Literature Review: The Use Of Clinical Systems To Improve Outcomes And Efficiencies

Assignment: Literature Review: The Use of Clinical

Systems to Improve Outcomes and Efficiencies

 

 

To Prepare:

 

1.

 

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,

per example

 

“the use of personal health records or portals to support patients

newly diagnosed with diabetes.”

 

The

 

research

 

should

 

describe

 

the

 

use

 

of

 

information

 

systems

 

to

 

improve

 

health

 

outcomes

 

and

 

efficiencies.

 

 

Please

 

select

 

ONE

 

Topic

 

to

 

investigate.

 

 

Some

 

examples

 

of

 

topics

 

include

 

(you

 

can

 

select

 

another

 

topic

 

of

 

your

 

choice,

 

these

 

are

 

jus

t

 

ideas

 

of

 

appropriate

 

topics

 

for

 

the

 

assignment):

 

 

·

 

An

 

article

 

that

 

describes

 

the

 

use

 

of

 

personal

 

health

 

records

 

to

 

support

 

adherence

 

to

 

medication

 

regimen

 

or

 

appointment.

 

·

 

Research

 

describing

 

the

 

use

 

of

 

Computerized

 

Physician

 

Order

 

Entry

 

(CPOE)

 

to

 

reduce

 

th

e

 

risk

 

of

 

adverse

 

drug

 

events

 

·

 

Evidence

 

summarizing

 

the

 

role

 

of

 

clinical

 

decision

 

support

 

systems

 

(CDSS)

 

and

 

evidence

–

based

 

practice

 

·

 

Literature

 

investigating

 

the

 

effect

 

of

 

mobile

 

applications

 

and

 

chronic

 

disease

 

management

 

·

 

Research

 

that

 

provides

 

details

 

reg

arding

 

the

 

effect

 

of

 

simulation

 

and

 

knowledge

 

retention

 

/

 

learning

 

among

 

health

 

care

 

students

 

·

 

An

 

article

 

identifying

 

an

 

association

 

among

 

electronic

 

communication

 

and

 

efficiencies

 

in

 

care

 

·

 

Literature

 

describing

 

the

 

role

 

of

 

telehealth

 

and

 

healthcare

 

access

 

·

 

G

enomics

 

and

 

genetic

 

testing

 

 

2.

 

Identify an

d select 4 peer

–

reviewed research articles from your research.

 

 

 

 

INSTRUC

TIONS

 

 

The Assignment:

5 pages not including the title and reference

page.

 

In a 5

–

page paper, 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.

 

Assignment: Literature Review: The Use of Clinical

Systems to Improve Outcomes and Efficiencies

 

To Prepare:

1. 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,

per example “the use of personal health records or portals to support patients

newly diagnosed with diabetes.”

The research should describe the use of information systems to improve health

outcomes and efficiencies. Please select ONE Topic to investigate. Some

examples of topics include (you can select another topic of your choice, these

are just ideas of appropriate topics for the assignment):

 

 An article that describes the use of personal health records to support adherence

to medication regimen or appointment.

 Research describing the use of Computerized Physician Order Entry (CPOE) to

reduce the risk of adverse drug events

 Evidence summarizing the role of clinical decision support systems (CDSS)

and evidence-based practice

 Literature investigating the effect of mobile applications and chronic disease

management

 Research that provides details regarding the effect of simulation and knowledge

retention / learning among health care students

 An article identifying an association among electronic communication and

efficiencies in care

 Literature describing the role of telehealth and healthcare access

 Genomics and genetic testing

 

2. Identify and select 4 peer-reviewed research articles from your research.

 

 

 

INSTRUCTIONS

 

The Assignment: 5 pages not including the title and reference page.

In a 5-page paper, 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.

6

 

 

 

 

 

 

 

 

Sample Annotated Bibliography

 

Student Name

Program Name or Degree Name (e.g., Master of Science in Nursing), Walden University

COURSE XXX: Title of Course

Instructor Name

Month XX, 202X

 

 

1

 

 

Sample Annotated Bibliography

Autism research continues to grapple with activities that best serve the purpose of fostering positive interpersonal relationships for children who struggle with autism. Children have benefited from therapy sessions that provide ongoing activities to aid autistic children’s ability to engage in healthy social interactions. However, less is known about how K–12 schools might implement programs for this group of individuals to provide additional opportunities for growth, or even if and how school programs would be of assistance in the end. There is a gap, then, in understanding the possibilities of implementing such programs in schools to foster the social and thus mental health of children with autism.

Annotated Bibliography

Kenny, M. C., Dinehart, L. H., & Winick, C. B. (2016). Child-centered play therapy for children with autism spectrum disorder. In A. A. Drewes & C. E. Schaefer (Eds.), Play therapy in middle childhood (pp. 103–147). American Psychological Association. https://doi.org/10.1037/14776-014

In this chapter, Kenny et al. provided a case study of the treatment of a 10-year-old boy diagnosed with autism spectrum disorder (ADS). Kenny et al. described the rationale and theory behind the use of child-centered play therapy (CCPT) in the treatment of a child with ASD. Specifically, children with ADS often have sociobehavioral problems that can be improved when they have a safe therapy space for expressing themselves emotionally through play that assists in their interpersonal development. The authors outlined the progress made by the patient in addressing the social and communicative impairments associated with ASD. Additionally, the authors explained the role that parents have in implementing CCPT in the patient’s treatment. Their research on the success of CCPT used qualitative data collected by observing the patient in multiple therapy sessions.

CCPT follows research carried out by other theorists who have identified the role of play in supporting cognition and interpersonal relationships. This case study is relevant to the current conversation surrounding the emerging trend toward CCPT treatment in adolescents with ASD as it illustrates how CCPT can be successfully implemented in a therapeutic setting to improve the patient’s communication and socialization skills. However, Kenny et al. acknowledged that CCPT has limitations—children with ADS, who are not highly functioning and or are more severely emotionally underdeveloped, are likely not suited for this type of therapy.

Kenny et al.’s explanation of this treatments’s implementation is useful for professionals in the psychology field who work with adolescents with ASD. This piece is also useful to parents of adolescents with ASD, as it discusses the role that parents can play in successfully implementing the treatment. However, more information is needed to determine if this program would be suitable as part of a K–12 school program focused on the needs of children with ASD.

Stagnitti, K. (2016). Play therapy for school-age children with high-functioning autism. In A. A. Drewes and C. E. Schaefer (Eds.), Play therapy in middle cildhood (pp. 237–255). American Psychological Association. https://doi.org/10.1037/14776-013

Stagnitti discussed how the Learn to Play program fosters the social and personal development of children who have high functioning autism. The program is designed as a series of play sessions carried out over time, each session aiming to help children with high functioning autism learn to engage in complex play activities with their therapist and on their own. The program is beneficial for children who are 1- to 8-years old if they are already communicating with others both nonverbally and verbally. Through this program, the therapist works with autistic children by initiating play activities, helping children direct their attention to the activity, eventually helping them begin to initiate play on their own by moving past the play narrative created by the therapist and adding new, logical steps in the play scenario themselves. The underlying rationale for the program is that there is a link between the ability of children with autism to create imaginary play scenarios that are increasingly more complex and the development of emotional well-being and social skills in these children. Study results from the program have shown that the program is successful: Children have developed personal and social skills of several increment levels in a short time. While Stagnitti provided evidence that the Learn to Play program was successful, she also acknowledged that more research was needed to fully understand the long-term benefits of the program.

Stagnitti offered an insightful overview of the program; however, her discussion was focused on children identified as having high-functioning autism, and, therefore, it is not clear if and how this program works for those not identified as high-functioning. Additionally, Stagnitti noted that the program is already initiated in some schools but did not provide discussion on whether there were differences or similarities in the success of this program in that setting.

Although Stagnitti’s overview of the Learn to Play program was helpful for understanding the possibility for this program to be a supplementary addition in the K–12 school system, more research is needed to understand exactly how the program might be implemented, the benefits of implementation, and the drawbacks. Without this additional information, it would be difficult for a researcher to use Stigmitti’s research as a basis for changes in other programs. However, it does provide useful context and ideas that researchers can use to develop additional research programs.

Wimpory, D. C., & Nash, S. (1999). Musical interaction therapy–Therapeutic play for children with autism. Child Language and Teaching Therapy, 15(1), 17–28. https://doi.org/10.1177/026565909901500103

Wimpory and Nash provided a case study for implementing music interaction therapy as part of play therapy aimed at cultivating communication skills in infants with ASD. The researchers based their argument on films taken of play-based therapy sessions that introduced music interaction therapy. To assess the success of music play, Wimpory and Nash filmed the follow-up play-based interaction between the parent and the child. The follow-up interactions revealed that 20 months after the introduction of music play, the patient developed prolonged playful interaction with both the psychologist and the parent. The follow-up films also revealed that children initiated spontaneously pretend play during these later sessions. After the introduction of music, the patient began to develop appropriate language skills.

Since the publication date for this case study is 1999, the results are dated. Although this technique is useful, emerging research in the field has undoubtedly changed in the time since the article was published. Wimpory and Nash wrote this article for a specific audience, including psychologists and researchers working with infants diagnosed with ASD. This focus also means that other researchers beyond these fields may not find the researcher’s findings applicable.

This research is useful to those looking for background information on the implementation of music into play-based therapy in infants with ASD. Wimpory and Nash presented a basis for this technique and outlined its initial development. Thus, this case study can be useful in further trials when paired with more recent research.