Critical Care Paper

Critical Care Paper

 Critical Care Paper

Health information technologies have significantly transformed the provision of healthcare in the modern world. Health organizations continue to adopt health information technologies that enhance their ability to achieve care outcomes such as quality, efficiency, and safety in the patient care process. Nurses and other healthcare providers are responsible for determining the safety, efficiency, and effectiveness of the different technologies utilized in healthcare. Therefore, the purpose of this research paper is to perform a literature review on the use of telemedicine in patients suffering from cardiovascular health problems.

Literature Review

The first study included in the review is the research by Jiménez-Marrero et al., (2020). The authors evaluated the efficacy of telemedicine-based intervention for patients suffering from chronic heart failure and ventricular ejection fraction of at least 40%. The study was a sub-analysis of a randomized controlled trial (Insuficienca Cardiaca Optimitzacio Remota iCOR study). The participants in the study were 178 patients who were randomly assigned to either usual care or telemedicine. The results obtained after six months of follow-up showed that the incidence of acute non-fatal heart events was significantly lower in the intervention group (telemedicine) compared to the usual care group. There was also a significant reduction in heart-failure-related costs in telemedicine compared to the usual care group. Therefore, it can be learned from this article that telemedicine reduces adverse events and healthcare costs in heart failure patients compared to usual care.

The other study is the systematic review by Battineni et al., (2021). The research analyzed the usefulness of telemedicine systems for providing personalized care needed to prevent cardiovascular disease. Articles for the review were obtained from databases that included Scopus, PubMed, Scopus, and CINAHL. The search led to 19 articles that met the developed inclusion criteria. The analysis of data showed that telemedicine interventions modify morbidity and mortality if administered promptly to patients with cardiovascular diseases. The results also showed that telemedicine could reduce access to hospitals and other services when not necessary and pressure in hospitals by lowering the acute occurrence of cardiovascular diseases. Therefore, it can be learned from this article that telemedicine interventions improve the treatment outcomes of cardiovascular diseases. It also reduces intense pressure on healthcare systems due to the rise in cardiovascular cases and unnecessary hospital visits and hospitalizations.

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The third article is the research by Farabi et al., (2020), which systematically reviewed the economic evaluation of studies that compared the effectiveness of telemedicine with usual care for patients suffering from cardiovascular diseases. The systematic review utilized articles that were obtained from databases that included Embase, PubMed, Google Scholar, SID, Magiran, Scopus, and Global Health. The search yielded more than 20 articles that were included in the review. The analysis of data from the articles showed that telemedicine improves clinical outcomes for patients suffering from cardiovascular disorders. It also reduces healthcare costs that patients incur. As a result, concurrent use of telemedicine with usual care interventions could be more cost-effective. It is learned from this article that besides improving health outcomes, telemedicine reduces the healthcare costs that patients with cardiovascular diseases incur.

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The last article is a systematic review by Rush et al., (2018). The authors compared the efficacy of virtual education delivery with usual care on patient outcomes in patients suffering from chronic illnesses. The authors searched databases that included CINAHL, MEDLINE, and EMBASE for literature sources. The search yielded 16 articles that were included in the review. The analysis of data showed that telehealth modalities that were utilized in the studies included web, videoconferencing, telephone, and television interventions delivered to patients suffering from chronic obstructive pulmonary disease, diabetes, and heart failure. The results also showed that virtually-delivered interventions were associated with significantly improved outcomes compared to usual care or control conditions. Therefore, it is learned from this study that telehealth or telemedicine is associated with improved outcomes compared to the usual care in patients suffering from chronic illnesses such as heart failure.

Conclusion

The findings from the above articles show that telemedicine or telehealth is highly effective for patients suffering from cardiovascular diseases. The data from the articles agree that telemedicine improves patient outcomes in cardiovascular diseases. The outcomes include the modification of morbidity and mortality rates among the patients. The results also showed that telemedicine reduces the healthcare costs that patients with cardiovascular diseases incur. The reduction is attributed to the minimization of adverse events associated with the diseases. There is also a reduction in unnecessary hospital visits, which translates into cost-effectiveness in healthcare. The results of the analysis also demonstrated that telemedicine reduces pressure on hospitals due to increased cases of cardiovascular diseases. It also eliminates unnecessary seeking of healthcare services by the patients. Therefore, the authors recognize the need for the incorporation of telemedicine into the usual care offered to patients suffering from chronic illnesses such as heart failure and diabetes. The incorporation will enhance patient outcomes in the treatment process.

References

Battineni, G., Sagaro, G. G., Chintalapudi, N., & Amenta, F. (2021). The Benefits of Telemedicine in Personalized Prevention of Cardiovascular Diseases (CVD): A Systematic Review. Journal of Personalized Medicine, 11(7), 658. https://doi.org/10.3390/jpm11070658

Farabi, H., Rezapour, A., Jahangiri, R., Jafari, A., Rashki Kemmak, A., & Nikjoo, S. (2020). Economic evaluation of the utilization of telemedicine for patients with cardiovascular disease: A systematic review. Heart Failure Reviews, 25(6), 1063–1075. https://doi.org/10.1007/s10741-019-09864-4

Jiménez-Marrero, S., Yun, S., Cainzos-Achirica, M., Enjuanes, C., Garay, A., Farre, N., Verdú, J. M., Linas, A., Ruiz, P., Hidalgo, E., Calero, E., & Comín-Colet, J. (2020). Impact of telemedicine on the clinical outcomes and healthcare costs of patients with chronic heart failure and mid-range or preserved ejection fraction managed in a multidisciplinary chronic heart failure programme: A sub-analysis of the iCOR randomized trial. Journal of Telemedicine and Telecare, 26(1–2), 64–72. https://doi.org/10.1177/1357633X18796439

Rush, K. L., Hatt, L., Janke, R., Burton, L., Ferrier, M., & Tetrault, M. (2018). The efficacy of telehealth delivered educational approaches for patients with chronic diseases: A systematic review. Patient Education and Counseling, 101(8), 1310–1321. https://doi.org/10.1016/j.pec.2018.02.006

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Assignment: 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/annotatedbibliographies

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.
• Use the Safe Assign Drafts to check your match percentage before submitting your work.

 

Grading Rubric
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.

· 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.

Synthesize the findings from the 4 peer-reviewed research articles in a cohesive conclusion.

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.

Written Expression and Formatting – APA:

The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.

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