Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing 4-6 pages

introduction

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.

For this assessment, you will write a 4–6 page annotated bibliography where you identify peer-
reviewed publications that promote the use of one of the technologies presented below that
enhance quality and safety standards in nursing.
Before you complete the detailed instructions in the courseroom, 

We would first review one of the technologies
below.

 Electronic Medication Administration with Barcoding: This technology involves
scanning barcodes on patient wristbands and medications to ensure the right patient
receives the right medication at the right dose and time. It significantly reduces
medication errors and enhances patient safety.
 Tele-ICU: Tele-ICU uses telemedicine technology to provide critical care expertise to
ICUs from a remote location. This allows for continuous monitoring of ICU patients and
provides smaller hospitals access to critical care specialists they might not have on-site.

  • 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 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.

Help with a power point/ speaker notes

ACOG Practice Guideline # 4 & 5

Clinical Presentation of topic/ issue

Diagnosing ( labs, diagnostics, & why)

Management options

Discussion 10 minutes – notes to read

Concept Map

 Mr. Rivera is a 72-year-old patient with end stage COPD who is in the care of Hospice. He has a history of smoking, hypertension, obesity, and type 2 Diabetes. He is on Oxygen 2L per nasal cannula around the clock. His wife and 2 adult children help with his care. Develop a concept map for Mr. Rivera. Consider the patients Ethnic background (he and his family are from Mexico) and family dynamics. Please use the concept map form provided. 

*Fill in the concept map attached below; that’s all, and you can add a reference one or two below the map 

informatics

The table below gives some operational statistics for two hospitals located in the same community. Use the table to answer the following questions.

  1. Calculate the following measures for each hospital (wherever appropriate, calculate the measure for each pay type). Discuss the meaning and significance of each measure and point out the differences between the two hospitals.
    1. Hospital capacity
    2. ALOS
    3. Occupancy rate
  2. Operationally, which hospital is performing better? Why?
  3. Do you think the nonprofit hospital is meeting its community benefit obligations in exchange for its tax-exempt status? Explain.
  4. Do you think the hospitals have a problem with excess capacity? If so, what would you recommend? In your answer to this question, please consider how hospital governance may impact the ability of an administrator to make changes.

U 8 551

 

A 49-year-old female is discussing age-related changes with the nurse practitioner. She states that she is having irregular periods and “hot flashes.”

  1. What other assessment data would substantiate the diagnosis of menopause?
  2. What type of therapy would you expect this patient to receive? Why?

instructions: It is a discussion post, APA format, 1 page in length is fine. Must have 3 references.

Community health

Use the internet and other resources (including health department and agency annual reports) to complete the table below. Compare the demographic and health data from the target community to city, state and national data.

Data Table 1:

Community Indicators

Target Community

[Name]

City/County

[Name]

State

[Name]

United States

[or other country or regions]

Demographics

Age

Race

Gender

Education level
(may need to divide this into two or more categories)

Income level (
again, may need categories)

Percent living at or below FPL
(federal poverty line)

Unemployment rate

Data Table 2:

Health Status Indicators

Target Community
[Name]

City/County

[Name]

State

[Name]

United States

[or other country or regions]

Life expectancy

Infant mortality;

Maternal/ child health outcomes

Morbidity and mortality data

(i.e., prevalence of diseases, causes of death; include several categories)

Data Table 3:

Physical/Social Environment

(Tailor to your target problem, include at least 5 indicators)

Target Community
[Name]

City/County

[Name]

State

[Name]

United States

[or other country or regions]

Liquor store density

School readiness/reading proficiency

School absenteeism

Homicide rate

Youth homicide rate

Vacant lot density

Food desert
(percentage assigned)

The Target Community is “Annapolis Family support center”. Please google it to see what they do and fill out the above table as you search for the information on the internet.

DPwk8

1

IRB is an important step in the research process. State the required components one

should look for in a project to determine if IRB submission is needed. Discuss an example

of a research study in one of your literature review articles that needed IRB approval,

and describe why IRB approval was needed in this instance.

CONTROVERSY ASSOCIATED WITH PERSONALITY AND PARAPHILIC DISORDERS

TO PREPARE

· Review this week’s Learning Resources and consider the insights they provide on assessing, diagnosing, and treating personality and paraphilic disorders.

· Select a specific personality or paraphilic disorder from the 
DSM-5-TR to use for this Assignment.

· Use the Walden Library to investigate your chosen disorder further, including controversial aspects of the disorder, maintaining the therapeutic relationship, and ethical and legal considerations. 

THE ASSIGNMENT

In 2–3 pages:

· Explain the controversy that surrounds your selected disorder.

· Explain your professional beliefs about this disorder, supporting your rationale with at least three scholarly references from the literature.

· Explain strategies for maintaining the therapeutic relationship with a patient that may present with this disorder.

· Finally, explain ethical and legal considerations related to this disorder that you need to bring to your practice and why they are important.

Nursing Assignment

Week 2 Ethical Frameworks Essay

Consider the “Four Topics Approach” (or Four Box method) to ethical decision making on page 61, Table 2.1 in Butts (below).  Apply this model to a challenging situation in your nursing career that required you to consider the ethical dimensions of the patient case and the role you played in providing care. Specifically apply and address the questions within each topic area as they pertain to your situation.

In your conclusion, discuss the impact of the Four Topics process. Did applying these principles shape your decision making in any way?  Does this seem like a valid process for you to apply in your practice? 

Your paper should be 1-2 pages. Adhere to APA formatting throughout, and cite any outside sources you may use.

Review the rubric for further information on how your assignment will be graded.

TABLE 2-1 Four Topics Method for Analysis of Clinical Ethics Cases


Medical Indications: The Principles of Beneficence and Nonmaleficence

· What is the patient’s medical problem? Is the problem acute? Chronic? Critical? Reversible? Emergent? Terminal?

· What are the goals of treatment?

· In what circumstances are medical treatments not indicated?

· What are the probabilities of success of various treatment options?

· In sum, how can this patient be benefited by medical and nursing care, and how can harm be avoided?


Patient Preferences: The Principle of Respect for Autonomy

· Has the patient been informed of benefits and risks, understood this information, and given consent?

· Is the patient mentally capable and legally competent, and is there evidence of incapacity?

· If mentally capable, what preferences about treatment is the patient stating?

· If incapacitated, has the patient expressed prior preferences?

· Who is the appropriate surrogate to make decisions for the incapacitated patient?

· Is the patient unwilling or unable to cooperate with medical treatment? If so, why?


Quality of Life: The Principles of Beneficence and Nonmaleficence and Respect for Autonomy

· What are the prospects, with or without treatment, for a return to normal life, and what physical, mental, and social deficits might the patient experience even if treatment succeeds?

· On what grounds can anyone judge that some quality of life would be undesirable for a patient who cannot make or express such a judgment?

· Are there biases that might prejudice the provider’s evaluation of the patient’s quality of life?

· What ethical issues arise concerning improving or enhancing a patient’s quality of life?

· Do quality-of-life assessments raise any questions regarding changes in treatment plans, such as forgoing life-sustaining treatment?

· What are plans and rationale to forgo life-sustaining treatment?

· What is the legal and ethical status of suicide?


Contextual Features: The Principles of Justice and Fairness

· Are there professional, interprofessional, or business interests that might create conflicts of interest in the clinical treatment of patients?

· Are there parties other than clinicians and patients, such as family members, who have an interest in clinical decisions?

· What are the limits imposed on patient confidentiality by the legitimate interests of third parties?

· Are there financial factors that create conflicts of interest in clinical decisions?

· Are there problems of allocation of scarce health resources that might affect clinical decisions?

· Are there religious issues that might influence clinical decisions?

· What are the legal issues that might affect clinical decisions?

· Are there considerations of clinical research and education that might affect clinical decisions?

· Are there issues of public health and safety that affect clinical decisions?

· Are there conflicts of interest within institutions and organizations (e.g., hospitals) that may affect clinical decisions and patient welfare?

Criteria

Ratings

Pts

This criterion is linked to a Learning OutcomeContent

20 to >17.2 pts

Proficient

The writer clearly and effectively responds to the assignment.

17.2 to >15.0 pts

Approaches Proficiency

The response to the assignment is generally adequate, but may not be thorough.

15 to >0 pts

Does Not Meet Expectations

The writer does not respond to the assignment.

20 pts

This criterion is linked to a Learning OutcomeFocus and Detail

18 to >15.48 pts

Proficient

There is one clear, well-focused topic. Main ideas are clear and are well supported by detailed and accurate information.

15.48 to >13.5 pts

Approaches Proficiency

There is one clear, well-focused topic. Main ideas are clear but are not well supported by detailed information.

13.5 to >0 pts

Does Not Meet Expectations

The topic and main ideas are not clear.

18 pts

This criterion is linked to a Learning OutcomeOrganization

14 to >12.04 pts

Proficient

The introduction is inviting, states the main topic, and provides an overview of the paper. Information is relevant and presented in a logical order. The conclusion is strong.

12.04 to >10.5 pts

Approaches Proficiency

The introduction states the main topic and provides an overview of the paper. A conclusion is included.

10.5 to >0 pts

Does Not Meet Expectations

There is no clear introduction, structure, or conclusion.

14 pts

This criterion is linked to a Learning OutcomeMechanics and APA

8 to >6.88 pts

Proficient

The assignment consistently follows current APA format and is free from errors in formatting, citation, and references. No grammatical, spelling, or punctuation errors. All sources are cited and referenced correctly.

6.88 to >6.0 pts

Approaches Proficiency

The assignment consistently follows current APA format with only isolated and inconsistent mistakes and/or has a few grammatical, spelling, or punctuation errors. Most sources are cited and referenced correctly.

6 to >0 pts

Does Not Meet Expectations

The assignment does not follow current APA format and/or has many grammatical, spelling, or punctuation errors. Many sources are cited and referenced incorrectly, or citations and references are missing.

8 pts

Total Points: 60