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NURS FPX 6025 Assessment 4 Practicum and Technological Changes

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Capella University

NURS-FPX 6025 MSN Practicum

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Practicum and Technological Changes

Technological advancements have led to significant advances in medical operations. Technology has transformed medical care by increasing diagnostic precision, facilitating management through wearable devices, and establishing a standardized health information system (Junaid et al., 2022). Telehealth solutions have eliminated geographical constraints regarding medical care, making services more accessible and affordable (Haimi, 2023).

In the capstone project, medical technology, including remote monitoring through wearable devices, Electronic Health Records (EHRs), and mobile apps, is critical to executing the PICO(T) approach (Population, Intervention, Comparison, Outcomes, and Time) to reduce Pressure Injury (PI) incidences. In this assessment, I will explore the significance of these technologies in executing the intervention and execution of the PICO(T) approach.

Effects of Technology on the PICO(T) Intervention

In the capstone project, multiple technologies were employed to improve the effectiveness of the PI prevention bundle intervention. Wearable devices are significant technologies to enhance the care of PI patients and reduce PI rates. Wearable sensors can improve patient repositioning by allowing personnel to quickly determine which patients require to be repositioned (Crotty et al., 2023). Incorporating wearable sensors has proven to be an essential component of the intervention. According to Minteer et al. (2020), Pressure Ulcer Monitoring Platform (PUMP) gadgets promote proper bed repositioning in hospital patients to avoid PI by allowing for real-time surveillance of PI patients.

These technologies give medical professionals immediate updates on their patients’ conditions. Tran et al. (2022) revealed that remote monitoring wearable sensor devices can detect possible modifications in the patient’s skin with high reliability. Wearable electronic sensors are the most efficient tool for tracking PI in the initial stages of the transformation of PI. To accurately estimate PI, these sensors monitor multiple variables in real-time, such as the length of the exerted pressure, localized temperature, humidity level, circulatory rate, or skin resistance variation. This instantaneous information enabled prompt care plans and intervention changes, reducing PI complications.

NURS FPX 6025 Assessment 4 Practicum and Technological Changes

Utilizing an EHR system for medical data entry was critical for establishing collaboration and interactions among medical professionals. EHR assists by creating an integrated, readily available repository of patients’ medical records (Janita et al., 2020). Collaboration and coordination among medical professionals, IT experts, and informaticists are critical to establishing evidence-based medical decisions that aid patient care (Moja et al., 2019).

The EHR system automates practitioner prescription submissions, medication notifications, and alerts. We adopted an EHR system to manage PI patients and increase patient information security efficiently. A study by Janita et al. (2020), revealed that incorporating EHR upgrades produced better results. The EHR system improved the exchange of information among clinicians, allowing for improved care coordination and well-informed decision-making. The information generated through the EHR system is protected and contributes to enhancing PI care techniques.

NURS FPX 6025 Assessment 4 Practicum and Technological Changes

One of the most important benefits of incorporating technology into the care plan was decreased PI-related issues and PI incidence. We can overcome the challenges to prompt PI care by having promptly detailed patient medical data available. This enhanced patient outcomes by decreasing the likelihood of PI-related complications (Gou & Zhang, 2023). Furthermore, we used a mobile app to interact with and educate elderly PI patients. Evidence revealed that mobile apps are valuable for patient awareness and management (Miranda & Salomé, 2022). Research by Shirai et al. (2022) highlighted that mobile apps offer an opportunity to assist PI individuals in managing their disease by providing immediate and specific education information.

Smartphone apps offered patients opportunities for self-care measures and information about the risks of delayed care. For example, Pressure Ulcer Target (PUT) is a mobile instructional software developed to avoid and manage PI. It offers an assessment of earlier acquired PI understanding and can be provided at the beginning of rehabilitation to avoid PI complications. Mobile apps have impacted PI patients’ behaviors, enabling them to efficiently self-manage PI.

It also impacts nursing practice by offering suggestions on patient care (Chuang et al., 2022). Educating older PI patients with information and awareness of research-based care increased their understanding of accountability for their well-being, resulting in improved compliance with the PI prevention bundle and care plans.

Accomplishments and Challenges

During the capstone project, I employed various technologies, such as wearable sensors, an EHR system that protected patient information and facilitated coordinated care, and a mobile app for patient comprehension and education that promotes research-based self-care strategies. Despite hurdles such as language limitations, limited resources, and time constraints, the project yielded significant outcomes, including improved patient involvement in self-care and patient safety.

I experienced challenges establishing appropriate interprofessional communication and coordination. Interdisciplinary collaboration is critical for efficient PI patient care (Zira et al., 2020). This capstone project has introduced me to the reality of patient participation and other care aspects of medical care, which will positively impact my future practice by improving my expertise. 

Conclusion

Adopting technological tools like wearable sensors, EHR, and mobile apps for awareness efficiently mitigates PI incidences, improving patient safety. The capstone project’s success demonstrated the revolutionary impact of technology on medical interventions, establishing opportunities for future developments in PI management. By carrying out 20 practicum hours of nursing practice to reduce PI occurrences by adopting the PICO(T) intervention, I realized a significant gap between theoretical concepts and practice in a medical context. Furthermore, I am enthusiastic about applying my newly learned skills in my future nursing practice.

References

Chuang, S.-T., Liao, P.-L., Lo, S.-F., Chang, Y.-T., & Hsu, H.-T. (2022). Effectiveness of an e-book app on the knowledge, attitudes and confidence of nurses to prevent and care for pressure injury. International Journal of Environmental Research and Public Health19(23), 15826–15826. https://doi.org/10.3390/ijerph192315826

Crotty, A., Killian, J. M., Miller, A., Chilson, S., & Wright, R. (2023). Using wearable technology to prevent pressure injuries: An integrative review. Worldviews on Evidence-Based Nursing20(4), 351–360. https://doi.org/10.1111/wvn.12638

Gou, L., & Zhang, Z. (2023). Risk factors for medical device-related pressure injury in ICU patients: A systematic review and meta-analysis. PLOS One18(6), e0287326. https://doi.org/10.1371/journal.pone.0287326

Haimi, M. (2023). The tragic paradoxical effect of telemedicine on healthcare disparities-a time for redemption: A narrative review. BioMed Central Medical Informatics and Decision Making23(1), 1-10. https://doi.org/10.1186/s12911-023-02194-4

NURS FPX 6025 Assessment 4 Practicum and Technological Changes

Janita, Boonstra, A., Kooistra, A., Seelen, M., & Marjolein van Offenbeek. (2020). The influence of electronic health record use on collaboration among medical specialties. BioMed Central Health Services Research20(1). https://doi.org/10.1186/s12913-020-05542-6

Junaid, S. B., Imam, A. A., Balogun, A. O., De Silva, L. C., Surakat, Y. A., Kumar, G., & Mahamad, S. (2022). Recent advancements in emerging technologies for healthcare management systems: A survey. In Healthcare, 10,(10), 1940. https://doi.org/10.3390%2Fhealthcare10101940

Minteer, D. M., Simon, P., Taylor, D. P., Jia, W., Li, Y., Sun, M., & Rubin, J. P. (2020). Pressure ulcer monitoring platform—a prospective, human subject clinical study to validate patient repositioning monitoring device to prevent pressure ulcers. Advances in Wound Care9(1), 28-33. https://doi.org/10.1089/wound.2018.0934

Miranda, F. D., & Salomé, G. M. (2022). Development of a mobile app to assess, treat and prevent pressure injury. Acta Paulista de Enfermagem35, eAPE0329345. https://doi.org/10.37689/acta-ape/2022AO03293459

Moja, L., Friz, H. P., Capobussi, M., Kwag, K., Banzi, R., Ruggiero, F., & Bonovas, S. (2019). Effectiveness of a hospital-based computerized decision support system on clinician recommendations and patient outcomes: A randomized clinical trial. JAMA Network Open2(12), e1917094-e1917094. https://doi.org/10.1001/jamanetworkopen.2019.17094

Shirai, T., Bulandres, P., Choi, J. A., D’Ortenzio, D., Moon, N., Musselman, K., & Gabison, S. (2022). The use of a mobile educational tool on pressure injury education for individuals living with spinal cord injury/disease: A qualitative research study. Disability and Rehabilitation44(3), 468-477. https://doi.org/10.1080/09638288.2020.1771780

NURS FPX 6025 Assessment 4 Practicum and Technological Changes

Tran, M. T., Kumar, A., Sachan, A., Castro, M., Allegre, W., & Feller, J. F. (2022). Emerging strategies based on sensors for chronic wound monitoring and management. Chemosensors10(8), 311. https://doi.org/10.3390/chemosensors10080311

Zira, J. D., Bappa, A., Halilu, S., Mark, A. D., Kayode, O., Musa, G., & Patrick, B. (2020). Interdisciplinary collaboration among health professionals: A panacea for effective and evidence based health care delivery. Journal of Radiography and Radiation Sciences 34(1),12-23. http://dx.doi.org/10.48153/jrrs.v34i1.223272

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