Posted: October 2nd, 2022

Peer-reviewed Research Summary

Peer-reviewed Research Summary

In a 4 page paper, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:
-Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies
-Identify the 4 peer-reviewed research articles you reviewed, citing each in APA format. Include an introduction explaining the purpose of the paper.
-Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.
-In your conclusion, synthesize the findings from the 4 peer-reviewed research articles.

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Peer-reviewed Research Summary
Summary of the Articles
Balestra (2017) carried out a study on electronic health records and the impact on patient care. The purpose of the study is to show that electronic health records have an impact on patient care efficiency, improved patient care, and reduced cost. The study shows that the electronic health system requires time-consuming data entry. According to Balestra (2017), practitioners should care since improper use of technology can lead to medical errors. The study shows that practitioners have a role to play to enhance the use of the systems to improve patient care and avoid malpractice issues. The findings of the study show that technology can improve the quality of care and enhance efficiency. One of the aspects of efficiency is improving access to data and sharing it among other healthcare workers. Balestra (2017) effectively demonstrates the role of electronic health records in boosting positive health outcomes.
The lessons learned from the study indicate that patients can enjoy quality care if practitioners use technology in the delivery of care. Quality of care involves reducing medical errors and improving the efficiency of sharing data among healthcare workers and across healthcare facilities. Another lesson is that practitioners should be cautious since technology can increase the risk of medical errors. Medical errors can occur when the data entry is not accurate. Nurses have a role to capture data effectively and accurately to promote better outcomes. The technologies are important in reducing the medical errors that can occur when the healthcare workers do not effectively use the technologies.
Moore et al. (2020), carried out a systematic review of the impact of health information technology on nurses’ time. The purpose of the study was to examine the impact of health information technology on nurses’ time. According to the results, the technologies are important in reducing the time spent administering care. Nurses spend adequate time on direct care and value-adding activities. Moore et al. (2020) show that nurses spend additional time on documentation of the patient records. A systematic review of 33 studies shows that health informatics improves efficiency in the delivery of care. For example, the systematic reviews show that health informatics improve preventative healthcare delivery, decrease adverse drug events, and reduction of medical errors. Decreasing medical errors is a priority among healthcare facilities thus requiring the use of technologies.
The study shows that health informatics improves efficiency in the delivery of care among healthcare workers. One of the lessons learned from the systematic review is that healthcare workers can invest in diverse health informatics to improve the quality of patient care. Another lesson is that paying attention to human factors is crucial in reducing the time nurses spend entering data. Using technology is essential in transcribing, verifying, and renewing orders. Healthcare workers should consider documentation accuracy, saving time, and improving the accuracy and standards of the patient records.
Urquhart et al. (2018) carried out a study on the effects of nursing record systems on nursing practice and healthcare outcomes. The study shows that the nursing record systems are important in effective pain management among children, reducing the loss of notes, reducing transcription errors, and improving the rate of success in achieving the desired outcomes. Using the technology is effective in reducing the loss of notes which can undermine the quality of care. Healthcare workers can use technology to reduce workload and boost patient outcomes.
Nursing record systems have an important role to play in the delivery of care. Improvements in nursing records are essential in boosting the quality of care. The demand for healthcare services requires nurses to use diverse technologies to reduce medical errors. Another lesson is that using technologies can increase the accuracy of delivery of care. Healthcare workers can serve multiple patients without the risk of medical errors. Hospitals should invest in elaborate systems to eliminate the risk of poor care delivery.
Wisner et al. (2019) carried out a study on the impact of electronic health records on the nurses’ cognitive work. The integrated review of the 18 studies shows that electronic health records impede contextualizing and synthesizing information, structuring patient care, and communicating with other professionals. Nurses need diverse tools to share and communicate information since it affects the quality of patient care. The tools are detrimental to the loss of professional domain knowledge and navigating electronic records.
The integrated reviews provide critical lessons about the nature of documentation and the clinician’s ability to express clinical reasoning and reasoning of the colleagues. Another lesson is that nurses should learn the dynamics of various clinical tools that impact the quality of patient care. Using tools is important since it supports the role of nurses in healthcare facilities and reducing the adverse outcomes that can undermine patient satisfaction.
Synthesis of the Research
The four research articles and systematic reviews provide mixed results on the role of nursing informatics in the role of healthcare workers. Balestra (2017) shows that electronic health records have an impact on patient care efficiency, improved patient care, and reduced cost. The impact of the technologies on the delivery of care indicates that improved patient care is at the root of the implementation of electronic health records. On the other hand, Moore et al. (2020) show the impact of health information technology on nurses’ time. The study supports the research by Balestra (2017) that nursing informatics has a positive impact on the delivery of care. The only difference in the studies is that Moore et al. (2020) focuses on nurses’ time while Balestra (2017) deals with patient care efficiency, improved patient care, and reduced cost. Urquhart et al. (2018) support the findings of Balestra (2017) and Moore et al. (2020) that electronic health records have a positive impact on healthcare delivery. Urquhart et al. (2018) emphasize that the nursing record systems are important in effective pain management among children, reducing the loss of notes, reducing transcription errors, and improving the rate of success in achieving the desired outcomes. Urquhart et al. (2018) do not provide a precaution like Balestra (2017) that electronic health records can increase the risk of medical errors. Wisner et al. (2019) emphasize that nurses need diverse tools to share and communicate information since it affects the quality of patient care. Wisner et al. (2019) differ from other studies by showing the impact of the technologies on the cognitive work of the nurses. The varying conclusions of the diverse articles show that there is a need for further research. Additional studies should be carried out to evaluate the impact on both patients and nurses. The duo research will help the workers to establish a better connection between how the technologies affect nurses and patients.

References
Balestra, M. L. (2017). Electronic health records: patient care and ethical and legal implications for nurse practitioners. The Journal for Nurse Practitioners, 13(2), 105-111. https://doi.org/10.1016/j.nurpra.2016.09.010
Moore, E. C., Tolley, C. L., Bates, D. W., & Slight, S. P. (2020). A systematic review of the impact of health information technology on nurses’ time. Journal of the American Medical Informatics Association, 27(5), 798-807. https://doi.org/10.1093/jamia/ocz231.
Urquhart, C., Currell, R., Grant, M. J., & Hardiker, N. R. (2018). Withdrawn: Nursing record systems: effects on nursing practice and healthcare outcomes. The Cochrane Database of Systematic Reviews, 5, CD002099-CD002099. DOI: 10.1002/14651858.cd002099.pub3
Wisner, K., Lyndon, A., & Chesla, C. A. (2019). The electronic health record’s impact on nurses’ cognitive work: An integrative review. International journal of Nursing Studies, 94, 74-84. https://doi.org/10.1016/j.ijnurstu.2019.03.003