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APA format, In-text citation, references include

Read the Requires attachment for the instruction, originial post and feedback.

3 scholar articles

DHA

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Integrative Review Project Prospectus Form

(For Students that started the DHA program in Fall 202

or after)

Students | Complete your
DHA project planning using this form. This form must be completed exactly as instructed in the appendix to be approved. For additional information and resources, refer to the

DHA Project Completion

page. There are five sections on the form to complete that must be approved by your committee. The six sections include:

1. Research Problem

2. Purpose and Review Question

3. Framework

4. Significance

5. Research Alignment Table

6. Appendix (The appendix provides examples and instructions on how to complete this form)

Submit this completed form into

MyDR
for formal evaluation and feedback when your project mentor indicates that you are ready to do so.

Student’s Name | Kelly Nhu Tran
Student ID | Click or tap here to enter text.

Program |
Submission Date |
Click arrow to select a date.

*Remember that your study focus must be within the realm of your program and specialization area.

Evaluators Only | Complete this section and provide feedback on responses and rubric scores in the form where noted.

Mentor’s Name | Click or tap here to enter text. Overall Assessment: Choose an item.

Co-Mentor’s Name | Click or tap here to enter text. Overall Assessment: Choose an item.

Working Title

(Click here for instructions and examples)
Provide a concise (aim for 12 words or fewer) working title for this study. (Be sure to include your HSO type and practice-based problem.)

Enhancing Telemedicine Services in Community Hospitals: Addressing Information management for improved outcome.

Section 1: Practice-based Problem

(Click here for
instructions and examples)

Healthcare Services Organization (HSO) Type

With no more than 1-2 sentences identify and describe your selected HSO type.

Community hospitals that provide healthcare services, including emergency care, primary care, and outpatient services, particularly in underserved or rural areas.

HSO Problem of Interest

What is the healthcare services organization (HSO) problem of interest that prompted you to search the literature to find out more? Write only 1-2 complete sentences using a scholarly tone.

Limited access to quality healthcare in underserved areas due to ineffective information management, information managerial and clinical decision-making.

Healthcare Administration Problem
In one sentence, what is your healthcare administration problem? This will be more focused than the problem of interest noted above.

User training, patient confidentiality , data security , regulation and compliance, and interoperability hinder operational efficiency and patient access

Health Administration Research Domains

Which DHA research domain does your healthcare administration problem align with?

Community hospitals often lack comprehensive strategies to train, support, and retain healthcare professionals in adopting and effectively using telemedicine tools towards patient confidentiality, data security, regulation and compliance, and interoperability.

Healthcare Administration Research Problem Justification Sources
Provide a minimum of 3 sources that clearly state in the conclusion or research findings of the published source that a healthcare administration problem currently exists.

Source 1

(Required)

Full APA Citation:
Hadian M, Jelodar ZK, Khanbebin MJ, Atafimanesh P, Asiabar AS, Dehagani SMH. Challenges of Implementing Telemedicine Technology: A systematized Review
. Int J Prev Med. 29;15:8. DOI: 10.4103/ijpvm.ijpvm_48_23

Purpose of Research (1 sentence only):
The study’s purpose is to determine the challenges facing the health system of different countries in the application of telemedicine.

Author’s Conclusion or Results of Research (1 sentence only):
The authors concluded that telemedicine presents significant opportunities in healthcare and addressing the challenges is essential for improved outcomes

How this relates to my study (1 sentence only):
The article address challenges in telemedicine application in my HSO hence direct justifies my case.

Source 2

(Required)

Full APA Citation:
Anawade PA, Sharma D, Gahane S. A Comprehensive Review on Exploring the Impact of Telemedicine on Healthcare Accessibility. Cureus. 2024 Mar 12; 16(3):e55996. DOI: 10.7759/cureus.55996

Purpose of Research (1 sentence only):
To examine impact of telemedicine on healthcare accessibility, exploring its ability to overcome geographical, financial, sociocultural, and infrastructural barriers to healthcare access

Author’s Conclusion or Results of Research (1 sentence only):
The researchers concluded that streamlining telemedicine challenges supports cost reduction, quality and improved care delivery.

How this relates to my study (1 sentence only):
This article aligns with how effective information management addresses telemedicine adoptability and challenges.

Source 3

(Required)

Full APA Citation:
Benjamin, I., Idoko, J., Alakwe, J., 3, Ugwu, O., OchanyaIdoko, F., & Ayoola, V. (2024). The role of telemedicine in rural America: Overcoming electrical and technological barriers to improve health outcomes.
International Journal of Science and Research Archive, 2024, 12(02), 188–205

Purpose of Research (1 sentence only):
The research explore the current state of telemedicine in rural America, identifying the key challenges related to infrastructure and technology that impede its widespread adoption

Author’s Conclusion or Results of Research (1 sentence only):
The authors conclude that there are infrastructural , technological and application challenges are existing in telemedicine implementation.

How this relates to my study (1 sentence only):
Identifying the challenge’s in telemedicine application resonates with my paper’s HSO

Practice Gap Statement

Now that you have identified a current healthcare administration problem you will compose a Practice Gap Statement (PGS) following the example and instructions in the appendix. Your PGS should not be longer that 2-3 sentences.

Based on American Hospital Associations, by 2017, 61.2% hospitals have developed remote patients monitoring capabilities. Statistics shows that 97% of Americans can receive telemedicine services with the figure downsizing to 65% in Rural areas.

Practice Gap Sources
Provide a minimum of 1 source that clearly states desired ideal state of professional practice related to your healthcare administration problem.

Source 1

(Required)

Full APA Citation:
Nwankwo, E., Emeihe, E., Ajegbile, M., Olaboye, J., & Maha, C. (2024). Integrating Telemedicine and AI to Improve Healthcare Access in Rural Settings.
International Journal of Life Science Research Archive, 2024, 07(01), 059–077

Desired Ideal State of Professional Practice:
Improved healthcare services in rural settings

Desired Ideal State of Professional Practice:
Enhanced remote consultations, diagnosis, and treatment and telecommunication technology

Section 1: Feedback and Scoring

Project mentors will provide a scoring of “Met” or “Not Met” for this section. In the case of a “Not Met” scoring detailed feedback will be included on how to successfully revise the specific elements above.

Mentor
Met ☐
Not Met ☐

Detailed Feedback:
Click or tap here to enter text.

Program
Met ☐
Not Met ☐

Detailed Feedback:
Click or tap here to enter text.

Section 2: Purpose and Review Questions

(Click here for instructions and examples)

The research purpose and review questions must be derived entirely by the sources provided in section 1.

Research Purpose
To address your stated problem, what is the
purpose of your study using no more than 1-2 sentences??

To address Telemedicine Services in Community Hospitals: Addressing Information management for improved outcome

Review Question(s)
Conclude with your review question. (1 sentences)

What are the strategies to enhance telemedicine application through effective information management in rural healthcare settings?

Section 2: Feedback and Scoring
Project mentors will provide a scoring of “Met” or “Not Met” for this section. In the case of a “Not Met” scoring detailed feedback will be included on how to successfully revise the specific elements above.

Mentor
Met ☐
Not Met ☐

Detailed Feedback:
Click or tap here to enter text.

Program
Met ☐
Not Met ☐

Detailed Feedback:
Click or tap here to enter text.

Section 3: Framework

(Click here for instructions and examples)

Framework (Conceptual or Theoretical)

What
theory(ies) and/or concept(s) support (frame) your study and who are the original authors? Provide an in-text citation with your response, and the complete APA reference.

Source 1

(Required)

Full APA Citation:
Novikova, Z., Singerb, S., & Milstein, A. (2021). Innovation Diffusion Across 13 Specialties And Associated Clinician Characteristics.
Advances in Health Care Management, (22), 97–115

Purpose of Framework (1 sentence only):
To explain how innovations spread within a social system over time

Key Constructs of Framework (1 sentence only):
Identifies innovators and early adaptors, perceived attributes and communication channels

How this relates to my study (1 sentence only):
Diffusion of Innovation Theory provide an effective framework on how technologies such as telemedicine is innovated and adopted in a clinical settings, resonating with my HSO on improving quality care in healthcare setting through effective information management in telemedicine applications.

Full APA Citation:
Chen, B., Chang, Y., Wang, B., Zou, J., & Tu, S. (2024). Technology acceptance model perspective on the intention to participate in medical talents training in China.
Heliyon 10 (2024) e26206,

Purpose of Framework (1 sentence only):
Technology acceptance model focuses on factors that facilitate technology acceptance

Key Constructs of Framework (1 sentence only):
The Framework accommodate key concepts including perceived usefulness and perceived ease of use

How this relates to my study (1 sentence only):
In the healthcare, setting the framework helps assess whether healthcare providers believe telemedicine is beneficial and easy to integrate, addressing information management challenges.

How do these theories and/or concepts relate to your healthcare administration problem, purpose, and review question? (no more than 2-3 sentences)

Diffusion of Innovation Theory provide an effective framework on how technologies such as telemedicine is innovated and adopted in a clinical settings, resonating with my HSO on improving quality care in healthcare setting through effective information management in telemedicine applications. In the healthcare, setting the framework helps assess whether healthcare providers believe telemedicine is beneficial and easy to integrate, addressing information management challenges.

Section 3: Feedback and Scoring
Project mentors will provide a scoring of “Met” or “Not Met” for this section. In the case of a “Not Met” scoring detailed feedback will be included on how to successfully revise the specific elements above.

Mentor
Met ☐
Not Met ☐

Detailed Feedback:
Click or tap here to enter text.

Program
Met ☐
Not Met ☐

Detailed Feedback:
Click or tap here to enter text.

Section 4: Significance

(Click here for instructions and examples)

Significance
How will your study address the meaningful, discipline-specific issue that you identified and therefore
contribute to your field, discipline, professional practice, etc. contributing to
positive social change?

Addressing challenges in telemedicine information management in rural healthcare setting will improve accessibility and quality care , hence a social change

Significance of study related to social determinants?

Improved telemedicine adoption and improved patient outcomes

Section 4: Feedback and Scoring
Project mentors will provide a scoring of “Met” or “Not Met” for this section. In the case of a “Not Met” scoring detailed feedback will be included on how to successfully revise the specific elements above.

Mentor
Met ☐
Not Met ☐

Detailed Feedback:
Click or tap here to enter text.

Program
Met ☐
Not Met ☐

Detailed Feedback:
Click or tap here to enter text.

Section 5: Research Alignment Table

(Click here for instructions and examples)
Complete the Research Design Alignment Table using the information from earlier sections of this form. Using an alignment table can assist with ensuring the alignment of your research design.

Research Design Alignment Table Video Tutorial (YouTube)
|

Doctoral Research Design Alignment Appointments or Office Hours

Healthcare Administration Problem

Practice Gap

Purpose

Review Question

Theoretical Framework
List the theories and/or conceptual framework.

User training, patient confidentiality , data security , regulation and compliance, and interoperability hinder operational efficiency and patient access

To address Telemedicine Services in Community Hospitals: Addressing Information management for improved outcome

What are the strategies to enhance telemedicine application through effective information management in rural healthcare settings?

Section 5: Feedback and Scoring
Project mentors will provide a scoring of “Met” or “Not Met” for this section. In the case of a “Not Met” scoring detailed feedback will be included on how to successfully revise the specific elements above.

Mentor
Met ☐
Not Met ☐

Detailed Feedback:
Click or tap here to enter text.

Program
Met ☐
Not Met ☐

Detailed Feedback:
Click or tap here to enter text.

Once your Research Design Alignment Table is completed, reflect on your design alignment.
Ask yourself:

1. Is there a logical progression from the problem of interest to the healthcare administration problem, practice gap, purpose/review question?

2. Does the identified framework ground the investigation into the healthcare administration problem?

3. Do the problem of interest and framework align with the purpose/review question?

Appendix

The Doctoral Prospectus

The

DHA Project Plan

is a brief document that provides preliminary information about your doctoral research and is used in two ways:

1. It serves as the tentative

plan for developing the project
and is evaluated to ensure doctoral-level work (e.g., feasibility, alignment, etc.).

2. It provides information used to assign the projects mentors.

DHA Project Plan approval from the project mentor, project co-mentor, and a program-level designee is required for you to move forward and work on your project. The plan is subject to change, and parts of your research design may need to be adjusted after you complete your
exhaustive review of the literature during proposal development.

Working Title Instructions and Example

Enhancing Telemedicine Services in Community Hospitals: Addressing Information management for improved outcome.

Section 1: Research Problem Instructions and Examples

Healthcare Services Organization (HSO) Type

Instructions:
At the beginning of the DHA program students were asked to select an HSO type to research in each course in preparation for the Doctoral study. Identify and describe your selected HSO type and any unique characteristics that help provide specificity to your research.

With no more than 1-2 sentences identify and describe your selected HSO type.

Examples of HSO types can be located on the

DHA Project Completion

page.

Hospitals/Health systems – rural hospitals

HSO Problem of Interest

What is the healthcare services organization (HSO) problem of interest that prompted you to search the literature to find out more? The problem of interest is a high-level problem that all HSO of the same type are experiencing.

Write only 1-2 complete sentences using a scholarly tone.

The need to enhance telemedicine application in rural hospitals through effective information management

Healthcare Administration Problem

Instructions: A
healthcare administration problem is a focused topic of concern, a condition to be improved upon, or troubling question that is
supported in published research-based articles and/or grey literature like reports (annual, research, technical, project), white or working papers, government reports, and organizational evaluations.

In one sentence, what is your healthcare administration problem? This will be more focused than the problem of interest noted above.

User training, patient confidentiality , data security , regulation and compliance, and interoperability hinder operational efficiency and patient access

Which DHA research category does your healthcare administration problem align with?

A list of DHA research domains can be located on the

DHA Project Completion

page.

Quality improvement

Healthcare Administration Problem Justification Sources

Instructions: Students are required to provide at least 3 credible sources that state a healthcare administration problem exist. Students should read all sources completely but pay special attention to what the authors state the conclusion or research results are from their work. To build on the previous research in the field students must have at least three sources within the last 5 years that clearly state a problem exist. One example is provided below:

Provide a minimum of 3 sources that clearly state in the conclusion or research findings that a healthcare administration problem currently exists.

Source 1

(Required)

Purpose of Research (1 sentence only):
The study’s purpose is to determine the challenges facing the health system of different countries in the application of telemedicine.

How this relates to my study (1 sentence only):
The article address challenges in telemedicine application in my HSO hence direct justifies my case.

Source 2

(Required)

Author’s Conclusion or Results of Research (1 sentence only):
The researchers concluded that streamlining telemedicine challenges supports cost reduction, quality and improved care delivery.

How this relates to my study (1 sentence only):
This article aligns with how effective information management addresses telemedicine adoptability and challenges.

Source 3

(Required)

How this relates to my study (1 sentence only):
Identifying the challenge’s in telemedicine application resonates with my paper’s HSO

Source 1

(Required)

Practice Gap Sources
Provide a minimum of 1 source that clearly states desired ideal state of professional practice related to your healthcare administration problem.

Source 1

(Required)

The Centers for Medicare and Medicaid Services provides public data on hospital readmissions and the national average for heart failure readmissions is 15.59%

Section 2: Purpose and Review Questions

(Click here for instructions and examples)

The research purpose and review questions must be derived entirely by the sources provided in section 1.

Research Purpose
To address your stated problem, what is the
purpose of your study using no more than 1-2 sentences??

To address Telemedicine Services in Community Hospitals: Addressing Information management for improved outcome

Review Question(s)
Conclude with your review question. (1 sentences)

What are the strategies to enhance telemedicine application through effective information management in rural healthcare settings?

Mentor
Met ☐
Not Met ☐

Detailed Feedback:
Click or tap here to enter text.

Program
Met ☐
Not Met ☐

Detailed Feedback:
Click or tap here to enter text.

Section 3: Framework

(Click here for instructions and examples)

Framework (Conceptual or Theoretical)

What
theory(ies) and/or concept(s) support (frame) your study and who are the original authors? Provide an in-text citation with your response, and the complete APA reference.

Source 1

(Required)

Purpose of Framework (1 sentence only):
To explain how innovations spread within a social system over time

Key Constructs of Framework (1 sentence only):
Identifies innovators and early adaptors, perceived attributes and communication channels

Purpose of Framework (1 sentence only):
Technology acceptance model focuses on factors that facilitate technology acceptance

Key Constructs of Framework (1 sentence only):
The Framework accommodate key concepts including perceived usefulness and perceived ease of use

How do these theories and/or concepts relate to your healthcare administration problem, purpose, and review question? (no more than 2-3 sentences)

Mentor
Met ☐
Not Met ☐

Detailed Feedback:
Click or tap here to enter text.

Program
Met ☐
Not Met ☐

Detailed Feedback:
Click or tap here to enter text.

Section 4: Significance

(Click here for instructions and examples)

Addressing challenges in telemedicine information management in rural healthcare setting will improve accessibility and quality care , hence a social change

Significance of study related to social determinants?

Improved telemedicine adoption and improved patient outcomes

Mentor
Met ☐
Not Met ☐

Detailed Feedback:
Click or tap here to enter text.

Program
Met ☐
Not Met ☐

Detailed Feedback:
Click or tap here to enter text.

Section 5: Research Alignment Table

Research Design Alignment Table Video Tutorial (YouTube)
|

Doctoral Research Design Alignment Appointments or Office Hours

Healthcare Administration Problem

Practice Gap

Purpose

Review Question

Theoretical Framework
List the theories and/or conceptual framework.

User training, patient confidentiality , data security , regulation and compliance, and interoperability hinder operational efficiency and patient access

To address Telemedicine Services in Community Hospitals: Addressing Information management for improved outcome

What are the strategies to enhance telemedicine application through effective information management in rural healthcare settings?

My Doctoral Research (
MyDR)

If you have not done so already, you should familiarize yourself with the

system. The
MyDR system was designed to assist you and your mentors in navigating your doctoral research journey, from the very beginning through the final approval. The various landing pages in
MyDR will track your progress and will serve as a central location for resources to support that progress. There is a process flow tool in which you exchange and store faculty evaluations of and feedback on your work as you progress along that journey.

You will be entered into the
MyDR system when
both your mentor and co-mentor are approved by the academic program.

To prepare:

· Review feedback from your peers and instruc

r in the Discussion.

· Review the Learning Resources on theoretical and conceptual frameworks.

· Review the Prospectus Form appendix related Section 3: Frameworks.

· Search for and select at least two scholarly sources to support the framework you believe will be the best fit for your study and add the references to Zotero.

· At least one of the two articles must be the original publication from the theorists who proposed the theoretical or conceptual framework. The publication does not need to be within the last 5 years.

· The second article should be a publication that helps clarify or strengthen the connection your primary framework has to the study.

The Assignment: Supporting Your Framework
Using information from the discussion, select the best theory or concept to frame your study. Specify a theoretical or conceptual framework that is aligned with your problem of interest, purpose, and research questions.

· Synthesize the information from your sources to explain your framework.

· Describe how the framework supports your study.

· Reference and cite each of your selected articles.

Original Discuss:

Working Title: Enhancing Telemedicine Services in Community Hospitals: Addressing Information Management for Improved Outcomes

HSO Type: Community Hospitals

Problem of Interest: Limited access to quality healthcare in underserved areas due to ineffective information management and clinical decision-making.

Healthcare Administration Problem: Inefficient user training, patient confidentiality issues, data security concerns, and lack of interoperability hinder operational efficiency and patient access.

Gap in Practice: Despite advancements, only 65% of rural areas in the U.S. can access telemedicine services, compared to 97% in urban areas (Nwankwo et al., 2024).

Research Purpose:

To address telemedicine challenges in community hospitals by improving information management systems to enhance outcomes.

Review Question(s):

· What strategies can enhance telemedicine adoption through effective information management in rural healthcare settings?

Theoretical or Conceptual Frameworks

1.
Diffusion of Innovation Theory

·
Purpose: This theory explains how innovations, such as telemedicine, spread within social systems over time (Novikova et al., 2021).

·
Key Constructs: Identifies factors like perceived attributes, innovators, early adopters, and communication channels.

·
Relevance to Study: The theory provides insight into how telemedicine technologies can be effectively adopted in clinical settings, addressing information management challenges.

2.
Technology Acceptance Model (TAM)

·
Purpose: Focuses on factors influencing technology acceptance, particularly perceived usefulness and ease of use (Chen et al., 2024).

·
Key Constructs: Perceived ease of use and usefulness drive technology adoption.

·
Relevance to Study: TAM assesses whether healthcare providers perceive telemedicine systems as beneficial and easy to integrate into practice.

3.
Donabedian Quality of Care Framework

·
Purpose: Examines relationships between structure, process, and outcomes in healthcare (Donabedian, 1988).

·
Key Constructs: Focuses on organizational resources (structure), care delivery (process), and patient outcomes.

·
Relevance to Study: This framework ensures telemedicine solutions are evaluated in terms of infrastructure and process improvements that lead to better health outcomes.

Frameworks as Filtering Tools
These frameworks will guide the selection of literature by focusing on studies addressing innovation adoption (Diffusion of Innovation Theory), technology usability and acceptance (TAM), and healthcare quality improvement (Donabedian Framework). They will ensure alignment between the theoretical underpinnings and the practical aspects of telemedicine adoption and information management.

Frameworks for Data Collection, Analysis, and Interpretation

·
Data Collection: Diffusion of Innovation Theory informs surveys or interviews targeting early adopters of telemedicine systems. TAM guides the design of questions around usability and perceived benefits, while Donabedian Framework emphasizes collecting data on processes and outcomes.

·
Analysis: Theoretical constructs like perceived usefulness and barriers are used to classify responses and assess readiness for telemedicine adoption.

·
Interpretation: Frameworks provide a structured lens to interpret how telemedicine solutions impact organizational efficiency, patient outcomes, and information management practices.

Feedback:

Your project plan is coming along nicely. It seems like you could use any of the theories outlined in your response. Because we are conducting an integrative review perhaps the purpose of the study might be modified from:

To address telemedicine challenges in community hospitals by improving information management systems to enhance outcomes.
to

Identify best practices to improve (or implement) access to information management superficially telemedicine in a community hospital.

Your prospectus provides a solid foundation for addressing telemedicine challenges in community hospitals, and the chosen frameworks—Diffusion of Innovation Theory (DOI), Technology Acceptance Model (TAM), and Donabedian Quality of Care Framework—are well-suited for your study. While DOI effectively aligns with your focus on telemedicine adoption, particularly in understanding how innovations spread in rural healthcare settings, TAM narrows the scope to usability and provider acceptance. The Donabedian Framework provides a comprehensive lens to evaluate the structural and process improvements necessary to enhance outcomes, making it particularly relevant to your purpose.

Among the three, the Donabedian Quality of Care Framework appears best aligned with your research. Emphasizing the relationship between infrastructure (structure), workflows (process), and outcomes directly supports your goal of improving telemedicine systems and patient access. While DOI and TAM offer valuable insights into adoption and user perceptions, the Donabedian Framework centers the study on the ultimate goal of improving care quality, which ties closely to your problem of interest and research purpose.

To strengthen your study, consider using DOI to identify adoption barriers and facilitators, TAM to assess provider perceptions and training needs, and the Donabedian Framework to analyze the impact of telemedicine on infrastructure, workflows, and outcomes. This approach ensures a comprehensive analysis that addresses telemedicine’s technical, operational, and quality improvement aspects. How do you plan to integrate these frameworks during data analysis to create actionable strategies for rural healthcare improvements?

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