Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies

Introduction

Clinical systems encompass computer-based platforms designed for the storage, sharing, and analysis of medical data. As asserted by Hoffer-Hawlik et al. (2021), the utilization of medical information plays a crucial role in enhancing patient care and administering medical records. Furthermore, it serves as a conduit for effective communication between healthcare practitioners and patients. These clinical systems are instrumental in monitoring various facets of patient care, including treatment regimens, medication administration, laboratory examinations, and other pertinent medical information. The focal point of this report revolves around telemedicine, a clinical system characterized by its adept use of technology to furnish medical care and consultations across vast geographic distances.

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Analysis of the Burden of Increased Workload and Nurse Burnout

Omboni et al. (2020) elucidate that this system enables healthcare providers and patients to engage in dialogues through mediums such as video conferencing, telephone calls, or online interactions. This technological marvel is harnessed for diverse purposes, encompassing diagnosis, treatment, medical counsel, and ongoing patient progress assessment. Telemedicine proves its versatility in applications ranging from follow-up appointments, emergency medical intervention, to even remote surgical procedures. It holds the potential to curtail travel expenses while simultaneously enhancing medical service accessibility for patients residing in remote or underserved regions. Moreover, it has the capacity to diminish hospital admissions and elevate the quality of care offered to patients. The primary objective of this research is to discern peer-reviewed articles pertaining to telemedicine’s role in the management of hypertension within the sphere of primary care. The selected sources will be subject to rigorous evaluation for their relevance and scholarly merit, culminating in the creation of an annotated bibliography that distills the core insights and discoveries of each article. This undertaking seeks to provide a comprehensive overview of the existing evidence regarding the effectiveness of telemedicine in the management of hypertension and its implications for primary care providers. Furthermore, the findings emanating from this research endeavor will offer invaluable guidance for shaping forthcoming strategies aimed at the hypertension management landscape through the lens of telemedicine.

Annotated BibliographyOmboni, 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 position paper, the authors delved into the utilization of telemedicine for the management of arterial hypertension. They examined the existing evidence and provided recommendations regarding the deployment of telemedicine, encompassing remote monitoring and transmission of vital signs, medication adherence, and education concerning lifestyle and risk factors. The authors proposed that an optimal healthcare model should involve video consultations and a multidisciplinary clinical team comprising physicians, nurses, and pharmacists. The study yielded two notable enhancements in healthcare outcomes. Firstly, telemedicine ushered in improved access to medical care. It extended access to healthcare services for individuals residing in remote or rural areas, granting patients grappling with conditions like arterial hypertension the opportunity to access healthcare that might otherwise remain beyond their reach. Secondly, the researchers reported heightened patient engagement facilitated by telemedicine. Omboni et al. contended that telemedicine contributed to increased patient engagement by affording greater convenience and flexibility in healthcare access. Two noteworthy efficiency improvements were also realized through the implementation of telemedicine. The first involved a reduction in the necessity for in-person medical visits. Telemedicine permitted patients to remotely monitor and manage their hypertension, thereby diminishing the requirement for physical clinic visits. Moreover, the technology harnessed in telemedicine facilitated more precise and effective treatment decisions by collecting and scrutinizing patient data. An illustrative example underscores the importance of this approach: the swift and accurate transmission of data from medical devices, such as blood pressure monitors, by remotely monitored patients to their healthcare providers. This capability empowered healthcare professionals to swiftly analyze data and make necessary adjustments to the patient’s treatment plan, underlining the critical role of timely and precise data assessment in the telemedicine paradigm.

Reference

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 comprehensive scoping review undertook an examination of telemedicine interventions aimed at blood pressure management within low- and middle-income countries (LMICs). The meticulous search process unearthed a total of 530 articles, ultimately incorporating 14 studies into its analysis. The findings from this review yielded compelling evidence, revealing that a majority of the studies showcased marked improvements in health outcomes, coupled with a significant decrease in blood pressure attributed to telemedicine interventions. Another salient revelation was the considerable cost reduction facilitated by these interventions. The very nature of remote communication and monitoring for blood pressure patients substantially curtailed the need for physical travel, leading to substantial savings in terms of expenses incurred.

In summary, the authors’ conclusion underscored the promise held by telemedicine in this context, but they advocated for additional research to solidify its impact and role in LMICs. The lion’s share of the studies scrutinized in this review illustrated substantial enhancements in the realm of efficiency engendered by telemedicine. The capacity for remote patient communication and monitoring translated into prompt and effective healthcare management. The time saved from avoiding the often burdensome travel to healthcare facilities was harnessed to provide early, much-needed monitoring and treatment. The overarching lesson gleaned from this study is that telemedicine interventions for hypertension management in LMICs have the potential to markedly enhance health outcomes. This resource assumes paramount importance due to its provision of a comprehensive review of the available evidence regarding telemedicine’s deployment in LMICs, thereby empowering healthcare providers to make more informed decisions about the adoption of these interventions. Furthermore, it serves as a clarion call for the imperative need for further research to delineate the efficacy and impact of telemedicine interventions in LMICs.

References

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 research investigation, the authors delved into the potential of telemedicine as a means to enhance the control of blood pressure. They examined the evolution of telecommunication technology, tracing its development from telephone transmission to the advent of smart mobile phone technology, and explored how these advancements could be harnessed in the management of hypertension. Specifically, the article scrutinized emerging technologies that extended the horizons of telemonitoring and co-interventions, including interactive platforms that facilitated communication between patients and healthcare professionals. Furthermore, the authors posited that telemedicine had a transformative impact on the previously inadequate management of hypertension. Notably, the study observed improved outcomes wherein telemedicine played a pivotal role in optimizing the utilization of antihypertensive treatment, consequently mitigating atherosclerosis and arteriosclerosis in human patients. In essence, telemedicine emerges as a more efficacious approach to treating hypertension. Wang and colleagues underscored that the evolution of telecommunication technology, progressing from telephone transmission to smart mobile phone technology, bolstered efficiency by empowering physicians and nurses to provide remote care to individuals hampered by geographical barriers in accessing healthcare services. This technological progress streamlined the delivery of healthcare and facilitated regular guidance and monitoring of patients.

The key insight gleaned from employing the clinical telemedicine system is its remarkable capacity to enhance blood pressure control in patients who might otherwise go without adequate care. Furthermore, telemedicine offers a convenient and dependable platform for healthcare professionals to oversee and manage hypertension and other chronic conditions, affording timely guidance and interventions to ensure patients adhere to their prescribed treatments. This resource proves invaluable for medical practitioners and patients alike, as it offers an encompassing perspective on the existing evidence supporting the effectiveness of telemedicine in the realm of hypertension management. Moreover, it provides an overview of the novel technologies developed to enhance telemonitoring. Primarily, this article explores the challenges and opportunities that telemedicine presents, shedding light on its potential to revolutionize the management of hypertension and other chronic conditions.

ReferencesTaylor, 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 useful telemedicine was in treating hypertension during the Covid-19 pandemic. Taylor and their team looked at data from patients who had hypertension and got care during the pandemic. What they found was that using telemedicine made things better. It improved how well hypertension was controlled, made blood pressure measurements better, and helped people stick to their medication. The main reason it worked better was because it let doctors keep an eye on patients’ blood pressure more often. This meant that they could step in quickly when needed and make sure patients took their medicine on time. Doctors also could give more personalized advice and treatment because they had more information about the patients.

This article is really important for the current research on healthcare systems. It shows that telemedicine works well in cases of hypertension. Taylor and their team stressed the importance of having systems in place that make it easy to get healthcare services and provide personalized care. The research also showed that telemedicine can make health better by improving how hypertension is controlled and helping people stick to their medication. This information is very helpful for the current research because it proves that healthcare systems are valuable, especially during emergencies.

In conclusion, after looking at the four resources mentioned earlier, it’s clear that telemedicine had a big impact on managing hypertension and other health problems, especially during the Covid-19 pandemic. This way of providing healthcare allowed doctors to watch over patients, check their blood pressure, and manage their treatment plans from a distance, making healthcare more convenient and accessible. It also helped patients take better care of their hypertension, which led to better health. Telemedicine looks like it will continue to be a positive force in managing hypertension 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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