Category: NURS-FPX5005

NURS FPX 5005 Assessment 4 Patient Care Technology Name Capella university NURS-FPX 5005 Introduction to Nursing Research, Ethics, and Technology Prof. Name Date Analysis of Technology in Nursing Practice Electronic Health Records (EHR) systems play a crucial role in storing patient health information, including laboratory results, medical histories, medication data, and treatment plans. These systems significantly enhance clinical decision-making by enabling healthcare professionals to access patient data in real-time, promoting streamlined workflows and improved inter-professional communication. The integration of EHRs into nursing practice supports accurate documentation, reduces medication errors (MEs), and enhances care coordination. Evidence-Based Practice (EBP) heavily relies on data obtained from EHRs, as it informs quality improvements, clinical decisions, and research (Li et al., 2022). This analysis explores the impact of EHRs on nursing practice, focusing on their communication, application, and strategies for improving patient outcomes through EBP. How Patient Care Technology Affects Patient Care and Nursing Practice EHRs have a profound effect on both patient care and nursing practice by centralizing patient information in a digital format that is easily accessible. These systems simplify documentation, enhance communication among care teams, and ensure continuity of care. Real-time access to medical histories, laboratory results, and medication lists empowers nurses to make timely, evidence-based decisions (Li et al., 2022). For example, automated medication alerts within EHRs notify nurses of potential drug interactions, thereby minimizing the risk of MEs. Despite their benefits, EHRs present certain challenges. System downtimes or complex documentation requirements may disrupt workflows, causing frustration and reducing time available for direct patient interaction, which could contribute to burnout. Additionally, the accuracy of EHR data depends on adequate training and proper data entry by healthcare staff, leaving room for human error (Li et al., 2022). Addressing these issues through improved system usability and ongoing staff education can maximize the benefits of EHRs while mitigating their limitations. Data Generated by the Technology EHRs generate a variety of data types that are essential for clinical decision-making. These include nominal data (e.g., patient demographics and diagnoses), ordinal data (e.g., pain levels on a scale), and ratio data (e.g., vital signs like heart rate and blood pressure). This information is critical for monitoring patient outcomes, identifying trends, and informing treatment decisions (Upadhyay & Hu, 2022). For instance, by tracking blood glucose levels over time, nurses can make necessary adjustments to a diabetic patient’s treatment plan to optimize care. Ensuring the accuracy and completeness of EHR data is fundamental to effective healthcare delivery. Consistent use of the system by healthcare providers facilitates seamless information sharing across disciplines. Decision-support tools integrated into EHRs provide alerts and reminders, such as warnings for drug interactions or missed preventive screenings, which further enhance patient safety (Upadhyay & Hu, 2022). Additionally, efficient data communication among interdisciplinary teams ensures that patient care decisions are well-informed and coordinated. Table: Technology in Nursing Practice Category Description Reference Impact of EHRs on Nursing Practice EHRs enhance documentation accuracy, reduce medication errors, and improve care coordination. Li et al., 2022 Challenges of EHR Implementation System downtimes, complex documentation requirements, and potential human errors can hinder workflow efficiency. Li et al., 2022 Types of Data in EHRs Nominal (patient demographics), ordinal (pain levels), and ratio (vital signs) data aid clinical decision-making. Upadhyay & Hu, 2022 Clinical Decision Support Tools EHR-integrated alerts for drug interactions and preventive screenings enhance patient safety. Upadhyay & Hu, 2022 Interdisciplinary Communication Real-time data sharing ensures seamless collaboration among nurses, physicians, and pharmacists. Khairat et al., 2021 References Abbasi, N., & Smith, D. A. (2024). Cybersecurity in healthcare: Securing patient health information (PHI), HIPPA compliance framework and the responsibilities of healthcare providers. Journal of Knowledge Learning and Science Technology, 3(3), 278–287. https://doi.org/10.60087/jklst.vol3.n3.p.278-287 Keshta, I., & Odeh, A. (2021). Security and privacy of electronic health records: Concerns and challenges. Egyptian Informatics Journal, 22(2), 177–183. https://www.sciencedirect.com/science/article/pii/S1110866520301365 Khairat, S., Whitt, S., Craven, C. K., Pak, Y., Shyu, C.-R., & Gong, Y. (2021). Investigating the impact of intensive care unit interruptions on patient safety events and electronic health records use. Journal of Patient Safety, 17(4), e321–e326. https://doi.org/10.1097/pts.0000000000000603 NURS FPX 5005 Assessment 4 Patient Care Technology Li, E., Clarke, J., Ashrafian, H., Darzi, A., & Neves, A. L. (2022). The impact of electronic health record interoperability on safety and quality of care in high-income countries: Systematic review. Journal of Medical Internet Research, 24(9), e38144. https://doi.org/10.2196/38144 Mullins, A., O’Donnell, R., Mousa, M., Rankin, D., Ben-Meir, M., Boyd-Skinner, C., & Skouteris, H. (2020). Health outcomes and healthcare efficiencies associated with the use of electronic health records in hospital emergency departments: A systematic review. Journal of Medical Systems, 44(12), 200. https://doi.org/10.1007/s10916-020-01660-0 Subbe, C. P., Tellier, G., & Barach, P. (2021). Impact of electronic health records on predefined safety outcomes in patients admitted to hospital: A scoping review. British Medical Journal Open, 11(1), e047446. https://doi.org/10.1136/bmjopen-2020-047446 Upadhyay, S., & Hu, H. (2022). A qualitative analysis of the impact of electronic health records (EHR) on healthcare quality and safety: Clinicians’ lived experiences. Health Services Insights, 15(1), 1–7. https://journals.sagepub.com/doi/10.1177/11786329211070722 NURS FPX 5005 Assessment 4 Patient Care Technology  

NURS FPX 5005 Assessment 3 Evidence-based Practice in Nursing Name Capella university NURS-FPX 5005 Introduction to Nursing Research, Ethics, and Technology Prof. Name Date Introduction Ensuring patient safety and minimizing medication errors (MEs) are fundamental priorities in healthcare. One of the most effective technological advancements in this regard is the Barcode Medication Administration (BCMA) system, which has been instrumental in reducing MEs and improving patient outcomes, particularly in high-risk environments such as critical care units. Medication administration errors (MAEs) remain a significant concern for healthcare professionals as they can result in adverse events (AEs) or, in severe cases, patient mortality. However, general solutions alone are insufficient without the incorporation of Evidence-Based Practices (EBPs) (Worafi, 2020). This paper explores the criteria and processes involved in implementing EBP, the role of scholarship and information in nursing practice, and the ethical and regulatory implications of adopting BCMA systems. Additionally, it outlines a structured implementation plan to ensure that BCMA technology aligns with legal and ethical standards while enhancing patient safety in clinical settings. EBP Criteria and Processes Evidence-Based Practice (EBP) is an approach that integrates clinical expertise, patient preferences, and the best available research evidence to optimize patient outcomes. Nursing decisions must always be grounded in scientific evidence. The EBP process begins with formulating a clinical question, often using the PICOT format: Population, Intervention, Comparison, Outcome, and Time. Once the question is established, a literature search is conducted to retrieve peer-reviewed research relevant to the topic. The next step involves critically appraising the evidence to assess its validity, reliability, and applicability (Dang et al., 2021, p. 384). Following appraisal, the evidence is integrated into clinical practice while considering patient preferences and organizational resources. The final phase involves evaluating outcomes to determine the intervention’s effectiveness and identifying areas for improvement. Several criteria are essential when developing EBP, including the strength of evidence, alignment with clinical guidelines, relevance to patient needs, and feasibility within the healthcare setting. However, barriers such as limited access to high-quality research, staff resistance to change, and time constraints in clinical environments often pose challenges to EBP implementation. Overcoming these challenges requires strong leadership, continuous education, and fostering a culture that supports evidence-based practices (Dang et al., 2021, p. 384). Scholarship and Information in EBP The foundation of EBP in nursing relies on scholarship and access to credible information. Nursing scholarship involves the pursuit, dissemination, and application of knowledge, enabling nurses to stay informed about the latest research, best practices, and strategies for improving patient outcomes. EBP is strengthened through scholarly inquiry, which bridges the gap between theoretical knowledge and clinical practice, ensuring that nursing interventions are grounded in scientific evidence rather than tradition or intuition (Cullen et al., 2022). Scholarly research allows nurses to critically appraise studies and determine the suitability of interventions for their clinical settings. This not only fosters innovation in nursing practice but also ensures high-quality care and patient safety (Cullen et al., 2022). Several factors must be considered when evaluating the quality and applicability of evidence. First, credibility and reliability must be assessed, ensuring that sources originate from peer-reviewed journals or authoritative databases and that the research has undergone rigorous scrutiny by experts. Additionally, relevance is crucial, meaning that the evidence must be applicable to the specific clinical setting and patient population. Validity and rigor are also integral components, as research must follow sound methodologies, including appropriate study design, sample size, and statistical analysis, to produce valid and reproducible findings (Schmidt & Brown, 2024, p. 650). Timeliness is another essential factor, as healthcare is a rapidly evolving field, and older practices may no longer be applicable. Ideally, research should be published within the last five years to reflect current best practices and advancements (Shaker et al., 2020). Adhering to these criteria ensures that nursing decisions are based on high-quality evidence, ultimately enhancing patient care. Strong scholarship enables nurses to make informed decisions, address emerging healthcare needs, and continuously improve patient outcomes through evidence-based approaches (Schmidt & Brown, 2024, p. 650). Table: Key Aspects of BCMA Implementation in EBP Heading Description EBP Criteria and Processes EBP integrates clinical expertise, patient preferences, and research to improve patient care. The process involves formulating a PICOT question, conducting a literature review, appraising evidence, and applying findings in practice. Key challenges include access to quality research, staff resistance, and time constraints (Dang et al., 2021, p. 384). Scholarship and Information in EBP Nursing scholarship supports EBP by ensuring access to credible research and fostering innovation. Criteria for high-quality evidence include credibility, relevance, validity, and timeliness (Cullen et al., 2022; Schmidt & Brown, 2024, p. 650). Technology and Ethical/Regulatory Implications BCMA enhances patient safety by reducing medication errors, aligning with ethical principles of beneficence and non-maleficence. Challenges include staff resistance and data privacy concerns. Compliance with HIPAA and Joint Commission standards is essential for implementation (Hughes, 2021; Abdelaziz et al., 2024). Conclusion The implementation of BCMA systems in critical care units is a crucial step toward reducing medication errors and enhancing patient safety through evidence-based practices. While BCMA provides an effective solution for minimizing human errors, challenges such as staff resistance and workflow disruptions must be addressed to ensure successful integration. By adhering to ethical principles, regulatory requirements, and continuous quality improvement measures, healthcare organizations can effectively implement BCMA technology, leading to safer and more efficient patient care. References (The references provided in the original text remain unchanged and are included below for completeness.) Abdelaziz, S., Amigoni, A., Kurttila, M., Laaksonen, R., Silvari, V., & Franklin, B. D. (2024). Medication safety strategies in European adult, pediatric, and neonatal intensive care units: A cross-sectional survey. European Journal of Hospital Pharmacy. https://doi.org/10.1136/ejhpharm-2023-004018 Cullen, L., Hanrahan, K., Farrington, M., Tucker, S., Edmonds, S., & Tau, T. (2022). Evidence-based practice in action: Comprehensive strategies, tools, and tips from University of Iowa Hospitals & Clinics. Sigma Theta Tau International. NURS FPX 5005 Assessment 3 Evidence-based Practice in Nursing Dang, D., Dearholt, S., Bissett, K., Ascenzi, J., & Whalen, M. (2021). Johns Hopkins evidence-based practice for nurses and healthcare professionals: Model &

NURS FPX 5005 Assessment 2 Quantitative and Qualitative Research Publication Critique Name Capella university NURS-FPX 5005 Introduction to Nursing Research, Ethics, and Technology Prof. Name Date Research Critique The selected quantitative study examines the relationship between nurse burnout and patient care outcomes, highlighting critical ethical considerations regarding the treatment of human subjects. Ethical principles such as informed consent, voluntary participation, and confidentiality were strictly followed to protect sensitive hospital data. The study adhered to the principles of beneficence and non-maleficence, ensuring that no harm was caused to the participants. At the highest ethical level, the study maintained autonomy by minimizing biases, fostering participant trust, and ensuring accurate data collection. These ethical practices enhance the integrity of the research, supporting actionable findings that hospital administrators can use to improve nurse well-being and patient safety. The adherence to ethical standards ultimately ensures reliable outcomes and promotes safer patient care (Lee, 2022). Table 1: Research Critique Criteria Description Ethical Considerations Informed consent, voluntary participation, confidentiality, and adherence to beneficence and non-maleficence principles were ensured to protect human subjects. Integrity of Research Ethical practices such as minimizing bias and fostering participant trust enhance research validity and support actionable findings. Impact on Patient Care Adherence to ethical research standards ensures reliable outcomes, leading to safer patient care and improved nursing well-being. Quantitative Article: Strengths and Weaknesses Strengths and Weaknesses The selected quantitative study investigates the correlation between nurse burnout and patient care outcomes among pediatric oncology staff. The research problem focuses on the rising prevalence of nurse burnout and its effects on patient outcomes. The study aims to assess how burnout, measured through the Maslach Burnout Inventory (MBI), correlates with patient safety incidents and care quality. The hypothesis suggests that higher burnout levels are associated with poorer patient outcomes. A non-experimental, descriptive research methodology was employed to analyze real-world relationships without manipulating variables. The study used MBI surveys and secondary patient data, including adverse events and satisfaction scores, to collect data. Advanced statistical techniques such as Confirmatory Factor Analysis (CFA) and Rasch analysis validated the psychometric properties of MBI, while correlation and regression analyses examined the relationship between burnout and patient care outcomes. The study presented results using statistical tables, graphs, p-values, and confidence intervals. Ethical concerns were addressed by obtaining informed consent and ensuring participant confidentiality. While the study benefits from the validated MBI tool, which enhances reliability, it has notable limitations. The non-experimental design restricts causality determination, while self-reported data may introduce bias. Additionally, the cross-sectional nature of the study captures only a single point in time, limiting its ability to analyze long-term trends. The findings may not be generalizable beyond pediatric oncology due to confounding factors such as staffing levels and personal coping mechanisms. Future longitudinal studies could provide deeper insights into burnout’s long-term impact on patient care. Table 2: Strengths and Weaknesses of the Quantitative Study Aspect Strengths Weaknesses Methodology Utilized a validated tool (MBI) for measuring burnout. Non-experimental design limits causal inferences. Data Collection Used multiple data sources, including MBI surveys and hospital records. Self-reported data may introduce bias. Generality of Findings Provides valuable insights for pediatric oncology settings. Limited generalizability beyond pediatric oncology due to confounders. Statistical Analysis Applied CFA, Rasch analysis, and regression for robust evaluation. Cross-sectional design prevents long-term analysis of trends. Ethical Implications The study on nurse burnout and patient care outcomes highlights critical ethical concerns, particularly regarding human subject protection. Researchers ensured informed consent, voluntary participation, and confidentiality, safeguarding participant identities and sensitive patient information. Since the study used patient outcome data from hospital records, strict confidentiality measures were essential to protect sensitive information. The principles of beneficence and non-maleficence were upheld, ensuring that participants did not experience harm. Ethical integrity in healthcare research is crucial as it influences both patient care and participant well-being. Autonomy and minimizing coercion reduce bias, ensuring the data collection process remains fair and reliable. Ethical practices foster trust between researchers and participants, leading to more accurate responses and stronger study outcomes. Adhering to ethical principles also enables healthcare professionals to apply research findings confidently in clinical interventions while maintaining patient safety. Table 3: Ethical Implications of the Study Ethical Considerations Implications Informed Consent & Confidentiality Protects participants’ privacy and ensures voluntary participation. Non-Maleficence & Beneficence Prevents harm to participants and promotes ethical integrity in research. Trust & Research Integrity Enhances the validity of findings, leading to better patient safety and care improvements. References Lee, H. S. (2022). Ethical issues in clinical research and publication. Kosin Medical Journal, 37(4), 278–282. https://doi.org/10.7180/kmj.22.132 Masoloko, A., Koen, P., & Serapelwane, G. (2023). Exploring coping mechanisms of nurses against burnout in a psychiatric hospital in Botswana. International Journal of Africa Nursing Sciences, 20, 100684. https://doi.org/10.1016/j.ijans.2024.100684 NURS FPX 5005 Assessment 2 Quantitative and Qualitative Research Publication Critique Mukherjee, S., Tennant, A., & Beresford, B. (2020). Measuring burnout in pediatric oncology staff: Should we be using the Maslach Burnout Inventory? Journal of Pediatric Oncology Nursing, 37(1), 55–64. https://doi.org/10.1177/1043454219873638  

NURS FPX 5005 Assessment 1 Protecting Human Research Participants Name Capella university NURS-FPX 5005 Introduction to Nursing Research, Ethics, and Technology Prof. Name Date Protecting Human Research Participants Human subject protection encompasses ethical and regulatory measures designed to safeguard the safety, rights, and welfare of individuals involved in research studies (White, 2020). The field has evolved significantly, influenced by historical events and the establishment of guidelines such as Institutional Review Boards (IRBs) and the informed consent process. These frameworks prioritize the dignity and well-being of research participants, particularly those from vulnerable populations. By aligning scientific inquiry with respect for human dignity, these protections ensure ethical and responsible research practices. Historically, unethical research practices led to significant harm and exploitation, particularly of vulnerable populations like children and prisoners. The Nuremberg Code of 1947 was one of the first ethical frameworks, emphasizing voluntary participation and informed consent in response to Nazi medical experiments during World War II. Another critical case was the Tuskegee Syphilis Study, where African American men were denied treatment to study disease progression, sparking public outrage and the National Research Act of 1974 (Spellecy & Busse, 2021). These historical milestones highlight the necessity of ethical oversight in research. Modern frameworks such as the Belmont Report emphasize respect for persons, beneficence, and justice, setting ethical standards that continue to guide research today (White, 2020). NURS FPX 5005 Assessment 1 Protecting Human Research Participants The evolution of research activities has brought new challenges and opportunities for protecting human subjects. Observational studies, such as cohort studies examining smoking behaviors, and interventional studies, like clinical trials for cancer treatments, require robust safeguards. Ethical considerations include ensuring informed consent, minimizing risks, and protecting participant confidentiality (National Institute of Dental and Craniofacial Research, 2022). Behavioral research, such as studies on mindfulness techniques, underscores the importance of participant welfare in all research types. These measures build trust, reduce dropouts, and enhance the validity of research outcomes. Protecting vulnerable populations is a cornerstone of ethical research. IRBs ensure that studies involving groups such as children, prisoners, and economically disadvantaged individuals meet rigorous ethical standards. Special measures include obtaining consent from legal guardians for children and avoiding coercion for prisoners (Office for Human Research Protections, 2024). Researchers must balance ethical obligations with practical considerations, tailoring study designs to ensure fairness and minimize risks (Shaw et al., 2020). Ethical standards, such as those outlined in the Belmont Report, continue to evolve, fostering trust and integrity in research while ensuring the safety and dignity of all participants. NURS FPX 5005 Assessment 1 Protecting Human Research Participants Heading Details References History and Importance The evolution of ethical standards began with the Nuremberg Code, emphasizing informed consent after unethical Nazi experiments. The Tuskegee Syphilis Study highlighted the need for oversight, leading to the National Research Act and the Belmont Report’s ethical principles: respect, beneficence, and justice. White, 2020; Spellecy & Busse, 2021; Shaw et al., 2020 Research Activities Observational studies, such as cohort studies, and interventional studies, like clinical trials, require safeguards like informed consent, risk mitigation, and participant confidentiality. Behavioral research further emphasizes participant welfare, ensuring ethical and valid research practices. National Institute of Dental and Craniofacial Research, 2022; White, 2020 Protections for Vulnerable Populations IRBs oversee studies involving vulnerable groups, requiring measures like legal guardian consent for children and avoiding coercion for prisoners. Ethical guidelines, such as the Belmont Report, ensure fairness and safety while balancing ethical obligations with research feasibility. Office for Human Research Protections, 2024; Shaw et al., 2020 References CITI Program. (n.d.). Homepage. National Institute of Dental and Craniofacial Research. (2022, June). Human subjects research overview. Office for Human Research Protections. (2024). The Belmont Report. Shaw, R. M., Howe, J., Beazer, J., & Carr, T. (2020). Ethics and positionality in qualitative research with vulnerable and marginal groups. Qualitative Research, 20(3), 146879411984183. https://doi.org/10.1177/1468794119841839 NURS FPX 5005 Assessment 1 Protecting Human Research Participants Spellecy, R., & Busse, K. (2021). The history of human subjects research and rationale for institutional board review oversight. Nutrition in Clinical Practice, 36(3), 560–567. https://doi.org/10.1002/ncp.10623 White, M. G. (2020). Why human subjects research protection is important. The Ochsner Journal, 20(1), 16–33. https://doi.org/10.31486/toj.20.5012