NURS-6051N Week 8 Walden: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies

NURS-6051N Week 8 Walden: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies

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:

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  • 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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NURS-6051N Week 8: Assignment LITERATURE REVIEW: THE USE OF CLINICAL SYSTEMS TO IMPROVE OUTCOMES AND EFFICIENCIES

Literature Review: The Utilization of Clinical Systems for Enhancing Results and Efficiency

Introduction

Clinical systems, which are computer-based systems for storing, sharing, and analyzing medical data, play a pivotal role in improving patient care and managing medical records. These systems also facilitate communication between healthcare providers and patients, offering a comprehensive solution for tracking patient treatments, medications, laboratory tests, and other medical information. The specific clinical system under scrutiny here is telemedicine, a technology-driven approach to providing medical care and consultations over long distances. Telemedicine enables healthcare professionals and patients to communicate through video, telephone, or the internet. Its applications range from diagnosing and treating patients to offering medical advice and monitoring their progress, making it suitable for follow-up visits, emergency care, and even remote surgery. Telemedicine promises to reduce travel costs and enhance access to medical services, especially for patients in remote or underserved areas. It also has the potential to minimize hospital visits and enhance the quality of patient care. This research seeks to select peer-reviewed articles on telemedicine’s role in managing hypertension within primary care settings. The chosen sources will undergo evaluation for their relevance and quality, culminating in the creation of an annotated bibliography summarizing each article’s crucial findings. This undertaking aims to provide a comprehensive overview of the existing evidence regarding telemedicine’s effectiveness in managing hypertension and its implications for primary care providers. The findings will guide future strategies for hypertension management using 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 position paper, the authors explore the use of telemedicine in managing arterial hypertension. They delve into the evidence and recommendations regarding telemedicine, including remote vital sign monitoring, medication adherence, and lifestyle and risk factor education. The proposed healthcare model they suggest includes video consultations and a multidisciplinary clinical team comprising physicians, nurses, and pharmacists. The outcomes highlighted in this study are twofold. Firstly, telemedicine expands access to care, particularly benefiting those in rural or remote areas who might otherwise struggle to access medical services. Secondly, it enhances patient engagement, offering greater convenience and flexibility in accessing care. Telemedicine also achieves efficiency improvements by reducing the need for in-person visits and enhancing the accuracy of treatment decisions. Patients can remotely monitor and manage their hypertension, and healthcare providers can swiftly analyze data and adapt treatment plans 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 One16(7), e0254222. https://doi.org/10.1371/journal.pone.0254222

This scoping review investigates the impact of telemedicine interventions on blood pressure management in low- and middle-income countries, encompassing 530 articles and 14 studies. The results demonstrate that telemedicine interventions consistently lead to improved outcomes and a significant reduction in blood pressure. Additionally, these interventions contribute to cost reduction as remote monitoring diminishes the need for travel, resulting in substantial savings. The study concludes that telemedicine holds promise but requires further research to fully comprehend its impact and role. The majority of the studies within this review show significant efficiency improvements with telemedicine. Remote communication allows for prompt and effective patient monitoring, saving time otherwise spent on traveling to healthcare facilities and facilitating early monitoring and treatment.

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

This research study explores telemedicine’s potential to enhance blood pressure control. It investigates the development of telecommunication technology, from telephone transmission to modern smartphone technology, and how they can be harnessed for hypertension management. The study highlights emerging technologies that offer more extensive possibilities in telemonitoring and collaborative interventions between patients and healthcare professionals. Telemedicine rectifies the issue of inadequate hypertension management by maximizing the effectiveness of antihypertensive treatment to combat atherosclerosis and arteriosclerosis in patients. The development of telecommunication technology improves access to care by enabling remote healthcare delivery, particularly to individuals facing geographical constraints. It enhances the efficiency of care access, with frequent patient guidance and monitoring.

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 & Outcomes6(1), 19-26. https://doi.org/10.1016/j.mayocpiqo.2021.11.006

This research aims to assess the effectiveness of telemedicine in managing hypertension during the Covid-19 pandemic. Taylor et al. conducted a retrospective cohort study, demonstrating that telemedicine led to improved outcomes, including better hypertension control, blood pressure readings, and medication adherence. The increased efficiency achieved through telemedicine is attributed to more frequent blood pressure monitoring and timely interventions, allowing physicians to offer personalized care by tailoring advice and treatment recommendations.

Conclusion

In reviewing these resources, it becomes evident that telemedicine has had a profound impact on managing hypertension and other health conditions, especially during the Covid-19 pandemic. Telemedicine has empowered healthcare providers to remotely monitor patients’ health status, blood pressure, and treatment plans, offering more convenient and accessible care. Additionally, patients can better manage their hypertension, leading to improved outcomes. The future holds the promise of continued positive impacts from telemedicine in hypertension management.

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