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).
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).
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
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