Assignment CLC, EBP Literature Search, Appraisal Of Evidence

Assignment CLC, EBP Literature Search, Appraisal Of Evidence

Assignment CLC, EBP Literature Search, Appraisal Of Evidence

Week 5 Assignment CLC – EBP Literature Search/Appraisal of Evidence

 

This is a Collaborative Learning Community (CLC) assignment.

Locate no more than 10 research articles related to your EBP project.

Use the assigned Topic Material, “CLC: EBP Research Table,” to consolidate and present the findings. Pay attention to the prompts for each column.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center. Assignment CLC, EBP Literature Search, Appraisal Of Evidence

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to Turnitin.

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Week 5 EBP Project/Appraisal of Evidence

 

 

CLC: EBP Research Table

Citation

Include the APA reference note.

Abstract/Purpose

Craft a 100-150 word summary of the research.

Research/Study

Describe the design of the relevant research or study in the article.

Methods

Describe the methods used, including tools, systems, etc.

Setting/Subject

Identify the population and the setting in which the study was conducted.

Findings/Results

Identify the relevant findings, including any specific data points that may be of interest to your EBP project.

Variables

Describe the independent and dependent variables in the research/study.

Implication for Practice

Articulate the value of the research to the EBP project your group has chosen.

Independent Variable Dependent Variable
King-Shier, K.M., Mather, C., &LeBlanc, P. (2013). Understanding the influence of urban or rural living on cardiac patients’ decisions about diet and physical activity: Descriptive decision modeling. International Journal of Nursing Studies, 50(11), 1513-1523. doi: 10.1016/j.ijnurstu.2013.03.003

 

 

This research aims to answer to better understand the decision-making process of eating a heart healthy diet and extent of physical activity. Also, are these decisions influenced by whether the subject lives in a rural or urban setting. The research proposal was the cultural issues effected participants decision making as well as place of residence. This research used a previous qualitative research design in which 42 cardiac patients (21 urban, and 21 rural) were interviewed about their diet and physical activity. The researchers then designed a model for interviewing regarding the decision-making process. The combination model was then given and tested with 647 cardiac patients (327 urban and 320 rural) from Canada. The results were based on 93.5% accuracy for diet and 97.5 % accuracy with physical activity. Results indicated that decision-making was less about place of residence and more about perception of control over health including time, effort, or competing priorities, receipt of appropriate clear information, and appeal of the activity. NUR-504 Assignment CLC, EBP Literature Search, Appraisal Of Evidence A three-staged, multi-methods approach was used to develop and analyze the descriptive decision making model that patients use in making decisions regarding their cardiac lifestyle. A cross-sectional survey was used to interview patients one year post-cardiac catherization. These interviews were performed via telephone. A three stage decision tree model was then used to analyze the information offered. The stages were as follows: 1. Factors that were influential in decision making. 2. If and where failure had occurred for patients. 3. Did patients consistently, sometimes, or not at all engage in physical activity and a heart healthy diet. Results were then analyzed using statistical analysis. Information was gathered from a previous series of qualitative interviews conducted with 42 cardiac patients (21 rural, 21 urban). Based on the information gathered decision-models were developed related to eating habits and physical activity. The new model was tested with 42 more participants to ensure accuracy. The final model was given to 647 cardiac patients (327 urban, 320 rural). Final results were then examined to determine decision-making differences for urban and rural patients. The population used for this research is post-cardiac catherization patients from both rural and urban settings. The location is Alberta, Canada. Information was synthesized from a previous research project and then any new information was gathered via telephone interviews.

 

When tested in succession, the models that were created were found to be very accurate, 93.5% for diet and 97.5% for physical activity. The items that were identified to impact patient decision making were perception of control over decision making including time, effort and competing priorities, availability of educational information, and whether the physical activity was appealing or not. Urban versus rural residency was not determined to be a factor. The independent variables include residency (urban versus rural), decision making, and Post-cardiac care patients. The dependent variables include compliance, healthy diet, and physical activity.. This article will contribute to our EBP project in that it provides a description of factors that influence the decision-making process for post-cardiac catherization patients. Our project seeks to understand more on the topic and this article/research provides a good basis of answers and knowledge. This article rules out the influence of location of residency, but includes the values of culture, education, and appeal of physical activity..
White, S., Bissell, P., & Anderson, C. (2011). A qualitative study of cardiac rehabilitation patients’ perspectives on making dietary changes. Journal of Human Nutrition & Dietetics, 24(2), 122-127. doi:10.1111/j.1365-277X.2010.01136.x

 

 

 

 

Making healthier food decisions is important for the secondary prevention of Coronary Heart Disease (CHD). Per this research, cardiac diet changes should be included in cardiac rehabilitation (CR) programs. Though patients do not always make the recommended dietary changes, this research seeks to explain cardiac rehabilitation thoughts and feelings towards making and maintaining healthy dietary changes. This study interviewed 15 post-myocardial infarction CR patients regarding lifestyle changes, including diet. Follow-up interviews (9 months post CHD diagnosis) were then conducted with 9 of the previous 15 CR patients to see if their perspectives on lifestyle modifications had changed. Results indicated that patients only made and maintained dietary changes if they perceived that diet caused their CHD. Changes included “cutting out things” from the diet, but not including food that was healthier. A qualitative research design was used in conducting this research. Participants were recruited from a CR program in which participants were educated on diet, physical activity, stress management, and medication. Within the education patients were advised to eat more of some food and less of the unhealthy foods. One of the authors of this research attended the CR program and asked for volunteers to the study. Face-to-face interviews were conducted with those that volunteered regarding the information they has received during CR, specifically, diet changes. 9 months later the 9 of the 15 participants were re-interviewed to see if their perspectives had changed. Recurrent themes were identified and then analyzed for validity. The method used is face-to-face interviews. In the initial interviews participants were asked about their perspective on CHD, the CR program, their perspective on lifestyle changes (including diet), and taking new medications. The second interviews (conducted 9 months later) focused on the same topics, but more on if their perspectives had changed. Open ended questions were used for both sets of interviews. Data was analyzed for common themes. The interview guides and questions were revisited several times for clarity and validity. The population interviewed was CHD patients that had recently completed a CR program. The research involved 15 participants (11 men and 4 women) that were all Caucasian and British. Ages of participants varied from 42-65 years old and from various socioeconomic backgrounds. Participants were recruited from a UK district general hospital based CR program. 13 of the participants were married or living with partners. None of the participants were related to each other. All participants indicated that having had a heart attack was traumatic and very scary. The two common themes were fear of another heart attack (next one possibly fatal) and the desire to “get back to normal”. Dietary change themes were limited to “cutting things out”, but not the inclusion of healthy foods that were recommended. Those participants that maintained dietary changes felt that their diet was the reason they had a heart attack. Those that did not feel that diet was a factor did not maintain the diets that they had been taught about. . The independent variables include education, CR program, and perception of diet related to previous myocardial infarction. . The dependent variables include lifestyle changes and maintenance of dietary changes after 9 months. I don’t feel that this article or research is particularly useful to the group EBP research. This research is limited by to number of participants as well as the demographics of the participants. All participants were of the same ethnicity and similar age group. The sample size should have been larger and more diverse in order to increase the validity of findings.
Kadda, O., Kotanidou, A., Stavridis, G., Nanas, S., & Panagiotakos, D. B. (2015). Lifestyle interventions and one-year prognosis of patients following open heart surgery: A randomized clinical trial. Journal of Clinical Nursing, 24(11-12), 1611-1621. doi: 10.1111/jocn.12762

 

The goal of this research is to evaluate the one-year prognosis of post-open heart surgery patients that have received lifestyle intervention counseling related to smoking cessation, diet, and exercise. Lifestyle modification plays a huge role in patients who are at high risk of developing cardiac disease or for those that have an established cardiac disease history. Participants of this study were placed into 2 groups (250 intervention group and 250 control group) after they had open heart surgery and were discharged from the hospital. The intervention group participants were provided with lifestyle intervention counseling, whereas the control group was given basic cardiac patient discharge instructions. The primary end point was the development of a cardiac disease (non-fatal) event within the first year. Secondary end points included dietary habits and physical activity evaluation, smoking cessation, and fatal cardiac events. As a result, it was found that lifestyle intervention counseling can improve health outcomes and decrease fatal cardiac events post-open heart surgery. This research was conducted with a randomized non-blind format. 500 participants were involved, 250 of which were the intervention group and 250 were the control group. The intervention group involves post-open heart surgery lifestyle change counseling, the control group only received cardiac patient discharge instruction. The participants of both groups were monitored on a monthly basis. After one year participants of both groups were assessed based on both primary and secondary end points. The participation of the one-year follow up was 100%. After the one-year follow-up results were evaluated and analyzed. As mentioned, the method of this research was a randomized, non-blind research project with one-year follow-up with patients that received lifestyle intervention counseling as well as with those who did not. Patients were interviewed prior to open heart surgery to assess previous medical history, lifestyle habits, and their willingness to change post-surgery. All follow-up communication and interviewing was done via telephone. Results from the one-year post interviews were then analyzed based on end-points as well as compared to pre-surgery interviews. The test statistic used was the two-sided Z test with pooled variance. 537 consecutive open-heart surgery patients were asked to participate in the research between 2008 and 2012. 37 of the patients were excluded related to complications or preference to not participate. Therefore, 500 patients that had open-heart surgery related to CABG or valvular heart disease were included in the research program. Participants were then randomly assigned to either the control or intervention groups. This research included a wide range in age and all races as the participants were chosen in a consecutive fashion. This study was performed in Athens, Greece. The result of this research showed that the intervention group was more likely to remain physically active, was more likely to smoke, had higher incomes, and has more cases of hypertension and obesity than the control group. The bottom line in this study was those that modified behavior, whether through counseling or on their own had better outcomes than those who did not. The independent variable was post-open heart surgery lifestyle intervention counseling. The dependent variables included smoking cessation, dietary changes, cardiac events (both fatal and non-fatal), and financial status. I do feel that this research is beneficial as it is directly related to lifestyle modifications of cardiac patients. A large sample was used and the study was conducted over four years, including pre-surgical interviews, monthly check-ins, and one year post-surgical evaluations.
Brewer, L.C., Kaihoi, B., Zarling, K.K., Squires, R.W., Thomas, R. & Kopeck Y. S. (2015). The use of virtual world-based cardiac rehabilitation to encourage healthy lifestyle choices among cardiac patients: intervention development and pilot study protocol. JMIR Research Protocol s, 4(2), e39. doi: 10.2 196/respires.4285 The use of cardiac rehabilitation, which is important towards the treatment of patients who have been diagnosed with the heart disease remains underutilized in the healthcare facilities. This intervention involves educating the patients on the need to embrace healthy living to alleviate the effects of the condition in their bodies. To change the negative trend of the utilization of cardiac rehabilitation, the quantitative article establishes that the healthcare practitioner ought to employ virtual platforms such as mobile applications and social media to sensitize the public on the need to embrace healthy lifestyle as a long-term treatment plan. The quantitative study article utilizes randomized controlled trial design, where the authors conduct the research on a given population using two phases to establish the effectiveness arising from the utilization of cardiac rehabilitation in the treatment of different cardiovascular conditions. The article focuses on analysis and modeling of patient data to come up with certain statistical inferences regarding the use of cardiac rehabilitation as an intervention to deal with cardiovascular diseases. The population subjected to the randomized controlled trial in those undergoing a cardiac rehabilitation in the outpatient department of a clinical setting as well as those embracing the virtual platforms dedicated to the fight against cardiovascular diseases. It was established that the utilization of virtual world based cardiac rehabilitation worked better for the patients diagnosed with cardiovascular diseases as compared to the general outpatient services received from the clinical settings Lifestyle interventions such as virtual and conventional world-based cardiac rehabilitation. The health behavior of patients ailing from cardiovascular diseases. With the value of the conventional cardiac rehabilitation programs having been tested for a considerable period, it is the best time that care practitioners should utilize virtual platforms such as internet enhance the health behavior of patients suffering from cardiovascular diseases.
Rahmati Najarkollaci, F., Ghaffarpasand, E., Gholami Fesharaki, M. & Jonaidi Jafari. N. (2015). Nutrition and physical activity education; intervention on CHD risk factors a systematic review study. Archives of Iranian Medicine, 18(1),51-57. Doi:0151801/AMI.0012Numerous

 

Numerous health conditions are caused by the lack of proper information regarding the importance of nutrition and physical activity towards body fitness, in this case, the qualitative study article is aimed at exploring the existing information regarding the importance of nutrition and physical activity towards alleviation of the effects of chronic heart disease with more focus on the risk factor involved. With the qualitative study examining prior databases having rich information on different chronic diseases, it empowered the authors to have solid foundation regarding educational interventions on patients ailing from prolonged heart. This implies that the qualitative article gives great insight regarding the risk factors associated with chronic diseases and how to utilized educational intervention to alleviate them. The research article employs a systematic review prior information from different databases regarding the usefulness of educational interventions in the fight against the risk factors which contribute severity of chronic heart disease. The method utilized as collection of empirical data from different databases with a view to analyze pertinent information on the alleviation of CHD risk factors. A systematic review is conducted on online databases such as the English and Persian, aimed at establishing the relevance, about the usefulness of educational interventions to risk factors associated chronic heart disease. It is found out that a significant number of the articles retrieved from the online databases were relevant in the qualitative study and provided useful information on the educational interventions which can be used the long-term care of patients living with chronic heart disease. Nutrition and physical educational interventions Cardiovascular risk factors. In long term care patients diagnosed with chronic heart disease, the nutrition and physical educational interventions are useful tools for the healthcare practitioners in the fight against risk factors such as hypertension and cigarette smoking, among others, which can result into negative health outcomes.
Esmaeili, M., Cheraghi, M. A, & Salsali, M. (2016). Cardiac patients’ perception of patient-centered care: a qualitative study. Nursing in Critical Care, 21(2)e39, doi:10.1111/nice.12148 The qualitative study such article is meant to highlight the opinions of cardiac patients regarding patient-centered care, especially in the longer term where important plans and decision must be made between caregiver and the sick. This article digs deeper into diverse scopes and characteristics of patient-centered care, with more focus on the actions that improve their physical and psychological well-being as they continue to receive healthcare services. This implies that quantitative study is based on the expectations and experiences of patients ailing from cardiovascular diseases, which work towards improving their overall wellness. This empowers the cardiac patients to make important decisions regarding their health since their satisfaction is guaranteed, The authors utilized a descriptive design which was based on cardiac patient’s survey, with the aim of establishing their opinions regarding patient-centered care. It involved a biographical approach where the researcher interacted with the sampled population of cardiac patients, with a view to get data from them regarding aspects of patient-centered care, where customized interviews were conducted. The population under study was cardiac patients who had been admitted in a healthcare facility, ailing from cardiovascular diseases. In this qualitative study, the researcher concluded that patient-centered care is crucial to the realization of improved health outcomes among cardiac patients and more focus on their choices and concerns in the healthcare environment. Patient desires and anticipations towards the healthcare practitioners. Patient-centered care for cardiac patients. The treatment of cardiac patients should involve patient-centered care services which are vital in realization of their satisfaction and improvement of their health outcome.
Jensen, V. Gucht, V., Exel H., & Maes, S. (2014). A self-regulation lifestyle program for post-cardiac rehabilitation patients have long-term effects on exercise adherence. Journal of Behavioral Medicine, 37(2)., 308-321. In this study researchers found it necessary to develop a brief self-regulation lifestyle program for patients who had undergone post cardiac rehabilitation. Their decision to develop this program was informed by the fact that maintaining a lifestyle change following cardiac rehabilitation is a daunting task. Randomized controlled trials were conducted whereby 210 patients who undergone cardiac rehabilitation were randomized and assigned to two different types of care. One group comprising of 112 patients was assigned the lifestyle maintenance program and 98 assigned to standard care. The study found that lifestyle program had a significant impact on exercise behavior. Moreover, self-reported cardiac hospital admission rates among patients in the lifestyle dropped significantly. A quantitative study design was used in this study. The data collection and analysis techniques are typical of quantitative study design. Randomized controlled trials were in this study. Patients who had receives cardiac rehabilitation were randomized to two groups, the first group was randomized to a lifestyle maintenance group and the second one to standard care. The setting of the study is not defined. The study found that lifestyle program had a significant impact on patient’s exercise behavior. There was a 12 percent decline in cardiac hospital admission rate in this group. Independent variable is exercise adherence. The dependent variable is self-reported cardiac hospital admission rates. This study is of fundamental importance to nursing practice in the sense that it provides a better understanding of the value of lifestyle program post-cardiac rehabilitation patients.
Najafi, F., Nalini, M., & Nikbakht, M. R. (2014). Changes in risk factors and exercise capacity after cardiac rehabilitation and its effect on hospital readmission. Iranian Red Crescent Medical Journal, 16(5), doi:10.5812/ircmj.4899 Even through there are positive reports regarding the outcome of cardiac rehabilitation, the impact of this outcome vary from one region to another. The difference un the outcome is largely attributed to different rehabilitation program used. This study focuses in investigating the impact of cardiac rehabilitation program on cardiovascular risk factors. To achieve this goal, researchers conducted a retrospective cohort study by analyzing data gathered from Iman Ali Cardiac Rehabilitation Center, the study analyzed a total 499 patients out of 504 who had completed cardiac rehabilitation. The study revealed that a comprehensive cardiac rehabilitation program was effective in improving exercise activity and cardiovascular risk factor. A retrospective cohort study was used in this study. Patients who had taken part in the cardiac rehabilitation program were included in this study. Specifically, this study focused on patients who had completed the cardiac rehabilitation program between 2001 and 2008. The cardiac rehabilitation program was implemented as a course spanning for two months. At the beginning every course, patients were tested for lipids, smoking, depression, exercise capacity. The study was conducted at the Iman Ali Cardiac Rehabilitation Center in Kermanshah province. Participants of the study were patients who were referred to the program between 2001 and 2008 The study revealed that CR project had an impressive impact in lowering blood pressure. This study confirmed findings of previous studies which CR is effective in lowering systolic and diastolic pressure. . The independent variable in this study was cardiovascular disease. There are several dependent variables that can be identified from this study. Some of these variables include exercise capacity, blood pressure and blood lipids This study is important for healthcare providers because it gives them a better understanding of how CR program can help preventing cardiovascular risk factors.
Mahdavi Anari, L., Ghanbari-Firoozabadi, M., Ansari, Z., Emanmi., Vafaii Nasab, M., Nemaiande M., Neishaboury,M., (2015). Effect if Cardiac Rehabilitation Program on Heart Rate Recovery in Coronary Heart Disease, The Journal of Tehran University Heart Center, 10(4) Prior studies have confirmed that autonomic system function and metabolic syndrome have a significant impact on the survival of patients. The primary objective of this study is to explore the impact of a cardiac rehabilitation program on patients diagnosed with cardiovascular disease. Participants selected for this study were patients who were previously diagnosed with coronary artery disease. The considered patients who had been referred to Cardiovascular Rehabilitation Center of Afshar Hospital. Participants attended three rehabilitation sessions every week for 12 weeks. There was a significant improvement in heart rate recovery among patients who participated in this study. there was also a significant reduction in patients’ waist circumference This is a quantitative grounded research. A total of 108 patients who had complete the study criteria were enrolled into the cardiac rehabilitation course. The biplane Simpson method was used in measuring the left ventricular ejection fraction in patients who had undergone transthoracic echocardiography. The Study was conducted in Cardiovascular Rehabilitation Center od Afschar Hospital Iran The study found that automatic system function improved after 36 of the rehabilitation program. Duration of participation in exercise training is the independent variable study. The dependent variable in this study is autonomic system balance. Patients autonomic system balance function in patient’s coronary artery disease. This study helps healthcare providers understand importance of a cardiac rehabilitation program in improving autonomic system function in patients with coronary artery diseases.
 

 

 

 

References

 

Brewer, L. C., Kaihoi, B., Zarling, K. K., Squires, R. W., Thomas, R. & Kopecky, S. (2015). The use of virtual world-based cardiac rehabilitation to encourage healthy lifestyle choices among cardiac patients: intervention development and pilot study protocol. JMIR Research Protocols, 4(2), e39. doi:10.2196/resprot.4285

Esmaeili, M., Cheraghi, M. A. & Salsali, M. (2016). Cardiac patients’ perception of patient-centered care: a qualitative study. Nursing In Critical Care, 21(2), 97-104. doi:10.1111/nicc.12148

Janssen, V., Gucht, V., Exel, H., &Maes, S. (2014). A self-regulation lifestyle program for post-cardiac rehabilitation patients has long-term effects on exercise adherence. Journal of Behavioral Medicine, 37(2), 308-321.

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Kadda, O., Kotanidou, A., Stavridis, G., Nanas, S., & Panagiotakos, D. B. (2015). Lifestyle interventions and one-year prognosis of patients following open heart surgery: A randomized clinical trial. Journal of Clinical Nursing, 24(11-12), 1611-1621. doi: 10.1111/jocn.12762

King-Shier, K. M., Mather, C., & LeBlanc, P. (2013). Understanding the influence of urban or rural living on cardiac patients’ decisions about diet and physical activity: Descriptive decision modeling. International Journal of Nursing Studies. 50(11), 1513-1523. doi: 10.1016/j.ijnurstu.2013.03.003.

Mahdavi Anari, L., Ghanbari-Firoozabadi, M., Ansari, Z., Emami, M., Vafaii Nasab, M., Nemaiande, M., … Neishaboury, M. (2015). Effect of Cardiac Rehabilitation Program on Heart Rate Recovery in Coronary Heart Disease. The Journal of Tehran University Heart Center, 10(4), 176–181.

Najafi, F., Nalini, M., &Nikbakht, M. R. (2014). Changes in risk factors and exercise capacity after cardiac rehabilitation and its effect on hospital readmission. Iranian Red Crescent Medical Journal, 16(5), 1. doi:10.5812/ircmj.4899

Rahmati Najarkolaei, F., Ghaffarpasand, E., Gholami Fesharaki, M. & Jonaidi Jafari, N. (2015). Nutrition and physical activity educational intervention on CHD risk factors: a systematic review study. Archives of Iranian Medicine, 18(1), 51-57. doi:0151801/AIM.0012

 

White, S., Bissell, P., & Anderson, C. (2011). A qualitative study of cardiac rehabilitation patients’ perspectives on making dietary changes. Journal of Human Nutrition & Dietetics, 24(2), 122-127. doi:10.1111/j.1365-277X.2010.01136.x