NURS FPX 4040 Assessment 3 Annotated Bibliography...

Annotated Bibliography on Technology in Nursing

Learner’s Name

Capella University

NURSFPX4040: Managing Health Information and Technology

Instructor Name

August 15, 2024

Table of Contents

Technology in Nursing

A pulse oximetry is a routine examination that helps monitor the blood oxygen level. Newborns with acute illnesses require monitoring for oxygen saturation therefore pulse oximeters are useful (Pirzada et al., 2022). Pulse oximeters are employed by anesthesiologists in different locations such as recovery, emergency, pediatric, operating rooms, and neonatal sections. The following annotated bibliography focuses on pulse oximeter usage, drawbacks, precision, and impact on the patient.

Impact of Patient Care Technology on Safety, Quality, and Interdisciplinary Teams

Pirzada, P., Morrison, D., Doherty, G., Dhasmana, D., & Birtill, D. (2022). Automated Remote Pulse Oximetry System (ARPOS). Sensors, 22(13), 4974. https://doi.org/10.3390/s22134974

The revolutionary system pointed out in the abstract enhances the safety of a patient in a very broad way enabling assessing vital signs, for example, heart rate and oxygen saturation without touching the patient. Other conventional procedures involve the use of contact or invasive methods. These are dangerous because they cause infections, and create discomfort when the patient moves or uses the wrong device. Camera-based systems do not possess those perils, thereby increasing the safety of the patients, especially those in regions that require rigorous surveillance such as the ICU.

One way the technology improves patient care is by providing continuous and remote observation of a patient. This is particularly advantageous in situations where one is incapacitated, for example in a care home, or has poor mobility. Based on the results obtained it can be seen that the measures have a low RMSE of 7. 8 for HR and 2. 3 for SpO2, which makes the measures quite accurate and therefore facilitates the provision of informed judgments by the healthcare providers. When the abnormalities appear in the early stages and are constantly monitored, the preventative actions taken can reduce the seriousness of the outcomes and improve the general outcomes of the patients.

This technology enhances working relationships and relational conduct among the members of a multidisciplinary team. The ability to assess the patients in their homes and without any invasive procedures can benefit several caregivers from nurses, physicians, and especially from a range of specialists who will not be physically present with the patient but would need to receive real-time data. This can enhance efficiency as it makes it easier to manage patient data hence saving time for other activities, relieving healthcare practitioners from working extra efforts, and means better allocation of resources. In addition, the ability to integrate such technology into already existing care procedures enhances cooperation because all the members of the interdisciplinary team will be able to access the patient data from a common and dependable source hence enhancing cooperation.

Recommendation on Technology’s Impact on Safety, Quality, and Teams

Hess, D. R. (2024). Pulse Oximetry: 2023 Year in Review. Respiratory Care, 69(8), 1033–1041. https://doi.org/10.4187/respcare.12023

Pulse oximetry which is commonly used in assessing the oxygen saturation level in the body has some vices that endanger the safety of patients and the quality of care. This difference can lead to a delay in the diagnosis and ultimately, hazardous medical consequences for patients, particularly those who have some sort of respiratory disorder. Inaccurate SpO2 measurements result in arrangements for ineffective supplemental oxygen management; delayed care advancement; and undesired treatments or actions. To overcome these challenges, the doctors can employ other forms of monitoring, which will include, CO-oximetry aims to verify the accuracy of the measured SaO2 to ensure adequate evaluation of oxygenation status. Interdisciplinary teams should be aware of the shortcomings of pulse oximetry and find out methods of curbing the above-mentioned biases which include, learning, device calibration, and knowledge of other factors that hinder accuracy. The management strategies include using higher SpO2 targets, frequent recalibrations, and more studies to enhance the precision of the pulse oximeter across the different patient population groups. Awareness and management of these limits help doctors to enhance patient safety and thus the overall quality of care, a positive which in a way enhances the population’s health.

Organizational Factors in Selecting Healthcare Technology

Martin, G. R., Ewer, A. K., Gaviglio, A., Hom, L. A., Saarinen, A., Sontag, M., Burns, K. M., Kemper, A. R., & Oster, M. E. (2020). Updated strategies for pulse oximetry screening for critical congenital heart disease. Pediatrics, 146(1), e20191650. https://doi.org/10.1542/peds.2019-1650

The decision-making process towards choosing pulse oximetry technology in the newborn screening of Critical Congenital Heart Disease (CCHD) across different healthcare organizations is influenced by several organizational factors. Expert opinions and available research is important for decision making and every stakeholder means that as many views as possible are considered. Patient care and quality improvement processes are valued equally to legal obligations, industry certifications, and opinions from regulatory bodies. Resource utilization and financial aspects are important factors determining the technology take up with funding in public health and fiscal concerns. In addition, process standardization and specification as well as conformity to the implemented international processes and education needs is also very important.

These interrelated factors ultimately affect how pulse oximetry becomes adopted and utilized in healthcare systems where necessary and appropriate decisions can be made to enhance technology management and applied in a way that will promote positive impacts on patients, thus decreasing the Critical Congenital Heart Disease (CCHD) morbidity and mortality.

Justification for Implementing Technology in Healthcare

Wick, K. D., Matthay, M. A., & Ware, L. B. (2022). Pulse oximetry is used to diagnose and manage acute respiratory distress syndrome. The Lancet. Respiratory Medicine, 10(11), 1086–1098. https://doi.org/10.1016/S2213-2600(22)00058-3

The justification for the implementation of pulse oximetry technology to diagnose and manage acute respiratory distress syndrome (ARDS) in healthcare settings is explained as follows. Pulse oximetry is always available, reliable, inexpensive, and noninvasive, so it is safer than arterial blood gas analysis to evaluate the value of PaO2/FiO2. A study showed that the SpO2/FiO2 ratio obtained from pulse oximetry accurately classified ARDS patients and has the potential for the diagnosis of hypoxemia in ARDS as an equivalent measurement to the P/F ratio may enhance early identification and diagnosis, leading to better prognosis of the patients, increased availability of proper healthcare, reduced costs, and research and development of associated clinical trials.

However, these limitations include reduced accuracy in the states that involve poor perfusion, high oxygen saturation, and dark skin color and these have to be dealt with predetermined protocols, consistency, and accreditation. They are the pulse oximetry technology and the SpO2/FiO2 ratio. Their implementation can enhance the assessment, treatment, and prognosis of patients with ARDS within healthcare institutions, as well as scientific discovery and practice at large.

Conclusion

They help to monitor oxygen saturation in respiratory diseases hence limiting ICU transfers often attributed to LRAFP. They are useful in pediatric wards for screening congenital heart disease and if detected in early stages then severe organ damage can be avoided. Prolonged monitoring with pulse oximeters significantly decreased ICU admission for pulmonary issues. This multiwavelength pulse oximeters complement current gadgets by providing accurate estimations of carboxyhemoglobin and methemoglobin. Independent teams, pediatricians, and pulmonologists utilize pulse oximetry in the identification of pulse oximetry results and act quickly to implement the necessary treatments.

References