D029 Task 2 Annotated Bibliography and Summary Example

This D029 Task 2 example is an annotated bibliography and technology summary on nurse-performed ultrasound-guided peripheral intravenous catheter insertion. WGU D029, Informatics for Transforming Nursing Care, asks MSN students in this task to evaluate a technology through current evidence and consider its informatics implications. The sample opens with why peripheral access fails so often, especially for patients with difficult veins, then annotates recent sources, including a meta-analysis, with their design, findings and relevance. The summary explains how the technology works, what the evidence shows about first-attempt and overall success and catheter survival, what data the electronic health record should capture about insertion method and complications, and how a training program should come before adoption.

CourseD029 Informatics for Transforming Nursing Care
TaskTask 2
Paper typeAnnotated bibliography and technology summary
LengthAbout 1,000 words, 3 pages
FormatAPA 7
SchoolWestern Governors University (WGU)
ProgramMSN
UpdatedSeptember 2026

Free sample paper for D029 Task 2

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Annotated Bibliography and Technology Summary: Nurse-Performed Ultrasound-Guided Peripheral Intravenous Catheter Insertion

Student Name

Leavitt School of Health, Western Governors University

D029: Informatics for Transforming Nursing Care, Task 2

Course Instructor

Month Day, Year

What this page is doingThe title names both deliverables and the technology they cover. Point-of-care ultrasound in nurses' hands is a good choice for an emerging technology task because it is already changing practice, has a recent evidence base, and raises real questions about training, data and workflow.
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Annotated Bibliography and Technology Summary: Nurse-Performed Ultrasound-Guided Peripheral Intravenous Catheter Insertion

Introduction

Placing a peripheral intravenous catheter is one of the most common procedures nurses perform, and one of the most frequently failed. Patients with obesity, edema, chronic illness or a history of intravenous drug use often need several attempts, and some end up with a central line they did not need. Portable and handheld ultrasound devices now allow nurses to see the vein before and during insertion. This annotated bibliography reviews five recent sources on nurse-performed ultrasound-guided peripheral intravenous catheter insertion, and the technology summary that follows draws them together for nursing colleagues.

Annotated Bibliography

Álvarez-Morales, L., Gómez-Urquiza, J. L., Suleiman-Martos, N., Membrive-Jiménez, M. J., González-Díaz, A., García Pérez, R., & Liñán-Gonzalez, A. (2024). Ultrasound-guided peripheral intravenous canulation by emergency nurses: A systematic review and meta-analysis. International Emergency Nursing, 73, 101422.

This systematic review and meta-analysis examined 20 studies of ultrasound-guided cannulation performed by emergency nurses. Ultrasound increased overall success and first-attempt success compared with the standard technique, and patients reported high satisfaction and fewer complications, although time and number of attempts did not differ significantly. The standard technique had lower odds of success (odds ratio 0.42). Evaluation: this is the most recent and broadest synthesis focused specifically on nurses, which makes it the strongest single source for a nursing audience; its limits are the mix of study designs and its focus on emergency settings.

Tran, Q. K., Flanagan, K., Fairchild, M., Yardi, I., & Pourmand, A. (2022). Nurses and efficacy of ultrasound-guided versus traditional venous access: A systemic review and meta-analysis. Journal of Emergency Nursing, 48(2), 145-158.

This meta-analysis pooled seven randomized trials with 527 patients and found that nurse-performed ultrasound-guided cannulation roughly doubled the likelihood of first-attempt success (odds ratio 2.08), while number of attempts, procedure time and patient satisfaction were similar. Evaluation: limiting the analysis to randomized trials gives its main finding more weight, but the small total sample means the authors rightly call for larger multisite studies.

Hansel, L. A., Junges, M., Santos, M. S., Hirakata, V. N., do Nascimento, R. C., Czerwinski, G. P. V., Saffi, M. A. L., Ferro, E. B., Jacobsen, D. V., & Rabelo-Silva, E. R. (2024). UltraSound guided PEripheral Catheterization increases first-atTempt success RAte in hospitalized patients when compared with conventional technique: SPECTRA. The Journal of Vascular Access, 25(5), 1450-1459.

In this randomized trial of 166 hospitalized patients, first-attempt success was 90.2% with ultrasound guidance compared with 35.7% with the conventional technique, insertion took a median of 5 rather than 10 minutes, and negative composite outcomes were less common. Evaluation: the trial shows the technology working on inpatient units, not only in emergency departments; results come from specialist nurses in one hospital, so generalizing to all staff nurses needs caution.

Junges, M., Hansel, L. A., Santos, M. S., Hirakata, V. N., Nascimento Ceratti, R. D., Czerwinski, G. P. V., Saffi, M. A. L., Ferro, E. B., Jacobsen, D. V., & Rabelo-Silva, E. R. (2024). Ultrasound-guided peripheral venipuncture decreases the procedure's pain and positively impacts patient's experience: The PRECISE randomized clinical trial. Journal of Infusion Nursing, 47(3), 190-199.

This trial of 64 adults compared the patient's experience. Most patients in the ultrasound group reported no or mild pain, while most in the conventional group reported moderate to severe pain, and patients were far more likely to recommend the ultrasound approach. Evaluation: a small single-site trial, but it adds the patient's perspective that efficiency studies leave out.

Stone, R., Walker, R. M., Marsh, N., & Ullman, A. J. (2023). Educational programs for implementing ultrasound guided peripheral intravenous catheter insertion in emergency departments: A systematic integrative literature review. Australasian Emergency Care, 26(4), 352-359.

This integrative review of 45 studies found that many educational methods successfully trained emergency clinicians in ultrasound guidance, leading to safer and more effective vascular access, but that formal education programs were inconsistent and access to ultrasound machines was a barrier. Evaluation: essential for implementation planning, because it shows that outcomes depend on how nurses are trained and credentialed, not on the device alone.

What this page is doingEach entry pairs a factual summary with a short evaluation of strength, limits and relevance. The mix of meta-analyses, trials and an implementation review shows judgment about what a complete picture of a technology needs.
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Technology Summary

Nurse-performed ultrasound-guided peripheral intravenous insertion uses a portable or handheld ultrasound probe to locate a suitable vein, measure its depth and diameter and guide the needle into it in real time. Handheld probes that connect to a tablet or phone have made the technology cheaper and more portable, moving it from the emergency department to inpatient units.

What the Evidence Shows

Across meta-analyses and trials, ultrasound guidance by nurses consistently improves first-attempt and overall success, especially for patients with difficult venous access, and patients report less pain and a better experience (Álvarez-Morales et al., 2024; Hansel et al., 2024; Junges et al., 2024; Tran et al., 2022). Evidence on time and number of attempts is mixed, and most studies are small or single-site.

Informatics Considerations

The technology creates data that most organizations do not yet capture well. The electronic health record should record the insertion method, the number of attempts, vein depth and catheter length, so that outcomes such as dwell time and complications can be compared by method and by inserter. Handheld devices that store images raise privacy and storage questions: images should be saved only when clinically useful, stored in the organization's secure image archive rather than on the device, and linked to the patient record. Competency and credentialing records for trained nurses should be kept in the learning management system and visible to charge nurses who assign difficult insertions.

Implementation

Because training quality drives results, implementation should begin with a structured program: online modules on ultrasound basics, simulation on vascular models and a set number of supervised insertions before independent practice (Stone et al., 2023). A small group of vascular access champions on each unit can build skill first and support colleagues, with a clear escalation pathway to a vascular access team for patients who still cannot be cannulated.

Conclusion

Ultrasound-guided peripheral intravenous insertion is a mature enough technology for nurses to adopt now, with consistent evidence of higher success and better patient experience. Its value depends on the informatics and education around it: capturing the right data, protecting images and building a training pathway that produces competent inserters rather than occasional users.

References

Álvarez-Morales, L., Gómez-Urquiza, J. L., Suleiman-Martos, N., Membrive-Jiménez, M. J., González-Díaz, A., García Pérez, R., & Liñán-Gonzalez, A. (2024). Ultrasound-guided peripheral intravenous canulation by emergency nurses: A systematic review and meta-analysis. International Emergency Nursing, 73, 101422. https://doi.org/10.1016/j.ienj.2024.101422

Hansel, L. A., Junges, M., Santos, M. S., Hirakata, V. N., do Nascimento, R. C., Czerwinski, G. P. V., Saffi, M. A. L., Ferro, E. B., Jacobsen, D. V., & Rabelo-Silva, E. R. (2024). UltraSound guided PEripheral Catheterization increases first-atTempt success RAte in hospitalized patients when compared with conventional technique: SPECTRA. The Journal of Vascular Access, 25(5), 1450-1459. https://doi.org/10.1177/11297298231162132

Junges, M., Hansel, L. A., Santos, M. S., Hirakata, V. N., Nascimento Ceratti, R. D., Czerwinski, G. P. V., Saffi, M. A. L., Ferro, E. B., Jacobsen, D. V., & Rabelo-Silva, E. R. (2024). Ultrasound-guided peripheral venipuncture decreases the procedure's pain and positively impacts patient's experience: The PRECISE randomized clinical trial. Journal of Infusion Nursing, 47(3), 190-199. https://doi.org/10.1097/NAN.0000000000000542

Stone, R., Walker, R. M., Marsh, N., & Ullman, A. J. (2023). Educational programs for implementing ultrasound guided peripheral intravenous catheter insertion in emergency departments: A systematic integrative literature review. Australasian Emergency Care, 26(4), 352-359. https://doi.org/10.1016/j.auec.2023.06.001

Tran, Q. K., Flanagan, K., Fairchild, M., Yardi, I., & Pourmand, A. (2022). Nurses and efficacy of ultrasound-guided versus traditional venous access: A systemic review and meta-analysis. Journal of Emergency Nursing, 48(2), 145-158. https://doi.org/10.1016/j.jen.2021.12.003

What the D029 Task 2 instructions ask

The second D029 task asks you to research a technology that could transform nursing care. Most versions ask for an annotated bibliography of recent, credible sources and a summary that describes the technology, synthesizes the evidence, considers informatics issues such as data capture and interoperability, and addresses implementation. Each annotation should summarize the source and evaluate its relevance and quality. The evaluator reads for current sources, annotations that do more than restate abstracts, and a summary that draws the evidence together into a judgment about whether and how the technology should be adopted. Many versions set a minimum number of sources and a date range.

How this D029 Task 2 example is built

The introduction frames the clinical problem so the technology has a clear purpose. Each annotation gives the full reference, a summary of design and findings, and a sentence on quality and relevance, which helps the reader weigh sources. The technology summary describes what the nurse does with the device. A synthesis section states what the evidence consistently shows and where it is weaker. The informatics section names specific data the record should hold, such as insertion method, number of attempts and complications, so outcomes can be tracked. Implementation puts structured training first because the evidence ties success to competence. Sources include a meta-analysis and recent trials, which gives the synthesis a strong base.

Where the D029 Task 2 rubric puts the marks

D029 Task 2 aspects each receive competent, approaching competence or not evident. A bibliography aspect checks the number, currency and credibility of sources and the quality of annotations. A technology aspect asks for an accurate description. A synthesis aspect looks for the evidence drawn together rather than summarized one source at a time. An informatics aspect wants specific data and system considerations. Implementation aspects may ask for training and adoption plans. Evaluators check that APA references are formatted correctly and that the summary reaches a reasoned conclusion. Annotations that state each source's design and sample size make quality easy to judge. Evaluators also notice when the summary reaches a recommendation, such as adopting the technology with a training program, rather than stopping at description.

D029 Task 2 help: what sends it back

Annotated bibliographies are returned most often because annotations restate the abstract. Add a sentence on the study's quality and how it applies to your question. Second, sources are outdated; check your instructions for a date range. Third, the summary repeats each source rather than synthesizing. Say what the sources agree on, where they differ and why. Fourth, the informatics section is vague. Name the data elements and where they would be recorded. Finally, reference formatting errors are common with long author lists and non-English names; check each entry against APA rules, since citation accuracy is part of professional writing. Keep annotations to a similar length.

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D029 Task 2 questions, answered

How recent do D029 annotated bibliography sources need to be?

Your instructions set the window, and most versions ask for recent sources, often within the last five years. Choose peer-reviewed studies and reviews where possible, and include at least one source on implementation or training as well as outcomes.

What goes in a D029 annotation?

A short summary of what the source did and found, followed by your evaluation: how strong the evidence is, what its limits are and how it applies to the technology and setting you are writing about.

Do I include my CPE logs or hours in the written part of D029?

No. Logs, records and recordings are completed separately under your instructions. The written deliverables, such as the annotated bibliography and technology summary, are what a sample can model.

What goes in a D029 annotation?

A summary of the source's purpose, design and findings, plus an evaluation of its quality and relevance to the technology. The sample adds a line on how each source informs adoption.

Where can I find a free D029 Task 2 sample paper?

The complete annotated bibliography and summary are on this page with margin notes. Pick your technology, share the D029 task, and the first tailored bibliography is free.