NURS FPX 9902 Assessment 3 Literature Synthesis

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Literature Search Strategy

For this purpose, the articles that produced the most up-to-date and relevant findings were sought from authentic electronic sources, namely PubMed, Scopus, and the Cochrane Library. Further, the following electronic databases were employed to search for the articles: Google Scholar, PsychINFO, Psychiatric Services, and CINAHL. NURS FPX 9902 Assessment 3 approach was to hire the search filter button in the second search process to filter the most recent publications of the last five years. For the study, the articles’ selection and exclusion criteria were determined (Heath et al., 2021). The criteria used to select the articles included only those published in the past five years, and adequate research methodology must have been employed. The study designs that could be utilized in the research include randomized controlled trial (RCT), systematized review, retrospective, and case study design. Nonetheless, the following considerations apply: Only articles published within the last five years are considered, meaning that blog articles are excluded.

Operators were employed to minimize the number of search options available. Three critical Boolean operators in the literature search: While constants are essential, using AND, OR, and NOT can make a difference in your search results. Nevertheless, the Boolean operator used is “OR,” which helps search for articles on different topics, such as in the ‘HIV and Telehealth’ search for articles using keywords.

NURS FPX 9902 Assessment 3 Literature Synthesis

Searching with a term pair of “telehealth cognitive behavioral therapy NOT depression” returns articles that involve both telehealth and cognitive behavioral therapy but does not return articles about depression. Thus, the MeSH terminologies, search filter, and Boolean operator assist in identifying the more recent and relevant evidence that responds to the components of the PICOT question.

The 550 articles relevant to the PICOT question were identified from the database search using the right keywords and terms and the hand search procedure. Based on initial screening using the determined keywords, the article to be reviewed had to meet the following criteria: Only 55 articles were selected worldwide. Nevertheless, the identified 472 articles were reduced to 30 articles at the final stage of the screening, where it was shown that telehealth CBT improves mental health care.
The clinical investigation results that employed the OptiView concept for semi-transparent gel dressing provided ample data to establish whether the product helps prevent pressure injuries (PIs) among patients with moderate to severe risk for the disease. The study done by Nejati has just come out in the acute care facility, and the results with OptiView dressing were found to be encouraging, such as an average wearing time of 4. In 5 days, our product observed improvements in the duration of dressing changes, nursing time, and patient satisfaction.

Comparison of Wound Dressing Materials for Pressure Injury Prevention

            Negative pressure wound therapy (NPWT) and NPWT instillation with increased dwell time (NPWTi-d) sustain the performance. Nuhiji’s (2023) work indicates that NPWT and NPWTi-d may help prevent wounds from smoking, graft take, and reconstructive surgeries in burn care. Many opponents might question whether these benefits happened due to patient populations’ different trial designs or were only placebo effects at the end, so why should multiple controlled and comparative effectiveness studies be done to confirm this? With the application of the NURS FPX 9902 Assessment 3 Literature Synthesis SORT tool, the analysis may fall into Level III evidence level; this study would be conducted as a review of data from existing sources without new data collection.

We propose that this article provide a full-swung experiment-positive literature review reinforcement to present the estimated indicators for counting the things that prevent pressure ulcers. Gefen (2022) emphasized the similarity of customized body part replacement products to their natural „skin counterparts.‟ This article.‟ uses uniaxial compression testing to objectively evaluate the flexural rigidity (i.e., elastic modulus) of various materials helpful in preventing ulcerating pressure. Findings present that the hydrogels are top tolerant with skin features, sweeteners, and silicone foams. Also, hydrocolloids’ improper stuff cross-linking will not produce enough water absorption to fit the interdental spaces of regular denture wearers readily.

NURS FPX 9902 Assessment 3 CASP framework

Nevertheless, this study has described the main limitation that requires the authors’ research with human subjects and needs one more updated literature review. The slightest evidence in the SORT tool would be Level III evidence shedding light on expert opinion, just theories, or observation without a control group, which is the case here. CASP framework for systematic reviews is a tool that helps assess the degree of credibility and quality of the study along with considering parameters like clarity and comprehensiveness of the research question, adequacy of the search strategy, and methodological transparency of data synthesis. Eberhardt et al. (2020) investigated the efficacy of multi-layer silicone foam and transparent polyurethane film in decreasing heel pressure injuries in patients under elective surgery.. Following SORT, study see Level II evidence. CASP questionnaire checklist can be used to appraise validity and reliability, whereby blinding can be done, the study design is randomized, and statistical analysis can be used.

            In such a study, NURS FPX 9902 Assessment 3 separate experiment focused on the insertion aspect of preventive sacral dressings and their structure and mechanics variations as time passed. It has been discovered in the analysis performed by Burton et al. (2019) that a specific aging method has been used. In this manner, dressings designed to reduce the risk of bedsores were tested practically. It involved the sequential use of repeated force in the compression and shear directions. A tensile test of four standard sacral prophylactic dressings was accomplished before and after producing the aging in this research. The investigation showed many changes in the dressings’ microarchitecture and global structure, where embossing was erased, some wrinkles were seen, fluids leaked because of holes, and the layers moved apart and rolled. As indicated by the SORT tool, the research the research would fit into Level III validity. Looking at the CASP checklist and checking what items apply to this observational research, we can determine if the study is credible and high in quality through the movie’s plan (Purssell & McCrae, 2020).

Empirical Approach Address

The second empirical approach addresses the latest invention of multifunctional and novel wound dressings specifically designed to stimulate skin regeneration. In their study, Raju et al. (2022), Biomimetic invention was done using advanced biomaterials and nanoparticles, which promote rapid healing and fight to cure infection and inflammation and minimize scarring. The applicability of the literature review approach as a research method is highly probable in the study; it will be used for critically evaluating the latest research on multifunctional wound dressings. The review’s findings enlighten us about the progressions seen in the dressing of wounds and their functionality to support or NURS FPX 9902 Assessment 3 promotes healing. They have also identified the weaknesses in the research areas, one of which is a dire need for more clinical studies and the development of better wound-healing drugs. By the criteria of the SORT tool, the work is likely to have Level III data for the systematic review of the recent innovations of wound dressings that have brought valuable information on applying these novel materials in the wound healing process.

This research will investigate whether hydrocolloid dressings are more effective than relative routine care in preventing pressure ulcers for patients at high risk for developing such conditions among adults in hospitals. The methodological rigor used in the study by Cortés et al. (2023) was enhanced through several measures like removal of bias and by using investigators, event validators, and analysts blinded from the drug interventions and outcomes. Despite the stainless designs, the hydrocolloids still saw no improved effect on the incidence rate of pressure ulcers compared to petrolatum. The balance of receiving a similar rate of pressure ulcers and patients beating ulcers was witnessed among the two groups of the same frequency. Accountability analysis showed that hydrocolloid dressings were a dominant strategy due to higher costs. While the article shows us such impactful information, it can be further reinforced by the subsequent experiments about the factors influencing the superiority among different clinical settings and the validity for better proof. As the SORT tool indicates, the trial would fall into the Level I evidence category, as it has a high research design, including the RCT.

NURS FPX 9902 Assessment 3 Literature Research Article

AFP (American Family et Research articles on preventing, assessing, and managing pressure ulcers are offered as an illustrative instance. Visconti et al. (2023) combined data from diverse sources and published diverse information to provide an overall picture of how to prevent, assess, diagnose, and manage pressure injuries. While reviewing the study, being aware of the qualitative nature catches the main element: the interaction between the synthesis and analysis of knowledge from clinical studies, guidelines, and experts’ opinions. In a peer-reviewed journal from a reliable source titled “Evidence-Based Nursing Practices,” the credibility and quality of the source are ensured by the publication in a peer-reviewed journal and the focus on evidence-based practices. As classified by the SORT approach, the trial would be rated as a Level III study.

The evidence of critical care nurses is focused on implementing HAPI (NURS FPX 9902 Assessment 3 Literature Synthesis) protocol for the intensive care unit (ICU) patients under prone positioning who are on ventilator support due to COVID-19, followed by the measure of its impact on reducing HAPIs. Evaluating the results of the McFee et al. study (2023) should be based on a quality improvement methodology, strengthening the output and credibility. The statistical data indicates that — after implementing the protocol, the percentage of patients with COVID-19 and those in a prone position with corresponding pressure injuries acquired during the hospital visit is reduced from 11. 6% to 2. 7%. The article’s credibility and quality are confirmed because it is published in a reputable journal of nursing and uses evidence-based practices, particularly in a clinical area. It is level III evidence for the study when assessed using the SORT scale. The predominance theme found in the literature is raised by the necessity of adopting evidence-based methods of pressure injury prevention, especially when addressing the gaps in healthcare delivery or care of specific patient groups.


NURS FPX 9902 Assessment 3 Scanning the meta-area of pressure injury prevention and treatment showed me several pieces of information pointing to the current processes and research areas that still require investigation. Suggestions surfaced throughout the readings, including the power of prevention, the application of leadership in program implementation, and the need for different interventions by the context where they are implemented. Positive data in studies on pressure sores in risk are in limited variety. As the research gaps, specific populations investigated, the cost-effectiveness of prevention intervention, and socio-cultural and economic influences need to be covered and revealed. The closing of these gaps needs an interdisciplinary endeavor and a more inclusive research method, which, in the long run, will ensure that treatment is delivered in the best possible way to the patients.


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