Capella 4040 Assessment 3

Capella 4040 Assessment 3 Annotated Bibliography on Technology in Nursing

Name

Capella University

NURS-FPX 4040 Managing Health Information and Technology

Prof. Name

Date

Annotated Bibliography on Technology in Nursing

Tele-ICU technology connects remote critical care specialists with on-site ICU teams, enhancing patient monitoring and management. This annotated bibliography examines the role and impact of these technologies on patient safety, care quality, nursing, and interprofessional team practices.

Introduction to the Selected Technology Topic

I chose to focus on Tele-ICU technology because of its meaningful potential to revolutionize critical care by bridging the gap between limited local resources and the expertise of remote specialists. This technology is instrumental in enhancing patient outcomes and addressing the challenges faced in underserved areas (Van Ee et al., 2022). To thoroughly explore Tele-ICU technology, I conducted a systematic research process that involved multiple steps. I accessed several reputable databases, including PubMed and CINAHL, to gather a wide range of peer-reviewed articles related to Tele-ICU technology.

Furthermore, a combination of specific search terms and Boolean operators was used to refine my search results. Key terms included “Tele-ICU and patient care,” “remote monitoring in ICU,” “critical care telemedicine,” and “telehealth and quality of care.” This approach allowed me to gather a comprehensive understanding of the current landscape of Tele-ICU technology, including its applications in nursing practices, impact on patient outcomes, and future potential in healthcare.

Annotation Elements

Kaplow, R., & Zellinger, M. (2021). Nurses’ perceptions of telemedicine adoption in the intensive care unit. American Journal of Critical Care, 30(2), 122–127. https://doi.org/10.4037/ajcc2021205

This article is a descriptive correlational study that evaluates nurses’ viewpoints on the implementation of telehealth technology in intensive care units. The focus of the research is to understand how nurses view the integration of Tele-ICU systems, particularly in terms of its impact on their workflow, patient care, and interdisciplinary collaboration. The study highlights positive perceptions of nurses working in both respiratory and cardiovascular ICUs, indicating the benefits of the technology. The publication provides a comprehensive overview, emphasizing the role of technology in enhancing patient safety and quality of care through improved monitoring and rapid response capabilities.

Nurses noted that Tele-ICU systems support continuous patient observation and facilitate quicker decision-making, ultimately contributing to better patient outcomes (Kaplow et al., 2021). Moreover, according to the article, this technology is highly relevant to nursing practice, where nurses adapt to new modes of communication and collaboration with remote teams, thereby altering traditional care dynamics. The interdisciplinary healthcare team benefits from the enhanced information flow and the ability to consult with specialists in real time. This publication is valuable for healthcare practitioners to understand nurses’ viewpoints on the effective integration of tele-ICU in nurses’ workflows, enhancing patient care and streamlining practices.

Capella 4040 Assessment 3

Lilly, C. M. (2021). The era of evidence-based ICU telemedicine. Critical Care Medicine, 49(7), 1217–1218. https://doi.org/10.1097/ccm.0000000000004996

This article focuses on the shift toward evidence-based practices in the implementation of ICU telemedicine, emphasizing the importance of rigorous research to validate the benefits and optimize the use of Tele-ICU systems. The primary findings of the study include direct linkages between the implementation of tele-ICUs, reduced length of hospital stay, and lower mortality rates. Through enhanced monitoring, early detection of complications, and timely interventions, this technology maintains patient safety. It improves care quality by reducing the death rate and culminating hospital days, ultimately enhancing patient outcomes.

For nursing professionals, this technology is relevant as it enhances their ability to provide continuous, high-quality care. Tele-ICU supports evidence-based decision-making, enabling nurses to respond promptly to patient needs, improve outcomes, and maintain consistent care standards across diverse ICU settings. It benefits the interdisciplinary healthcare team by facilitating collaboration, streamlining decision-making, and ensuring that care is consistent and standardized across different settings. For healthcare practitioners, understanding the proven benefits of Tele-ICU is critical for informed decision-making and successful implementation. This resource highlights the necessity of integrating research findings into clinical practice to ensure that Tele-ICU technologies are utilized to their full potential.

Song, X., Liu, X., Dong, R., Kummer, K. A., & Wang, C. (2022). Implementation of tele-intensive care unit services during the COVID-19 pandemic: A systematic literature review and updated experience from Shandong province. Telemedicine and E-Health, 29(5), 646–656. https://doi.org/10.1089/tmj.2022.0302

Capella 4040 Assessment 3

This article examines the implementation of Tele-ICU services during the pandemic, focusing on the experiences of Shandong and a systematic review. The publication provides a detailed overview of the challenges and successes associated with Tele-ICU implementation during the pandemic. It concludes that this technology not only benefitted patient care but also mitigated risk to health professionals during the pandemic. Tele-ICU services allowed for continuous monitoring, timely interventions, and efficient use of limited healthcare resources, all of which were critical in improving the quality of care for COVID-19 patients.

This article also discusses how tele-ICU maintains patient and professional safety by preventing cross-contamination and reducing exposure to the virus. For nursing practice, the relevance of this technology is substantial. Tele-ICU enabled nurses to monitor and manage a higher volume of critically ill patients effectively, allowing for more flexible staffing arrangements. The interdisciplinary healthcare team benefited from enhanced communication and resource allocation, leading to improved patient outcomes during the pandemic. This publication provides a contemporary analysis of Tele-ICU technology under exceptional conditions, which is essential for healthcare practitioners to understand how Tele-ICU can be leveraged in crises. It also offers insights into its practical applications and benefits in a high-pressure and low-resourced environment.

Watanabe, T., Ohsugi, K., Suminaga, Y., Somei, M., Kikuyama, K., Mori, M., Maruo, H., Kono, N., & Kotani, T. (2023). An evaluation of the impact of the implementation of the Tele-ICU: A retrospective observational study. Journal of Intensive Care, 11(1), 1. https://doi.org/10.1186/s40560-023-00657-4

Capella 4040 Assessment 3

This article focuses on evaluating the influence of Tele-ICU implementation in a clinical setting through an observational study. The study concludes with quantitative data on reducing patient mortality, decreasing ICU length of stay, and minimizing physician’s workload in critical care settings. These results are interpreted to provide insights into addressing intensivist shortages and reducing healthcare disparities. The publication shows that Tele-ICU significantly improved safety and care excellence. The outcomes indicated a decline in ICU expiry rates and a shorter length of hospitalization, suggesting that the real-time monitoring and expert consultations facilitated by Tele-ICU contribute to better patient management and outcomes.

The connection of this technology to nursing care is highlighted by its capacity to decrease staff workload. Although the article focuses on physicians’ capacity, the findings can be generalized to enhance nurses’ capacity to reduce EMR-related tasks and concentrate on patient care activities, allowing for timely interventions. The study also emphasizes the role of tele-ICU in fostering interdisciplinary collaboration to enhance decision-making, optimize resource use, and improve care coordination. For healthcare practitioners, it is valuable to read this resource as it not only underscores the tangible benefits of Tele-ICU on patients but also for healthcare workers, making it an essential resource to develop insights for the successful implementation of innovative technology in improving healthcare practices and patient outcomes.

Summary of Recommendation

The four publications on Tele-ICU technology reveal its significant advantages in critical care. Tele-ICU improves nursing workflows and interdisciplinary collaboration through remote monitoring and real-time decision support. Evidence shows it reduces mortality rates and shortens ICU stays by enabling better monitoring and timely interventions. Its role during the COVID-19 pandemic was crucial in enhancing patient care and safety while reducing healthcare workers’ exposure. Finally, the literature also highlights how Tele-ICU addresses intensivist shortages, improves care coordination, and reduces healthcare workers’ workload, demonstrating its transformative impact on patient outcomes and team efficiency.

Nevertheless, several organizational factors influence the successful selection and implementation of the technology. These include organizational infrastructure, availability of resources, leadership commitment, and comprehensive training programs. Kobeissi and Hickey (2023) present that the existing technological infrastructure in the organization directs the selection of appropriate technology. This structure helps leadership identify and integrate the system that the existing environment can entail and what further upgrades are required. Moreover, the availability of resources, including financial and technical support, determines the feasibility of adopting new technologies (Jacob et al., 2020). However, commitment from leadership is another crucial aspect in the prioritization of technology initiatives and allocation of necessary resources. Lastly, comprehensive training programs are vital for effective implementation, as they equip staff with the skills needed to utilize new technologies proficiently. Together, these factors shape technological integration and utilization, impacting overall effectiveness and outcomes in healthcare settings.

Capella 4040 Assessment 3

Implementing Tele-ICU technology in a healthcare setting is justified based on substantial evidence of its benefits. The literature highlights that Tele-ICU significantly enhances patient care by improving monitoring and enabling timely interventions, which leads to reduced mortality rates and shorter ICU stays (Lilly, 2021; Watanabe et al., 2023). This technology also addresses intensivist shortages and optimizes resource allocation, benefiting the organization by enhancing operational efficiency (Watanabe et al., 2023).

Another justification is that it improves patient satisfaction through continuous, high-quality care facilitated by real-time expert consultations. Moreover, it enhances the interdisciplinary team’s productivity and satisfaction due to streamlined workflows and enhanced collaboration (Kaplow & Zellinger, 2021). Finally, this technology not only benefits patients but also mitigates the risk for healthcare professionals by preventing cross-transmission of diseases, thus creating a positive working environment for healthcare professionals and ensuring better patient outcomes (Song et al., 2022). Overall, these studies justify the implementation of tele-ICU, indicating it as a valuable investment for improving organizational performance and patient care.

References

Jacob, C., Sanchez-Vazquez, A., & Ivory, C. (2020). Social, organizational, and technological factors impacting clinicians’ adoption of mobile health tools: A systematic literature review (preprint). JMIR MHealth and UHealth, 8(2). https://doi.org/10.2196/15935

Kobeissi, M. M., & Hickey, J. V. (2023). An infrastructure to provide safer, higher quality, and more equitable telehealth. The Joint Commission Journal on Quality and Patient Safety, 49(4), 213–222. https://doi.org/10.1016/j.jcjq.2023.01.006

Lilly, C. M. (2021). The era of evidence-based ICU telemedicine. Critical Care Medicine, 49(7), 1217–1218. https://doi.org/10.1097/ccm.0000000000004996

Capella 4040 Assessment 3

Van Ee, S. K., McKelvey, H., Williams, T., Shao, B., Lin, W.-T., Luu, J., Sunny, D., Kumar, S., Narayan, S., Urdaneta, A., Perez, L., Schwab, H., Riegle, S., & Jacobs, R. J. (2022). Telemedicine intensive care unit (tele-ICU) implementation during COVID-19: A scoping review. Cureus, 14(5). https://doi.org/10.7759/cureus.25133