Week 3 Assignment: Quantitative Article Search and Summary Essay

Week 3 Assignment: Quantitative Article Search and Summary Essay

 

Quantitative Article Search and Summary:

Evidence-based practice ensures that care is guided by the best and current research evidence. To gain this kind of evidence, a literature search and appraisal of the best quality of evidence is required. The literature search process is equally important in determining the quality and credibility of the evidence. Management of chronic diseases is still a challenge to the world health care systems. This paper aims to search for a quantitative research article from journals, explain the search process, and appraise one selected article to address chronic obstructive pulmonary disorder (COPD).

The Global Burden of Disease and National Practice Problems

Chronic obstructive pulmonary disorder (COPD) is a lung condition that forms part of the groups on chronic lower respiratory diseases. This group is the third leading cause of death in the United States (Murphy et al., 2021). Worldwide, COPD is the third leading cause of death, according to the World Health Organization (2022). About 3 million deaths in 2019 were associated with COPD. Deaths due to COPD are caused by different complications, including pneumonia, respiratory failure, and pulmonary embolism. The symptoms of pulmonary embolism can be masked by COPD deterioration and thus can contribute to mortality. One of the risks of PE in COPD is immobilization from activity intolerance and respiratory insufficiency (Han et al., 2022). Therefore, vigilance and surveillance for pulmonary embolism among COPD patients is a mortality-preventive strategy. This EBP project sought to understand the current burden that PE has on COPD patients. A quantitative research article by Couturaud et al. (2021) was selected after a systematic literature search.

Search Strategy

The first step in the literature search was to identify literature databases for the search. Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Medline databases through PubMed. Search terms used were ‘chronic obstructive pulmonary disorder,’ ‘COPD,’ pulmonary embolism, PE, venous thromboembolism, and VTE. These keywords were used together with Boolean operators such as ‘AND’ and ‘OR’ to make the search more specific and focused on their relevance to the clinical problem. Numerous results were returned after a search in the two databases. Therefore, search filters were applied to narrow these results fathers. Filtering the results using time of publication limited search to an article published within the last five years. Results were also filtered by type of research to include systematic reviews, clinical studies, clinical trials, and observational studies. Therefore, books and expert opinions were excluded. The article by Couturaud et al. (2021) was manually handpicked from the final returned results after a comparison of the final outcomes of the two databases for relevance to the clinical problem.

Critique of Article Using the John Hopkins Appraisal Tool

Aim of the Study

Couturaud et al. (2021) aimed at determining PE prevalence in COPD patients admitted to the hospital with acutely worsening respiratory symptoms.

Research Method and Design Used

This study used a quantitative research method that adopted a multicenter cross-sectional study. However, this cross-sectional study included a 3-month prospective follow-up to determine specific outcome measures.

Sample Size & Description of Sample

The study recruited 740 participants who met the inclusion criteria. Of these, 240 were females with COPD. The mean age was 68.2 years, with a standard deviation of 10.9 years. The study took place in 7 French hospitals.

An Overview of the Findings/Outcomes

At admission, 44 patients (5.9%) were confirmed to have a pulmonary embolism. At the end of the study, the prevalence of PE was 11.7%. The mortality rate was 6.7%, and the rate was higher among patients who had PE than those who did not have PE. Fifty-four patients who had thromboembolism died as compared with 36 who did not have thromboembolism. The risk difference was 20.7% with a 95% confidence interval. The difference was statistically significant with a P < .001.

Strengths and Limitations of The Study

This study provides a snapshot of point and period prevalence resulting from a relatively bigger sample size (740). This big sample size makes the generalizability of findings reasonable. The study was conducted in multiple centers, thus improving the generalizability and reducing single-center biases. However, the patients were selected when already in the wards. This means that the admission criteria for these patients would have included suspected VTE. Selection bias could be possible.

The Level and Grade of the Quality of The Study

This study provides a level of evidence because it is a nonexperimental study and not a review study according to the John Hopkins EBM Model’s Hierarchy of Evidence.

Summary

Venous thromboembolism, including pulmonary embolism, affects about one in every 10 patients with COPD, according to a study by Couturaud et al. (2021). The risk of death is higher when you have COPD and VTE than when you have COPD alone. Therefore, VTE is a significant cause of death among people with COPD.

Conclusion

VTE occurs in patients with COPD and those without it. PE among patients with COPD can be missed because it presents with symptoms of acute exacerbation of COPD. A literature search was conducted to evaluate the burden on VTE and PE in COPD patients. An article by Couturaud et al. (2021) was selected after a systematic search. In this prospective study, VTE occurred in 1 in every 10 patients with COPD, and the risk of death was higher in patients with COPD.

This study was relevant to my clinical problem because it provides quantitative insight into the burden of VTE among COPD patients. The hierarchy of evidence according to the Johns Hopkins Evidence-based Medicine was a level three. The significance of its findings suggests the need to screen COPD patients for VTE to reduce the risk of mortality.

 

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References

Couturaud, F., Bertoletti, L., Pastre, J., Roy, P.-M., Le Mao, R., Gagnadoux, F., Paleiron, N., Schmidt, J., Sanchez, O., De Magalhaes, E., Kamara, M., Hoffmann, C., Bressollette, L., Nonent, M., Tromeur, C., Salaun, P.-Y., Barillot, S., Gatineau, F., Mismetti, P., … PEP Investigators. (2021). Prevalence of pulmonary embolism among patients with COPD hospitalized with acutely worsening respiratory symptoms. JAMA: The Journal of the American Medical Association, 325(1), 59–68. https://doi.org/10.1001/jama.2020.23567

Han, W., Wang, M., Xie, Y., Ruan, H., Zhao, H., & Li, J. (2022). Prevalence of pulmonary embolism and deep venous thromboembolism in patients with acute exacerbation of chronic obstructive pulmonary disease: A systematic review and meta-analysis. Frontiers in Cardiovascular Medicine, 9, 732855. https://doi.org/10.3389/fcvm.2022.732855

Murphy, S. L., Kochanek, K. D., Xu, J., & Arias, E. (2021). Mortality in the United States, 2020. NCHS Data Brief, 427, 1–8. https://www.ncbi.nlm.nih.gov/pubmed/34978528

World Health Organization. (2022, May 20). Chronic obstructive pulmonary disease (COPD). Who.int. https://www.who.int/news-room/fact-sheets/detail/chronic-obstructive-pulmonary-disease-(COPD)

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Appendix A: Johns Hopkins Nursing Evidence-Based Practice Individual Evidence Summary Tool

Practice Question: Among patients admitted with COPD, what is the clinical burden of venous thromboembolism after three months?

Date: November 5^th, 2022

Article Number	Author and Date	Evidence Type	Sample, Sample Size, Setting	Findings That Help Answer the EBP Question	Observable Measures	Limitations	Evidence Level, Quality
1	Couturaud et al. Date: 2021	Quantities study (cross-sectional design)	740 patients with COPD, mean age of 68.2 years, in 7 French hospitals	11.7% developed VTE, 6.7% mortality rate, 54 vs 36 in VTE vs non-VTE patients.	Prevalence rates, mortality rates, risk differences	Selection bias due to the selection of admitted patients on whom criteria would have included VTE	Level III evidence, credible quality due to reelevate to the clinical question, valid findings, and current (less than 5 years)
			❑             N/A
			❑             N/A

Attach a reference list with full citations of articles reviewed for this Practice question.

Couturaud, F., Bertoletti, L., Pastre, J., Roy, P.-M., Le Mao, R., Gagnadoux, F., Paleiron, N., Schmidt, J., Sanchez, O., De Magalhaes, E., Kamara, M., Hoffmann, C., Bressollette, L., Nonent, M., Tromeur, C., Salaun, P.-Y., Barillot, S., Gatineau, F., Mismetti, P., … PEP Investigators. (2021). Prevalence of pulmonary embolism among patients with COPD hospitalized with acutely worsening respiratory symptoms. JAMA: The Journal of the American Medical Association, 325(1), 59–68. https://doi.org/10.1001/jama.2020.23567

Purpose
Learning to critique and summarize research is an important skill for you to master. The purpose of this assignment is to 1) demonstrate library search techniques and 2) analyze quantitative research related to the Global Burden of Disease and National Practice Problems.

You will review the characteristics of quantitative research within the Explore section this week. Then you will search for a recent (within 5 years) quantitative research article related to one of the eight National Practice Problems. These National Practice Problems include COPD, mental illness, addiction, heart disease, diabetes, cancer, obesity, and safety.

You will critique the quantitative article using the Johns Hopkins Appraisal ToolLinks to an external site. and then summarize the selected quantitative article and complete the Johns Hopkins Individual Evidence Summary TableLinks to an external site..

Instructions
Follow these guidelines when completing each component of the assignment. Contact your course faculty if you have questions.

Review the characteristics of quantitative research within the Explore section of this week\’s module and readings.
Use the most current version of Microsoft Word that is the format for all Chamberlain University College of Nursing. You can tell the document is saved as the current version because it will end in \”docx.\”
Review the rubric for the grading criteria.
The assignment includes the following components:

Title page
Introduction (The word \”introduction\” is not used – include title of paper as level one heading)
Introduce the selected practice problem.
Literature chosen is < 5 years old.
Provides incidence and/or prevalence of the problem.
Literary Search Strategy
Identify the databases searched to locate the recent quantitative literature.
Include keywords used in your search.
Describe filters used.
Critique of Article Using the John Hopkins Appraisal Tool
Present aim of the study.
Share research method and design used.
Provide sample size and description of the sample.
Present overview of the findings.
Share strengths and limitations of the study.
Appraise the level and grade the quality of the study.
Summary (Using your own words- as if you were sharing the highlights with a friend)
Provide a summary detailing the main points and overall findings.
Discuss if this is a solution that can contribute to the practice problem.
Conclusion
Provide a clear and logical conclusion in 1-2 concise paragraphs.
Highlight the summary of findings.
Highlight overall quality (level and grade).
Conclude value of study to practice problem.
Reference page
Appendix
Embed the completed Johns Hopkins Appraisal Tool as an Appendix.
Writing Requirements (APA format)
1-inch margins
Double-spaced pages
12-point Times New Roman or 11-point Arial font
Use of level 1 headers and subheadings to separate each section of the paper
References and citations in proper APA format (current version)
In-text citations
Reference page
Length: 2-3 pages (not including title page or references page)
Standard English usage and mechanics
No spelling or typographical errors.
Organized content around the required components using level 1 headers.
Course Outcomes
This assignment enables the student to meet the following course outcomes:

Critically appraise literature for level and quality of evidence to support practice change. (POs 1, 3, 5, 6, 7)
Appraise global healthcare practice problems and DNP practice relevant to advanced nursing practice. (POs 1, 3, 9)
Due Date
By 11:59 p.m. MT on Sunday
Late Assignment Policy applies
Rubric
W3 Assignment Grading Rubric
W3 Assignment Grading Rubric
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeIntroduction: Choose one recent (within 5 years) quantitative article related to any of the national practice problems.
Requirements:
a. Introduce selected practice problem
b. Literature chosen is < 5 years old
c. Provides incidence and/or prevalence of practice problem
20 pts
Highest Level of Performance
Includes all requirements and provides an in-depth introduction.
18 pts
Very Good or High Level of Performance
Includes all requirements and provides a sufficient introduction.
16 pts
Acceptable Level of Performance
Includes fewer than all requirements and/or provides a partial introduction.
0 pts
Failing Level of Performance
Includes fewer than all requirements and/or provides an undeveloped introduction.
20 pts
This criterion is linked to a Learning OutcomeLiterary Search Strategy: Describe your library strategy for searching for the quantitative evidence.
Requirements:
Includes literature search strategy used:
a. Identify databases searched to locate the recent quantitative literature.
b. Include key words used in your search.
c. Describe filters used.
30 pts
Highest Level of Performance
Includes all requirements and provides an in-depth description of the literature search strategy.
27 pts
Very Good or High Level of Performance
Includes all requirements and provides a sufficient description of the literature search.
24 pts
Acceptable Level of Performance
Includes fewer than all requirements and/or provides a partial description of the literature search.
0 pts
Failing Level of Performance
Includes fewer than all requirements and/or provides an undeveloped description of the literature search.
30 pts
This criterion is linked to a Learning OutcomeCritique of Article Using the John Hopkins Appraisal Tool: Use the Johns Hopkins Appraisal tool to conduct a critique of the quantitative article.
Requirements:
a. Present the aim of the study.
b. Share research method and design used.
c. Provide Sample size & description of sample.
d. Present an overview of the findings/outcomes.
e. Share strengths and limitations of the study.
f. Appraise the level and grade the quality of the study.
40 pts
Highest Level of Performance
Includes all requirements and provides an in-depth appraisal of the quantitative article.
36 pts
Very Good or High Level of Performance
Includes all requirements and provides a sufficient appraisal of the quantitative article.
33 pts
Acceptable Level of Performance
Includes fewer than all requirements and/or provides a partial appraisal of the quantitative article.
0 pts
Failing Level of Performance
Includes fewer than all requirements and/or provides an undeveloped appraisal of the quantitative article.
40 pts
This criterion is linked to a Learning OutcomeSummary: Summarize in your own words the article findings.
Requirements:
1. Provide a summary detailing the main points and overall findings.
2. Discuss if this is a solution that can contribute to the practice problem.
20 pts
Highest Level of Performance
Includes all requirements and provides an in-depth summary of the quantitative article.
18 pts
Very Good or High Level of Performance
Includes all requirements and provides a sufficient summary of the quantitative article.
16 pts
Acceptable Level of Performance
Includes fewer than all requirements and/or provides a partial summary of the quantitative article.
0 pts
Failing Level of Performance
Includes fewer than all requirements and/or provides an undeveloped summary of the quantitative article.
20 pts
This criterion is linked to a Learning OutcomeConclusion: Effectively summarize the content in the paper.
Requirements:
a. Provide a clear and logical conclusion in no more than 1-2 concise paragraphs.
b. Highlight the summary of findings.
c. Highlight overall quality (level and grade).
d. Conclude the value of the study to practice problem.
10 pts
Highest Level of Performance
Includes all the requirements and provides an in-depth conclusion.
9 pts
Very Good or High Level of Performance
Includes all requirements and provides a sufficient conclusion.
8 pts
Acceptable Level of Performance
Includes fewer than all requirements and/or provides a partial conclusion.
0 pts
Failing Level of Performance
Includes fewer than all requirements and/or provides an undeveloped an undeveloped conclusion.
10 pts
This criterion is linked to a Learning OutcomeAPA Style and organization for scholarly papers
Requirements:
a. Use level I headers for each section
b. References and citations are in correct APA format per the current APA manual
c. Length of APA formatted paper is 2-3 pages (excluding title page and references)
10 pts
Highest Level of Performance
Includes all requirements and presents excellent APA style and standards.
9 pts
Very Good or High Level of Performance
Includes all requirements and sufficient APA style and standards.
8 pts
Acceptable Level of Performance
Includes fewer than all requirements and/or provides partial APA style and standards.
0 pts
Failing Level of Performance
Includes fewer than all requirements and/or provides undeveloped APA style and standards.
10 pts
This criterion is linked to a Learning OutcomeClarity of Writing
Requirements:
a. Standard English grammar and sentence structure
b. No spelling errors or typographical errors
c. Organized around the required components using appropriate headers
10 pts
Highest Level of Performance
Includes all requirements and demonstrates excellent clarity of writing.
9 pts
Very Good or High Level of Performance
Includes all requirements and demonstrates sufficient clarity of writing.
8 pts
Acceptable Level of Performance
Includes fewer than all requirements and/or demonstrates basic clarity of writing
0 pts
Failing Level of Performance
Includes fewer than all requirements and/or demonstrates undeveloped clarity of writing.
10 pts
This criterion is linked to a Learning OutcomeAppendix: Evidence support
Requirements: Embed the completed Johns Hopkins Appraisal Tool as an appendix.
10 pts
Highest Level of Performance
Includes the completed John Hopkins Appraisal tool as an appendix
0 pts
Failing Level of Performance
Does not include the John Hopkins Appraisal tool in the appendix or includes an incomplete Johns Hopkins tool in the appendix
10 pts
Total Points: 150