NURS FPX 4040 Assessment 3 Annotated Bibliography on Technology in Nursing

Name

Capella University

NURS-FPX 4040 Managing Health Information and Technology

Prof. Name

Date

Technology in Healthcare

Technology is a transformative force in the dynamic healthcare landscape, reshaping patient care through innovations like electronic health records and advanced imaging. Stroke, a leading cause of death and disability in the U.S., affects approximately 795,000 individuals annually, and this prevalence is expected to rise by 20.5% by 2030. Achieving improved outcomes hinges on early recognition and evidence-based treatment. Among these advancements, Telestroke emerges as a crucial telemedicine application by breaking down geographical barriers to provide timely stroke diagnosis and treatment.

This technology facilitates remote consultations, ensuring that even individuals in underserved areas can access specialized stroke care. (Witrick et al., 2020). The choice of Telestroke is driven by its ability to offer swift expert interventions by ultimately enhancing patient outcomes and addressing the critical, time-sensitive nature of stroke care. The seamless integration of Telestroke expands the reach of specialized expertise. It underlines its role in minimizing long-term impacts and saving lives in the face of one of healthcare’s most time-critical challenges.

Identifying Academic Peer-Reviewed Journal Articles

For this annotated bibliography, I extensively explored PubMed, Google Scholar, Capella University Library, ScienceDirect, and CINAHL to uncover relevant findings and review publications about Telestroke. The search involved the use of specific keywords such as “Telestroke interventions,” “Impact of Telestroke technology on healthcare practices,” “Quality of care in Telestroke systems,” and “Interdisciplinary collaboration in Telestroke monitoring in healthcare settings.” I applied the CRAAP (Currency, Relevance, Accuracy, Authority, and Purpose) criteria to gauge the reliability and relevance of the research-based materials. This model is a valuable tool for evaluating the accuracy and pertinence of research papers. The chosen articles meet the CRAAP criteria, being both current and pertinent. Authors possessing medical expertise have contributed valuable insights, aligning with the CRAAP criteria (Muis et al., 2022).

Annotated Bibliography

Lazarus, G., Permana, A. P., Nugroho, S. W., Audrey, J., Wijaya, D. N., & Widyahening, I. S. (2020). Telestroke strategies to enhance acute stroke management in rural settings: A systematic review and meta‐analysis. Brain and Behavior, 10(10). https://doi.org/10.1002/brb3.1787

The research extensively investigates the impact of telestroke on acute stroke management in rural areas, encompassing prehospital and in-hospital telemedicine approaches. The meta-analysis reveals a substantial reduction in Onset-to-Treatment Time (OTT), primarily attributed to mobile stroke units (MSUs) and remote thrombolysis, indicating that telestroke expedites the administration of intravenous thrombolysis (IVT). The study underscores an associated increase in IVT rates, suggesting swifter access to thrombolytic therapies and potentially improved clinical outcomes. Patients managed through telestroke exhibit superior functional outcomes compared to conventional care, signifying telestroke’s pivotal role in fostering enhanced recovery and minimizing disability. Lower in-hospital mortality rates associated with telestroke implementation emphasize its positive impact on overall survival for acute stroke patients.

Notably, the absence of a significant increase in symptomatic intracranial hemorrhage (sICH) rates with telestroke suggests its safety profile. The research also highlights the significance of prehospital telestroke triage, demonstrating a significant reduction in treatment time when employed, underscoring the technology’s crucial role in streamlining prehospital processes and enhancing the overall stroke care pathway. The research strongly supports telestroke’s positive impact on patient safety and acute stroke care quality in rural settings. Recognizing its relevance to nursing practice, the study emphasizes telestroke’s potential to enhance efficiency, improve outcomes, and provide cost-effective solutions, making it indispensable for informed healthcare practitioners in rural areas.

Mohamed, A., Elsherif, S., Legere, B., Fatima, N., Shuaib, A., & Maher Saqqur. (2023). Is telestroke more effective than conventional treatment for acute ischemic stroke? A systematic review and meta-analysis of patient outcomes and thrombolysis rates. International Journal of Stroke. https://doi.org/10.1177/17474930231206066

The chosen research article critically examines the impact of telestroke systems on the outcomes of acute ischemic stroke (AIS) patients. The study meticulously compares various parameters, including critical treatment times, clinical outcomes, and baseline characteristics, between patients treated through telemedicine (TM) and those receiving non-telemedicine (NTM) interventions. The findings indicate that telestroke is as effective as traditional face-to-face treatment and demonstrates non-significantly higher rates of intravenous thrombolysis (tPA). An intriguing facet of the study is its exploration of different patient transport models, such as the mothership (MS) and drip-and-ship (DS) models, suggesting that these models influence outcomes differently.

The absence of significant differences in door-to-needle times, 90-day mortality, symptomatic intracranial hemorrhage, or modified Rankin scale scores between TM and NTM groups is noteworthy. The study underscores the safety and efficacy of telestroke, particularly beneficial in regions with limited healthcare access, while emphasizing the need for further research to optimize patient care. Regarding relevance to nursing practice and the interdisciplinary healthcare team, the research implies that telestroke technology can enhance the efficient delivery of healthcare services, especially in remote or underserved areas.

Its findings are significant for healthcare practitioners as they contribute a nuanced understanding of the evolving landscape of telestroke technology and its implications for patient care, highlighting its potential role in optimizing stroke treatment strategies. Overall, this publication stands out for its thorough analysis, large sample size, and valuable insights, making it essential reading for healthcare professionals navigating the dynamic intersection of telemedicine and stroke care.

Tumma, A., Berzou, S., Jaques, K., Shah, D., Smith, A. C., & Thomas, E. E. (2022). Considerations for the implementation of a telestroke network: A systematic review. Journal of Stroke and Cerebrovascular Diseases, 31(1), 106171. https://doi.org/10.1016/j.jstrokecerebrovasdis.2021.106171

The research article comprehensively explores the impact of telestroke on the quality of care in acute stroke management. Rooted in the Consolidated Framework for Implementation Research (CFIR), the study underscores the transformative influence of telestroke on global networks by emphasizing key factors such as pre-implementation planning, governance structures, and stakeholder engagement in shaping care quality. It navigates the evolving landscape of the increased telestroke networks globally and the revolutionary influence of imaging-guided therapies like endovascular thrombectomy.

The research highlights positive outcomes, including enhanced hospital processes, reduced treatment times, and improved access to effective therapies, contributing to an elevated standard of care. Recognizing the resource-intensive nature of telestroke systems, the study emphasizes the imperative for sustainable funding. It addresses staff beliefs and attitudes, critical elements in ensuring and maintaining high-quality care. This is an invaluable resource for healthcare practitioners by providing practical insights, overcoming challenges, and offering a comprehensive guide to implement or enhance telestroke services, recognizing the growing importance of telestroke in advancing stroke care and advocating for continued research to refine and optimize telestroke networks.

Croatti, A., Longoni, M., & Montagna, S. (2022). Applying telemedicine for stroke remote diagnosis: The telestroke system. Procedia Computer Science, 198, 164–170. https://doi.org/10.1016/j.procs.2021.12.224

The selected article explores the implementation of the TeleStroke system, a telemedicine-oriented software designed to facilitate the remote diagnosis of strokes within a Hub & Spoke healthcare organization. The TeleStroke system enables teleconsultation between remote neurologists and on-site physicians through smart glasses, aiming to optimize the diagnosis and treatment of strokes. It underscores the impact on patient safety by emphasizing timely and accurate diagnoses, which is especially crucial in managing time-dependent pathologies like strokes. Furthermore, the relevance of TeleStroke to nursing practice is highlighted, stressing its potential to enhance interdisciplinary healthcare teamwork through improved communication and decision-making.

Nurses can benefit from increased access to specialized consultations, contributing to better patient care. It focuses on an innovative telemedicine solution for stroke care and wearable technology’s role in facilitating real-time collaboration. The detailed insights into the system’s architecture and ongoing evaluations make it a valuable resource for healthcare practitioners seeking to effectively understand and implement telemedicine applications in stroke diagnosis. The TeleStroke system’s emphasis on interdisciplinary collaboration aligns with the evolving healthcare landscape, showcasing the potential for enhanced teamwork and communication among healthcare professionals, ultimately improving patient outcomes in stroke care.

Summary of Recommendations

In the collective examination of four pertinent articles, several vital recommendations emerge regarding the efficacy and implementation of telestroke technology. Lazarus et al. (2020) demonstrate that telestroke, mainly through mobile stroke units (MSUs) and remote thrombolysis, significantly reduces Onset-to-Treatment Time (OTT), leading to increased intravenous thrombolysis (IVT) rates and improved patient outcomes. Mohamed et al. (2023) support these findings, emphasizing the safety and comparable effectiveness of telestroke, particularly in regions with limited healthcare access.

Tumma et al. (2022) systematic review underscores the transformative influence of telestroke on global networks, emphasizing pre-implementation planning, governance structures, and stakeholder engagement. Positive outcomes include enhanced hospital processes, reduced treatment times, and improved access to effective therapies. Croatti et al. (2022) focus on the TeleStroke system, showcasing its role in facilitating remote stroke diagnosis and interdisciplinary collaboration, aligning with the evolving healthcare landscape. In selecting telestroke technology, organizational factors such as policies, resources, culture, commitment, and training programs play pivotal roles. Tumma et al. (2022) underscore the importance of pre-implementation planning and stakeholder engagement in shaping care quality, highlighting the need for a strategic approach to technology integration.

The justification for telestroke implementation is firmly supported by the evidence presented in the literature. Lazarus et al. (2020) and Mohamed et al. (2023) collectively provide evidence for the positive impact of telestroke on patient safety, reduced treatment times, and improved clinical outcomes. The emphasis on safety, efficacy, and non-significantly higher thrombolysis rates makes a compelling case for the implementation of telestroke, particularly in regions with limited healthcare access. The implementation of telestroke technology positively influences healthcare organizations by enhancing processes, reducing treatment times, and improving access to effective therapies (Tumma et al., 2022). Patient care and satisfaction benefit from swifter access to thrombolytic therapies and superior functional outcomes (Lazarus et al., 2020).

Furthermore, interdisciplinary team productivity, satisfaction, and retention are positively impacted through improved communication and collaboration facilitated by telemedicine applications like the TeleStroke system (Croatti et al., 2022). In essence, the evidence collectively justifies the implementation of telestroke technology as it emerges as a transformative and efficient tool in advancing stroke care and optimizing healthcare delivery.

Conclusion

In conclusion, the reviewed articles underscore the transformative impact of telestroke technology on acute stroke management. From significantly reducing treatment times and improving clinical outcomes to enhancing interdisciplinary collaboration and global healthcare networks, telestroke is pivotal in advancing stroke care. The evidence supports its implementation, particularly in underserved areas, showcasing its potential to positively influence patient safety, organizational processes, and healthcare practitioner satisfaction. As technology continues to evolve, the integration of telestroke stands as a compelling solution to address the time-sensitive nature of stroke care, ultimately optimizing healthcare delivery and improving patient outcomes on a global scale.

References

Mohamed, A., Elsherif, S., Legere, B., Fatima, N., Shuaib, A., & Maher Saqqur. (2023). Is Telestroke more effective than conventional treatment for acute ischemic stroke? A systematic review and meta-analysis of patient outcomes and thrombolysis rates. International Journal of Stroke. https://doi.org/10.1177/17474930231206066

Muis, K. R., Denton, C., & Dubé, A. (2022). Identifying CRAAP on the internet: A source evaluation intervention. Advances in Social Sciences Research Journal, 9(7), 239–265. https://doi.org/10.14738/assrj.97.12670

NURS FPX 4040 Assessment 3 Annotated Bibliography on Technology in Nursing

Witrick, B., Zhang, D., Switzer, J. A., Hess, D. C., & Shi, L. (2020). The association between stroke mortality and time of admission and participation in a telestroke network. Journal of Stroke and Cerebrovascular Diseases, 29(2), 104480. https://doi.org/10.1016/j.jstrokecerebrovasdis.2019.104480