Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies NURS 5051
Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies NURS 5051
New technology — and the application of existing technology — is introduced into healthcare settings only after extensive research. The stakes are high, and new clinical systems must demonstrate a positive effect on patient outcomes or efficiency.
Clinical system strategies are developed by nurse informaticists and healthcare leaders. Due to the fact that these strategies are frequently based on technological trends, informaticists and others benefited from consulting existing research to guide their thinking.
In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings.
Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies
Mobile technologies have largely been used to improve the care given to patients in the modern world. Mobile technologies provide patients and care givers the opportunity to interact on issues related to health. Mobile health technologies have been shown to provide options for low-cost and effective care for patient populations with chronic diseases such as diabetes, heart failure and obesity. mHealth technology is one of the mobile health technologies that is used for the management of health problems such as smoking, obesity, heart disease and tuberculosis. mHealth uses technologies such as applications that provide the needed health education messages for positive lifestyle and behavioral change in populations at risk of health problems. The use of mHealth technology has been shown to result in outcomes such as patient satisfaction, increased access to care and reduction in cost of care incurred by patients and healthcare providers. Therefore, this research paper examines the outcomes of using mHealth technologies in health.
Wang, Y., Xue, H., Huang, Y., Huang, L., & Zhang, D. (2017). A Systematic Review of Application and Effectiveness of mHealth Interventions for Obesity and Diabetes Treatment and Self-Management. Advances in Nutrition, 8(3), 449–462. https://doi.org/10.3945/an.116.014100
mHealth technologies are effective when used in the management of diabetes and obesity. The above study investigated the effectiveness of mhealth interventions for diabetes and obesity treatment as well as self-management. The study was a systematic review of studies conducted in the past on the topic. The authors performed a comprehensive analysis of the interventional studies on mhealth use in treatment of obesity and diabetes and developed recommendations for future practice and research. The articles used in the study were obtained from PubMed database where the inclusion criteria included those that focused on the topic of the study and published between 2000 and 2016. The application of the developed inclusion and exclusion criteria led to 24 articles, which mhealth interventions that included text messaging, monitoring devices and applications running on smartphones. The primary outcomes of the investigation included weight loss and reduction or maintenance of blood glucose level. The secondary outcomes of the investigation included behavioral changes, self-efficacy and acceptability of the use of mhealth programs. The analysis of data revealed that the use of mhealth technologies was associated with more than 50% improvement in weight, blood glucose, behavioral change, self-efficacy, and acceptability of use of the technology. The effects of the mhealth interventions were sustained over a long-term period, translating into the effective management of diabetes and obesity. The lesson learned from this article is that mhealth technologies are associated with significant benefits in use in chronic diseases such as obesity and diabetes. The technology also promotes self-management of these conditions as seen in the improvement in the self-efficacy and behavioral change of the participants. Therefore, mhealth should be incorporated into the management interventions for chronic illnesses in health.
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.

Assignment Literature Review The Use of Clinical Systems to Improve Outcomes and Efficiencies NURS 5051
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/annotatedbibliographies
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 Bibliography. Be sure to address the following:
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.
Use APA format and include a title page.
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By Day 7 of Week 8
Submit your completed Assignment.
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Module 5
Module 5: The Nurse Leader and the System Development Life Cycle (Weeks 9-10)
Laureate Education (Producer). (2018). Systems Implementation [Video file]. Baltimore, MD: Author.
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Learning Objectives
Students will:
Analyze how inclusion of the nurse in the purchasing of health information technology systems impacts healthcare organizations
Analyze the impact of nurse inclusion on each step of the systems development life cycle
Due By
Assignment
Week 9, Days 1–2
Read/Watch/Listen to the Learning Resources.
Compose your initial Discussion post.
Week 9, Day 3
Post your initial Discussion post.
Begin to compose your Assignment.
Week 9, Days 4-5
Review peer Discussion posts.
Compose your peer Discussion responses.
Continue to compose your Assignment.
Week 9, Day 6
Post at least two peer Discussion responses on two different days (and not the same day as the initial post).
Week 9, Day 7
Wrap up Discussion.
Week 10, Days 1-6
Continue to compose your Assignment.
Week 10, Day 7
Deadline to submit your Assignment.
Learning Resources
Required Readings
McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.
Chapter 9, “Systems Development Life Cycle: Nursing Informatics and Organizational Decision Making” (pp. 175–187)
Chapter 12, “Electronic Security” (pp. 229–242)
Chapter 13, “Workflow and Beyond Meaningful Use” (pp. 245–261)
Agency for Healthcare Research and Quality. (n.d.a). Health IT evaluation toolkit and evaluation measures quick reference guide. Retrieved September 27, 2018, from
https://healthit.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-evaluation-toolkit-and-evaluation-measures-quick-reference
Agency for Healthcare Research and Quality. (n.d.b). Workflow assessment for health IT toolkit. Retrieved September 27, 2018, from https://healthit.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit
Required Media
Louis, I. (2011, August 17). Systems development life cycle (SDLC) [Video file]. Retrieved from https://www.youtube.com/watch?v=xtpyjPrpyX8
Laureate Education (Producer). (2018). Interoperability, Standards, and Security [Video file]. Baltimore, MD: Author.
Accessible player
Laureate Education (Producer). (2018). Managing Health Information Technology [Video file]. Baltimore, MD: Author.
Accessible player
Rubric Detail
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Content
Name: NURS_5051_Module04_Week08_Assignment_Rubric
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Excellent
Good
Fair
Poor
In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Be sure to address the following:
· Properly identify 5 peer-reviewed articles selected.
· 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.
Points Range: 77 (77%) – 85 (85%)
The responses accurately and clearly identify 5 peer-reviewed research articles for the Assignment.
The responses accurately and thoroughly summarize in detail each study reviewed, explaining in detail the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described.
Specific, accurate, and detailed examples are provided which fully support the responses.
Points Range: 68 (68%) – 76 (76%)
The responses identify 5 peer-reviewed research articles for the Assignment.
The responses summarize each study reviewed, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described.
Accurate examples are provided which support the responses provided.
Points Range: 60 (60%) – 67 (67%)
The responses vaguely or inaccurately identify 5 or less peer-reviewed articles for the Assignment.
The responses summarize each study reviewed, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described that is vague or inaccurate.
Examples provided to support the responses are vague or inaccurate.
Points Range: 0 (0%) – 59 (59%)
The responses vaguely and inaccurately identify less than 5 peer-reviewed articles for the Assignment, or are missing.
The responses vaguely and inaccurately summarize each study reviewed, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described, or are missing.
Examples provided to support the responses are vague and inaccurate, or are missing.
Written Expression and Formatting – Paragraph Development and Organization:
Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance.
Points Range: 5 (5%) – 5 (5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity.
Points Range: 4 (4%) – 4 (4%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.
Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time.
Points Range: 0 (0%) – 3 (3%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.
Written Expression and Formatting – English writing standards:
Correct grammar, mechanics, and proper punctuation
Points Range: 5 (5%) – 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors.
Points Range: 4 (4%) – 4 (4%)
Contains a few (1-2) grammar, spelling, and punctuation errors.
Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Contains several (3-4) grammar, spelling, and punctuation errors.
Points Range: 0 (0%) – 3 (3%)
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.
Points Range: 5 (5%) – 5 (5%)
Uses correct APA format with no errors.
Points Range: 4 (4%) – 4 (4%)
Contains a few (1-2) APA format errors.
Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Contains several (3-4) APA format errors.
Points Range: 0 (0%) – 3 (3%)
Contains many (≥ 5) APA format errors.
Total Points: 100
Name: NURS_5051_Module04_Week08_Assignment_Rubric
Name: NURS_5051_Module04_Week08_Assignment_Rubric
Excellent | Good | Fair | Poor | |
---|---|---|---|---|
In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:
· Properly identify 4 peer-reviewed research articles you reviewed. |
Points Range: 77 (77%) – 85 (85%)
The responses accurately and clearly identify 4 peer-reviewed research articles for the Assignment. The responses accurately and thoroughly summarize in detail each study reviewed, explaining in detail the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Specific, accurate, and detailed examples are provided which fully support the responses. |
Points Range: 68 (68%) – 76 (76%)
The responses identify 4 peer-reviewed research articles for the Assignment. The responses summarize each study reviewed, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Accurate examples are provided which support the responses provided. |
Points Range: 60 (60%) – 67 (67%)
The responses vaguely or inaccurately identify 4 or less peer-reviewed articles for the Assignment. The responses summarize each study reviewed, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described that is vague or inaccurate. Examples provided to support the responses are vague or inaccurate. |
Points Range: 0 (0%) – 59 (59%)
The responses vaguely and inaccurately identify less than 4 peer-reviewed articles for the Assignment, or are missing. The responses vaguely and inaccurately summarize each study reviewed, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described, or are missing. Examples provided to support the responses are vague and inaccurate, or are missing. |
Written Expression and Formatting – Paragraph Development and Organization:
Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. |
Points Range: 5 (5%) – 5 (5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity.
|
Points Range: 4 (4%) – 4 (4%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.
|
Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time.
|
Points Range: 0 (0%) – 3 (3%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.
|
Written Expression and Formatting – English writing standards:
Correct grammar, mechanics, and proper punctuation |
Points Range: 5 (5%) – 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors.
|
Points Range: 4 (4%) – 4 (4%)
Contains a few (1-2) grammar, spelling, and punctuation errors.
|
Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Contains several (3-4) grammar, spelling, and punctuation errors.
|
Points Range: 0 (0%) – 3 (3%)
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
|
Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list. |
Points Range: 5 (5%) – 5 (5%)
Uses correct APA format with no errors.
|
Points Range: 4 (4%) – 4 (4%)
Contains a few (1-2) APA format errors.
|
Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Contains several (3-4) APA format errors.
|
Points Range: 0 (0%) – 3 (3%)
Contains many (≥ 5) APA format errors.
|
Total Points: 100 |
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