Tag: Model Answer

  • [Solved] question

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    – ## MODULE3DiscussionResponcerwoclassm.docx **## MODULE3DiscussionResponcerwoclassm.docx** 1. [**Paige Fanelli**](https://molloy.instructure.com/courses/38987/users/47068) Anecdotal Notes: First, the child (wearing a blue dress) was playing well with others near the sensory table. They were fillin…

    Instant Solution Download

    $6.99

    Immediate access to the full model answer, formatted citations, and rubric breakdown.

    Need a Fresh Custom Paper?

    Have this question answered from scratch according to your specific instructions and deadline.

    Order on TutorsGallery →

    Assignment Prompt & Instructions

    – ## MODULE3DiscussionResponcerwoclassm.docx

    **## MODULE3DiscussionResponcerwoclassm.docx**

    1.
    [**Paige Fanelli**](https://molloy.instructure.com/courses/38987/users/47068) Anecdotal Notes:
    First, the child (wearing a blue dress) was playing well with others near the sensory table. They were filling containers with medium/small-sized round stones. Another child asked for a chair, and the child in the blue dress did the same. She reached over to help a peer fill their funnel while also filling her own container. A bit later, a boy tried to pour rocks into her cup, and she told him to stop.

    Running Record:
    The student is filling a measuring cup and allowing another student to help her. She assists him in pouring stones into the funnel, which then fall into her cup. When the child next to her asks for a chair, she follows by asking for one too. Her face is neutral while speaking. She converses with others about their activity and asserts, “this is my cup.” A few seconds later, the boy tries to put stones in her container and she responds, “hey, I didn’t ask you to put that in there—I’m doing it myself,” showing a furrowed brow and glancing at the teacher. She continues filling her cup and calls out “hey!” when others try to take some of the materials. Eventually, she pulls the rocks closer to her, and the boy leaves the table.

    Reflection:
    1. What surprised you about the experience?

    What surprised me the most about this experience was how much more detail came through during the running record. Even though both observations captured the same event, the running record helped me focus on tone of voice, facial expressions, and the timing of each interaction. It also helped me see the complexity of peer dynamics at the sensory table- how the child could be helpful and social, but also firm and self directed.

    2. What were the major differences in both experiences?

    The major difference between the two observation formats was the level of detail and structure. The anecdotal notes captured a general summary and key interactions, but the running record showed how behaviors unfolded second by second. This made it easier to interpret the child’s emotions and intentions in the moment.

    3. How young is too young for formal assessments?

    I think it depends on how we define “formal.” I believe toddlers and preschoolers are too young for standardized testing, but not too young for observational or portfolio-based assessments, which are developmentally appropriate and offer meaningful insights (Morrison et al., 2022). Assessments should fit the child, not the other way around.

    4. How are the results of Child Observations useful on a school/district/state/public policy level?

    Child observations are useful at every level– school, district, state, and even in shaping public policy. When collected and analyzed thoughtfully, these observations help educators plan instruction, identify early intervention needs, and advocate for appropriate supports. At a systems level, consistent observation data can inform resource allocation, staff training, and family engagement strategies. It’s a small but powerful part of data-driven decision-making in early childhood education.

    Reference:
    Morrison, G. S., Woika, M. J., & Breffni, L. (2022).
    _Early childhood education today_ (15th ed.). Pearson.

    2.
    [**Viacheslav Cherniaev**](https://molloy.instructure.com/courses/38987/users/46367)

         The video recording occurred in an early childhood classroom where three-four-year-old children were playing in the classroom’s sensory center. There were four children in the video, along with a teacher. It was free play time. Four children were playing with stones on the sensory table.

         Observation: After watching the video for 3 minutes and 8 seconds, I recall the girl in the blue dress engaging actively at the sensory table with stones. She independently pulled a chair to the table, indicating initiative and autonomy. The girl in the blue dress pretended to make medicine and talked with a girl in a blue t-shirt.  She also said she needs more (stones). She interacted with a boy in a red t-shirt, expressing mild frustration when she noticed he added stones to her toy, saying, “Hey, I didn’t see you put some in there. I put some in my own.” She loudly said, “Hey, you took it from my spot!” when the boy took her stones. Her tone suggested she wanted control over her materials. At the end of the video, the girls said, “You're using mine, okay? I may use yours.”

         She appeared engaged in cooperative play but was assertive about her contributions, showing awareness of her actions and those of others. The interaction included dialogue about the activity, with phrases like “i put medicine” and “pretty medicine,” suggesting imaginative play or assigning roles to the stones (e.g., “medicine” or “baby”). Her behavior reflected social and emotional development, as she negotiated space and materials with peers.

    1.
    **What surprised you about the experience?**

    The experience of conducting both an anecdotal and running record revealed the challenge of capturing detailed, objective observations in a dynamic, social setting like a sensory table. I was surprised by how much the girl’s interactions revealed about her social and emotional development in such a short time. Her assertiveness about her contributions (“I put some in my own”) and her imaginative play (“pretty medicine,” “baby”) highlighted her ability to navigate peer interactions and engage creatively, which I didn’t initially expect to be so prominent in a brief observation. The fast-paced nature of the children’s dialogue and actions made it challenging to recall or record everything accurately, especially without including subjective interpretations, as emphasized by Dr. Sharon Smith Sanchez in her video on keeping data “clean and objective.”

    2.
    **What were the major differences with both experiences?**

         Anecdotal Observation: This method, as described in Chapter 3 (Morrison et al., 2019, p. 97), involves recording observations after the event, relying on memory. It allowed me to summarize the girl’s key behaviors and interactions, but risked missing details due to recall limitations. The focus was on significant moments, like her frustration with the boy and her imaginative play, but it lacked a precise sequence of events.

         Running Record: As outlined in Chapter 3 (Morrison et al., 2021, p. 98) and Dr. Sanchez’s video, this method requires real-time documentation in the present tense, capturing a continuous flow of actions and dialogue. It provided a more detailed, chronological account of the girl’s behavior, including specific phrases and actions (e.g., “I want a chair,” “Yes, put it (about medicine)". However, it was more demanding, as I had to write quickly while observing, which could lead to missing subtle cues if not practiced regularly.

         Key Difference: The anecdotal record is retrospective and concise, focusing on notable events, while the running record is immediate and detailed, capturing the full sequence of behaviors. The running record aligns more closely with Dr. Sanchez’s emphasis on real-time, objective data collection to inform outcomes-driven systems.

    3.
    **How young is too young for formal assessments?**

         Chapter 3 (Morrison et al., 2021, p. 117) highlights the challenges of assessing young children due to their rapid, uneven development and the need for age-appropriate methods. Formal assessments, such as standardized tests, are often inappropriate for children under 5 because their cognitive, social, and emotional abilities are still emerging, and test results may not accurately reflect their potential. For example, the chapter notes that high-stakes testing for young children can be unreliable and may lead to misplacement or undue pressure (Morrison et al., 2021, p. 117). Instead, authentic assessments like observations, portfolios, and performance-based tasks (e.g., the sensory table activity) are more suitable for preschoolers (ages 3–5), as they align with natural learning processes and developmental stages, as supported by theorists like Piaget and Vygotsky (Morrison et al., 2021, p. 116). Dr. Sanchez’s focus on observation-based data collection reinforces this, suggesting that even very young children can be assessed informally through methods like anecdotal and running records to guide instruction without the rigidity of formal tests. Thus, children under three may be too young for structured formal assessments, but informal, observation-based assessments are appropriate at any age.

    4.
    **How are the results of child observations useful on a school/district/state/public policy level?**

         Child observations, as discussed in Chapter 3 (Morrison et al., 2021) and Dr. Sanchez’s video, provide critical data for outcomes-driven systems, impacting various levels:

         School Level: Observations like those of the girl in the blue dress reveal individual needs, strengths, and developmental progress (e.g., her assertiveness and imaginative play indicate social and cognitive skills). Teachers can use this data to tailor instruction, adjust classroom environments (e.g., providing more sensory materials), and support peer interactions, aligning with Chapter 4’s emphasis on child-centered education (Morrison et al., 2021, p. 144).

         District Level: Aggregated observation data can inform curriculum development and resource allocation. For instance, if many children show similar social negotiation skills, districts might invest in cooperative learning programs, as seen in the City and Country School example (Morrison et al., 2021, p. 138).

         State Level: Observation data can support advocacy for universal preschool or full-day kindergarten, as Chapter 4 (Morrison et al., 2021, p. 124) notes the benefits of early education for disadvantaged groups. States can use this to justify funding, as seen in programs like Georgia’s Pre-K (Morrison et al., 2021, p. 118).

         Public Policy Level: Observations provide evidence for policies like the Every Student Succeeds Act (ESSA) or Head Start, which prioritize early intervention (Morrison et al., 2021, p. 131). Data showing positive outcomes (e.g., HighScope’s $17.07 return per dollar, Morrison et al., 2021, p. 140) can influence federal funding for inclusive, high-quality early education programs, addressing inequities highlighted during the COVID-19 era (Morrison et al., 2021, p. 132).

         By collecting objective data through observations, as Dr. Sanchez advocates, educators and policymakers can create evidence-based, child-centered systems that promote equity and long-term educational success.

    References:

    Focused Observations Chapter 4 Video 9"
    [https://www.youtube.com/watch?v=fdZJiWnxhg0Links to an external site.](https://www.youtube.com/watch?v=fdZJiWnxhg0)![A black and grey play button AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/question-20928491)

    Dr. Sharon Smith Sanchez
    [https://www.youtube.com/watch?v=FHGL4rxxzY4Links to an external site.](https://www.youtube.com/watch?v=FHGL4rxxzY4)![A black and grey play button AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/question-20928491)

    Morrison, G. S., Breffni, L., & Woika, M. J. (2021).
    _Early childhood education today_ (15th ed.). Pearson.

    ## image1.png

    **## MODULE3DiscussionResponcerwoclassm.docx**

    1.
    [**Paige Fanelli**](https://molloy.instructure.com/courses/38987/users/47068) Anecdotal Notes:
    First, the child (wearing a blue dress) was playing well with others near the sensory table. They were filling containers with medium/small-sized round stones. Another child asked for a chair, and the child in the blue dress did the same. She reached over to help a peer fill their funnel while also filling her own container. A bit later, a boy tried to pour rocks into her cup, and she told him to stop.

    Running Record:
    The student is filling a measuring cup and allowing another student to help her. She assists him in pouring stones into the funnel, which then fall into her cup. When the child next to her asks for a chair, she follows by asking for one too. Her face is neutral while speaking. She converses with others about their activity and asserts, “this is my cup.” A few seconds later, the boy tries to put stones in her container and she responds, “hey, I didn’t ask you to put that in there—I’m doing it myself,” showing a furrowed brow and glancing at the teacher. She continues filling her cup and calls out “hey!” when others try to take some of the materials. Eventually, she pulls the rocks closer to her, and the boy leaves the table.

    Reflection:
    1. What surprised you about the experience?

    What surprised me the most about this experience was how much more detail came through during the running record. Even though both observations captured the same event, the running record helped me focus on tone of voice, facial expressions, and the timing of each interaction. It also helped me see the complexity of peer dynamics at the sensory table- how the child could be helpful and social, but also firm and self directed.

    2. What were the major differences in both experiences?

    The major difference between the two observation formats was the level of detail and structure. The anecdotal notes captured a general summary and key interactions, but the running record showed how behaviors unfolded second by second. This made it easier to interpret the child’s emotions and intentions in the moment.

    3. How young is too young for formal assessments?

    I think it depends on how we define “formal.” I believe toddlers and preschoolers are too young for standardized testing, but not too young for observational or portfolio-based assessments, which are developmentally appropriate and offer meaningful insights (Morrison et al., 2022). Assessments should fit the child, not the other way around.

    4. How are the results of Child Observations useful on a school/district/state/public policy level?

    Child observations are useful at every level– school, district, state, and even in shaping public policy. When collected and analyzed thoughtfully, these observations help educators plan instruction, identify early intervention needs, and advocate for appropriate supports. At a systems level, consistent observation data can inform resource allocation, staff training, and family engagement strategies. It’s a small but powerful part of data-driven decision-making in early childhood education.

    Reference:
    Morrison, G. S., Woika, M. J., & Breffni, L. (2022).
    _Early childhood education today_ (15th ed.). Pearson.

    2.
    [**Viacheslav Cherniaev**](https://molloy.instructure.com/courses/38987/users/46367)

         The video recording occurred in an early childhood classroom where three-four-year-old children were playing in the classroom’s sensory center. There were four children in the video, along with a teacher. It was free play time. Four children were playing with stones on the sensory table.

         Observation: After watching the video for 3 minutes and 8 seconds, I recall the girl in the blue dress engaging actively at the sensory table with stones. She independently pulled a chair to the table, indicating initiative and autonomy. The girl in the blue dress pretended to make medicine and talked with a girl in a blue t-shirt.  She also said she needs more (stones). She interacted with a boy in a red t-shirt, expressing mild frustration when she noticed he added stones to her toy, saying, “Hey, I didn’t see you put some in there. I put some in my own.” She loudly said, “Hey, you took it from my spot!” when the boy took her stones. Her tone suggested she wanted control over her materials. At the end of the video, the girls said, “You're using mine, okay? I may use yours.”

         She appeared engaged in cooperative play but was assertive about her contributions, showing awareness of her actions and those of others. The interaction included dialogue about the activity, with phrases like “i put medicine” and “pretty medicine,” suggesting imaginative play or assigning roles to the stones (e.g., “medicine” or “baby”). Her behavior reflected social and emotional development, as she negotiated space and materials with peers.

    1.
    **What surprised you about the experience?**

    The experience of conducting both an anecdotal and running record revealed the challenge of capturing detailed, objective observations in a dynamic, social setting like a sensory table. I was surprised by how much the girl’s interactions revealed about her social and emotional development in such a short time. Her assertiveness about her contributions (“I put some in my own”) and her imaginative play (“pretty medicine,” “baby”) highlighted her ability to navigate peer interactions and engage creatively, which I didn’t initially expect to be so prominent in a brief observation. The fast-paced nature of the children’s dialogue and actions made it challenging to recall or record everything accurately, especially without including subjective interpretations, as emphasized by Dr. Sharon Smith Sanchez in her video on keeping data “clean and objective.”

    2.
    **What were the major differences with both experiences?**

         Anecdotal Observation: This method, as described in Chapter 3 (Morrison et al., 2019, p. 97), involves recording observations after the event, relying on memory. It allowed me to summarize the girl’s key behaviors and interactions, but risked missing details due to recall limitations. The focus was on significant moments, like her frustration with the boy and her imaginative play, but it lacked a precise sequence of events.

         Running Record: As outlined in Chapter 3 (Morrison et al., 2021, p. 98) and Dr. Sanchez’s video, this method requires real-time documentation in the present tense, capturing a continuous flow of actions and dialogue. It provided a more detailed, chronological account of the girl’s behavior, including specific phrases and actions (e.g., “I want a chair,” “Yes, put it (about medicine)". However, it was more demanding, as I had to write quickly while observing, which could lead to missing subtle cues if not practiced regularly.

         Key Difference: The anecdotal record is retrospective and concise, focusing on notable events, while the running record is immediate and detailed, capturing the full sequence of behaviors. The running record aligns more closely with Dr. Sanchez’s emphasis on real-time, objective data collection to inform outcomes-driven systems.

    3.
    **How young is too young for formal assessments?**

         Chapter 3 (Morrison et al., 2021, p. 117) highlights the challenges of assessing young children due to their rapid, uneven development and the need for age-appropriate methods. Formal assessments, such as standardized tests, are often inappropriate for children under 5 because their cognitive, social, and emotional abilities are still emerging, and test results may not accurately reflect their potential. For example, the chapter notes that high-stakes testing for young children can be unreliable and may lead to misplacement or undue pressure (Morrison et al., 2021, p. 117). Instead, authentic assessments like observations, portfolios, and performance-based tasks (e.g., the sensory table activity) are more suitable for preschoolers (ages 3–5), as they align with natural learning processes and developmental stages, as supported by theorists like Piaget and Vygotsky (Morrison et al., 2021, p. 116). Dr. Sanchez’s focus on observation-based data collection reinforces this, suggesting that even very young children can be assessed informally through methods like anecdotal and running records to guide instruction without the rigidity of formal tests. Thus, children under three may be too young for structured formal assessments, but informal, observation-based assessments are appropriate at any age.

    4.
    **How are the results of child observations useful on a school/district/state/public policy level?**

         Child observations, as discussed in Chapter 3 (Morrison et al., 2021) and Dr. Sanchez’s video, provide critical data for outcomes-driven systems, impacting various levels:

         School Level: Observations like those of the girl in the blue dress reveal individual needs, strengths, and developmental progress (e.g., her assertiveness and imaginative play indicate social and cognitive skills). Teachers can use this data to tailor instruction, adjust classroom environments (e.g., providing more sensory materials), and support peer interactions, aligning with Chapter 4’s emphasis on child-centered education (Morrison et al., 2021, p. 144).

         District Level: Aggregated observation data can inform curriculum development and resource allocation. For instance, if many children show similar social negotiation skills, districts might invest in cooperative learning programs, as seen in the City and Country School example (Morrison et al., 2021, p. 138).

         State Level: Observation data can support advocacy for universal preschool or full-day kindergarten, as Chapter 4 (Morrison et al., 2021, p. 124) notes the benefits of early education for disadvantaged groups. States can use this to justify funding, as seen in programs like Georgia’s Pre-K (Morrison et al., 2021, p. 118).

         Public Policy Level: Observations provide evidence for policies like the Every Student Succeeds Act (ESSA) or Head Start, which prioritize early intervention (Morrison et al., 2021, p. 131). Data showing positive outcomes (e.g., HighScope’s $17.07 return per dollar, Morrison et al., 2021, p. 140) can influence federal funding for inclusive, high-quality early education programs, addressing inequities highlighted during the COVID-19 era (Morrison et al., 2021, p. 132).

         By collecting objective data through observations, as Dr. Sanchez advocates, educators and policymakers can create evidence-based, child-centered systems that promote equity and long-term educational success.

    References:

    Focused Observations Chapter 4 Video 9"
    [https://www.youtube.com/watch?v=fdZJiWnxhg0Links to an external site.](https://www.youtube.com/watch?v=fdZJiWnxhg0)![A black and grey play button AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/question-20928491)

    Dr. Sharon Smith Sanchez
    [https://www.youtube.com/watch?v=FHGL4rxxzY4Links to an external site.](https://www.youtube.com/watch?v=FHGL4rxxzY4)![A black and grey play button AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/question-20928491)

    Morrison, G. S., Breffni, L., & Woika, M. J. (2021).
    _Early childhood education today_ (15th ed.). Pearson.

    ## image1.png

  • [Solved] Feelings

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    In-depth study guidance and analytical solution covering Feelings.

    Instant Solution Download

    $6.99

    Immediate access to the full model answer, formatted citations, and rubric breakdown.

    Need a Fresh Custom Paper?

    Have this question answered from scratch according to your specific instructions and deadline.

    Order on TutorsGallery →

    Assignment Prompt & Instructions

    Full assignment prompt and step-by-step guidance are included in the downloadable solution file.

  • [Solved] Assessing and Diagnosing Patients With Substance-Related and Addictive Disorders

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    Assessing and Diagnosing Patients With Substance-Related and Addictive Disorders

    Instant Solution Download

    $6.99

    Immediate access to the full model answer, formatted citations, and rubric breakdown.

    Need a Fresh Custom Paper?

    Have this question answered from scratch according to your specific instructions and deadline.

    Order on TutorsGallery →

    Assignment Prompt & Instructions

    Assessing and Diagnosing Patients With Substance-Related and Addictive Disorders

  • [Solved] Racism

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    In-depth study guidance and analytical solution covering Racism.

    Instant Solution Download

    $6.99

    Immediate access to the full model answer, formatted citations, and rubric breakdown.

    Need a Fresh Custom Paper?

    Have this question answered from scratch according to your specific instructions and deadline.

    Order on TutorsGallery →

    Assignment Prompt & Instructions

    Full assignment prompt and step-by-step guidance are included in the downloadable solution file.

  • [Solved] Supervision

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    In-depth study guidance and analytical solution covering Supervision.

    Instant Solution Download

    $6.99

    Immediate access to the full model answer, formatted citations, and rubric breakdown.

    Need a Fresh Custom Paper?

    Have this question answered from scratch according to your specific instructions and deadline.

    Order on TutorsGallery →

    Assignment Prompt & Instructions

    Full assignment prompt and step-by-step guidance are included in the downloadable solution file.

  • [Solved] discussion

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    To complete this assignment, you may use either SPSS or Excel. If using SPSS to complete this assignment, refer to the SPSS resources located in either Topic 2 resources, or Class Resources MindTap. View the video "Descriptive Statistics and Frequencies" in the MindTap course before starting this as…

    Instant Solution Download

    $6.99

    Immediate access to the full model answer, formatted citations, and rubric breakdown.

    Need a Fresh Custom Paper?

    Have this question answered from scratch according to your specific instructions and deadline.

    Order on TutorsGallery →

    Assignment Prompt & Instructions

    To complete this assignment, you may use either SPSS or Excel. If using SPSS to complete this assignment, refer to the SPSS resources located in either Topic 2 resources, or Class Resources MindTap. View the video "Descriptive Statistics and Frequencies" in the MindTap course before starting this assignment. Go to the MindTap course, click on the Course Support folder, then click on the SPSS Demonstration Library dropdown menu.
    If using Excel to complete this assignment, refer to the attached “Project 1 Descriptive Statistics Excel Instructions”.
    Complete Project 1 as specified in the attached document “Project 1: Descriptive Statistics Worksheet.”
    Please place your answers directly in the document, using the equation editor if needed to complete the assignment.
    Upload the completed “Project 1: Descriptive Statistics Worksheet” to the assignment dropbox.
    This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
    Attachments [PSY-380-RS-T2Project1DescriptiveStatisticsWorksheet.docx](https://halo.gcu.edu/resource/ea357b07-49c6-4322-a93b-871e2b0e636d "PSY-380-RS-T2Project1DescriptiveStatisticsWorksheet.docx") [PSY-380-RS-T2Project1DescriptiveStati](https://halo.gcu.edu/resource/e793aef2-5b2a-44d2-a767-54228aea2b72 "PSY-380-RS-T2Project1DescriptiveStatisticsExcelInstructions.docx")
    \
    PSY-380-RS-T2Project1DescriptiveStatisticsWorksheet1.docx](https://www.sweetstudy.com/files/psy-380-rs-t2project1descriptivestatisticsworksheet1-docx "PSY-380-RS-T2Project1DescriptiveStatisticsWorksheet1.docx")
    \
    PSY-380-RS-T2Project1DescriptiveStatisticsExcelInstructions2.docx](https://www.sweetstudy.com/files/psy-380-rs-t2project1descriptivestatisticsexcelinstructions2-docx "PSY-380-RS-T2Project1DescriptiveStatisticsExcelInstructions2.docx")

  • [Solved] The pepper guide

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    how to develop a procedure to monitor single CC (complication or comorbidity) and MCC (major complication or comorbidity

    Instant Solution Download

    $6.99

    Immediate access to the full model answer, formatted citations, and rubric breakdown.

    Need a Fresh Custom Paper?

    Have this question answered from scratch according to your specific instructions and deadline.

    Order on TutorsGallery →

    Assignment Prompt & Instructions

    how to  develop a procedure to monitor single CC (complication or comorbidity) and MCC (major complication or comorbidity

  • [Solved] Quin assessment 3 see comments

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    quin see comments – ## nurs-fpx4040-assessment-03-supplement-evidence-based-proposal-and-annotated-bib-on-tech-in-nursing-D.pdf – ## cf_Exemplar_NURS-FPX4040_Assessment_31.pdf – cf_Exemplar_NURS-FPX4040_Assessment_31.pdf **## nurs-fpx4040-assessment-03-supplement-evidence-based-proposal-and-…

    Instant Solution Download

    $6.99

    Immediate access to the full model answer, formatted citations, and rubric breakdown.

    Need a Fresh Custom Paper?

    Have this question answered from scratch according to your specific instructions and deadline.

    Order on TutorsGallery →

    Assignment Prompt & Instructions

    quin
    see comments

    – ## nurs-fpx4040-assessment-03-supplement-evidence-based-proposal-and-annotated-bib-on-tech-in-nursing-D.pdf

    – ## cf_Exemplar_NURS-FPX4040_Assessment_31.pdf

    – cf_Exemplar_NURS-FPX4040_Assessment_31.pdf

    **## nurs-fpx4040-assessment-03-supplement-evidence-based-proposal-and-annotated-bib-on-tech-in-nursing-D.pdf**

    1

    Assessment 03 – Evidence-Based Proposal and Annotated

    Bibliography on Technology in Nursing

    For this assessment, you will write a 4–6 page annotated bibliography where you identify peer-
    reviewed publications that promote the use of one of the technologies presented below that
    enhance quality and safety standards in nursing.

    Before you complete the detailed instructions in the courseroom, first review the technologies
    below and select the one you’re most interested in researching.

    After selecting one of the following technologies to be the focus of your assessment, return to
    the courseroom to review the detailed instructions there.

     Artificial Intelligence: AI in healthcare can analyze complex data sets, assist in
    diagnosis, predict patient deterioration, and even suggest treatment options. It's a rapidly
    evolving field with vast potential to revolutionize healthcare.

     Data Management Resources: These tools help in the collection, storage, and analysis
    of vast amounts of patient data. Proper data management can lead to better patient
    outcomes, more efficient operations, and significant research advancements.

     Workflow Management Systems: These systems streamline and automate routine
    tasks and operations in healthcare settings. They can improve efficiency, reduce errors,
    and enhance the overall quality of care.

    **## cf_Exemplar_NURS-FPX4040_Assessment_31.pdf**

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    1

    Annotated Bibliography on Technology in Nursing

    Learner’s Name

    Capella University

    NURSFPX4040: Managing Health Information and Technology

    Instructor Name

    August 1, 2019

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    2

    Technology in Nursing

    Pulse oximetry is one of the most common methods of measuring the percentage of

    oxygen saturation in blood (Narayen et al., 2016). Pulse oximeters play a crucial role in critical

    care settings by detecting low levels of oxygen saturation. Pulse oximeters are also adopted by

    anesthesiologists in recovery, emergency, and pediatric wards; operation theatres; and neonatal

    units (Hendaus, et al., 2015). This annotated bibliography provides insight into how pulse

    oximeters are used, their limitations and accuracy, and patient outcomes.

    Annotated Bibliography

    Hendaus, M. A., Jomha, F. A., & Alhammadi, A. H. (2015). Pulse oximetry in bronchiolitis: Is it

    needed? Therapeutics and Clinical Risk Management, 11, 1573–1578.

    https://doi.org/10.2147%2FTCRM.S93176

    This article discusses the use of pulse oximetry in pediatric wards. The authors state that

    hospitals in the United States admit a significant number of children every year with

    bronchiolitis and other respiratory problems. These problems are usually monitored with

    the help of a pulse oximeter, an instrument used to measure the saturation of oxygen in

    the blood. Oxygen saturation levels are used by health care providers to evaluate a

    patient’s respiratory status and are one of the deciding factors for a patient’s discharge.

    Pulse oximetry is frequently used in pediatrics (in pediatric intensive care units and

    pediatric wards) and in emergency departments. Pulse oximeters are used to monitor

    oxygen saturation during resuscitations, while estimating perfusion, while detecting

    pulsus paradoxus, and while screening infants for congenital heart disease. Though the

    source does not fully explain why the limitations occur, it identifies several cases in

    which pulse oximeters are likely to be inaccurate. Pulse oximeters have certain

    Commented [A1]: Comprehensive information regarding the

    types of pulse oximetry devices, selection criteria, decision makers,

    and associated costs is not available in the selected papers. The two

    types of pulse oximeters and their advantages over the others is

    provided; however, information on the various types of pulse

    oximeters is not available and the associated costs are not provided.

    This paper does mention that this technique is cost-effective which

    can fulfill the required criteria.

    [https://dx.doi.org/10.2147%2FTCRM.S93176](https://dx.doi.org/10.2147%2FTCRM.S93176)

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    3

    limitations due to inadequate signals. Inadequate signals occur in cases of anemia, bright

    external light, dark skin, nail polish, low perfusion, and intravenous dye. Pulse oximeters

    show low readings in cases of venous pulsations such as severe right heart failure,

    tricuspid regurgitation, and blood pressure cuffs or tourniquets above the site of the pulse

    oximeter. Pulse oximeters might not detect hypoxemia in patients with elevated arterial

    oxygen tension levels because of the sigmoidal shape of the oxyhemoglobin dissociation

    curve. Also, pulse oximeters provide unreliable readings in cases of methemoglobinemia.

    The source highlights several limitations, which will help readers exercise caution when

    using pulse oximeters. However, despite these limitations, the use of pulse oximeters in

    pediatrics is recommended because they are handy and allow for noninvasive measuring

    of arterial oxygen saturation.

    Jubran, A. (2015). Pulse oximetry. Critical Care, 19(1), 272.

    https://doi.org/10.1186%2Fs13054-015-0984-8

    This article provides insight into the principles, accuracy, functioning, and outcome of

    pulse oximeters. It discusses the potential advantages of multiwavelength pulse oximeters

    over conventional pulse oximeters. Multiwavelength pulse oximeters are capable of

    estimating the blood levels of carboxyhemoglobin and methemoglobin, whereas

    conventional pulse oximeters assume that dyshemoglobins such as carboxyhemoglobin

    and methemoglobin are absent because they can only distinguish between hemoglobin

    and oxyhemoglobin. Hence, physicians prefer to use multiwavelength pulse oximeters for

    more accurate results. In hospital settings, the transfer rate from a postsurgical care floor

    to the intensive care unit (ICU) is an important factor that influences the use of pulse

    oximeters. The resource reviews a study by Ochroch et al. in which patients were Commented [A3]: Deals with criterion 3: Organizational factors

    that influence the selection of a technology in health care setting.

    Commented [A2]: Meets criterion 3 as it deals with

    organizational factors that influence the selection of a technology in

    health care setting.

    [https://doi.org/10.1186%2Fs13054-015-0984-8](https://doi.org/10.1186%2Fs13054-015-0984-8)

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    4

    monitored by pulse oximeters either continuously (oximeter group) or intermittently

    based on clinical needs as judged by a physician or a nurse (control group). The rate of

    ICU transfers for pulmonary complications was lower in the oximeter group than in the

    control group. Additionally, for patients who did require ICU transfers, the estimated cost

    of treatment from enrollment to the completion of the study was lower for the oximeter

    group ($15,481) than for the control group ($18,713) despite the patients in the oximeter

    group being older and having higher comorbidity. The reduction in pulmonary transfers

    to the ICU in the oximeter group was speculated to be the result of early recognition and

    treatment of postoperative pulmonary complications. As cited in Jubran, another study by

    Moller et al. indicates that anesthesiologists considered pulse oximetry to be of immense

    value as it guides clinical management.

    oximeters because they believe that maintaining oxygenation within limits might help

    prevent irreversible injury. Pulse oximetry is, therefore, a key part of the standard

    protocol for monitoring critically ill patients.

    Narayen, I. C., Blom, N. A., Ewer, A. K., Vento, M., Manzoni, P., & te Pas A. B. (2016).

    Aspects of pulse oximetry screening for critical congenital heart defects: When, how

    and why? Archives of Disease in Childhood – Fetal and Neonatal Edition, 101(2),

    F162–F167. http://doi.org/10.1136/archdischild-2015-309205

    This article describes how pulse oximetry is being implemented worldwide for the

    screening of critical congenital heart defects (CCHD). The use of pulse oximetry to

    screen for CCHD is highly recommended because it is effective, quick, simple, and cost-

    effective. The authors state that training parents and caregivers and using tools that are

    computer based can improve pulse oximetry screening. Pulse oximetry helps detect

    significant pathology and is reliable for keeping track of CCHD, which requires constant

    Anesthesiologists recommend the use of pulse Commented [A4]: Deals with criterion 3: Organizational factors

    that influence the selection of a technology in health care setting.

    Commented [A5]: Fulfills the rubric criteria: Justify the

    implementation and use of a selected technology in a health

    care setting.
    And also fulfills: Describes organizational factors influencing

    the selection of a technology in the health care setting.

    [http://doi.org/10.1136/archdischild-2015-309205](http://doi.org/10.1136/archdischild-2015-309205)

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    5

    diagnosis and immediate medical intervention. In almost every infant with CCHD,

    clinically undetectable hypoxemia is identified by pulse oximeters. Early studies of

    neonatal pulse oximetry screening for CCHD showed accurate details. As a result, the

    U.S. Secretary of Health and Human Services advised adding CCHD screening to the

    recommended uniform screening panel. According to a meta-analysis of 13 screening

    studies, pulse oximetry screening reported a specificity of 99.9 percent, a sensitivity of

    76.5 percent, and a false positive rate of 0.14 percent. Therefore, the authors concluded

    that the universal screening criteria were met by pulse oximetry screening. Pulse

    oximetry screening shows no difference in accuracy when pre-ductal and post-ductal

    pulse oximetry measurements are performed. The authors also observed that pulse

    oximetry screening done 24 hours after birth increases the risk of late detection of CCHD

    in infants but decreases the false positive rate. Therefore, the use of pulse oximeters can

    be crucial for the early detection of CCHD and helps reduce mortality and improve

    postoperative outcomes.

    Nitzan, M., Romem, A., & Koppel, R. (2014). Pulse oximetry: Fundamentals and technology

    update. Medical Devices: Evidence and Research, 7, 231–239.

    https://doi.org/10.2147/MDER.S47319

    This article offers comprehensive insight into how pulse oximetry works; particularly, it

    looks at the techniques involved in measurement, the limitations of using the techniques,

    and the accuracy that can be expected while determining oxygen saturation. Oxygen

    saturation (SaO2) is the measurement of the percentage of oxygen in hemoglobin. Pulse

    oximeters detect the significant decline of oxygen in the respiratory function of patients.

    Measurements of oxygen saturation in pulse oximeters (SpO2) are often inaccurate when

    Commented [A6]: Fulfills the rubric criteria: Justify the

    implementation and use of a selected technology in a health

    care setting.

    [https://doi.org/10.2147/MDER.S47319](https://doi.org/10.2147/MDER.S47319)

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    6

    critically ill patients receive supplemental oxygen. The difference between SpO2 and

    SaO2 determines the accuracy of a pulse oximeter. Though the outcome of pulse oximetry

    in measuring SaO2 in sick patients is 3–4 percent inaccurate, pulse oximeters quickly

    detect the abrupt drop of SpO2 in anesthetized patients and in patients in intensive care

    units. Despite the limitations of pulse oximetry, SpO2 values obtained from the pulse

    oximeter are considered reliable for the detection of deterioration in respiratory function.

    Further, pulse oximetry has the advantage of being a noninvasive technique to measure

    oxygen saturation. Studies suggest that pulse oximetry should not be the only method to

    monitor SaO2 in the neonatal intensive care unit because of infants’ vulnerability to

    retinopathy of prematurity, which is induced by the high partial pressure of oxygen in

    arterial blood. The authors conclude that technological advancements in pulse oximeters

    over the years have enabled them to diagnose and monitor patients better.

    Conclusion

    Despite their limitations, pulse oximeters are recommended for monitoring oxygen

    saturation levels in patients with respiratory problems. The use of pulse oximeters helps reduce

    the rate of pulmonary transfers of patients from a postsurgical floor to the ICU. They play a

    crucial role in screening infants for CCHD, and therefore, the use of pulse oximeters in pediatric

    wards is highly recommended. Pulse oximetry helps in the early detection of certain diseases,

    thereby preventing irreversible damage to organs and reducing the rate of mortality. Pulse

    oximeters are a cost-effective resource in hospitals. They can easily detect a significant decline

    of oxygen in the respiratory function of patients. The rate of transfers to the intensive care unit

    due to pulmonary complications was significantly lower in patients who were continuously

    monitored using pulse oximeters than in patients who were intermittently monitored using pulse

    Commented [A8]: Fulfills criteria 3: Describes organizational

    factors influencing the selection of a technology in the health

    care setting.

    Commented [A7]: Fulfills the criteria: Justifies the

    implementation and use of a selected technology in a health

    care setting. Provides an in-depth and well-researched

    analysis of the impact of the technology on quality care and

    patient safety.

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    7

    oximeters. The readings obtained from pulse oximeters are reliable and help make immediate

    adjustments to a patient’s oxygen supply, which can help prevent irreversible damage or death.

    The limitations of conventional pulse oximeters are overcome by multiwavelength pulse

    oximeters, which can estimate the levels of carboxyhemoglobin and methemoglobin in blood.

    Medical practitioners in interdisciplinary teams, such as pediatricians, pulmonologists, and

    anesthesiologists, can collectively use the readings obtained from pulse oximetry to assess the

    condition of a patient before administering treatment. Hence, pulse oximetry is valuable in

    hospital settings, helping medical practitioners decide the correct course of treatment and provide

    immediate and effective care to patients.

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    8

    References

    Hendaus, M. A., Jomha, F. A., & Alhammadi, A. H. (2015). Pulse oximetry in bronchiolitis: Is it

    needed? Therapeutics and Clinical Risk Management, 11, 1573–1578.

    https://doi.org/10.2147%2FTCRM.S93176

    Jubran, A. (2015). Pulse oximetry. Critical Care, 19(1), 272.

    https://doi.org/10.1186%2Fs13054-015-0984-8

    Narayen, I. C., Blom, N. A., Ewer, A. K., Vento, M., Manzoni, P., & te Pas, A. B. (2016).

    Aspects of pulse oximetry screening for critical congenital heart defects: When, how and

    why? Archives of Disease in Childhood – Fetal and Neonatal Edition, 101(2), F162–

    F167. http://doi.org/10.1136/archdischild-2015-309205

    Nitzan, M., Romem, A., & Koppel, R. (2014). Pulse oximetry: Fundamentals and technology

    update. Medical Devices: Evidence and Research, 7, 231–239.

    https://doi.org/10.2147/MDER.S47319

    [https://doi.org/10.2147%2FTCRM.S93176](https://doi.org/10.2147%2FTCRM.S93176)

    [https://doi.org/10.1186%2Fs13054-015-0984-8](https://doi.org/10.1186%2Fs13054-015-0984-8)

    [http://doi.org/10.1136/archdischild-2015-309205](http://doi.org/10.1136/archdischild-2015-309205)

    [https://doi.org/10.2147/MDER.S47319](https://doi.org/10.2147/MDER.S47319)

    – Annotated Bibliography
    – Conclusion

    **cf_Exemplar_NURS-FPX4040_Assessment_31.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/cf-exemplar-nurs-fpx4040-assessment-31-pdf-10351175)

    **cf_Exemplar_NURS-FPX4040_Assessment_31.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/cf-exemplar-nurs-fpx4040-assessment-31-pdf-10351175)

    **## nurs-fpx4040-assessment-03-supplement-evidence-based-proposal-and-annotated-bib-on-tech-in-nursing-D.pdf**

    1

    Assessment 03 – Evidence-Based Proposal and Annotated

    Bibliography on Technology in Nursing

    For this assessment, you will write a 4–6 page annotated bibliography where you identify peer-
    reviewed publications that promote the use of one of the technologies presented below that
    enhance quality and safety standards in nursing.

    Before you complete the detailed instructions in the courseroom, first review the technologies
    below and select the one you’re most interested in researching.

    After selecting one of the following technologies to be the focus of your assessment, return to
    the courseroom to review the detailed instructions there.

     Artificial Intelligence: AI in healthcare can analyze complex data sets, assist in
    diagnosis, predict patient deterioration, and even suggest treatment options. It's a rapidly
    evolving field with vast potential to revolutionize healthcare.

     Data Management Resources: These tools help in the collection, storage, and analysis
    of vast amounts of patient data. Proper data management can lead to better patient
    outcomes, more efficient operations, and significant research advancements.

     Workflow Management Systems: These systems streamline and automate routine
    tasks and operations in healthcare settings. They can improve efficiency, reduce errors,
    and enhance the overall quality of care.

    **## cf_Exemplar_NURS-FPX4040_Assessment_31.pdf**

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    1

    Annotated Bibliography on Technology in Nursing

    Learner’s Name

    Capella University

    NURSFPX4040: Managing Health Information and Technology

    Instructor Name

    August 1, 2019

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    2

    Technology in Nursing

    Pulse oximetry is one of the most common methods of measuring the percentage of

    oxygen saturation in blood (Narayen et al., 2016). Pulse oximeters play a crucial role in critical

    care settings by detecting low levels of oxygen saturation. Pulse oximeters are also adopted by

    anesthesiologists in recovery, emergency, and pediatric wards; operation theatres; and neonatal

    units (Hendaus, et al., 2015). This annotated bibliography provides insight into how pulse

    oximeters are used, their limitations and accuracy, and patient outcomes.

    Annotated Bibliography

    Hendaus, M. A., Jomha, F. A., & Alhammadi, A. H. (2015). Pulse oximetry in bronchiolitis: Is it

    needed? Therapeutics and Clinical Risk Management, 11, 1573–1578.

    https://doi.org/10.2147%2FTCRM.S93176

    This article discusses the use of pulse oximetry in pediatric wards. The authors state that

    hospitals in the United States admit a significant number of children every year with

    bronchiolitis and other respiratory problems. These problems are usually monitored with

    the help of a pulse oximeter, an instrument used to measure the saturation of oxygen in

    the blood. Oxygen saturation levels are used by health care providers to evaluate a

    patient’s respiratory status and are one of the deciding factors for a patient’s discharge.

    Pulse oximetry is frequently used in pediatrics (in pediatric intensive care units and

    pediatric wards) and in emergency departments. Pulse oximeters are used to monitor

    oxygen saturation during resuscitations, while estimating perfusion, while detecting

    pulsus paradoxus, and while screening infants for congenital heart disease. Though the

    source does not fully explain why the limitations occur, it identifies several cases in

    which pulse oximeters are likely to be inaccurate. Pulse oximeters have certain

    Commented [A1]: Comprehensive information regarding the

    types of pulse oximetry devices, selection criteria, decision makers,

    and associated costs is not available in the selected papers. The two

    types of pulse oximeters and their advantages over the others is

    provided; however, information on the various types of pulse

    oximeters is not available and the associated costs are not provided.

    This paper does mention that this technique is cost-effective which

    can fulfill the required criteria.

    [https://dx.doi.org/10.2147%2FTCRM.S93176](https://dx.doi.org/10.2147%2FTCRM.S93176)

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    3

    limitations due to inadequate signals. Inadequate signals occur in cases of anemia, bright

    external light, dark skin, nail polish, low perfusion, and intravenous dye. Pulse oximeters

    show low readings in cases of venous pulsations such as severe right heart failure,

    tricuspid regurgitation, and blood pressure cuffs or tourniquets above the site of the pulse

    oximeter. Pulse oximeters might not detect hypoxemia in patients with elevated arterial

    oxygen tension levels because of the sigmoidal shape of the oxyhemoglobin dissociation

    curve. Also, pulse oximeters provide unreliable readings in cases of methemoglobinemia.

    The source highlights several limitations, which will help readers exercise caution when

    using pulse oximeters. However, despite these limitations, the use of pulse oximeters in

    pediatrics is recommended because they are handy and allow for noninvasive measuring

    of arterial oxygen saturation.

    Jubran, A. (2015). Pulse oximetry. Critical Care, 19(1), 272.

    https://doi.org/10.1186%2Fs13054-015-0984-8

    This article provides insight into the principles, accuracy, functioning, and outcome of

    pulse oximeters. It discusses the potential advantages of multiwavelength pulse oximeters

    over conventional pulse oximeters. Multiwavelength pulse oximeters are capable of

    estimating the blood levels of carboxyhemoglobin and methemoglobin, whereas

    conventional pulse oximeters assume that dyshemoglobins such as carboxyhemoglobin

    and methemoglobin are absent because they can only distinguish between hemoglobin

    and oxyhemoglobin. Hence, physicians prefer to use multiwavelength pulse oximeters for

    more accurate results. In hospital settings, the transfer rate from a postsurgical care floor

    to the intensive care unit (ICU) is an important factor that influences the use of pulse

    oximeters. The resource reviews a study by Ochroch et al. in which patients were Commented [A3]: Deals with criterion 3: Organizational factors

    that influence the selection of a technology in health care setting.

    Commented [A2]: Meets criterion 3 as it deals with

    organizational factors that influence the selection of a technology in

    health care setting.

    [https://doi.org/10.1186%2Fs13054-015-0984-8](https://doi.org/10.1186%2Fs13054-015-0984-8)

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    4

    monitored by pulse oximeters either continuously (oximeter group) or intermittently

    based on clinical needs as judged by a physician or a nurse (control group). The rate of

    ICU transfers for pulmonary complications was lower in the oximeter group than in the

    control group. Additionally, for patients who did require ICU transfers, the estimated cost

    of treatment from enrollment to the completion of the study was lower for the oximeter

    group ($15,481) than for the control group ($18,713) despite the patients in the oximeter

    group being older and having higher comorbidity. The reduction in pulmonary transfers

    to the ICU in the oximeter group was speculated to be the result of early recognition and

    treatment of postoperative pulmonary complications. As cited in Jubran, another study by

    Moller et al. indicates that anesthesiologists considered pulse oximetry to be of immense

    value as it guides clinical management.

    oximeters because they believe that maintaining oxygenation within limits might help

    prevent irreversible injury. Pulse oximetry is, therefore, a key part of the standard

    protocol for monitoring critically ill patients.

    Narayen, I. C., Blom, N. A., Ewer, A. K., Vento, M., Manzoni, P., & te Pas A. B. (2016).

    Aspects of pulse oximetry screening for critical congenital heart defects: When, how

    and why? Archives of Disease in Childhood – Fetal and Neonatal Edition, 101(2),

    F162–F167. http://doi.org/10.1136/archdischild-2015-309205

    This article describes how pulse oximetry is being implemented worldwide for the

    screening of critical congenital heart defects (CCHD). The use of pulse oximetry to

    screen for CCHD is highly recommended because it is effective, quick, simple, and cost-

    effective. The authors state that training parents and caregivers and using tools that are

    computer based can improve pulse oximetry screening. Pulse oximetry helps detect

    significant pathology and is reliable for keeping track of CCHD, which requires constant

    Anesthesiologists recommend the use of pulse Commented [A4]: Deals with criterion 3: Organizational factors

    that influence the selection of a technology in health care setting.

    Commented [A5]: Fulfills the rubric criteria: Justify the

    implementation and use of a selected technology in a health

    care setting.
    And also fulfills: Describes organizational factors influencing

    the selection of a technology in the health care setting.

    [http://doi.org/10.1136/archdischild-2015-309205](http://doi.org/10.1136/archdischild-2015-309205)

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    5

    diagnosis and immediate medical intervention. In almost every infant with CCHD,

    clinically undetectable hypoxemia is identified by pulse oximeters. Early studies of

    neonatal pulse oximetry screening for CCHD showed accurate details. As a result, the

    U.S. Secretary of Health and Human Services advised adding CCHD screening to the

    recommended uniform screening panel. According to a meta-analysis of 13 screening

    studies, pulse oximetry screening reported a specificity of 99.9 percent, a sensitivity of

    76.5 percent, and a false positive rate of 0.14 percent. Therefore, the authors concluded

    that the universal screening criteria were met by pulse oximetry screening. Pulse

    oximetry screening shows no difference in accuracy when pre-ductal and post-ductal

    pulse oximetry measurements are performed. The authors also observed that pulse

    oximetry screening done 24 hours after birth increases the risk of late detection of CCHD

    in infants but decreases the false positive rate. Therefore, the use of pulse oximeters can

    be crucial for the early detection of CCHD and helps reduce mortality and improve

    postoperative outcomes.

    Nitzan, M., Romem, A., & Koppel, R. (2014). Pulse oximetry: Fundamentals and technology

    update. Medical Devices: Evidence and Research, 7, 231–239.

    https://doi.org/10.2147/MDER.S47319

    This article offers comprehensive insight into how pulse oximetry works; particularly, it

    looks at the techniques involved in measurement, the limitations of using the techniques,

    and the accuracy that can be expected while determining oxygen saturation. Oxygen

    saturation (SaO2) is the measurement of the percentage of oxygen in hemoglobin. Pulse

    oximeters detect the significant decline of oxygen in the respiratory function of patients.

    Measurements of oxygen saturation in pulse oximeters (SpO2) are often inaccurate when

    Commented [A6]: Fulfills the rubric criteria: Justify the

    implementation and use of a selected technology in a health

    care setting.

    [https://doi.org/10.2147/MDER.S47319](https://doi.org/10.2147/MDER.S47319)

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    6

    critically ill patients receive supplemental oxygen. The difference between SpO2 and

    SaO2 determines the accuracy of a pulse oximeter. Though the outcome of pulse oximetry

    in measuring SaO2 in sick patients is 3–4 percent inaccurate, pulse oximeters quickly

    detect the abrupt drop of SpO2 in anesthetized patients and in patients in intensive care

    units. Despite the limitations of pulse oximetry, SpO2 values obtained from the pulse

    oximeter are considered reliable for the detection of deterioration in respiratory function.

    Further, pulse oximetry has the advantage of being a noninvasive technique to measure

    oxygen saturation. Studies suggest that pulse oximetry should not be the only method to

    monitor SaO2 in the neonatal intensive care unit because of infants’ vulnerability to

    retinopathy of prematurity, which is induced by the high partial pressure of oxygen in

    arterial blood. The authors conclude that technological advancements in pulse oximeters

    over the years have enabled them to diagnose and monitor patients better.

    Conclusion

    Despite their limitations, pulse oximeters are recommended for monitoring oxygen

    saturation levels in patients with respiratory problems. The use of pulse oximeters helps reduce

    the rate of pulmonary transfers of patients from a postsurgical floor to the ICU. They play a

    crucial role in screening infants for CCHD, and therefore, the use of pulse oximeters in pediatric

    wards is highly recommended. Pulse oximetry helps in the early detection of certain diseases,

    thereby preventing irreversible damage to organs and reducing the rate of mortality. Pulse

    oximeters are a cost-effective resource in hospitals. They can easily detect a significant decline

    of oxygen in the respiratory function of patients. The rate of transfers to the intensive care unit

    due to pulmonary complications was significantly lower in patients who were continuously

    monitored using pulse oximeters than in patients who were intermittently monitored using pulse

    Commented [A8]: Fulfills criteria 3: Describes organizational

    factors influencing the selection of a technology in the health

    care setting.

    Commented [A7]: Fulfills the criteria: Justifies the

    implementation and use of a selected technology in a health

    care setting. Provides an in-depth and well-researched

    analysis of the impact of the technology on quality care and

    patient safety.

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    7

    oximeters. The readings obtained from pulse oximeters are reliable and help make immediate

    adjustments to a patient’s oxygen supply, which can help prevent irreversible damage or death.

    The limitations of conventional pulse oximeters are overcome by multiwavelength pulse

    oximeters, which can estimate the levels of carboxyhemoglobin and methemoglobin in blood.

    Medical practitioners in interdisciplinary teams, such as pediatricians, pulmonologists, and

    anesthesiologists, can collectively use the readings obtained from pulse oximetry to assess the

    condition of a patient before administering treatment. Hence, pulse oximetry is valuable in

    hospital settings, helping medical practitioners decide the correct course of treatment and provide

    immediate and effective care to patients.

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    8

    References

    Hendaus, M. A., Jomha, F. A., & Alhammadi, A. H. (2015). Pulse oximetry in bronchiolitis: Is it

    needed? Therapeutics and Clinical Risk Management, 11, 1573–1578.

    https://doi.org/10.2147%2FTCRM.S93176

    Jubran, A. (2015). Pulse oximetry. Critical Care, 19(1), 272.

    https://doi.org/10.1186%2Fs13054-015-0984-8

    Narayen, I. C., Blom, N. A., Ewer, A. K., Vento, M., Manzoni, P., & te Pas, A. B. (2016).

    Aspects of pulse oximetry screening for critical congenital heart defects: When, how and

    why? Archives of Disease in Childhood – Fetal and Neonatal Edition, 101(2), F162–

    F167. http://doi.org/10.1136/archdischild-2015-309205

    Nitzan, M., Romem, A., & Koppel, R. (2014). Pulse oximetry: Fundamentals and technology

    update. Medical Devices: Evidence and Research, 7, 231–239.

    https://doi.org/10.2147/MDER.S47319

    [https://doi.org/10.2147%2FTCRM.S93176](https://doi.org/10.2147%2FTCRM.S93176)

    [https://doi.org/10.1186%2Fs13054-015-0984-8](https://doi.org/10.1186%2Fs13054-015-0984-8)

    [http://doi.org/10.1136/archdischild-2015-309205](http://doi.org/10.1136/archdischild-2015-309205)

    [https://doi.org/10.2147/MDER.S47319](https://doi.org/10.2147/MDER.S47319)

    – Annotated Bibliography
    – Conclusion

    **cf_Exemplar_NURS-FPX4040_Assessment_31.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/cf-exemplar-nurs-fpx4040-assessment-31-pdf-10351175)

    **## nurs-fpx4040-assessment-03-supplement-evidence-based-proposal-and-annotated-bib-on-tech-in-nursing-D.pdf**

    1

    Assessment 03 – Evidence-Based Proposal and Annotated

    Bibliography on Technology in Nursing

    For this assessment, you will write a 4–6 page annotated bibliography where you identify peer-
    reviewed publications that promote the use of one of the technologies presented below that
    enhance quality and safety standards in nursing.

    Before you complete the detailed instructions in the courseroom, first review the technologies
    below and select the one you’re most interested in researching.

    After selecting one of the following technologies to be the focus of your assessment, return to
    the courseroom to review the detailed instructions there.

     Artificial Intelligence: AI in healthcare can analyze complex data sets, assist in
    diagnosis, predict patient deterioration, and even suggest treatment options. It's a rapidly
    evolving field with vast potential to revolutionize healthcare.

     Data Management Resources: These tools help in the collection, storage, and analysis
    of vast amounts of patient data. Proper data management can lead to better patient
    outcomes, more efficient operations, and significant research advancements.

     Workflow Management Systems: These systems streamline and automate routine
    tasks and operations in healthcare settings. They can improve efficiency, reduce errors,
    and enhance the overall quality of care.

    **## cf_Exemplar_NURS-FPX4040_Assessment_31.pdf**

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    1

    Annotated Bibliography on Technology in Nursing

    Learner’s Name

    Capella University

    NURSFPX4040: Managing Health Information and Technology

    Instructor Name

    August 1, 2019

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    2

    Technology in Nursing

    Pulse oximetry is one of the most common methods of measuring the percentage of

    oxygen saturation in blood (Narayen et al., 2016). Pulse oximeters play a crucial role in critical

    care settings by detecting low levels of oxygen saturation. Pulse oximeters are also adopted by

    anesthesiologists in recovery, emergency, and pediatric wards; operation theatres; and neonatal

    units (Hendaus, et al., 2015). This annotated bibliography provides insight into how pulse

    oximeters are used, their limitations and accuracy, and patient outcomes.

    Annotated Bibliography

    Hendaus, M. A., Jomha, F. A., & Alhammadi, A. H. (2015). Pulse oximetry in bronchiolitis: Is it

    needed? Therapeutics and Clinical Risk Management, 11, 1573–1578.

    https://doi.org/10.2147%2FTCRM.S93176

    This article discusses the use of pulse oximetry in pediatric wards. The authors state that

    hospitals in the United States admit a significant number of children every year with

    bronchiolitis and other respiratory problems. These problems are usually monitored with

    the help of a pulse oximeter, an instrument used to measure the saturation of oxygen in

    the blood. Oxygen saturation levels are used by health care providers to evaluate a

    patient’s respiratory status and are one of the deciding factors for a patient’s discharge.

    Pulse oximetry is frequently used in pediatrics (in pediatric intensive care units and

    pediatric wards) and in emergency departments. Pulse oximeters are used to monitor

    oxygen saturation during resuscitations, while estimating perfusion, while detecting

    pulsus paradoxus, and while screening infants for congenital heart disease. Though the

    source does not fully explain why the limitations occur, it identifies several cases in

    which pulse oximeters are likely to be inaccurate. Pulse oximeters have certain

    Commented [A1]: Comprehensive information regarding the

    types of pulse oximetry devices, selection criteria, decision makers,

    and associated costs is not available in the selected papers. The two

    types of pulse oximeters and their advantages over the others is

    provided; however, information on the various types of pulse

    oximeters is not available and the associated costs are not provided.

    This paper does mention that this technique is cost-effective which

    can fulfill the required criteria.

    [https://dx.doi.org/10.2147%2FTCRM.S93176](https://dx.doi.org/10.2147%2FTCRM.S93176)

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    3

    limitations due to inadequate signals. Inadequate signals occur in cases of anemia, bright

    external light, dark skin, nail polish, low perfusion, and intravenous dye. Pulse oximeters

    show low readings in cases of venous pulsations such as severe right heart failure,

    tricuspid regurgitation, and blood pressure cuffs or tourniquets above the site of the pulse

    oximeter. Pulse oximeters might not detect hypoxemia in patients with elevated arterial

    oxygen tension levels because of the sigmoidal shape of the oxyhemoglobin dissociation

    curve. Also, pulse oximeters provide unreliable readings in cases of methemoglobinemia.

    The source highlights several limitations, which will help readers exercise caution when

    using pulse oximeters. However, despite these limitations, the use of pulse oximeters in

    pediatrics is recommended because they are handy and allow for noninvasive measuring

    of arterial oxygen saturation.

    Jubran, A. (2015). Pulse oximetry. Critical Care, 19(1), 272.

    https://doi.org/10.1186%2Fs13054-015-0984-8

    This article provides insight into the principles, accuracy, functioning, and outcome of

    pulse oximeters. It discusses the potential advantages of multiwavelength pulse oximeters

    over conventional pulse oximeters. Multiwavelength pulse oximeters are capable of

    estimating the blood levels of carboxyhemoglobin and methemoglobin, whereas

    conventional pulse oximeters assume that dyshemoglobins such as carboxyhemoglobin

    and methemoglobin are absent because they can only distinguish between hemoglobin

    and oxyhemoglobin. Hence, physicians prefer to use multiwavelength pulse oximeters for

    more accurate results. In hospital settings, the transfer rate from a postsurgical care floor

    to the intensive care unit (ICU) is an important factor that influences the use of pulse

    oximeters. The resource reviews a study by Ochroch et al. in which patients were Commented [A3]: Deals with criterion 3: Organizational factors

    that influence the selection of a technology in health care setting.

    Commented [A2]: Meets criterion 3 as it deals with

    organizational factors that influence the selection of a technology in

    health care setting.

    [https://doi.org/10.1186%2Fs13054-015-0984-8](https://doi.org/10.1186%2Fs13054-015-0984-8)

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    4

    monitored by pulse oximeters either continuously (oximeter group) or intermittently

    based on clinical needs as judged by a physician or a nurse (control group). The rate of

    ICU transfers for pulmonary complications was lower in the oximeter group than in the

    control group. Additionally, for patients who did require ICU transfers, the estimated cost

    of treatment from enrollment to the completion of the study was lower for the oximeter

    group ($15,481) than for the control group ($18,713) despite the patients in the oximeter

    group being older and having higher comorbidity. The reduction in pulmonary transfers

    to the ICU in the oximeter group was speculated to be the result of early recognition and

    treatment of postoperative pulmonary complications. As cited in Jubran, another study by

    Moller et al. indicates that anesthesiologists considered pulse oximetry to be of immense

    value as it guides clinical management.

    oximeters because they believe that maintaining oxygenation within limits might help

    prevent irreversible injury. Pulse oximetry is, therefore, a key part of the standard

    protocol for monitoring critically ill patients.

    Narayen, I. C., Blom, N. A., Ewer, A. K., Vento, M., Manzoni, P., & te Pas A. B. (2016).

    Aspects of pulse oximetry screening for critical congenital heart defects: When, how

    and why? Archives of Disease in Childhood – Fetal and Neonatal Edition, 101(2),

    F162–F167. http://doi.org/10.1136/archdischild-2015-309205

    This article describes how pulse oximetry is being implemented worldwide for the

    screening of critical congenital heart defects (CCHD). The use of pulse oximetry to

    screen for CCHD is highly recommended because it is effective, quick, simple, and cost-

    effective. The authors state that training parents and caregivers and using tools that are

    computer based can improve pulse oximetry screening. Pulse oximetry helps detect

    significant pathology and is reliable for keeping track of CCHD, which requires constant

    Anesthesiologists recommend the use of pulse Commented [A4]: Deals with criterion 3: Organizational factors

    that influence the selection of a technology in health care setting.

    Commented [A5]: Fulfills the rubric criteria: Justify the

    implementation and use of a selected technology in a health

    care setting.
    And also fulfills: Describes organizational factors influencing

    the selection of a technology in the health care setting.

    [http://doi.org/10.1136/archdischild-2015-309205](http://doi.org/10.1136/archdischild-2015-309205)

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    5

    diagnosis and immediate medical intervention. In almost every infant with CCHD,

    clinically undetectable hypoxemia is identified by pulse oximeters. Early studies of

    neonatal pulse oximetry screening for CCHD showed accurate details. As a result, the

    U.S. Secretary of Health and Human Services advised adding CCHD screening to the

    recommended uniform screening panel. According to a meta-analysis of 13 screening

    studies, pulse oximetry screening reported a specificity of 99.9 percent, a sensitivity of

    76.5 percent, and a false positive rate of 0.14 percent. Therefore, the authors concluded

    that the universal screening criteria were met by pulse oximetry screening. Pulse

    oximetry screening shows no difference in accuracy when pre-ductal and post-ductal

    pulse oximetry measurements are performed. The authors also observed that pulse

    oximetry screening done 24 hours after birth increases the risk of late detection of CCHD

    in infants but decreases the false positive rate. Therefore, the use of pulse oximeters can

    be crucial for the early detection of CCHD and helps reduce mortality and improve

    postoperative outcomes.

    Nitzan, M., Romem, A., & Koppel, R. (2014). Pulse oximetry: Fundamentals and technology

    update. Medical Devices: Evidence and Research, 7, 231–239.

    https://doi.org/10.2147/MDER.S47319

    This article offers comprehensive insight into how pulse oximetry works; particularly, it

    looks at the techniques involved in measurement, the limitations of using the techniques,

    and the accuracy that can be expected while determining oxygen saturation. Oxygen

    saturation (SaO2) is the measurement of the percentage of oxygen in hemoglobin. Pulse

    oximeters detect the significant decline of oxygen in the respiratory function of patients.

    Measurements of oxygen saturation in pulse oximeters (SpO2) are often inaccurate when

    Commented [A6]: Fulfills the rubric criteria: Justify the

    implementation and use of a selected technology in a health

    care setting.

    [https://doi.org/10.2147/MDER.S47319](https://doi.org/10.2147/MDER.S47319)

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    6

    critically ill patients receive supplemental oxygen. The difference between SpO2 and

    SaO2 determines the accuracy of a pulse oximeter. Though the outcome of pulse oximetry

    in measuring SaO2 in sick patients is 3–4 percent inaccurate, pulse oximeters quickly

    detect the abrupt drop of SpO2 in anesthetized patients and in patients in intensive care

    units. Despite the limitations of pulse oximetry, SpO2 values obtained from the pulse

    oximeter are considered reliable for the detection of deterioration in respiratory function.

    Further, pulse oximetry has the advantage of being a noninvasive technique to measure

    oxygen saturation. Studies suggest that pulse oximetry should not be the only method to

    monitor SaO2 in the neonatal intensive care unit because of infants’ vulnerability to

    retinopathy of prematurity, which is induced by the high partial pressure of oxygen in

    arterial blood. The authors conclude that technological advancements in pulse oximeters

    over the years have enabled them to diagnose and monitor patients better.

    Conclusion

    Despite their limitations, pulse oximeters are recommended for monitoring oxygen

    saturation levels in patients with respiratory problems. The use of pulse oximeters helps reduce

    the rate of pulmonary transfers of patients from a postsurgical floor to the ICU. They play a

    crucial role in screening infants for CCHD, and therefore, the use of pulse oximeters in pediatric

    wards is highly recommended. Pulse oximetry helps in the early detection of certain diseases,

    thereby preventing irreversible damage to organs and reducing the rate of mortality. Pulse

    oximeters are a cost-effective resource in hospitals. They can easily detect a significant decline

    of oxygen in the respiratory function of patients. The rate of transfers to the intensive care unit

    due to pulmonary complications was significantly lower in patients who were continuously

    monitored using pulse oximeters than in patients who were intermittently monitored using pulse

    Commented [A8]: Fulfills criteria 3: Describes organizational

    factors influencing the selection of a technology in the health

    care setting.

    Commented [A7]: Fulfills the criteria: Justifies the

    implementation and use of a selected technology in a health

    care setting. Provides an in-depth and well-researched

    analysis of the impact of the technology on quality care and

    patient safety.

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    7

    oximeters. The readings obtained from pulse oximeters are reliable and help make immediate

    adjustments to a patient’s oxygen supply, which can help prevent irreversible damage or death.

    The limitations of conventional pulse oximeters are overcome by multiwavelength pulse

    oximeters, which can estimate the levels of carboxyhemoglobin and methemoglobin in blood.

    Medical practitioners in interdisciplinary teams, such as pediatricians, pulmonologists, and

    anesthesiologists, can collectively use the readings obtained from pulse oximetry to assess the

    condition of a patient before administering treatment. Hence, pulse oximetry is valuable in

    hospital settings, helping medical practitioners decide the correct course of treatment and provide

    immediate and effective care to patients.

    Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

    8

    References

    Hendaus, M. A., Jomha, F. A., & Alhammadi, A. H. (2015). Pulse oximetry in bronchiolitis: Is it

    needed? Therapeutics and Clinical Risk Management, 11, 1573–1578.

    https://doi.org/10.2147%2FTCRM.S93176

    Jubran, A. (2015). Pulse oximetry. Critical Care, 19(1), 272.

    https://doi.org/10.1186%2Fs13054-015-0984-8

    Narayen, I. C., Blom, N. A., Ewer, A. K., Vento, M., Manzoni, P., & te Pas, A. B. (2016).

    Aspects of pulse oximetry screening for critical congenital heart defects: When, how and

    why? Archives of Disease in Childhood – Fetal and Neonatal Edition, 101(2), F162–

    F167. http://doi.org/10.1136/archdischild-2015-309205

    Nitzan, M., Romem, A., & Koppel, R. (2014). Pulse oximetry: Fundamentals and technology

    update. Medical Devices: Evidence and Research, 7, 231–239.

    https://doi.org/10.2147/MDER.S47319

    [https://doi.org/10.2147%2FTCRM.S93176](https://doi.org/10.2147%2FTCRM.S93176)

    [https://doi.org/10.1186%2Fs13054-015-0984-8](https://doi.org/10.1186%2Fs13054-015-0984-8)

    [http://doi.org/10.1136/archdischild-2015-309205](http://doi.org/10.1136/archdischild-2015-309205)

    [https://doi.org/10.2147/MDER.S47319](https://doi.org/10.2147/MDER.S47319)

    – Annotated Bibliography
    – Conclusion

    **cf_Exemplar_NURS-FPX4040_Assessment_31.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/cf-exemplar-nurs-fpx4040-assessment-31-pdf-10351175)

    – 1
    – 2
    – 3

  • [Solved] Collaboration 584 week 3

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    Follow these guidelines when completing each component of the Collaboration Café. Contact your course faculty if you have questions. **Include the following sections**: 1. **Application of Course Knowledge**: Answer all questions/criteria with explanations and detail. – Do you recommend criminalizin…

    Instant Solution Download

    $6.99

    Immediate access to the full model answer, formatted citations, and rubric breakdown.

    Need a Fresh Custom Paper?

    Have this question answered from scratch according to your specific instructions and deadline.

    Order on TutorsGallery →

    Assignment Prompt & Instructions

    Follow these guidelines when completing each component of the Collaboration Café. Contact your course faculty if you have questions.
    **Include the following sections**:
    1. **Application of Course Knowledge**: Answer all questions/criteria with explanations and detail.
    – Do you recommend criminalizing healthcare errors as an effective approach to holding healthcare providers accountable for their mistakes? Why or why not?
    – How can healthcare providers balance the goal of high-quality care with the potential risks and consequences of errors?
    – Are current legal and regulatory frameworks adequate to address healthcare errors? If so, why? If not, what changes are necessary to ensure the regulations best serve clients and providers?
    2. **Professionalism in Communication**: Communicate with minimal errors in English grammar, spelling, syntax, and punctuation.
    ****Include AI and Similarity report ****
    ****Use scholarly sources from last 5 years.

  • [Solved] Assigment .Apa seven . All instructions attached.

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    In-depth study guidance and analytical solution covering Assigment .Apa seven . All instructions attached..

    Instant Solution Download

    $6.99

    Immediate access to the full model answer, formatted citations, and rubric breakdown.

    Need a Fresh Custom Paper?

    Have this question answered from scratch according to your specific instructions and deadline.

    Order on TutorsGallery →

    Assignment Prompt & Instructions

    Full assignment prompt and step-by-step guidance are included in the downloadable solution file.