Name
Capella university
NURS-FPX 9902 Nursing Doctoral Project 2
Prof. Name
October, 2024
Literature Search
A literature search is important in answering the PICOT question set to determine the impact of nutritional and telehealth interventions on a patient’s lung function and readmission rate within 2 to 3 months of having COPD (Masotta, 2024). It is conducted to direct healthcare professionals toward specific studies and reviews that may be used to determine whether such interventions work. Critical evaluation of research, systematic reviews, and meta-analyses will help one assess the benefits of telehealth regarding the management of COPD, including distant monitoring, patient education, and following nutritional plans. Also, a literature search helps identify possible limitations and adverse effects in a proper balance of these interventions.
Further, a detailed analysis yields a noted gap in known knowledge, which frequently poses some areas for further research. This will help avoid having healthcare practices being premised on weak evidence, thus enhancing better decisions in the medical field (Estabrooks, 2023). The strategy connecting research with practice thus empowers healthcare professionals to adopt strategies that enhance lung functions and decrease the number of readmissions from the hospitals while treating COPD patients, therefore enhancing patient outcomes and making care evidence-based.
Literature Search Strategy
A good literature search strategy makes all the difference in gathering all evidence relevant to outcomes related to nutritional and telehealth interventions of patients suffering from COPD (Gaveikaite et al., 2019). The right process starts with finding all the right kinds of databases: including PubMed, CINAHL, and Cochrane Library for finding all those rich sources of peer-reviewed articles and clinical studies on various forms of respiratory care, nutritional interventions, and telemedicine interventions. Searching for these terms and accompanying appropriate MeSH, such as “COPD,” “nutritional interventions,” “telehealth,” “lung function,” and “readmission rates,” assists in narrowing the results to be more specific. The use of Boolean operators, including AND, OR, and NOT, provides further refinement by limiting results to only include quality studies in every component of the PICOT question of interest.
The next thing, after choosing the terms of search and database, is applying inclusion and exclusion criteria to the found studies. For example, inclusion criteria would be studies that had been conducted in the last five years, clinical trials, systematic reviews, or studies in adults with COPD. For instance, a sample exclusion criterion could focus on excluding studies not available in full text, or studies that were about non-COPD respiratory conditions; also, articles not written in English, among other exclusion criteria (Morris et al., 2023). It makes the literature review up to-date and relevant to the research question, hence supporting proof that is up to date with the latest discoveries in nutritional and telehealth interventions.
The search strategy should include citation tracking and the manual screening of references in main studies. In this way, no vital source will be left out; more so, seminal works or studies are generally always highly cited within the study area (Smith et al., 2021). Systematically and in a manageable manner, organizing the results considering citation management tools such as EndNote or Mendeley can make reviewing and synthesizing much easier. A strategy well executed hence will constitute good grounding for the development of evidence-based interventions improving outcomes in patients with COPD.
Analysis of Evidence
Part of such an appraisal involves critically analyzing the evidence, thus relevant studies pertinent to the PICOT question are found in lung function and readmission rates. By so doing, healthcare professionals can determine up to what extent these interventions improve meaningful function (Cohen et al., 2023). For example, nutrition interventions may exert beneficial effects overall, such as supporting the immune system and reducing inflammation, which could help promote the function of the lung in patients with COPD. Telehealth interventions will provide continuous monitoring, support, and education to patients, which may in turn lead to the better management of symptoms and eventually reduce hospital readmissions. This evidence can thus be analyzed to compare the effectiveness of these interventions and inform decisions on how best to integrate them into patient care.
The quality of the research is assessed by analyzing study designs, sample sizes, and what is measured in the research. RCTs and systematic reviews have strong evidence that these interventions may have effect on such outcomes, such as betaffecan tion with a reduced number of hospitalizations (Sapri et al., 2022). Other studies discussed the synergy between nutrition and telehealth interventions, but suggest how combining such interventions can offer more comprehensive support for patients with COPD. For example, patients who receive nutrition counseling and telemonitoring may be more adherent to treatment plans and exacerbation management than others who do not receive nutrition counseling and telemonitoring.
When critically reading the evidence, deficiencies in knowledge or areas requiring further research can be seen. For example, one can examine long-term effects of these interventions or how they work with different patient populations. The analysis also offers the possibility of conducting any risk or drawback consideration, such as the difficulty accessing telehealth or side effects related to specific nutritional supplements (Walshe et al., 2021). By summing it up in the final analysis, therefore, evidence-based analysis ensures that healthcare providers would be availing interventions that are safely effective lead to improved outcomes, and are consistent with the best available practices for managing conditions like COPD.
Organization of Literature According to the Main Themes
Organizing literature according to the main themes would greatly help afford a comprehensible framework for the results of nutritional and telehealth interventions in COPD patients (Walshe et al., 2021). The very first major theme to discuss here is nutritional interventions, wherein lung function and overall health have been deemed to improve by considerable means. Within this theme, studies are centered on the effects of diet, supplementation, and nutritional counseling in mitigating symptoms of COPD. Such studies often emphasize balanced nutrition for reduced inflammation, enhanced immune response, and even prevention of muscle wasting, all of which are highly relevant to patients with COPD. Subthemes that come under this general theme include specific nutrients, such as omega-3 fatty acids or antioxidants, and the targeted effect they have on lung health.
The other major theme is the use of telehealth interventions in the management of COPD (Stellefson et al., 2022). It involves services like patient tele-monitoring, virtual consultations, and telemonitoring for education, including self-management of the condition from home. Most studies in this category are focused on the effectiveness of telehealth in improving symptom management and reducing visits to the emergency room and readmission. Grouping together these studies becomes easy to see such as real-time data tracking with benefits or telehealth to increase patient compliance with care plans. Not only does the literature organize it by giving due emphasis to the individual and combined impact of these interventions but through grouping together also facilitates a comprehensive analysis of how these could work through to better patient outcomes.
NURS FPX 9902 Assessment 2 Conclusion
Drawing from the given literature, the evidence highlighted is pretty significant in explaining the potential of both nutritional and telehealth interventions toward better care and outcomes for COPD patients (Wong et al., 2022). Enhancement of both lung function and general well-being comes from nutritional support, and telehealth offers convenient and efficient methods for continuous monitoring and management. Combining these interventions may enable care providers to deliver a more holistic way of managing COPD, which can decrease the rate of readmission and improve the quality of life of patients. Further research and evidence-based practice may be required for the effective care of patients.
NURS FPX 9902 Assessment 2 References
Cohen, C., Pignata, S., Bezak, E., Tie, M., & Childs, J. (2023). Workplace interventions to improve well-being and reduce burnout for nurses, physicians, and allied healthcare professionals: a systematic review. BMJ Open, 13(6), e071203.https://bmjopen.bmj.com/content/13/6/e071203
Estabrooks, C. A. (2023). Will Evidence-Based Nursing Practice Make Practice Perfect? Canadian Journal of Nursing Research Archive. https://cjnr.archive.mcgill.ca/article/view/1496
Gaveikaite, V., Grundstrom, C., Winter, S., Chouvarda, I., Maglaveras, N., & Priori, R. (2019). A systematic map and in-depth review of European telehealth interventions efficacy for chronic obstructive pulmonary disease. Respiratory Medicine, 158, 78โ88.https://www.resmedjournal.com/article/S0954-6111(19)30285-9/fulltext
Masotta, V. (2024). Telehealth care and remote monitoring straTelehealthcare failure patients: A systematic literature review. Depositolegale.it. https://tesidottorato.depositolegale.it/handle/20.500.14242/92895
Morris, J. R., Harrison, S. L., Robinson, J., Martin, D., & Avery, L. (2023). Non-pharmacological and non-invasive interventions for chronic pain in people with chronic obstructive pulmonary disease: A systematic review without meta-analysis. Respiratory Medicine, 107191.https://www.resmedjournal.com/article/S0954-6111(23)00079-3/fulltext
Smith, M. C., Chinn, P. L., & Nicoll, L. H. (2021). Knowledge for nursing practice: beyond evidence alone. Research and Theory for Nursing Practice, 35(1), 7โ23.https://connect.springerpub.com/content/sgrrtnp/35/1/7
Sapri, N. D., Ng, Y. T., Wu, V. X., & Klainin-Yobas, P. (2022). Effectiveness of educational interventions on evidence-based practice for nurses in clinical settings: A systematic review and meta-analysis. Nurse Education Today, 111(1), 105295.https://www.sciencedirect.com/science/article/abs/pii/S0260691722000314?via%3Dihub
Stellefson, M., Kinder, C., Boyd, I., Elijah, O., Naher, S., & McFadden, N. (2022). COPD self-management for adults living in rural areas: a systematic review of telehealth and non-telehealth interventions. American Journal of Health Education, 53(5), 269โ281.https://www.tandfonline.com/doi/full/10.1080/19325037.2022.2100525
Walshe, N., Ryng, S., Drennan, J., OโConnor, P., OโBrien, S., Crowley, C., & Hegarty, J. (2021). Situation awareness and the mitigation of risk associated with patient deterioration: A meta-narrative review of theories and models and their relevance to nursing practice. International Journal of Nursing Studies, 124, 104086.https://www.sciencedirect.com/science/article/pii/S0020748921002339?via%3Dihub
Walshe, N., Ryng, S., Drennan, J., OโConnor, P., OโBrien, S., Crowley, C., & Hegarty, J. (2021). Situation awareness and the mitigation of risk associated with patient deterioration: A meta-narrative review of theories and models and their relevance to nursing practice. International Journal of Nursing Studies, 124, 104086.https://www.sciencedirect.com/science/article/pii/S0020748921002339?via%3Dihub
Wong, A. K. C., Bayuo, J., Wong, F. K. Y., Yuen, W. S., Lee, A. Y. L., Chang, P. K., & Lai, J. T. C. (2022). Effects of a nurse-led telehealth self-care promotion program on the quality of life of community-dwelling older adults: systematic review and meta-analysis. Journal of Medical Internet Research, 24(3), e31912.https://www.jmir.org/2022/3/e31912
