Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing

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Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing

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The selected technology topic for this annotated bibliography is the application of various

technological solutions in nursing to enhance quality and safety standards, specifically focusing

on fall detection and prevention. The rationale behind this topic lies in the need for innovative

solutions to address the challenges associated with patient falls, particularly in the elderly. Falls

can have severe consequences for patients, and leveraging technology to mitigate these risks

aligns with the growing emphasis on patient safety and quality of care in nursing practice. The

research process involved an extensive review of peer-reviewed publications using databases

such as IEEE Xplore, PubMed, and academic journal repositories. Key search terms included

"fall detection," "patient safety," "technology in nursing," and "quality of care." This annotated

bibliography aims to provide insights into the advancements and effectiveness of technologies in

promoting patient safety and elevating care standards within the nursing domain.

Annotated Bibliography

Chu, Y., Kanapathippillai Cumanan, Sankarpandi, S. K., Smith, S. L., & Dobre, O. A. (2023).

Deep Learning Based Fall Detection using WiFi Channel State Information. IEEE

Access, 11, 83763–83780. https://doi.org/10.1109/access.2023.3300726

The above research article focuses on addressing the limitations of existing fall detection

systems by proposing a novel deep learning-based technique using WiFi Channel State

Information (CSI). The authors emphasize the need for a system that can accurately

identify fall events across different environments and distinguish them from other daily

activities. It provides an in-depth exploration of the potential of WiFi CSI for fall

detection, evaluating various WiFi CSI collection methods and their suitability for fall

detection applications. It also discusses the impact of wireless propagation environments

and individual activities on the effectiveness of the proposed fall detection technique.
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The study suggests that the proposed fall detection system using WiFi CSI can potentially

improve patient safety by providing a non-intrusive and low-cost solution for fall

detection, particularly for elderly individuals living alone. Additionally, the accuracy of

the proposed system can improve the quality of care by reducing false alarms and

ensuring that falls are detected promptly and accurately.

This publication is important for healthcare practitioners to read due to its potential to

impact patient safety and care quality. In particular, the proposed technology offers an

improved solution for fall detection, addressing a critical aspect of patient safety. In

general, this resource is valuable for healthcare practitioners seeking to stay updated on

innovative technologies that can positively impact patient care and safety.

Edeib, S. R. M., Dziyauddin, R. A., & Amir, N. I. M. (2023). Fall Detection and

Monitoring using Machine Learning: A Comparative Study. International Journal of

Advanced Computer Science and Applications, 14(2).

https://doi.org/10.14569/ijacsa.2023.0140284

The above resource evaluates the performance of different machine learning algorithms,

including Decision Tree, Support Vector Machine (SVM), and Naive Bayes, in

accurately detecting falls based on accelerometer data. The study suggests that the

Decision Tree performed the best (97% accuracy) among the three algorithms in terms of

fall detection accuracy. SVM also demonstrated a high accuracy rate (95%), while Naive

Bayes (91%), while still accurate, had a slightly lower performance than the other two

algorithms. The choice of the most suitable algorithm may depend on various factors,

including the specific characteristics of the dataset and the application requirements.
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The study underscores the potential of machine learning algorithms, especially Decision

Tree, in improving patient safety by accurately detecting falls. These algorithms, when

integrated into healthcare systems, have the potential to offer real-time monitoring and

timely interventions, thereby enhancing the overall quality of care for individuals at risk

of falls, particularly in the elderly population. According to the source, Early and accurate

detection of falls through such algorithms can lead to prompt medical intervention,

reducing the risk of injuries and improving overall patient safety. This resource is

important for healthcare practitioners as it provides insights into a technology that can

directly impact patient safety, quality of care, and the collaborative efforts of

interdisciplinary healthcare teams. The interdisciplinary healthcare team, including

physicians, nurses, and other healthcare professionals, can benefit from this technology

by receiving timely alerts and insights into patient activities, leading to collaborative and

proactive care.

Pech, M., Sauzeon, H., Yebda, T., Benois-Pineau, J., & Amieva, H. (2021). Falls Detection and

Prevention Systems in Home Care for Older Adults: Myth or Reality? JMIR Aging, 4(4),

e29744. https://doi.org/10.2196/29744

The article by Pech et al. (2021) examines various technologies, including wearable

sensors, connected applications, and monitoring systems, developed to address falls in the

aging population. The authors discuss the technological challenges, such as the

complexity of fall analysis and the need for reliable data extraction, as well as human

factors, including the intergenerational digital divide and social stigma, influencing the

adoption of these technologies. The article underscores the importance of considering

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both technological and human barriers in designing and implementing fall prevention

tools.

The authors acknowledge that fall detection and prevention systems significantly impact

patient safety. In particular, they provide real-time monitoring and timely alerts, thus

reducing the likelihood of falls for at-risk patients. The publication was chosen due to its

comprehensive exploration of the intersection between technology, falls prevention, and

the challenges older adults face in adopting these innovations. This holistic perspective is

essential for healthcare practitioners, especially nurses, as it provides insights into the

potential benefits and challenges of integrating such technologies into patient care.

Warrington, D. J., Shortis, E. J., & Whittaker, P. J. (2021). Are wearable devices effective for

preventing and detecting falls: an umbrella review (a review of systematic reviews).

BMC Public Health, 21(1). https://doi.org/10.1186/s12889-021-12169-7

The systematic review by Warrington et al. (2021) evaluates the efficacy of wearable

electronic devices in preventing and detecting falls among adults. It emphasizes the types

of wearable devices, sensor placements, and their effectiveness in various contexts,

including falls detection, prevention, risk assessment, and the reduction of hospital

admissions and fractures due to falls. The wearable devices analyzed in the study ranged

from sensors in shoes to devices worn on various body parts, such as the wrist, forearm,

waist, neck, chest, thigh, shank, and ankle. The sensors collected data related to

movements and acceleration, enabling the algorithms to make decisions about fall

occurrences.

Findings from the study suggest that wearable devices, particularly those utilizing

accelerometers and gyroscopes, show potential as cost-effective and precise tools for
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identifying falls. The technology's ability to promptly activate alerts is a key factor that

could lessen the adverse effects of falls and enhance the overall quality of patient care.

However, the authors note significant differences in effectiveness depending on the type

of device and its placement. This publication was selected for its significance in

addressing a prevalent health concern—falls among the elderly—and the potential impact

of wearable technology on patient outcomes. The study provides valuable insights into

the effectiveness of wearable devices, offering a practical solution for healthcare

practitioners. Nurses and healthcare teams can leverage these devices for early detection,

risk categorization, and targeted interventions, contributing to patient safety and overall

well-being.

Conclusion

The insights of the four publications underscore technology's transformative potential in

fall detection and prevention. Integrating deep learning with WiFi CSI, as proposed by Chu et

al., presents a non-intrusive and cost-effective solution for accurate fall detection, enhancing

patient safety. Edeib et al.'s comparative study emphasizes the proficiency of machine learning

algorithms, with Decision Tree standing out for its high accuracy. Pech et al.'s examination of

various technologies highlights the importance of considering both technological and human

factors in fall prevention tools, which is crucial for healthcare practitioners. Warrington et al.'s

umbrella review affirms the effectiveness of wearable devices, with considerations for device

type and placement. Organizational factors influencing technology adoption include policies,

resources, and training programs, with justification lying in improved patient care, satisfaction,

and interdisciplinary team productivity. Embracing these technologies aligns with evolving
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healthcare demands and reinforces a commitment to advancing quality and safety standards in

nursing practice.
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References

Chu, Y., Kanapathippillai Cumanan, Sankarpandi, S. K., Smith, S. L., & Dobre, O. A. (2023).

Deep Learning Based Fall Detection using WiFi Channel State Information. IEEE

Access, 11, 83763–83780. https://doi.org/10.1109/access.2023.3300726

Edeib, S. R. M., Dziyauddin, R. A., & Amir, N. I. M. (2023). Fall Detection and Monitoring

using Machine Learning: A Comparative Study. International Journal of Advanced

Computer Science and Applications, 14(2). https://doi.org/10.14569/ijacsa.2023.0140284

Pech, M., Sauzeon, H., Yebda, T., Benois-Pineau, J., & Amieva, H. (2021). Falls Detection and

Prevention Systems in Home Care for Older Adults: Myth or Reality? JMIR Aging, 4(4),

e29744. https://doi.org/10.2196/29744

Warrington, D. J., Shortis, E. J., & Whittaker, P. J. (2021). Are wearable devices effective for

preventing and detecting falls: an umbrella review (a review of systematic reviews).

BMC Public Health, 21(1). https://doi.org/10.1186/s12889-021-12169-7