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NURS FPX 4040 Assessment 3 Annotated Bibliography on Technology in Nursing MC

Annotated Bibliography on Technology in Nursing – Pulse Oximetry 

NURS FPX 4040 Assessment 3 Annotated Bibliography on Technology in Nursing MC

A pulse oximeter is a gadget which is often positioned on one’s finger. It estimates the oxygen levels of the body and the heartbeat using laser diodes. In general, the technique depends on the detection of absorbance of two wavelengths selected to maximize the ability to distinguish oxyhemoglobin from deoxyhemoglobin and on the ability to separate pulsating (presumably arterial) blood from the background (Gelb et al., 2018). Pulse oximeters may detect low oxygen levels, which is helpful in the case of difficulties. Pulse oximeters are utilized in operation theatres, hospital wards, and restoring, emergency, and adolescent units (Banait et al., 2020). This annotated bibliography examines the use of pulse oximeters, as well as its limitations and effectiveness, while also patient experiences. I obtained my data from a variety of research-based sources, including PubMed, CINAHL, and NCBI. I used research papers that had been published during the past five years. 

Annotated Bibliography 

Current Evidence on the Patient Care Technology

Gelb, A. W., Morriss, W. W., Johnson, W., Merry, A. F., Abayadeera, A., Belîi, N., Brull, S. J., Chibana, A., Evans, F., Goddia, C., Haylock-Loor, C., Khan, F., Leal, S., Lin, N., Merchant, R., Newton, M. W., Rowles, J. S., Sanusi, A., Wilson, I., Velazquez Berumen, A., … International Standards for a Safe Practice of Anesthesia Workgroup (2018). World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia. Anesthesia and Analgesia126(6), 2047–2055. https://doi.org/10.1213/ANE.0000000000002927

In this paper, we look at pulse oximetry in medical centers. As per the researchers, medical centers treat very few infants with bronchiectasis and other forms of pulmonary congestion each year.  A pulse oximeter, a device that monitors oxygen intake in the body, is widely used to keep track of these problems. Pulse oximetry is frequently used in adolescent critical care units and pediatric wards, as well as operating theatres. Pulse continuous monitoring is used to evaluate blood oxygen, calculate flow, identify pleural space level contradictions, and check neonates for congenital defects during respiratory treatment. The research doesn’t go into great depth about why the limitations exist, but it does point out a few cases when pulse oximeters can be inaccurate. Pulse oximeters have various limitations due to a lack of information. Insufficient reactions are caused by hypertension, extreme outside light, complexion, nail polish, poor circulation, and subcutaneous angiography. Pulse oximeters indicate poor findings if there is vascular activation, like substantial aortic stenosis, left atrium failure, and surveillance systems or restraints just above optical heart rate location. Pulse oximeters may overlook instability in people with dramatically increased pulse oximetry due to the complex shape of the blood oxygen outward shift. Pulse oximeters might potentially give false readings in situations of hemochromatosis. The source highlights a few flaws that will help readers utilize pulse oximeters responsibly. In light of these disadvantages, doctors may consider using pulse continuous monitoring, which is accessible and enables immediate assessment of arterial pressure.

NURS FPX 4040 Assessment 3 Annotated Bibliography on Technology in Nursing MC

Integrates Evidence of Patient Care 

Luks, A. M., & Swenson, E. R. (2020). Pulse oximetry for monitoring patients with covid-19 at home. potential pitfalls and practical guidance. Annals of the American Thoracic Society17(9), 1040–1046. https://doi.org/10.1513/AnnalsATS.202005-418FR

This paper discussed the ideas, dependability, performance, and consequences of pulse oximeters. The benefits of selected pulse oximeters’ imaging modality over conventional pulse oximeters are explored. Even though standard pulse oximeters can only distinguish between red blood cells and oxyhemoglobin, numerous people are under the impression that impaired cognitive, such as oxygen phosphorylation does not exist. However, pulse oximeters can identify mitochondria and methemoglobin blood sugar levels. As a result, physicians prefer to use the organelle present in most biological monitoring devices for more exact readings. The proportion during which patients are transferred from post-operative care to the intensive care unit (ICU) is a major influence on how frequently pulse oximeters are utilized in hospitals. The oxygen concentrator category had fewer ICU hospitalizations for pulmonary difficulties than the normal control. Furthermore, even though the oximeter group’s patients were older and had more comorbidities, the oximeter team’s predicted treatment costs from recruitment through the completion of the study were lower than the comparison groups. The reduced frequency of bronchial discharges was assumed to be due to the oximeter group’s early detection and care of postoperative pulmonary issues. Anesthetic agent, on the other hand, believed pulse oximetry was very effective in guiding patient management. Medical practitioners promote pulse oximeters because they feel that maintaining oxygen saturation at acceptable levels can help avoid long-term damage. As a consequence, a monitoring system is a useful strategy.

Organizational Factors Influencing the Use of Technology 

Banait, N., Ward-Platt, M., Abu-Harb, M., Wyllie, J., Miller, N., & Harigopal, S. (2020). Pulse oximetry screening for critical congenital heart disease: a comparative study of cohorts over 11 years. The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians33(12), 2064–2068. https://doi.org/10.1080/14767058.2018.1538348

Pulse oximetry is an incredibly technical, reasonably accurate, and low-false-positive diagnostic for Critical Congenital Heart Defects (CCHD) identification because it is helpful, quick, easy, and inexpensive. It is being used to check for major hereditary cardiac defects all around the world, according to this report. As per the researchers, pulse blood oxygen monitoring can be enhanced by teaching guardians and employing software approaches. Pulse oximetry assists in the diagnosis of serious illness and is a reliable method for monitoring CCHD, which demands continuing evaluation and quick medical attention. Pulse oximeters detect common bacterial respiratory distress in nearly every child with CCHD. Initial research of infant blood oxygen testing for congenital heart disease (CCHD) produced consistent results. As a result, the Secretary of Health and Human Services of the United States recommended that CCHD diagnostics be added to the normal panel of examinations.  So, the experts decided that pulse oximetry screening fulfilled the established assessment requirements. Pulse oximetry screening 24 hours after delivery raises the risk of CCHD misinterpretation in newborns while lowering the genuine alarm rate. When employing pulse oximetry equipment, health organizations must consider the following factors: Blood pressure should be over 80 mm Hg, AV diverticula can reduce distal flow due to blood occlusion from any source, elevation in terms of the heart, The probe’s compression ,cardiac arrest (do not use while in arrest) and extremes of heart rate (30 or >200). The reliability of an oxygen saturation measurement can be harmed by many circumstances, including: pulse rate variations, carbon monoxide poisoning, may or may not trigger a pulse oximeter alarm, rates of jaundice, blood plasma lipids, external light or color disturbance, such as nail polish, and hands that are cool or have inadequate blood flow. In these circumstances, health care organizations do not need to use pulse oximeters as a replacement for lived perception by people who use them to monitor oxygen saturation. People who have trouble inhaling, breathlessness, disorientation, or other symptoms of oxygen depletion should seek medical help. Pulse oximetry is often measured using self-contained equipment or as part of a larger tracking system. The issue we’re trying to solve is when a doctor beyond the Intensive Care Unit reads a value or collection of numbers and directly enters them into the EHR (EHR).

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The cardiac component of the Computerized Patient Record System (CPRS) records pulse oximetry results. Some health practitioners are employing FDA Class III software, which puts this data piece straight into the CPRS vitals package. ICUs with a Clinical Information System (CIS) may be able to automatically record these readings, which are then saved in commercial-off-the-shelf (COTS) software and converted into a pdf file that can be accessed using CPRS. Doctors have felt more comfortable studying EHRs to examine clinical evidence as they have become more popular. Users may face a sort of information overload when more data is kept in EHRs. Physicians will prevent fatigue and improve the patient experience by adding artificial intelligence technologies into their EHRs.

Implementation and Use of Technology

Brown, A., Barnes, C., Byaruhanga, J., McLaughlin, M., Hodder, R. K., Booth, D., Nathan, N., Sutherland, R., & Wolfenden, L. (2020). Effectiveness of technology-enabled knowledge translation strategies in improving the use of research in public health: systematic review. Journal of Medical Internet Research22(7), e17274. https://doi.org/10.2196/17274

NURS FPX 4040 Assessment 3 Annotated Bibliography on Technology in Nursing MC

This research gives a complete knowledge of how pulse oximetry works, stressing the monitoring devices utilized, their advantages and disadvantages, and the degree of precision that can be expected when measuring blood oxygen. Oxygen saturation is helpful in measuring the oxygen level in a blood . A significant reduction in oxygen in a patient’s heart activity is detected by pulse oximeters. The oxygen saturation values provided by pulse oximeters (SpO2) are usually incorrect. Six severely sick individuals are given extra oxygen. Although pulse oximetry has 3–4 percent accuracy in identifying SaO2 in ill patients, it may quickly detect a sudden decrease in SpO2 in sleepy patients and patients in critical care units. Considering the limits of oxygen saturation, the device’s SpO2 response assessment is thought to be reliable for detecting cardiopulmonary exercise deterioration. Although children are vulnerable to ocular prematurity resulting from a high supply of oxygen in red cells, a study shows that pulse oximetry should not be the primary process of measuring SaO2 in the neonatal unit. As per the researcher, advances in pulse oximeter technology have boosted their ability to manage and coordinate therapy.

Conclusion

To conclude, it is stated that pulse oximeters are suggested for monitoring oxygen saturation levels in patients with respiratory diseases considering their shortcomings, Pulse oximeters help to minimize the frequency of pulmonary transfers from the neurological ward to the critical care unit. Pulse oximeters are mainly promoted in medical centers since they are so important in screening neonates for CCHD. Pulse oximetry assists in the early detection of various illnesses, preventing lasting organ damage and decreasing mortality rates. Hence, Pulse oximeters are a valuable asset in hospitals.

References

Banait, N., Ward-Platt, M., Abu-Harb, M., Wyllie, J., Miller, N., & Harigopal, S. (2020). Pulse oximetry screening for critical congenital heart disease: a comparative study of cohorts over 11 years. The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians33(12), 2064–2068. https://doi.org/10.1080/14767058.2018.1538348

NURS FPX 4040 Assessment 3 Annotated Bibliography on Technology in Nursing MC

Brown, A., Barnes, C., Byaruhanga, J., McLaughlin, M., Hodder, R. K., Booth, D., Nathan, N., Sutherland, R., & Wolfenden, L. (2020). Effectiveness of technology-enabled knowledge translation strategies in improving the use of research in public health: systematic review. Journal of Medical Internet Research22(7), e17274. https://doi.org/10.2196/17274

Gelb, A. W., Morriss, W. W., Johnson, W., Merry, A. F., Abayadeera, A., Belîi, N., Brull, S. J., Chibana, A., Evans, F., Goddia, C., Haylock-Loor, C., Khan, F., Leal, S., Lin, N., Merchant, R., Newton, M. W., Rowles, J. S., Sanusi, A., Wilson, I., Velazquez Berumen, A., … International Standards for a Safe Practice of Anesthesia Workgroup (2018). World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia. Anesthesia and Analgesia126(6), 2047–2055. https://doi.org/10.1213/ANE.0000000000002927

Luks, A. M., & Swenson, E. R. (2020). Pulse oximetry for monitoring patients with covid-19 at home. potential pitfalls and practical guidance. Annals of the American Thoracic Society17(9), 1040–1046. https://doi.org/10.1513/AnnalsATS.202005-418FR

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