has advanced, from using telephones to smart mobile phones, and how these advancements could be used to handle hypertension. Specifically, they talked about new technologies that allow for more options in monitoring patients remotely and offering additional support, like creating an interactive platform for patients and healthcare providers.

Moreover, they suggested that telemedicine changed the situation where hypertension management wasn’t adequate. They noticed better results in how telemedicine helped make the most of high blood pressure treatment to prevent artery diseases in people. Telemedicine offers a more efficient way to treat high blood pressure. Wang and colleagues stressed that as communication technology improved, from using telephones to smart mobile phones, it became easier for doctors and nurses to care for people remotely, especially those who couldn’t reach healthcare services due to where they live. This technology made it quicker to get care and allowed for more frequent check-ins and monitoring of patients.

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The main lesson learned from using telemedicine in clinical settings is that it’s a valuable tool for improving blood pressure control in patients who might not otherwise get proper care. Additionally, telemedicine gives healthcare professionals a convenient and dependable way to watch over and treat high blood pressure and other long-term conditions, providing timely advice and help to ensure patients stick to their treatments. This information is helpful for both doctors and patients because it gives a summary of what we know so far about how well telemedicine works in managing high blood pressure. It also talks about new technologies designed to make remote monitoring even better. This article mainly talks about the difficulties and possibilities that come with telemedicine and how it could make managing high blood pressure and other long-term conditions better.

Taylor, P., Berg, C., Thompson, J., Dean, K., Yuan, T., Nallamshetty, S., & Tong, I. (2022). Effective access to care in a crisis period: Hypertension control during the COVID-19 pandemic by telemedicine. Mayo Clinic Proceedings: Innovations, Quality & Outcomes, 6(1), 19-26. https://doi.org/10.1016/j.mayocpiqo.2021.11.006

The aim of this study was to see how well telemedicine worked for treating high blood pressure during the Covid-19 pandemic. Taylor and colleagues looked back at past data of patients with high blood pressure who got medical help during the pandemic. They found that telemedicine helped make things better, like controlling high blood pressure, checking blood pressure levels, and sticking to medication plans. People benefited from telemedicine because they could keep track of their blood pressure more often. This led to doctors stepping in quickly when needed and people sticking better to their medication plans. Doctors could give more personalized care because they knew more about each patient’s situation and could give advice and treatment suggestions just for them.

This article is important for our current study on healthcare systems because it proves that telemedicine works well for treating high blood pressure. Taylor and colleagues stressed how vital it is for healthcare systems to be set up in a way that lets people get medical help quickly and easily, and also gives personalized care. The study also showed that telemedicine has the potential to make health outcomes better, like controlling high blood pressure and making sure people take their medications correctly. This proof was really helpful for our study because it showed how important healthcare systems are for making sure people can get the care they need during crises.

In conclusion,

After looking at the four resources, it’s clear that telemedicine made a big difference in treating high blood pressure and other health issues, especially during the peak of Covid-19. This type of medical system allowed doctors to keep an eye on patients’ blood pressure, health, and treatment plans from afar, making care more convenient and accessible. Also, it helped patients manage their high blood pressure better, leading to better results. Telemedicine will likely keep being helpful for treating high blood pressure in the future.

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.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.

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