NURS 5051 Module 04 Literature Review Assignment; Literature Review Example Solution 1 Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies

 

 

The engagement of patients in care affects treatment adherence, satisfaction, healthcare cost, and self-management. Consequently, there is improvement in the quality, safety, and delivery of care provided, as well as a reduction in the cost of care. Information technology and clinical systems have enhanced patient-centered care in various settings through improved technology (Manias, 2019).

Patient Engagement Communication and Technology (PROSPECT) is an example of a clinical system that can be used to improve patient-centered care. The components of the program include electronic health records, checklist tools, patient portals, and messaging platform (Dykes et al., 2017). This paper is a literature review organized in an annotated bibliography that aims to address the impact of using patient-centered care using various components of the PROSPECT to improve the health outcomes of patients with chronic conditions.

Dykes, P. C., Rozenblum, R., Dalal, A., Massaro, A., Chang, F., Clements, M., Collins, S., Donze, J., Fagan, M., Gazarian, P., Hanna, J., Lehmann, L., Leone, K., Lipsitz, S., McNally, K., Morrison, C., Samal, L., Mlaver, E., Schnock, K., … Bates, D. W. (2017). Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The promoting respect and ongoing safety through patient engagement communication and technology study. Critical Care Medicine45(8), e806–e813. https://doi.org/10.1097/CCM.0000000000002449

The article by Dykes et al. (2017) highlights the importance of patient-centered care in the ICU setting. The article argues that despite most ICU patients being critically ill and unresponsive, engaging their family members in looking after them is also a form of engaging patients. Accordingly, these engagements aim to improve partnerships and the quality and safety of care. The study examined the effectiveness of patient-centered care and engagement programs in the medical ICU.

The intervention includes a patient-centered care and engagement training program and web-based technology involving a safety checklist, messaging platform, and tools to share care plans. Patients and care partners use online portals to access health information and participate in care plans while communicating with providers (Dykes et al., 2017). The findings from the study encouraged the implementation of patient-centered care based on the benefits realized.

The intervention led to a reduction in adverse events while markedly improving patient satisfaction (Dykes et al., 2017). The findings of this article are relevant and encourage the implantation of patient-centered care through adopting effective communication strategies to involve patients and family members to improve overall care. Patients feel motivated and appreciated if they understand whatever is happening to them, as discussed by their healthcare providers.

Penedo, F. J., Oswald, L. B., Kronenfeld, J. P., Garcia, S. F., Cella, D., & Yanez, B. (2020). The increasing value of eHealth in the delivery of patient-centered cancer care. The Lancet Oncology21(5), e240–e251. https://doi.org/10.1016/S1470-2045(20)30021-8

This article review presents summarized evidence-based information regarding eHealth’s impact on cancer patients’ care. They argue that the evolution of eHealth ushered in a new era of managing patients with various chronic conditions by improving patient-centered care (Penedo et al., 2020). Through eHealth, traditional in-person care with the adoption of real-time care that is dynamic with improved assessment and delivery of interventions.

The review provided a narrative of peer-reviewed articles published within the last 10 years. From the review, using eHealth to achieve patient-centered care is an acceptable practice due to its benefits. eHealth enhances the care of patients through improved diagnosis, planning of care, surveillance, and monitoring of patients.

Improved communication enhanced toxicity assessment, improved management, and optimized patient engagement throughout care (Penedo et al., 2020). The article’s findings are important to add knowledge on the importance of using technology in long-term patient follow

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