D029 Annotated Bibliography

D029 Annotated Bibliography

Student Name

Western Governors University

D029 Informatics for Transforming Nursing Care

Prof. Name:

Date

Annotated Bibliography

Factors Influencing the Use of Electronic Personal Health Records (ePHRs)

What are electronic personal health records (ePHRs) and what functionalities do they provide?
Electronic personal health records (ePHRs) are digital tools that enable patients to access segments of their medical records, communicate with healthcare providers, share medical data, manage appointments, and handle prescriptions. These features empower patients by giving them greater control over their healthcare management.

What factors affect patients’ use of ePHRs?
A systematic review of 97 studies involving more than 150 potential factors identified 18 key elements that significantly influence patients’ adoption and use of ePHRs. These include:

What is the significance of these factors for stakeholders?
Stakeholders implementing ePHRs should carefully consider these factors to enhance adoption rates and ensure successful integration into healthcare systems. Tailoring ePHR design and outreach to address these determinants can increase patient engagement and improve health outcomes (Abd-alrazaq et al., 2019).

Using Virtual Simulation to Teach Evidence-Based Practice (EBP) in Nursing Education

What types of virtual simulations are used in nursing education to teach evidence-based practice?
Two main types of virtual simulations (VS) are utilized: screen-based simulations that use live actors or avatars and virtual reality simulations (VRS) involving immersive headsets. Both provide clinical case scenarios where students make decisions through interactive interfaces.

How do VS and VRS benefit nursing students?
VS and VRS create a safe, risk-free environment for students to practice clinical decision-making without the risk of harming patients. They also offer clinical experiences in situations where traditional in-person clinical placements may be limited. These simulations promote confidence and competence in applying evidence-based practices.

What conclusions were drawn about the integration of virtual simulations in nursing curricula?
The rapid review of 37 case studies demonstrated that both VS and VRS positively impact undergraduate nursing education. The authors recommend including these technologies in nursing curricula to effectively teach evidence-based practice and prepare students for real-world clinical challenges (Cant et al., 2022).

Development and Impact of an Inpatient Staffing Dashboard

What was the purpose of the inpatient staffing dashboard project?
The project aimed to improve staffing processes at Loma Linda University Medical Center by creating a collaborative dashboard that enhances the visibility and management of staffing resources.

How was the dashboard designed and integrated?
A team comprising nursing staff from the staffing department and analytics experts from Information Systems worked together to design dashboard mockups. The finalized dashboard was integrated into Epic Hyperspace and SharePoint, enabling access for staff with varying system permissions.

What features does the dashboard provide?

What was the overall impact of the dashboard?
The collaborative effort improved transparency and enabled leaders to make data-driven staffing decisions tailored to unit and institutional needs, leading to optimized resource allocation and enhanced patient care quality (Role et al., 2021).

Telehealth to Improve Delirium Screening in ICU Nurses

Why is delirium screening important in the ICU setting?
Delirium is a common and serious condition among ICU patients, and accurate screening is essential for timely diagnosis and management to prevent adverse outcomes.

How was telehealth utilized in this study?
Thirteen ICU nurses from multiple hospitals were observed remotely via a telehealth platform while administering the Confusion Assessment Method for the ICU (CAM-ICU). An expert geriatrician used telehealth to evaluate the accuracy of the nurses’ assessments and provided real-time feedback.

What challenges were identified in delirium assessment?
The study revealed common issues including incorrect sedation scale (RASS) scoring, improper administration of the CAM-ICU tool, lack of knowledge about patients’ baseline cognition, inappropriate use of “unable to assess,” and confusion regarding timing of assessments.

What were the outcomes of using telehealth for nurse training?
Following feedback, nurses showed significant improvement in their assessments during subsequent observations and responded positively to the telehealth coaching. The study concluded that telehealth is an effective platform not only for clinical care but also for ongoing education and quality improvement in delirium screening (Sinvani et al., 2022).

Wearable and Mobile Applications in Preventative Healthcare

What multidisciplinary expertise is required for developing wearable health technologies?
Successful design and implementation of wearable health devices and applications require collaboration across fields such as electronic engineering, computer science, design, psychology, health sciences, and medical science.

What types of wearable devices and biosensors are currently available?
Examples include consumer devices like Apple Watches and wearable heart monitors, as well as specialized biosensors such as hand-held electrocardiographs and physiological response patches. These devices often pair with smartphone apps to display and analyze collected data.

What are the benefits of wearable health technologies?
Wearables and mobile apps promote patient engagement, enable self-monitoring of health metrics, and support personal fitness goals. They emphasize not only clinical utility but also user comfort, aesthetics, and ease of use.

What is the future direction for wearable health data?
Ongoing challenges include analyzing and translating the large volumes of data generated by these devices into actionable insights that improve patient outcomes and support preventative healthcare strategies (Huang, Li, & Alem, 2018).

References

Abd-alrazaq, A. A., Bewick, B. M., Farragher, T., & Gardner, P. (2019). Factors that affect the use of electronic personal health records among patients: A systematic review. International Journal of Medical Informatics, 126, 164–175. https://doi.org/10.1016/j.ijmedinf.2019.03.014

Cant, R., Cooper, S., & Ryan, C. (2022). Using virtual simulation to teach evidence-based practice in nursing curricula: A rapid review. Worldviews on Evidence-Based Nursing, 19(5), 415–422. https://doi.org/10.1111/wvn.12572

Role, J., Chao, H., Rosario, C., Ho, P., & Hodgkins, M. (2021). Inpatient staffing dashboard: A nursing-information technology collaborative project. Computers, Informatics, Nursing : CIN, 39(11), 772–779. https://doi.org/10.1097/CIN.0000000000000778

Sinvani, L., Hertz, C., Chandra, S., Ilyas, A., Ardito, S., & Hajizadeh, N. (2022). Using telehealth to improve the accuracy of delirium screening by bedside critical care nurses. American Journal of Critical Care, 31(1), 73–76. https://doi.org/10.4037/ajcc2022773

Huang, W., Li, J., & Alem, L. (2018). Towards preventative healthcare: A review of wearable and mobile applications. Studies in Health Technology & Informatics, 251, 11–14. https://search.ebscohost.com/login.aspx?direct=true&db=mdc&AN=29968589&site=edslive&scope=site&authtype=sso&custid=ns017578