NURS FPX 9902 Assessment 2 Literature Search

Name

Capella university

NURS-FPX 9902 Nursing Doctoral Project 2

Prof. Name

Date

Literature Search

Executing a comprehensive literature search is essential for addressing the PICOT question, which examines how nutritional and telehealth interventions affect lung function and hospital readmission rates in patients with Chronic Obstructive Pulmonary Disease (COPD) over a 2- to 3-month period. A meticulous review of the existing literature equips healthcare practitioners and scholars with a deeper understanding of the current evidence base while pinpointing gaps in knowledge within this field. By analyzing published research, including systematic reviews and meta-analyses, the effectiveness, benefits, and potential risks associated with nutritional and telehealth strategies can be assessed. This process strengthens the connection between evidence and clinical application, ensuring that healthcare practices are informed by the most reliable data available (Al-Moamary et al., 2021).

Literature Search Strategy

To address the PICOT question, a structured and systematic literature search was performed. The search strategy involved the use of relevant keywords and Medical Subject Headings (MeSH) terms related to COPD, nutritional support, telehealth applications, pulmonary function, and hospital readmissions. Databases including PubMed, Embase, CINAHL, and the Cochrane Library were systematically searched, complemented by manual reviews of reference lists from significant articles, systematic reviews, and meta-analyses. The initial search retrieved approximately 500 articles. These were screened by evaluating their titles and abstracts for alignment with the PICOT question, reducing the pool to 50 articles for full-text review based on predefined inclusion criteria (Ko et al., 2019).

Following detailed evaluation of these full-text articles, 20 studies were ultimately selected for final inclusion, based on their relevance and adherence to the criteria. The selected works consisted of randomized controlled trials (RCTs), systematic reviews, and meta-analyses, offering a broad and credible foundation for analysis. The structured approach to the literature search helped maintain rigor and minimize selection bias. Boolean operators were employed, using combinations such as “COPD AND nutritional interventions,” “COPD AND telehealth interventions,” and similar phrases. The strategic use of AND narrowed the search focus, while OR broadened it, ensuring retrieval of pertinent studies for comprehensive evaluation. This thorough literature search has significantly contributed to clarifying the role of nutritional and telehealth interventions in improving lung outcomes and reducing hospital readmissions among COPD patients (Burton et al., 2022).

Analysis of Evidence

Critical evaluation of the selected 20 studies was an integral component of this process. Each study was appraised for its methodological quality, level of evidence, and practical relevance to clinical settings. The appraisal process aimed to isolate high-quality evidence capable of informing clinical decision-making and enhancing patient care outcomes. Further, studies were assessed collectively to gauge their cumulative impact on COPD management practices. This systematic appraisal allowed for the synthesis of valuable insights, directly contributing to informed healthcare strategies for COPD patients (Gaveikaite et al., 2019).

The analysis involved classifying the 20 articles based on their type — such as peer-reviewed research, clinical guidelines, or best practice protocols — to assess the strength of evidence they provided. Each study’s objectives, research hypotheses, and key research questions were carefully reviewed to clarify their focus. Data collection methods and analysis procedures were also scrutinized to verify the studies’ validity and reliability. The Strength of Recommendation Taxonomy (SORT) tool was applied to categorize evidence quality and strength. Additionally, significant quotes and findings from the studies were extracted to support the appraisal and highlight essential conclusions (Gaveikaite et al., 2019).

Organization of Literature According to the Main Themes

The 20 selected articles were organized into five thematic categories to facilitate coherent analysis: Telehealth and Telemedicine in COPD Management, Digital Tools and COPD Management, COPD Self-Management and Rehabilitation, Personalized Medicine and COPD, and Readmission Rates and Healthcare Disparities in COPD. Grouping the literature by these themes allowed for a clearer identification of trends, similarities, and differences in research methods, objectives, and outcomes. This thematic analysis also provided insight into evolving interventions and underscored areas requiring further research, ultimately contributing to the refinement of COPD management strategies (Janjua et al., 2021).

Conclusion

A methodical and extensive literature search is fundamental to effectively addressing the PICOT question concerning the impact of nutritional and telehealth interventions on lung function and hospital readmissions in COPD patients over 2 to 3 months. Utilizing clearly defined search strategies, appropriate databases, and hand-searching techniques ensures the retrieval of high-quality, relevant evidence. This rigorous process supports evidence-based clinical decisions and promotes improved patient outcomes in the management of COPD.

References

Al-Moamary, M. S., Köktürk, N., Idrees, M. M., Şen, E., Juvelekian, G., Saleh, W. A., Zoumot, Z., Behbehani, N., Hatem, A., Masoud, H. H., Snouber, A., & van Zyl-Smit, R. N. (2021). Unmet need in the management of chronic obstructive pulmonary disease in the Middle East and Africa region: An expert panel consensus. Respiratory Medicine, 189, 106641. https://doi.org/10.1016/j.rmed.2021.106641

NURS FPX 9902 Assessment 2 Literature Search

Burton, M., Valet, M., Caty, G., Aboubakar, F., & Reychler, G. (2022). Telerehabilitation physical exercise for patients with lung cancer through the course of their disease: A systematic review. Journal of Telemedicine and Telecare. https://doi.org/10.1177/1357633×221094200

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, 78–88. https://doi.org/10.1016/j.rmed.2019.09.005

Janjua, S., Carter, D., Threapleton, C., Prigmore, S., & Disler, R. (2021). Telehealth interventions: Remote monitoring and consultations for people with chronic obstructive pulmonary disease (COPD). Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.cd013196.pub2

Ko, F. W. S., Chan, K. P., & Hui, D. S. C. (2019). Comprehensive care for chronic obstructive pulmonary disease. Journal of Thoracic Disease, 11(S17), S2181–S2191. https://doi.org/10.21037/jtd.2019.09.81