Conducting a comprehensive literature search is of utmost importance for the PICOT question focusing on the impact of nutritional and telehealth interventions on lung functioning and readmission rates in COPD (Chronic Obstructive Pulmonary Disease) patients within 2 to 3 months. A thorough literature review enables healthcare professionals and researchers to understand the current evidence and identify any knowledge gaps in this area. By exploring published studies, systematic reviews, and meta-analyses, one can assess the effectiveness of nutritional and telehealth interventions, their potential benefits, and potential adverse effects. A comprehensive literature search helps to bridge the gap between research and practice, ensuring that healthcare interventions are grounded in the best available evidence (Al-Moamary et al., 2021).
Literature Search Strategy
A systematic approach was employed to conduct a comprehensive literature search for the given PICOT question. The search strategy used relevant terms and medical subject headings (MeSH) related to COPD, nutritional interventions, telehealth interventions, lung functioning, and readmission. Databases such as PubMed, Embase, CINAHL, and Cochrane Library were searched, and hand searches were performed by reviewing the reference lists of relevant articles, systematic reviews, and meta-analyses. After the initial search, a total of 500 articles were retrieved. The retained pieces were determined by assessing the relevance of the article’s title and abstract to the PICOT question. This screening process reduced the number of included articles to 50. These 50 articles were then subjected to a full-text assessment to further evaluate their eligibility for inclusion based on the predetermined criteria (Ko et al., 2019).
Following the full-text assessment, a final selection of 20 articles was made based on their adherence to the inclusion criteria. These selected articles provided valuable insights into the impact of nutritional and telehealth interventions on lung functioning and readmission rates in COPD patients within 2- to 3 months. The retained reports included randomized controlled trials (RCTs), systematic reviews, and meta-analyses, ensuring a comprehensive analysis of the available evidence. By employing this systematic literature search strategy, the researchers were able to ensure a rigorous approach to identifying relevant studies while minimizing bias. The final selection of 20 articles provided a robust evidence base that could be used to address the PICOT question effectively.
The literature search strategy employed a systematic approach utilizing Boolean operators. For example, the search strategy likely included terms such as “COPD AND nutritional interventions,” “COPD AND telehealth interventions,” “COPD AND lung functioning,” and “COPD AND readmission.” Using the AND operator in these combinations assisted in narrowing the search results to articles that addressed all the specified aspects. Additionally, using OR operators has been employed to broaden the search, such as combining terms like “nutritional interventions OR dietary interventions.” Using Boolean operators, the researchers could systematically retrieve relevant articles and comprehensively analyze the available evidence. This comprehensive literature review will enhance the understanding of the effectiveness of nutritional and telehealth interventions in improving lung function and reducing readmission rates in COPD patients, ultimately guiding future clinical decision-making and improving patient outcomes (Burton et al., 2022).
Analysis of Evidence
The significance of critical appraisal was underscored as a crucial step in assessing the value of the 20 studies in clinical practice. Each study underwent a meticulous examination to ascertain its evidence level, scrutinize its methodology’s robustness, and evaluate its potential applicability in real-world settings. By employing explicit and relevant criteria, the aim was to identify studies that offered valuable insights and had the potential to enhance patient outcomes. The subsequent stages of critical appraisal, namely evaluation and synthesis, further delved into the collective findings of these studies, determining their overall impact on clinical practice. Through this comprehensive appraisal process, evidence that truly informed and enriched healthcare decision-making in COPD management was carefully selected and synthesized (Gaveikaite et al., 2019).
The analysis of the selected 20 articles encompassed a comprehensive assessment of various aspects. Firstly, the articles were classified based on their nature, such as peer-reviewed, clinical guidelines, or best practice guidelines, to ascertain the level of evidence they provided. Subsequently, each article’s aim, hypothesis, or research question underwent meticulous scrutiny to understand the study’s primary focus clearly. The research variables and data analysis techniques employed were thoroughly assessed to evaluate the validity and reliability of the studies. Critical appraisal of the evidence was conducted using appropriate tools, including the Strength of Recommendation Taxonomy (SORT), to assess the quality and strength of the evidence. Notable quotes from the articles were also extracted to highlight key insights and perspectives, enriching the appraisal process (Gaveikaite et al., 2019).
Organization of Literature According to the Main Themes
The selection of the five main themes, 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, provides a structured approach to organizing the evidence and literature gathered from the 20 selected articles. By categorizing the articles into these themes, it becomes easier to identify commonalities and differences in research questions, methodologies, and findings across the studies. Analyzing the evidence based on these themes facilitates the identification of trends, emerging interventions, and potential areas for future research in COPD management (Janjua et al., 2021).
Conclusion NURS FPX 9902 Assessment 2 Literature Search
Conducting a comprehensive literature search using a well-defined strategy is vital for addressing the PICOT question focused on the impact of nutritional and telehealth interventions on lung functioning and readmission rates in COPD patients within 2 to 3 months. By employing the suggested search terms, utilizing relevant databases, and conducting hand searches, researchers can ensure a thorough exploration of the available evidence. A comprehensive literature search enables evidence-based decision-making and improves COPD management and patient outcomes.
Al-Moamary, M. S., Köktūrk, 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. https://doi.org/10.1016/j.rmed.2021.106641
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