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 Turnitin Drafts to check your match percentage before submitting your work.

• McGonigle, D., & Mastrian, K. G. (2022). Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.
o Chapter 14, “The Electronic Health Record and Clinical Informatics” (pp. 293–316)
o Chapter 15, “Informatics Tools to Promote Patient Safety, Quality Outcomes, and Interdisciplinary Collaboration” (pp. 323–349)
o Chapter 16, “Patient Engagement and Connected Health” (pp. 357–378)
o Chapter 17, “Using Informatics to Promote Community/Population Health” (pp. 383–397)
o Chapter 18, “Telenursing and Remote Access Telehealth” (pp. 403–432)
• Resources

• 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
•
Criteria Ratings Pts
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:· Properly identify 4 peer-reviewed research articles you reviewed. 20 to >17.0 pts
Excellent
The response identifies 4 peer-reviewed research articles for the Assignment. 17 to >15.0 pts
Good
The response identifies 3 peer-reviewed research articles and one peer-reviewed article for the Assignment. 15 to >13.0 pts
Fair
The response identifies 4 or less peer-reviewed articles 13 to >0 pts
Poor
The response identifies less than 4 peer-reviewed articles or peer-reviewed articles are missing
20 pts

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. 40 to >35.0 pts
Excellent
The response accurately and thoroughly summarizes in detail each study reviewed, explaining in detail the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described….Specific, accurate, and detailed examples are provided which fully support the response. 35 to >31.0 pts
Good
The response summarizes each study reviewed, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described….Accurate examples are provided which support the response provided. 31 to >27.0 pts
Fair
The response is missing one or two of the required elements or summaries are superficially addressed. 27 to >0 pts
Poor
The response is missing three or more required elements or the summaries are superficially addressed.
40 pts

Synthesize the findings from the 4 peer-reviewed research articles in a cohesive conclusion. 25 to >22.0 pts
Excellent
Response includes a synthesis of the findings in an exceptionally well-written conclusion. 22 to >19.0 pts
Good
Response includes a synthesis of the findings in a well-written conclusion. 19 to >17.0 pts
Fair
The response is missing a synthesis of the findings or the conclusion is superficial. 17 to >0 pts
Poor
The response is missing a synthesis of the findings and the conclusion is not accurate or is missing.
25 pts

Written Expression and Formatting – Paragraph Development and Organization:Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. 5 to >4.0 pts
Excellent
Paragraphs and sentences follow writing standards for flow, continuity, and clarity. 4 to >3.0 pts
Good
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. 3 to >2.0 pts
Fair
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time. 2 to >0 pts
Poor
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 4.0 pts
Excellent
Uses correct grammar, spelling, and punctuation with no errors. 4 to >3.0 pts
Good
Contains a few (1-2) grammar, spelling, and punctuation errors. 3 to >2.0 pts
Fair
Contains several (3-4) grammar, spelling, and punctuation errors. 2 to >0 pts
Poor
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
5 pts

Written Expression and Formatting – APA:The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list. 5 to >4.0 pts
Excellent
Uses correct APA format with no errors. 4 to >3.0 pts
Good
Contains a few (1-2) APA format errors. 3 to >2.0 pts
Fair
Contains several (3-4) APA format errors. 2 to >0 pts
Poor
Contains many (≥ 5) APA format errors.
5 pts

Total Points: 100
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