NURS FPX 6025 Assessment 4 Practicum and Technological Changes

Name

Capella university

NURS-FPX 6025 MSN Practicum

Prof. Name

Date

Practicum and Technological Changes

Advances in technology have revolutionized medical operations, particularly in patient care management. Innovations such as wearable devices, standardized Electronic Health Records (EHRs), and mobile health applications have significantly improved diagnostic accuracy, patient monitoring, and information sharing (Junaid et al., 2022). Telehealth, for instance, has removed geographical barriers to healthcare access, making services more affordable and available to broader populations (Haimi, 2023). In the context of this capstone project, medical technologies like remote monitoring wearables, EHRs, and mobile applications played a pivotal role in implementing the PICO(T) framework — focusing on Population, Intervention, Comparison, Outcomes, and Time — aimed at reducing Pressure Injury (PI) incidence. This section explores how these technologies contributed to intervention delivery and project execution.

Effects of Technology on the POCT Intervention

The capstone project integrated several technologies to enhance the pressure injury prevention (PI) bundle’s effectiveness. Wearable sensor devices stand out as crucial tools for improving patient repositioning practices, enabling healthcare providers to identify when patients require repositioning quickly and efficiently (Crotty et al., 2023). One example is the Pressure Ulcer Monitoring Platform (PUMP), which supports real-time monitoring of patient positioning to prevent PI, thereby providing timely updates to medical teams (Minteer et al., 2020). According to Tran et al. (2022), wearable sensors can reliably detect early skin changes by tracking parameters such as pressure duration, skin temperature, humidity, circulation, and resistance. This continuous monitoring allows prompt adjustments to care plans, significantly lowering PI complications.

The use of Electronic Health Records (EHRs) was fundamental in enhancing collaboration among healthcare professionals. EHR systems create integrated, accessible repositories of patient data, facilitating communication between clinicians, IT specialists, and informaticists, which leads to evidence-based decision-making (Janita et al., 2020; Moja et al., 2019). Automation of prescriptions, medication alerts, and data security via EHR improved both patient safety and care coordination. Studies confirm that EHR upgrades contribute to better information exchange and more efficient PI care practices (Janita et al., 2020).

Additionally, mobile applications were employed to educate elderly patients suffering from PI, promoting self-management and awareness. Mobile apps like Pressure Ulcer Target (PUT) provide instructional content and assess prior knowledge to empower patients during rehabilitation (Miranda & Salomé, 2022; Shirai et al., 2022). These digital tools enable patients to adopt self-care strategies and understand the consequences of delayed treatment, positively influencing nursing practices and patient compliance with prevention bundles (Chuang et al., 2022).

NURS FPX 6025 Assessment 4 Practicum and Technological Changes

Technology	Purpose	Impact	References
Wearable Sensors	Monitor patient repositioning and skin changes	Early PI detection; real-time alerts to staff	Crotty et al. (2023), Tran et al. (2022)
Electronic Health Records	Data integration, communication, and alerts	Improved care coordination and decision-making	Janita et al. (2020), Moja et al. (2019)
Mobile Apps	Patient education and self-care	Increased patient awareness and compliance	Miranda & Salomé (2022), Shirai et al. (2022), Chuang et al. (2022)

Completion of Hours, Accomplishments, and Challenges

During the capstone practicum, I completed 20 clinical hours focusing on reducing PI occurrences and enhancing care quality using the PICO(T) framework intervention bundle. This hands-on experience bridged the gap between theoretical knowledge and real-world nursing challenges. I observed obstacles such as patient engagement difficulties, communication barriers, and the need for coordinated interdisciplinary care. Despite these, the practicum allowed me to apply newly acquired skills confidently and highlighted areas for professional growth.

A range of technologies—including wearable sensors, secure EHR systems, and patient-centered mobile apps—were integral in achieving significant improvements in patient participation, safety, and self-care management. However, challenges such as limited resources, language barriers, and time constraints occasionally impeded progress. Establishing effective interprofessional collaboration was vital, reinforcing the importance of teamwork in delivering evidence-based PI care (Zira et al., 2020). This experience enhanced my understanding of patient involvement and interdisciplinary coordination, which will inform and strengthen my future nursing practice.

Conclusion

Incorporating technological innovations such as wearable devices, EHRs, and educational mobile apps substantially reduces pressure injury incidences while improving patient safety and engagement. This multifaceted approach not only enhances clinical outcomes but also fosters patient empowerment through education and self-management. The success of this capstone project illustrates the transformative role of technology in healthcare, paving the way for further advancements in pressure injury prevention and management.

References

Chuang, S.-T., Liao, P.-L., Lo, S.-F., Chang, Y.-T., & Hsu, H.-T. (2022). Effectiveness of an e-book app on the knowledge, attitudes and confidence of nurses to prevent and care for pressure injury. International Journal of Environmental Research and Public Health, 19(23), 15826. https://doi.org/10.3390/ijerph192315826

NURS FPX 6025 Assessment 4 Practicum and Technological Changes

Crotty, A., Killian, J. M., Miller, A., Chilson, S., & Wright, R. (2023). Using wearable technology to prevent pressure injuries: An integrative review. Worldviews on Evidence-Based Nursing, 20(4), 351–360. https://doi.org/10.1111/wvn.12638

Gou, L., & Zhang, Z. (2023). Risk factors for medical device-related pressure injury in ICU patients: A systematic review and meta-analysis. PLOS ONE, 18(6), e0287326. https://doi.org/10.1371/journal.pone.0287326

Haimi, M. (2023). The tragic paradoxical effect of telemedicine on healthcare disparities-a time for redemption: A narrative review. BMC Medical Informatics and Decision Making, 23(1), 1–10. https://doi.org/10.1186/s12911-023-02194-4

Janita, Boonstra, A., Kooistra, A., Seelen, M., & Marjolein van Offenbeek. (2020). The influence of electronic health record use on collaboration among medical specialties. BMC Health Services Research, 20(1). https://doi.org/10.1186/s12913-020-05542-6

Junaid, S. B., Imam, A. A., Balogun, A. O., De Silva, L. C., Surakat, Y. A., Kumar, G., & Mahamad, S. (2022). Recent advancements in emerging technologies for healthcare management systems: A survey. Healthcare, 10(10), 1940. https://doi.org/10.3390/healthcare10101940

Minteer, D. M., Simon, P., Taylor, D. P., Jia, W., Li, Y., Sun, M., & Rubin, J. P. (2020). Pressure ulcer monitoring platform—a prospective, human subject clinical study to validate patient repositioning monitoring device to prevent pressure ulcers. Advances in Wound Care, 9(1), 28–33. https://doi.org/10.1089/wound.2018.0934

NURS FPX 6025 Assessment 4 Practicum and Technological Changes

Miranda, F. D., & Salomé, G. M. (2022). Development of a mobile app to assess, treat and prevent pressure injury. Acta Paulista de Enfermagem, 35, eAPE0329345. https://doi.org/10.37689/acta-ape/2022AO03293459

Moja, L., Friz, H. P., Capobussi, M., Kwag, K., Banzi, R., Ruggiero, F., & Bonovas, S. (2019). Effectiveness of a hospital-based computerized decision support system on clinician recommendations and patient outcomes: A randomized clinical trial. JAMA Network Open, 2(12), e1917094. https://doi.org/10.1001/jamanetworkopen.2019.17094

Shirai, T., Bulandres, P., Choi, J. A., D’Ortenzio, D., Moon, N., Musselman, K., & Gabison, S. (2022). The use of a mobile educational tool on pressure injury education for individuals living with spinal cord injury/disease: A qualitative research study. Disability and Rehabilitation, 44(3), 468–477. https://doi.org/10.1080/09638288.2020.1771780

Tran, M. T., Kumar, A., Sachan, A., Castro, M., Allegre, W., & Feller, J. F. (2022). Emerging strategies based on sensors for chronic wound monitoring and management. Chemosensors, 10(8), 311. https://doi.org/10.3390/chemosensors10080311

Zira, J. D., Bappa, A., Halilu, S., Mark, A. D., Kayode, O., Musa, G., & Patrick, B. (2020). Interdisciplinary collaboration among health professionals: A panacea for effective and evidence based health care delivery. Journal of Radiography and Radiation Sciences, 34(1), 12–23. http://dx.doi.org/10.48153/jrrs.v34i1.223272