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Capella 4040 Assessment 3

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    Capella 4040 Assessment 3

    Capella 4040 Assessment 3 Annotated Bibliography on Technology in Nursing

    Student Name

    Capella University

    NURS-FPX 4040 Managing Health Information and Technology

    Prof. Name

    Date

    Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing

    Technology advancements in healthcare systems provide improved care quality treatments while saving costs to systems simultaneously. One such technology, telestroke, enables healthcare professionals to provide monitoring, assessing, and educating services and adequate care treatment to stroke patients who cannot acquire care treatment for this ailment due to geographical barriers. The Global Burden of Disease (GBD) 2019 Stroke Burden Measure considered stroke the second leading cause of death and the third major cause of death and dysfunction. Furthermore, the estimated worldwide costs of stroke comprise US$891 billion, making 1.12% of the global GBD (Feigin et al., 2022).

    These statistics advocate the need for telehealth services for stroke patients. The rationale for selecting this particular technology for this assessment is the global prevalence of stroke so that, using evidence-based research, the deadly consequences of this condition will be curtailed. In this research process, I searched various data bashes such as Google Scholar, PubMed, Scopus, CINAHL, and ScienceDirect. The keywords I used to search for this assessment included “telestroke,” “telemedicine for stroke,” “telehealth and stroke,” and “telestroke program.”

     Annotated Bibliography

    Huang, J. F., Greenway, M. R. F., Nasr, D. M., Chukwudelunzu, F. E., Demaerschalk, B. M., O’Carroll, C. B., Nord, C. A., Pahl, E. A., Barrett, K. M., & Williams, L. N. (2020). Telestroke in the time of COVID-19: The Mayo clinic experience. Mayo Clinic Proceedings, 95(8), 1704–1708. https://doi.org/10.1016/j.mayocp.2020.06.007 

    This research article by Huang and colleagues highlights the differentiation between case volumes of telestroke activations before and after the COVID-19 pandemic hit across the globe. The ischemic and hemorrhagic strokes are reported in the article for which telestroke programs were conducted. The results showed reduced ST-segment elevation myocardial infarction and decreased stroke volumes and interventions worldwide. According to this article, telestroke has improved patient safety and quality of care. The care provided to patients remotely satisfied their health demands by assessing patients’ health needs timely and reducing stroke volumes. This depicts the relevance of this technology to nursing practice and interdisciplinary healthcare teams, as this article shows the significant impact of telestroke in lowering the rates of patients experiencing the consequences of stroke.

    Capella 4040 Assessment 3

    Furthermore, the interprofessional healthcare team can take valuable insights on conducting telestroke sessions for patients with stroke or who are vulnerable to experiencing a stroke. Through collaborative work, a healthcare professional from different disciplines can perform their clarified roles in promoting telestroke for stroke patients. In this regard, leadership roles of interdisciplinary teams can enable effective telestroke programs for particular stroke patients, provide improved quality of care, and enhance patient safety.

    Tipton, P. W., D’Souza, C. E., Greenway, M. R. F., Peel, J. B., Barrett, K. M., Eidelman, B. H., Meschia, J. F., Mauricio, E. A., Hattery, W. M., Siegel, J. L., Huang, J. F., TerKonda, S. P., Demaerschalk, B. M., & Freeman, W. D. (2020). Incorporation of telestroke into neurology residency training: “Time is brain and education.” Telemedicine Journal and E-Health: the Official Journal of the American Telemedicine Association, 26(8), 1035–1042. https://doi.org/10.1089/tmj.2019.0184 

    Capella 4040 Assessment 3

    This article highlights the integration of telestroke into neurology residency training, as telemedicine’s importance is evident in many research studies. Considering telemedicine as an efficient health technology, the authors conducted the real-life application of telestroke services by including telestroke training in neurology residency training. The training programs involved multidisciplinary classroom enlightening sessions, real-world experiences, and simulation-based exercises. This article provides illuminating guidance for all neurology departments and the healthcare professionals working in this department to conduct telestroke training sessions for nurses and physicians specialized in providing care treatment and medication management to stroke patients.

    This article initiated the application of telestroke through practical training among healthcare professionals that can enhance patient safety and quality of care, reducing the health complications due to stroke and its poor management. For instance, through telestroke, quicker treatments can be initiated so that the patient does not have to endure the consequences of delayed intervention. Telestroke, as emphasized in the article, can aid nurses in providing improved quality of care as well as enhance patient safety.

    Learning about the critical needs of stroke patients, such as mechanical removal of blood clots or requiring thrombolytic therapy (tPA) wisely decided by healthcare professionals remotely can prevent treatment delays and enhance patient safety. Furthermore, telestroke programs foster an environment where healthcare professionals can collaboratively share information and choose therapeutic plans coordinately, providing improved quality of care through mutual and shared-decision making. Thus, telestroke is powerfully relevant in nursing practices and promotes interdisciplinary collaboration to provide effective and efficient care treatments timely.

    Kennedy, B. A., & Stout, P. J. (2023). Telestroke process at a community hospital: A quality improvement project. Journal of Emergency Nursing. https://doi.org/10.1016/j.jen.2022.12.008 

    Capella 4040 Assessment 3

    This article by Kennedy and Stout (2023) sheds light on the telestroke process at a community hospital to enhance the care quality and patient safety for stroke patients. The article improves the telestroke service program for stroke patients failing to acquire care treatments shortly after telestroke notification. The hospital initiated a nurse-led process to direct any delays in telestroke reports and patients’ assessments. Through the interdisciplinary collaboration of healthcare professionals, successful improvements were made, and delays in telestroke notifications were reduced by which neurologists were able to assess patients timely and subsequent interventions of IV thrombolytic administration or endovascular treatment intervention.

    This shows that the telestroke improvement plan positively impacted patient safety as the quality of care provided to stroke patients ameliorated. Moreover, the interdisciplinary team of physicians, nurses, neurologists, IT personnel, and pharmacists played a broad role in bringing these quality improvement changes to stroke patients through telestroke.

     Telestroke impacts patient safety by monitoring patients at the right time and promptly providing access to time-sensitive treatments by administering IV thrombolytic medications. Thus, it improves patient safety by preventing the lethal consequences of stroke. Telestroke delivers enhanced quality of care to patients as nurses can monitor patient conditions remotely, and prospective care treatment plans are developed quickly and guided by the patients accordingly. Through telestroke, interdisciplinary team collaboration is enhanced as the telestroke requires a joint effort of neurologists, nurse specialists, pharmacists, and the IT department to provide smooth communication with stroke patients through digital communication media. 

    Capella 4040 Assessment 3

    Flanders, S. (2019). Advancing telestroke interventions in an urban ED. Nursing, 49(6), 18–20. https://doi.org/10.1097/01.nurse.0000558087.69980.7e 

    The article mentioned above encompasses the integration of telestroke interventions in emergency departments by delivering expert consultations of neurologists to stroke patients living far away and unable to receive these consultations routinely. Moreover, this article emphasizes how the door-to-needle time is reduced, and patient safety and care treatments are improved. The telestroke programs conducted in the urban hospital provided the thrombolytic plasminogen activator timely and saved patients from brain damage and subsequent disabilities.

    Once the telestroke program was well equipped with the desired outcomes, nurses took the roles of leadership in educating relevant nursing staff on promoting the use of telestroke efficiently. The telestroke program improved patient health outcomes through timely medication delivery as required and improved patient safety. Moreover, the interdisciplinary team role of physicians, ED nurses, stroke program coordinators, and neurologists played a significant role in providing expedited care treatment to stroke patients and improving their health outcomes.

     Through telestroke, healthcare professionals can reduce delayed door-to-needle time and enhance patient safety by providing suitable interventions to patients timely. Moreover, telestroke improves the quality of care through expert consultations, implementing standardized care treatment guidelines, and managing acute stroke symptoms timely through routine follow-ups. Telestroke promotes interprofessional team collaboration by promoting effective, shared decision-making capacity, continuous education, and training relevant staff. The implementation of telestroke requires substantial financial, human, and material resources, an essential factor influencing its integration within the healthcare system. 

    Summary of Recommendations

    The primary critical learnings from the evidence-based studies include that telestroke can improve patient safety by reducing delayed interventions and stroke volumes and enhancing the quality of care treatment to stroke patients. Despite its requirement for technology, valuable resources, privacy regulations, and interprofessional collaboration are among the significant factors influencing the organization’s readiness to implement this technology.

    One of the studies mentioned above advocates the increased likelihood of preventing stroke-associated health implications through telestroke, which justifies implementing this technology in healthcare organizations. The performance of telestroke will reduce mortality rates through quick interventions and adequate management of the disease (Huang et al., 2020). To sum up, using telestroke in healthcare organizations is essential to improve quality of life and patient safety and reduce the overall burden of the disease.

    References

    Feigin, V. L., Brainin, M., Norrving, B., Martins, S., Sacco, R. L., Hacke, W., Fisher, M., Pandian, J., & Lindsay, P. (2022). World Stroke Organization (WSO): Global stroke fact sheet 2022. International Journal of Stroke, 17(1), 18–29. https://doi.org/10.1177/17474930211065917 

    Flanders, S. (2019). Advancing telestroke interventions in an urban ED. Nursing, 49(6), 18–20. https://doi.org/10.1097/01.nurse.0000558087.69980.7e 

    Huang, J. F., Greenway, M. R. F., Nasr, D. M., Chukwudelunzu, F. E., Demaerschalk, B. M., O’Carroll, C. B., Nord, C. A., Pahl, E. A., Barrett, K. M., & Williams, L. N. (2020). Telestroke in the time of COVID-19: The Mayo clinic experience. Mayo Clinic Proceedings, 95(8), 1704–1708. https://doi.org/10.1016/j.mayocp.2020.06.007 

    Kennedy, B. A., & Stout, P. J. (2023). Telestroke process at a community hospital: A quality improvement project. Journal of Emergency Nursing. https://doi.org/10.1016/j.jen.2022.12.008 

    Tipton, P. W., D’Souza, C. E., Greenway, M. R. F., Peel, J. B., Barrett, K. M., Eidelman, B. H., Meschia, J. F., Mauricio, E. A., Hattery, W. M., Siegel, J. L., Huang, J. F., TerKonda, S. P., Demaerschalk, B. M., & Freeman, W. D. (2020). Incorporation of telestroke into neurology residency training: “Time is brain and education.” Telemedicine Journal and E-Health: The Official Journal of the American Telemedicine Association, 26(8), 1035–1042. https://doi.org/10.1089/tmj.2019.0184