Advanced Nursing Inquiry And Evidence-Based Research

Advanced Nursing Inquiry And Evidence Based Research Subjectcourse

This course examines the progression from nursing inquiry to nursing practice under the framework of nursing theory. Students will examine the historical foundations of nursing theory and the impact of these models on nursing research. Students will examine the role of nursing research in advanced nursing practice and evaluate models used to guide evidence-based practices. The course focuses on the critical assessment of relevant quantitative and qualitative research and examines how these data are applied in the development of change initiatives in the healthcare delivery system.

Integrate theory, evidence, clinical judgment, research, and interprofessional perspectives using translational processes to improve practice and associated health outcomes for patient aggregates. Support the ethical conduct of research and translational scholarship. Analyze evidence for improving advanced nursing practice using critical appraisal techniques. Report to a variety of audiences the evidence base for practice decisions, including the credibility of sources of information and the relevance to the practice problem confronted. Translate research and other forms of knowledge to improve practice processes and outcomes.

End of Program Student Learning Outcomes (EPSLO’s):

• Integrate nursing and related sciences into the delivery of care to clients in diverse healthcare settings.
• Create effective interdisciplinary organizational and systems leadership in the care of clients in diverse care settings.
• Analyze quality initiatives to improve health outcomes across the continuous of care.
• Apply practice guidelines to improve practice and health outcomes.
• Relate information and communication technologies to document and improve practice health outcomes.
• Examine the effect of legal, ethical, and regulatory processes on healthcare delivery, practice and health outcome.
• Employ collaborative interprofessional strategies for improving client and population health outcomes.
• Evaluate the effectiveness of clinical prevention interventions that affect individual and population based-health outcomes, perform risk assessments, add design plans or programs of care.
• Relate knowledge of illness and disease management to providing evidence-based care to clients, communities, and vulnerable populations in an evolving healthcare delivery system.

Paper For Above instruction

Advancements in healthcare technology have significantly transformed the way health information is collected, stored, and utilized. Among these innovations, electronic health records (EHRs), telehealth systems, and health monitoring devices stand out for their profound impact on clinical practice and patient outcomes. This paper explores these technologies, emphasizing their historical development, typical applications, and associated ethical and privacy challenges.

Brief Overview of the Technology

Electronic Health Records (EHRs) are digital versions of patients' paper charts, enabling comprehensive and accessible health information management (HIMSS, 2021). Their inception dates back to the late 20th century when the push for digital recordkeeping gained momentum to improve healthcare quality and efficiency. Telehealth involves the use of telecommunications technology to deliver health services remotely, expanding access especially to rural and underserved populations (WHO, 2020). Health monitoring devices, such as wearables and implantable sensors, collect real-time data on vital signs and activity levels, enabling proactive health management (Duncan et al., 2019).

Details about the History/Background of the Technology

Detail 1: The development of EHRs was catalyzed by federal initiatives like the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009, which incentivized the adoption of EHR systems to improve patient care and safety (Office of the National Coordinator for Health Information Technology, 2022).

Detail 2: Telehealth's roots trace back to telecommunication innovations in the 1960s and 1970s, initially used for remote consultations and later expanded with advancements in broadband and mobile technology, increasing its scope and effectiveness (WHO, 2020).

Detail 3: The evolution of health monitoring devices is linked to miniaturization of electronics and advancements in sensor technology during the early 21st century, promoting continuous health monitoring outside clinical settings (Duncan et al., 2019).

Typical Applications of the Technology

Use 1: EHR systems facilitate seamless coordination among healthcare providers, enhance documentation accuracy, and support clinical decision-making, ultimately improving patient safety outcomes (HIMSS, 2021).

Use 2: Telehealth enhances access to care, especially for patients in remote locations or with mobility issues, and is valuable for chronic disease management, mental health services, and post-operative follow-up (WHO, 2020).

Use 3: Health monitoring devices enable early detection of health deteriorations, personalized treatment plans, and promote patient engagement through self-management of chronic conditions such as diabetes or hypertension (Duncan et al., 2019).

Potential Ethical or Privacy Issues Related to Use of the Technology

Issue 1: Data Security and Privacy Breaches — The sensitive nature of health data stored electronically makes it a target for cyberattacks, risking unauthorized access, identity theft, and loss of confidentiality (Wang et al., 2021).

Issue 2: Informed Consent and Autonomy — Patients may not fully understand how their data are used or shared, raising ethical concerns about informed consent and autonomy, particularly with wearable health devices collecting continuous data (Shankar et al., 2020).

Issue 3: Equity and Access — Disparities in access to advanced healthcare technologies can exacerbate health inequities, leaving marginalized populations behind due to lack of digital literacy or infrastructure (Groselj et al., 2022).

References

• Groselj, D., Gojak, D., & Štemberger, N. (2022). Digital health inequalities and disparities in access to telehealth services. Journal of Healthcare Informatics Research, 6(4), 435-453.
• HIMSS. (2021). The impact of electronic health records on healthcare quality. Healthcare Information and Management Systems Society.
• Duncan, G., Johnson, H., & Patel, S. (2019). Wearable health devices in clinical practice. Journal of Medical Devices, 13(2), 020845.
• Office of the National Coordinator for Health Information Technology. (2022). 2022 Annual Report. U.S. Department of Health & Human Services.
• Shankar, A., Hardeep, S., & Diamond, P. (2020). Ethical considerations in the use of health technology: Informed consent and patient autonomy. Journal of Medical Ethics, 46(2), 89-94.
• Wang, C., Wang, D., & Wang, S. (2021). Cybersecurity challenges in electronic health records. Journal of Healthcare Security, 4(3), 145-160.
• World Health Organization. (2020). Telehealth: Strategies and applications. WHO Publications.