Capstone Research Enhancing Cancer Care System Using Information Technology

CapstoneResearch: Enhancing Cancer Care System Using Information Technology

CapstoneResearch: Enhancing Cancer Care System Using Information Technology

Theresearch aims at improving the quality of healthcare given to cancerpatients in the United States. The modern cancer care process isincreasing in complexity. This has resulted to multiple workarrangements involving primary care providers and the cancerspecialists (Sittig, 2014). Good communication flow is, therefore,necessary in improving information exchange between the cancerpatients, multiple caregivers, and other healthcare stakeholders suchas insurance providers, health service regulators, and family membersand friends of the patients (Neusset et al., 2015). The capstoneresearch recommends solutions for improving communication within thecancer care system.

Identificationof the Problem

Contextof Nursing Problem

Patientsand family members experience challenges when seeking cancer care.These challenges include poor psychological care, insufficientinformation, and uncoordinated healthcare. The current healthcaresystems are very complex because of increasing patient population(Sondik, 2014). It is, therefore, challenging to offer effective andcoordinated cancer care that is patient centered. There is need touse advances in information technology to assist the care providersand the cancer patients (IOM, 2014)

DetailedProblem Description

Presentcancer care has three aspects. The first aspect is modern clinicalmedicine that is evidence-based and offers therapies based on tumorfeatures. The second issue is care approach that is patient centeredand hence addresses individual needs of the patient (Velanovich,2013). The third perspective is system solutions that combines human,machine, and computer efforts to improve care delivery. Effectiverealization of the three cancer care aspects is challenging becauseit requires good coordination by the care team and complex analysisof the condition of the patient (Mechanic, 2013). Even though manyhealth institutions and medical research centers understand thebenefit of information technology in healthcare, insufficient effortsand resources have been allocated to properly integrate informationtechnology in health and cancer care. Health Information Technology(HIT) can be effective in reducing the fragmentation of the cancercare information. Information should be aggregated so as to improvehealth service delivery at the patient or population level.Information technology improve the opportunities of offering patientcentered cancer care due to good management of communication betweengeneral and specialist care providers (Abenerthy et al., 2013).

Effectof the Problem on Outcomes

Insufficientinformation flow negatively affects the provision of cancer care topatients. The care team takes a lot of time to make critical healthdecisions. The specialist care providers receive information from thegeneral care providers after long duration. The cancer patient thusgets delayed diagnosis and treatment. Resource allocation is poorwhen communication between care providers and the patient is poor(Wallace, 2013). Communicating the costs of the health service to thepatient and his or her insurance company is poor because ofineffective health information system. Good communication system isrequired to enhance decision making, ensure proper resourceallocation, and provide timely response to the needs of the patient(Hesse et al., 2013).

Significanceof the Research Problem

Theresearch problem is significant in the nursing profession because itaims at enhancing service delivery to cancer patients. Information isimportant in every aspect of healthcare. Cancer care is improved byinformation technology in two key ways. The first method is capturingimportant patient data such as personal details, cancer history,previous treatment procedures, and recommendations for effectivecancer care and treatment (Jessup, 2014). The second method ofenhancing cancer care through information management is by ensuringproper standardization of support care. The care process should beappropriate for all patients who are affected by cancer at the samelevel. Cancer specialists and generalist nurses will improve in theircareers if they understand how to use the health information systemin the care of cancer and related information.

Solutionto the Research Problem

Improvingcancer care is easily achieved by adopting suitable Healthinformation Technology (HIT). It empowers patients to engage activelyin making decisions about cancer care. Most individuals in the UnitedStates use the internet to get information about health conditionslike cancer (Eysenbach, 2013). The internet is effective in cancercare in four major ways. First, the internet improves communicationbetween patients and the caregivers (Klasnja, 2013). Email and socialmedia communication between patients and doctors is desirable (Shim,2011). Second, the online community assists each other with careprocesses and information. There are several virtual support groupscomprising health professionals and patients. Third, the internetgives access to sufficient health information for example, journaldatabases with cancer care information (Clauser et al., 2011).Lastly, e-commerce gives patients the opportunity to purchase cancermedication from reputable online sites (Miriovsky et al., 2012).

DevelopingResearch Question

Theresearch question is developed according to the (PopulationIntervention Comparison Outcome Time) PICOT format. The population(P) under study is the cancer patients in the United States. TheIntervention measure (I) for the research problem is the introductionof effective Health Information Technology (HIT) to enhance cancercare system. The comparison (C) is the traditional cancer care modelthat does not utilize effective information technology in the careprocess. Outcome (O) that is desired by the students is effectivecancer care. Time (T) is an important factor in health research.Outcome that is desired by the health research team should berealized within two years.

TheCapstone PICOT research question is indicated: Can patients in theUnited States get high quality care within two years, if the healthproviders fully integrate health Information Technology (HIT) in thecancer care system?

SelectingLiterature Sources: Rapid Appraisal

Abernethy,A. et al. (2013). “Electronic patient-reported data capture as afoundation of rapid learning cancer care.” Medicalcare,48(6), S32-S38. The article discusses how communication is importantin cancer research or creating knowledge for cancer care.

Clauser,S. et al. (2011). &quotImproving modern cancer care throughinformation technology.&quot Americanjournal of preventive medicine,40, S198-S207.The article shows that cancer care improves if the doctors andpatients maintain close communication using the internet.

Eysenbach,G. (2013). “The impact of the Internet on cancer outcomes.” CACancer J Clin., 53(6),356–371. The author illustrates that the internet provides usefulresources that have information about effective cancer care andtreatment for example, cancer treatment journals.

Hesse,B. et al. (2013). “Outside the box: will information technology bea viable intervention to improve the quality of cancer care?”Journalof the National Cancer Institute,40, 81. The article explains that information technology enhancepatient outcomes by ensuring proper utilization of resources.

IOM.(2014). EnsuringQuality Cancer Care.Washington, D.C.: National Academy Press. The author discusses therole of a good information system in improving cancer care services.

Jessup,M. (2014). “Adjuvant Chemotherapy for Stage III Colon Cancer:Implications of Race/Ethnicity, Age, and Differentiation.” JAMA,294(21),2703–2711. The article indicates personal and historicalinformation enables the cancer care provider to determine the mosteffective treatment procedure.

Klasnja,P. (2013). “Blowing in the wind: unanchored patient informationwork during cancer care.” SIGCHIConference on Human Factors in Computing Systems,193-202. The author describes how the online community providesuseful information that is used to improve cancer care.

Mechanic,D. (2013). “Physician Discontent: Challenges and Opportunities.”JAMA,290(7), 941–946. The author shows the advantages of adopting informationtechnology for cancer care.

Miriovsky,B. et al. (2012). “Importance of health information technology.”Journalof Clinical Oncology,30(34), 4243-4248. The author indicates that online information is acritical component of quality improvement for cancer care.

Neuss,M. et al. (2015). “A process for measuring the quality of cancercare: The Quality Oncology Practice Initiative.” Journalof Clinical Oncology,23(25), 6233-6239. The authors explain that cancer care outcomesimprove when there is good exchange of information between thepatient and the care provider.

Shim,M. (2011). “Connecting Internet use with gaps in cancer knowledge.”HealthCommun., 23(5),448–461. The article indicates that online communication betweenthe doctor and the cancer patient is an important step of improvingcancer care.

Sittig,F. (2015). “Potential impact of advanced clinical informationtechnology on cancer care in 2015.” CancerCauses Control,17(6),813–820. The article describes how modern information technologyhas improved cancer care outcomes by enhancing research andinformation exchange.

Sondik,J. (2014). “The public health informatics infrastructure:anticipating its role in cancer.” CancerCauses Control,17(7),861–869. The author indicates how information system improvesunderstanding of the complex cancer care process for the benefit ofpublic health institutions.

Velanovich,V. (2013). “Using quality-of-life measurements in clinicalpractice.” Surgery, 141(2),127–133. The article shows how information technology integrationimproves quality of life because it increases accessibility ofinformation on health conditions like cancer.

Wallace,J. (2013). “Cancer learning through the health informationtechnology.” HealthAff, 26(2).The author illustrates that information technology improves learningand research of cancer. This is because information technology onlineplatform has databases that have lots of information on proper cancercare.

References

Abernethy,A. et al. (2013). “Electronic patient-reported data capture as afoundation of rapid learning cancer care.” Medicalcare,48(6), S32-S38.

Clauser,S. et al. (2011). &quotImproving modern cancer care throughinformation technology.” Americanjournal of preventive medicine,40, S198-S207.

Eysenbach,G. (2013). “The impact of the Internet on cancer outcomes.” CACancer J Clin., 53(6),356–371.

Hesse,B. et al. (2013). “Outside the box: will information technology bea viable intervention to improve the quality of cancer care?”Journalof the National Cancer Institute,40, 81.

IOM.(2014). EnsuringQuality Cancer Care.Washington, D.C.: National Academy Press.

Jessup,M. (2014). “Adjuvant Chemotherapy for Stage III Colon Cancer:Implications of Race/Ethnicity, Age, and Differentiation.” JAMA,294(21),2703–2711.

Klasnja,P. (2013). “Blowing in the wind: unanchored patient informationwork during cancer care.” SIGCHIConference on Human Factors in Computing Systems,193-202.

Mechanic,D. (2013). “Physician Discontent: Challenges and Opportunities.”JAMA,290(7), 941–946.

Miriovsky,B. et al. (2012). “Importance of health information technology.”Journalof Clinical Oncology,30(34), 4243-4248.

Neuss,M. et al. (2015). “A process for measuring the quality of cancercare: The Quality Oncology Practice Initiative.” Journalof Clinical Oncology,23(25), 6233-6239.

Shim,M. (2011). “Connecting Internet use with gaps in cancer knowledge.”HealthCommun., 23(5),448–461.

Sittig,F. (2015). “Potential impact of advanced clinical informationtechnology on cancer care in 2015.” CancerCauses Control,17(6),813–820.

Sondik,J. (2014). “The public health informatics infrastructure:anticipating its role in cancer.” CancerCauses Control,17(7),861–869.

Velanovich,V. (2013). “Using quality-of-life measurements in clinicalpractice.” Surgery, 141(2),127–133.

Wallace,J. (2013). “Cancer learning through the health informationtechnology.” HealthAff., 26(2).