LITERATURE REVIEW: THE USE OF CLINICAL SYSTEMS TO IMPROVE OUTCOMES AND EFFICIENCIES
New technology—and the application of existing technology—only appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of positive impact on outcomes or efficiencies.
Nurse informaticists and healthcare leaders formulate clinical system strategies. As these strategies are often based on technology trends, informaticists and others have then benefited from consulting existing research to inform their thinking.
In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings.
To Prepare:
Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.
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, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”
Identify and select 4 peer-reviewed research articles from your research.
For information about annotated bibliographies, visit https://academicguides.waldenu.edu/writingcenter/assignments/annotatedbibliographiesLinks to an external site.
The Assignment: (4-5 pages not including the title and reference page)
In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Help write my assignment – Bibliography . Be sure to address the following:
Identify the 4 peer-reviewed research articles you reviewed, citing each in Ace homework tutors – APA format.
Get custom essay samples and course-specific study resources via course hero homework for you service – Include an introduction explaining the purpose of the paper.
Assignment Help – 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.
Use Ace homework tutors – APA format and include a title page.
Use the Safe Assign Drafts to check your match percentage before submitting your work.
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Powell, K. R., Henstenburg, J. M., Cooper, G., Hollander, J. E., & Rising, K. L. (2017). Patient Perceptions of Written Discharge Instructions from the Emergency Department: A Multisite Study. Annals of emergency medicine, 70(6), 656–662.e4. https://doi.org/10.1016/j.annemergmed.2017.06.030
This study examined over 1,000 patient perceptions of discharge instructions provided through an electronic patient portal following an emergency department visit. Results showed portal access improved understanding and retention of post-visit care instructions compared to paper-only instructions. Patients found the electronic format more convenient.
Heisey-Grove, D., & Carretta, H. (2019: 2024 – Online Assignment Homework Writing Help Service By Expert Research Writers). Assessment of Patient Portal Use by Non-Users at an Urban Federally Qualified Health Center. Perspectives in health information management, 16, 1f.
Researchers surveyed over 300 patients who had not activated their patient portal accounts at an FQHC to better understand barriers. Lack of computer/internet access and low health literacy were significant barriers. Targeted patient education was recommended to increase portal adoption.
Osborn, C. Y., Mayberry, L. S., Wallston, K. A., Johnson, K. B., & Elasy, T. A. (2013). Understanding patient portal use: implications for medication management. Journal of medical Internet research, 15(7), e133. https://doi.org/10.2196/jmir.2589
A mixed-methods study of over 300 patients with diabetes found portal access improved medication adherence when combined with self-management education. Barriers like usability issues and lack of computer skills hindered some patients from fully utilizing portal functions.
Kim, E. H., Stolyar, A., Lober, W. B., Herbaugh, A. L., Shinstrom, S. E., Zierler, B. K., Soh, C., Kim, Y., & Kim, H. (2018: 2024 – Write My Essay For Me | Essay Writing Service For Your Papers Online). Challenges to using an electronic patient portal for personal health information management: The patient perspective. Applied clinical informatics, 9(1), 87–95. https://doi.org/10.1055/s-0038-1634011
Through surveys and interviews, this study of over 100 patients identified usability, privacy/security concerns, and lack of perceived benefit as top barriers to patient portal use. Simplifying portal interfaces and better communication of portal benefits were recommended.
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Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies
Introduction
As technology continues to advance within healthcare, it is important for clinical leaders and informaticists to base strategic decisions on existing research evaluating the impact of new systems. This literature review examines four recent peer-reviewed studies investigating how various clinical systems, such as patient portals and personal health records, have supported improved outcomes and efficiencies. Understanding lessons learned from prior applications can help guide future implementation efforts.
Homework help – Summary of Research
Powell et al. (2017) evaluated patient perceptions of discharge instructions provided through an electronic patient portal following an emergency department visit. Results showed portal access significantly improved understanding and retention of post-visit care instructions compared to paper-only instructions. Patients also found the electronic format more convenient than paper handouts. This suggests portals can help support patient comprehension and adherence to discharge plans.
Heisey-Grove and Carretta (2019: 2024 – Online Assignment Homework Writing Help Service By Expert Research Writers) surveyed over 300 patients who had not activated their patient portal accounts at a federally qualified health center to identify barriers. Lack of computer/internet access and low health literacy were major hindrances to portal adoption. Targeted patient education was recommended to increase portal use among vulnerable populations. This highlights the need for systems designed with all users in mind.
Osborn et al. (2013) examined how portal access combined with diabetes self-management education impacted medication adherence. A mixed-methods study of over 300 diabetic patients found portal use improved medication-taking when paired with education. However, some patients faced usability issues and lacked computer skills needed to fully leverage portal functions. This stresses the importance of optimizing interfaces and providing digital skills training.
Kim et al. (2018: 2024 – Write My Essay For Me | Essay Writing Service For Your Papers Online) identified top barriers to patient portal use through surveys and interviews of over 100 patients. Usability problems, privacy/security concerns, and the lack of perceived benefit deterred many from engaging with their portal accounts. Simplifying portal interfaces and better communication of portal advantages were recommended. This reinforces the need for intuitive design and clear value messaging.
Conclusion
In summary, these four studies demonstrate how clinical systems like patient portals have supported improved outcomes when barriers are addressed. Streamlined interfaces optimized for all users, digital skills education, and communicating value are critical for driving portal adoption. When combined with self-management resources, portals show promise in enhancing areas like medication adherence and post-visit understanding. However, more work is still needed to resolve accessibility issues that hinder vulnerable populations. Overall, with careful planning and evaluation, clinical systems demonstrate potential to enhance healthcare delivery.
References
Heisey-Grove, D., & Carretta, H. (2019: 2024 – Online Assignment Homework Writing Help Service By Expert Research Writers). Assessment of Patient Portal Use by Non-Users at an Urban Federally Qualified Health Center. Perspectives in health information management, 16, 1f.
Kim, E. H., Stolyar, A., Lober, W. B., Herbaugh, A. L., Shinstrom, S. E., Zierler, B. K., Soh, C., Kim, Y., & Kim, H. (2018: 2024 – Write My Essay For Me | Essay Writing Service For Your Papers Online). Challenges to using an electronic patient portal for personal health information management: The patient perspective. Applied clinical informatics, 9(1), 87–95. https://doi.org/10.1055/s-0038-1634011
Osborn, C. Y., Mayberry, L. S., Wallston, K. A., Johnson, K. B., & Elasy, T. A. (2013). Understanding patient portal use: implications for medication management. Journal of medical Internet research, 15(7), e133. https://doi.org/10.2196/jmir.2589
Powell, K. R., Henstenburg, J. M., Cooper, G., Hollander, J. E., & Rising, K. L. (2017). Patient Perceptions of Written Discharge Instructions from the Emergency Department: A Multisite Study. Annals of emergency medicine, 70(6), 656–662.e4. https://doi.org/10.1016/j.annemergmed.2017.06.030
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