NURS FPX 4045 Assessment 3 Technology in Nursing
Student Name
Capella University
NURS-FPX4045 Nursing Informatics: Managing Health Information and Technology
Prof. Name
Date
Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing
Introduction to the Selected Technology Topic
Videoconference screens and smartphones are the focus of this annotated bibliography due to their importance in the treatment of long-lasting illnesses like Chronic Obstructive Pulmonary Disease (COPD). In telehealth nursing, these technologies are crucial as they allow patients to receive remote monitoring, education, and consultations in real-time. It helps address exacerbations and reduces the risk of hospitalization and disease complications. The Sentinel U Telehealth Nursing Simulation supported the convenience of these tools through the case of a patient with COPD.
This reveals that videoconferencing and smartphones enhance remote monitoring and promote patient engagement and self-management. To collect supporting evidence, an organized literature search was conducted using Capella University’s online library resources. It includes databases such as PubMed, CINAHL, and ProQuest Nursing & Allied Health Source. Search terms included “telehealth and COPD,” “videoconferencing in COPD management,” “smartphone applications for COPD,” “remote monitoring of respiratory conditions,” and “patient safety in COPD telehealth.” To ensure relevance, the review was peer-reviewed, and full-text articles were available within the last five years.
Assumptions
Videoconference screens and smartphone technologies in telehealth nursing rely on several key assumptions. Patients have access to and are proficient in using these digital tools to participate in virtual consultations. It assumes that nurses possess the necessary training and clinical expertise to evaluate patient-reported symptoms, interpret remote data, and integrate this data into personalized care plans. It is supposed that engagement through telehealth platforms will enhance adherence in COPD care (Bowman et al., 2023). The efficacy of these interventions depends on reliable internet connections that ensure communication and protect patient privacy.
Annotation Elements
Bowman, M., Jalink, M., Sharpe, I., Srivastava, S., & Don Thiwanka Wijeratne. (2023). Videoconferencing interventions and COPD patient outcomes: A systematic review. Journal of Telemedicine and Telecare, 30(7), 1077–1096. https://doi.org/10.1177/1357633×231158140
This review examines videoconferencing approaches for COPD add-on care across three domains. It includes pulmonary rehabilitation, medical evaluation and intensive care, and patient teaching. The article points out that videoconferencing enables bidirectional, real-time communication between patients and healthcare providers. This involves overcoming barriers to in-person care while maintaining patient engagement. The review demonstrates that clinical assessments are feasible, with some reductions in length of stay and outpatient visits. Exercise and education interventions showed promising improvements in lifestyle-related outcomes, social and emotional support, and patient mastery.
The applicability of the work to nursing practice is highlighted by its potential to enhance self-management and strengthen provider–patient relationships. It facilitates interdisciplinary collaboration by allowing communication among nurses, physicians, and allied health professionals. This article was chosen due to its usefulness in real-life COPD management. It is a valuable source for healthcare providers who aim to improve accessibility, satisfaction, and clinical outcomes using telehealth technology.
Çetin. N., Bostan. P., & AltInisik. G., (2023). A perspective on the scope of videoconferencing-based telemedicine in respiratory diseases outpatient clinic. Tuberkuloz ve Toraks, 71(4), 335–346. https://doi.org/10.5578/tt.20239602
NURS FPX 4045 Assessment 3 Technology in Nursing
The article examines the use of videoconference-based telehealth in the treatment of persons with COPD over eight months. The authors highlight that 16.7% persons managed entirely through telemedicine are deprived of the necessity for physical investigations. The study demonstrates that chronic respiratory diseases, including asthma and COPD, can be effectively monitored through videoconference sessions, with median follow-up ratios of 100% in asthma and 88.8% in COPD patients.
This technology impacts patient safety by reducing exposure risk for elderly and immunocompromised individuals, while maintaining care continuity. For nurses, the article underscores the importance of integrating telemedicine with patient-centered approaches, home monitoring tools, and detailed medical histories to optimize outcomes. This resource is selected because it provides real-world evidence of telehealth’s feasibility, efficiency, and potential for routine implementation in acute and chronic pulmonary care settings.
Jang, S., Kim, Y., & Cho, W.-K. (2021). A systematic review and meta-analysis of telemonitoring interventions on severe COPD exacerbations. International Journal of Environmental Research and Public Health, 18(13), 6757. https://doi.org/10.3390/ijerph18136757
The article explores a systematic review and meta-analysis evaluating the efficiency of telemonitoring in preventing severe COPD worsening, demanding hospitalization. The study included 22 randomized controlled trials with 2,906 participants, most of whom had serious airway restrictions and a record of exacerbations. Telemonitoring interventions were delivered using videoconferences, smartphones, tablets, or other telehealth platforms, collecting data such as oxygen saturation, symptoms, vital signs, and spirometry, which healthcare experts reviewed. Results showed that telemonitoring reduces hospitalizations and decreases emergency room visits.
NURS FPX 4045 Assessment 3 Technology in Nursing
For nursing practice and the interdisciplinary care team, this article underscores that telemonitoring through videoconference or smartphone is feasible, approved by elders, and combined into the present COPD management to support early detection and timely interventions. This article was selected because it demonstrates how telehealth technologies can enhance COPD self-management, making it a valuable resource for patient engagement and interdisciplinary coordination in real-world practice.
Janjua, S., Carter, D., Threapleton, C., Prigmore, S., & Disler, R. (2021). Telehealth interventions: Remote monitoring and consultations for people with Chronic Obstructive Pulmonary Disease (COPD). Cochrane Database of Systematic Reviews, 7(7). https://doi.org/10.1002/14651858.cd013196.pub2
The article is a systematic review of 29 randomized controlled trials examining remote approaches for patients with COPD, with a focus on videoconferencing and smartphone-based remote consultations and monitoring. These results indicate that videoconferences and smartphones, whether alone or combined with usual care, provide significant benefits for primary outcomes. It improves the standard of healthcare, reduces breathing difficulty, readmission rates, and death.
Multi-component interventions incorporating videoconference consultations reduce hospital re-admissions at 39–52 weeks. In the case of nursing practice, the paper highlights the potential for videoconference and smartphone interventions to support patient care remotely, for patients with mobility limitations or those requiring reduced in-person contact during situations like the COVID-19 pandemic. The publication was chosen because it connects videoconference technologies with real-life nursing practice, making it highly relevant to practitioners. It underscores the need for team collaboration to optimize remote monitoring.
Artificial Intelligence
The integration of Artificial Intelligence (AI) with videoconferencing platforms and smartphone applications represents a progress in COPD management within telehealth nursing. AI-driven analytics evaluate patient-reported metrics, including symptoms, oxygen saturation, and activity levels, to identify signs of exacerbation and provide predictive alerts to clinicians and patients. For nursing experts, AI-enhanced platforms support evidence-based decision-making by prioritizing high-risk cases, interpreting data trends, and facilitating timely interventions. AI can tailor self-management guidance, including medication adherence reminders, rehabilitation exercises, and lifestyle change strategies, to optimize engagement and reduce hospitalization rate (Castro et al., 2024). This predictive analytics, remote monitoring, and telecommunication technology nurture personalized care and collaboration within the team.
Castro, O., Izquierdo, E., Mesa, A., Menasalvas, E., & Pérez. (2024). Assessing the impact of new technologies on managing chronic respiratory diseases. Journal of Clinical Medicine, 13(22), 6913. https://doi.org/10.3390/jcm13226913
NURS FPX 4045 Assessment 3 Technology in Nursing
The review article discusses how AI is transforming the management of COPD and asthma by enabling early diagnosis, personalized treatment, and proactive monitoring. The authors explore that AI algorithms, including Machine Learning (ML), Deep Learning (DL), Convolutional Neural Networks (CNNs), and Large Language Models (LLMs), can analyze diverse patient data such as imaging, spirometry, biomarkers, and respiratory sounds to detect subtle disease patterns missed by traditional methods. This predictive ability enhances clinical decision-making, supports early intervention, and facilitates individualized care plans.
In nursing practice, AI-powered tools integrated with telehealth and remote monitoring allow real-time tracking of vital signs, lung function, and medication adherence, improving patient safety and enabling timely interventions. The resource has been chosen because it focuses on the practical application of AI and telehealth in real-life settings, making it valuable for staff seeking to enhance patient-centered care, interdisciplinary collaboration, and efficient management of COPD.
Summary of Recommendations
The five publications collectively demonstrate that videoconference screens and smartphones, when integrated with telehealth and AI, enhance the management of COPD by enabling early detection, improving disease control, and promoting patient engagement. Studies by Bowman et al. (2023) show that videoconferencing interventions improve exercise, education, and clinical monitoring in COPD patients. Çetin et al. (2023) demonstrate that telehealth can effectively manage respiratory diseases without face-to-face visits. Jang et al. (2021), report that telemonitoring through videoconference and smartphones reduces hospitalizations and supports early detection of severe COPD exacerbations.
Janjua et al. (2021) found that remote consultations improve COPD outcomes, quality of life, and reduce readmissions. Castro et al. (2024) highlight that AI-integrated telehealth platforms enable early diagnosis, predictive alerts, personalized interventions, and enhanced patient engagement in COPD and asthma management. These findings underscore the potential of advanced technologies in improving care.
Organizational factors influencing the adoption of videoconferencing, telehealth, and AI-enabled COPD management include staff training, strong technology infrastructure, resource allocation, leadership support, and a culture that encourages digital health innovation. Hospitals prioritize patient privacy and data security, and empower staff to integrate telehealth and AI-generated data into clinical workflows. Evidence supports the integration of telehealth platforms, videoconferencing, and AI tools for COPD and asthma care, as they improve patient safety, enhance engagement, and optimize health outcomes while reducing nursing workload (Castro et al., 2024). By investing in staff education and clear policies, hospitals can ensure that these technologies are executed efficiently.
References
Bowman, M., Jalink, M., Sharpe, I., Srivastava, S., & Don Thiwanka Wijeratne. (2023). Videoconferencing interventions and COPD patient outcomes: A systematic review. Journal of Telemedicine and Telecare, 30(7), 1077–1096. https://doi.org/10.1177/1357633×231158140
Castro, O., Izquierdo, E., Mesa, A., Menasalvas, E., & Pérez. (2024). Assessing the impact of new technologies on managing chronic respiratory diseases. Journal of Clinical Medicine, 13(22), 6913. https://doi.org/10.3390/jcm13226913
NURS FPX 4045 Assessment 3 Technology in Nursing
Çetin. N., Bostan. P., & AltInisik. G., (2023). A perspective on the scope of videoconferencing-based telemedicine in respiratory diseases outpatient clinic. Tuberkuloz ve Toraks, 71(4), 335–346. https://doi.org/10.5578/tt.20239602
Jang, S., Kim, Y., & Cho, W.-K. (2021). A systematic review and meta-analysis of telemonitoring interventions on severe COPD exacerbations. International Journal of Environmental Research and Public Health, 18(13), 6757. https://doi.org/10.3390/ijerph18136757
Janjua, S., Carter, D., Threapleton, C., Prigmore, S., & Disler, R. (2021). Telehealth interventions: Remote monitoring and consultations for people with Chronic Obstructive Pulmonary Disease (COPD). Cochrane Database of Systematic Reviews, 7(7). https://doi.org/10.1002/14651858.cd013196.pub2