Evidence-Based On Technology In Nursing Discussion

The quality and safety of healthcare has increased in tandem with the development of information technology. This bibliography was compiled to examine the effects of electronic medication administration using barcodes on efficiency and the standard of care provided to patients. The worldwide effect of medication inaccuracies is well-studied, which is why I decided to focus on this issue for my research. Medication mistakes are a major contributor to avoidable harm in medical facilities worldwide. It is the duty of nurses to ensure that patients get their prescribed medications in a timely manner and in the correct dosages. Nurses may now scan medications with a scanner before giving them to patients, thanks to recent technological advances. The encrypted data on the barcodes allows for a comparison between the medication given to the patient and the medication the patient had requested. Evidence-Based On Technology In Nursing Discussion

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Electronic medication administration using barcodes has been the focus of a number of different investigations that have recently been carried out. Capella University’s library database, Summon, served as an online library of academic articles that I consulted during my study. Electronic medicine administration using barcodes was one of the most important search phrases I utilized, along with multidisciplinary teams, patient care, and safety and care. The study has to be at least five years old and published in a peer-reviewed journal to be considered.

Annotated Bibliography

Barakat, S., & Franklin, B. D. (2020). An evaluation of the impact of barcode patient and medication scanning on nursing workflow at a UK teaching hospital. Pharmacy, 8(3) https://doi.org/10.3390/pharmacy8030148 Evidence-Based On Technology In Nursing Discussion

The study’s overarching objective was to examine how BCMA altered the routines of nursing staff. The research was conducted at two separate facilities and only one of the facilities had implemented the barcode system, while the other had not. In the research, BCMA was shown to decrease the amount of time needed to deliver a single dosage of medicine but had no effect on the total number of medication rounds. It was demonstrated that making the process of the administration of drugs by nurses less hectic and increasing the frequency with which nurses scan their clients’ armbands increases the likelihood that patients will be safe. However, some nurses were caught using the chart’s barcode to identify a patient instead of the one on their arm. It was noted that errors in medication administration are still possible despite the fact that technology has the potential to help cut down on them; however, this only holds true if the technology is not handled properly. Significant progress in accurate patient identification and the widespread adoption of BCMA may improve care quality and reduce adverse events, thus enhancing patient safety.

This article was chosen because it provides useful information about patient safety and presents alternatives to BCMA. Despite evidence showing that BCMA may help minimize medication inaccuracies and increase safety, nursing staff still have to take precautions to avoid making mistakes. It is still incumbent upon nurses to work together with other professionals across the organization in order to foster interdisciplinary collaboration. To properly care for their patients, nurses must also be prepared to handle any kind of harm Evidence-Based On Technology In Nursing Discussion.

Macias, M., Bernabeu-Andreu, F. A., Arribas, I., Navarro, F., & Baldominos, G. (2018). Impact of a barcode medication administration system on patient safety. Oncology Nursing Forum, 45(1), E1-E13.

https://doi.org/10.1188/18.ONF.E1-E13

The importance of using a barcode in the process of dispensing medication is the primary emphasis of this study. The research was performed to ascertain whether medication mistakes might be reduced by using barcode medication administration (BCMA). Participants were split into two groups, with one receiving their medicine utilizing a barcode system and the other without a barcode system. Over the course of analysis, nearly 3,000 drug administrations were recorded, each of which consisted of high-risk antineoplastic medicines in over 700 patients (Macias et al., 2018). Individuals who received their medications using the barcode system were shown to be at a lesser risk for medication errors than those who did not. The Barcode medication administration method resulted in an 85% reduction in the frequency of those blunders. The study found that there is no proof that the BCMA system can shorten the time it takes to administer medications, despite the fact that it has been shown to aid in minimizing medication mistakes.

This article was picked because it is relevant to the subject that was decided upon, and it also gives factual information. The BCMA technology has substantial potential for use in the field of nursing. It was determined in this study that the barcode medication administration approach contributed to the reduction of medication mistakes, resulting in increased client safety and improved treatment effectiveness.

Othman, E. H., & Darawad, M. W. (2020). Nursesʼ compliance with bar-code medication administration technology: Results of direct observation of jordanian nursesʼ practice. Computers, Informatics, Nursing, 38(5), 256-262. https://doi.org/10.1097/CIN.0000000000000591 Evidence-Based On Technology In Nursing Discussion

This research aimed to directly observe how often nurses utilize bar codes while administering medications. Only slightly more than half of the nurses used bar codes while dispensing medications, according to the study’s findings. The nurse receives a notification each time the client’s barcode and the medicine are scanned in case there is a discrepancy that necessitates a repeat check before giving the medication. According to the researchers, the deployment of BCMA led to a rise in conformity to the health facility protocol of validating the patient’s identification. This is significant since it was anticipated that this would lead to a reduction in the number of mistakes made. Clients’ wristbands and medicine labels must be scanned before administering medication for this approach to be successful. This step was never finished in other past research, as per the authors. One of the reasons this step could not be finished was because of problems reading the barcodes. Furthermore, nurses did not identify the recommended policy that should have been implemented. According to the article, the organizational management and other relevant stakeholders should get together with nurses to figure out why they are not following the rules. A readable barcode may potentially be obtained via the combined efforts of the pharmacist and the nurse who is responsible for the patient’s care. Also covered is the significance of open dialogue between medical professionals in limiting the patient’s risk of harm. In addition to the adoption of BCMA, interdisciplinary teamwork, including nurses, pharmacists, other medical professionals, and patients, may significantly reduce medical errors and save lives.

Evidence-based approaches that nurses and multidisciplinary teams may utilize to successfully increase the safety of patients are outlined in this article, which was chosen because of its relevance and in-depth explanation of these approaches.

Sloss, E. A., & Jones, T. L. (2020). Alert types and frequencies during bar code-assisted medication administration: A systematic review. Journal of Nursing Care Quality, 35(3) Evidence-Based On Technology In Nursing Discussion https://doi.org/10.1097/NCQ.0000000000000446

This article explores the efficacy of using barcodes to deliver medicine. Nurses’ experiences with the barcode system for dispensing medications are the primary subject of this research, as are the types and frequencies of problems they encounter. There has been a rise in the adoption of BCMA systems, which are designed to forestall potentially harmful medication errors. The article also briefly emphasizes the significance of effective teamwork among medical personnel because mistakes may occur whenever drugs are being administered, prescribed, or distributed. According to the study, prior to dispensing any medicine, the nurse is still obligated to carry out the five obligations outlined in the medication rights. Alerts for the incorrect patient, improper drug, and incorrect dosage were all shown upon scanning the barcode. The study also demonstrates how some nurses choose to ignore the alerts while scanning the medicine. In addition to ensuring the ‘5 rights’ are met, nurse practitioners must also be familiar with the drug and only ignore alerts when warranted.

The study’s findings suggest that a more thorough understanding of the actions related to the delivery of different sorts of alerts at a different frequencies and in the face of different obstacles might help make medication administration safer. As BCMA is thought to lessen the likelihood of medication mistakes, this piece is crucial reading for nurses, and that is why it was chosen. It is essential for anyone working in the healthcare industry to have the understanding that even though studies have proven that technology may be helpful, it is entirely up to the practitioners to make the most effective application of the tools that are at their disposal.

Summary of Recommendations

From the findings of these four studies, it is obvious that an efficient barcode drug delivery system may improve patient care and safety. These works explore how BCMA may be used by interdisciplinary teams in medical settings and how it might affect outcomes for the patient.

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Having well-trained nurses and establishing guidelines for nurses are two organizational variables that might affect the BCMA. Putting BCMA into practice has a considerable effect on the well-being and safety of patients. According to one of the studies analyzed, medication mistakes dropped by 85 percent when BCMA was put into place (Macias et al., 2018)Evidence-Based On Technology In Nursing Discussion. The increasing frequency of verifying patients before giving them medicine was also addressed in one of the publications. Patients may be safer if they are more likely to be actively identified and if their drugs are more likely to have been verified utilizing the BCMA technology. All articles discussed ways that have been shown to work to increase the safety of patients via the work of nurses and multidisciplinary teams.

References

Macias, M., Bernabeu-Andreu, F. A., Arribas, I., Navarro, F., & Baldominos, G. (2018). Impact of a barcode medication administration system on patient safety. Oncology Nursing Forum, 45(1), E1-E13.

https://doi.org/10.1188/18.ONF.E1-E13

https://doi.org/10.1097/CIN.0000000000000591

Assessment 3 Instructions: Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing Evidence-Based On Technology In Nursing Discussion

Top of Form

Bottom of Form

Write a 4-6 page annotated bibliography where you identify peer-reviewed publications that promote the use of a selected technology to enhance quality and safety standards in nursing.

Introduction

Before you begin to develop the assessment, you are encouraged to complete the Annotated Bibliography Formative Assessment. Completing this activity will help you succeed with the assessment and counts towards course engagement.

Rapid changes in information technology go hand-in-hand with progress in quality health care delivery, nursing practice, and interdisciplinary team collaboration. The following are only a few examples of how the health care field uses technology to provide care to patients across multiple settings:

- Patient monitoring devices.
- Robotics.
- Electronic medical records.
- Data management resources.
- Ready access to current science.

Technology is essential to the advancement of the nursing profession, maintaining quality care outcomes, patient safety, and research.

This assessment will give you the opportunity to deepen your knowledge of how technology can enhance quality and safety standards in nursing. You will prepare an annotated bibliography on technology in nursing. A well-prepared annotated bibliography is a comprehensive commentary on the content of scholarly publications and other sources of evidence about a selected nursing-related technology. A bibliography of this type provides a vehicle for workplace discussion to address gaps in nursing practice and to improve patient care outcomes. As nurses become more accountable in their practice, they are being called upon to expand their role of caregiver and advocate to include fostering research and scholarship to advance nursing practice. An annotated bibliography stimulates innovative thinking to find solutions and approaches to effectively and efficiently address these issues Evidence-Based On Technology In Nursing Discussion.

Preparation

To successfully complete this assessment, perform the following preparatory activities:

- Select a SINGLE direct or indirect patient care technology that is relevant to your current practice or of interest to you. Direct patient care technologies require an interaction, or direct contact, between the nurse and patient. Nurses use direct patient care technologies every day when delivering care to patients. Electronic thermometers or pulse oximeters are examples of direct patient care technologies. Indirect patient care technologies, on the other hand, are those employed on behalf of the patient. They do not require interaction, or direct contact, between the nurse and patient. A handheld device for patient documentation is an example of an indirect patient care technology. Examples of topics to consider for your annotated bibliography include:

- - Delivery robots.
  - Electronic medication administration with barcoding.
  - Electronic clinical documentation with clinical decision support.
  - Patient sensor devices/wireless communication solutions.
  - Real-time location systems.
  - Remote patient monitoring.
  - Artificial intelligence.
  - Telehealth.
  - Telestroke.
  - Tele-icu.
  - Tele-psychiatry.
  - Tele-genetics.
  - Workflow management systems.
- Conduct a library search using the various electronic databases available through the Capella University Library.

- - Consult the BSN Program Library Research Guide for help in identifying scholarly and/or authoritative sources.
  - Access the NHS Learner Success Lab, linked in the course room navigation menu, for additional resources.
- Scan the search results related to your chosen technology.
- Select four peer-reviewed publications focused on your selected topic that are the most interesting to you.
- Evaluate the impact of patient care technologies on desired outcomes.

- - Analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.
  - Integrate current evidence about the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation Evidence-Based On Technology In Nursing Discussion

Notes

- Publications may be research studies or review articles from a professional source. Newspapers, magazines, and blogs are not considered professional sources.
- Your selections need to be current—within the last five years.

An Evidence-based Recommendation for Selected Technology Implementation

Prepare a 4–6-page paper in which you introduce your selected technology and describe at least four peer-reviewed publications that promote the use of your selected technology to enhance quality and safety standards in nursing. You will conclude your paper by summarizing why you recommend a particular technology by underscoring the evidence-based resources you presented. Be sure that your paper includes all of the following elements:

- Introduction to the Selected Technology Topic
  - What is your rationale for selecting this particular technology topic? Why are you interested in this?
  - What research process did you employ?

- - - Which databases did you use?
    - Which search terms did you use?
    - Note: In this section of your bibliography, you may use first-person since you are asked to describe your rationale for selecting the topic and the research strategies you employed. Use third person in the rest of the bibliography, however. Evidence-Based On Technology In Nursing Discussion
- Annotation Elements
  - For each resource, include the full reference followed by the annotation.
  - Explain the focus of the research or review article you chose.
  - Provide a summary overview of the publication.

- - - According to this source, what is the impact of this technology on patient safety and quality of care?
    - According to this source, what is the relevance of this technology to nursing practice and the work of the interdisciplinary health care team?
    - Why did you select this publication to write about out of the many possible options? In other words, make the case as to why this resource is important for health care practitioners to read.
- Summary of Recommendation
  - How would you tie together the key learnings from each of the four publications you examined?
  - What organizational factors influence the selection of a technology in a health care setting? Consider such factors as organizational policies, resources, culture/social norms, commitment, training programs, and/or employee empowerment.
  - How would you justify the implementation and use of the technology in a health care setting? This is the section where you will justify (prove) that the implementation of the
    patient care technology is appropriate or not. The evidence should be cited from the literature that was noted in the annotated bibliography.

- - - Consider the impact of the technology on the health care organization, patientcare/satisfaction, and interdisciplinary team productivity, satisfaction, and retention.

Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

- Assessment 3 Example [PDF].

Additional Requirements

- Written communication: Ensure written communication is free of errors that detract from the overall message.
- Length: 4–6-typed, double-spaced pages.
- Number of resources: Cite a minimum of four peer-reviewed publications, not websites.
- Font and font size: Use Times New Roman, 12 points.
- APA: Follow APA style and formatting guidelines for all bibliographic entries. Refer to Evidence and APA as needed. Evidence-Based On Technology In Nursing Discussion

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

- Competency 3: Evaluate the impact of patient care technologies on desired outcomes.

- - Analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.
  - Integrate current evidence about the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation.
- Competency 4: Recommend the use of a technology to enhance quality and safety standards for patients.
  
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- - Describe organizational factors influencing the selection of a technology in the health care setting.
  - Justify the implementation and use of a selected technology in a health care setting.
- Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.

- - Create a clear, well-organized, and professional annotated bibliography that is generally free from errors in grammar, punctuation, and spelling.
  - Follow APA style and formatting guidelines for all bibliographic entries. Evidence-Based On Technology In Nursing Discussion

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