Journal of Medical Internet Research Assignment

, ,

Journal of Medical Internet Research Assignment

Background of Nursing Practice Problem (one paragraph; no more than 250 words):

Chronic obstructive pulmonary disease (COPD) patients experience instances when the condition can get the lungs clogged with phlegm or damaged, affecting their quality of life and overall well-being. The main symptoms include coughing, tiredness, wheezing, and difficulty breathing. The condition has affected approximately 16 million adults in the United States, with many not knowing they have it (Yohannes, 2020). Hence, there is a need for the medical teams to identify effective and evidence-based interventions that will improve overall healthcare outcomes for COPD patients. In that case, the research at hand proposes the need to use pulmonary rehabilitation since the existing research suggests that it enhances muscle function and helps reduce dyspnea. Journal of Medical Internet Research Assignment

PICO(T) Question: Use the PICOT question developed in Topic 1 Discussion Question (DQ 2) and refine it as needed.

ORDER HERE A PLAGIARISM-FREE PAPER HERE

PICO(T) Question Template
P	Population	COPD patients
I	Intervention	Pulmonary rehabilitation
C	Comparison	Regular treatment
O	Outcome	reduce the rate of COPD-related hospitalization
T	Timeline (optional)
Intervention
“In COPD patients (P), does pulmonary rehabilitation (I) compared to regular treatment (C) reduce the rate of COPD-related hospitalization (O)?” Journal of Medical Internet Research Assignment
Problem Statement
There is a need to assess if pulmonary rehabilitation (I) would be more effective for COPD patients (P), particularly in reducing COPD-related hospitalization, unlike the common regular treatment (C).

Criteria	Article 1	Article 2	Article 3	Article 4
APA Reference (include the GCU permalink or working link used to access the article)	Sönnerfors, P., Skavberg Roaldsen, K., Lundell, S., Toots, A., Wadell, K., & Halvarsson, A. (2023). Preferences for an eHealth tool to support physical activity and exercise training in COPD: a qualitative study from the viewpoint of prospective users. BMC Pulmonary Medicine, 23(1). https://doi.org/10.1186/s12890-023-02353-3 https://link.springer.com/article/10.1186/s12890-023-02353-3 Journal of Medical Internet Research Assignment	Marklund, S., Tistad, M., Lundell, S., Östrand, L., Sörlin, A., Boström, C., Wadell, K., & Nyberg, A. (2021). Experiences and Factors Affecting Usage of an eHealth Tool for Self-Management Among People With Chronic Obstructive Pulmonary Disease: Qualitative Study. Journal of Medical Internet Research, 23(4), e25672. https://doi.org/10.2196/25672 https://www.jmir.org/2021/4/e25672/	Holland, A. E., Jones, A. W., Mahal, A., Lannin, N. A., Cox, N., Hepworth, G., O’Halloran, P., & McDonald, C. F. (2022). Implementing a choice of pulmonary rehabilitation models in chronic obstructive pulmonary disease (HomeBase2 trial): protocol for a cluster randomized controlled trial. BMJ Open, 12(4), e057311. https://doi.org/10.1136/bmjopen-2021-057311 https://opal.latrobe.edu.au/ndownloader/files/35063578	Machado, A., Oliveira, A., Valente, C., Burtin, C., & Marques, A. (2020). Effects of a community-based pulmonary rehabilitation program during acute chronic obstructive pulmonary disease exacerbations – A quasi-experimental pilot study. Pulmonology, 26(1), 27–38. https://doi.org/10.1016/j.pulmoe.2019.05.004 https://www.sciencedirect.com/science/article/pii/S2531043719300960
Purpose/Aim of Study	Sönnerfors et al. (2023 study’s main purpose was to assess COPD prospective users’ e-health tool preference when self-managing exercise training and physical activity as part of pulmonary rehabilitation.Journal of Medical Internet Research Assignment	The article by Marklund et al. (2021) examines the effectiveness of COPD patients’ use of e-health tools to enhance pulmonary rehabilitation.	Hollard et al. (2020) study is a hybrid effectiveness implementation to evaluate the effects of providing patients with pulmonary rehabilitation choice either at the center or at home compared to the traditional center-based initiative.	The study by Machado et al. (2020) aimed to assess the effects of community-based pulmonary rehabilitation programs on mild to moderate acute exacerbations of COPD.
Research question(s)	Does integrating effective e-health tools help enhance pulmonary rehabilitation access?	Does the use of health tools among COPD patients enhance pulmonary rehabilitation?	What effect does implementing pulmonary rehabilitation choice either at the center or home, compared to the traditional center-based initiative, improve overall COPD patient outcomes?	What effect do community-based pulmonary rehabilitation program has on mild to moderate acute exacerbations of COPD?
Design Is the article qualitative, quantitative, or mixed methods? Explain how you determined it was this type of research design.	The article uses a qualitative research design that integrates workshops for the participants within a digital setting. The determination of the research design used by the article is that it is indicated in the study design section.	The article uses an exploratory qualitative study using the guidelines for the Consolidated Criteria for Reporting Qualitative Research (COREQ). The determination of the research design used by the article is that it is indicated in the study design section.	The article uses a two-arm cluster randomized, controlled, assessed, or blinded trial conducted within 14 Australian pulmonary rehabilitation services. The determination of the research design used by the article is that it is indicated in the study design section.	The study utilized a quasi-experimental study that involved AECOPD outpatients from three hospitals from November 2016 to December 2017. The determination of the research design used by the article is that it is indicated in the method section.
Setting (Where did the study take place? What type of setting – inpatient, outpatient, etc.?)	The study was conducted in a digital setting, comprising participants from primary care and hospitals and researcher networks in two Swedish public healthcare systems.	The authors used two public healthcare facilities in the North of Sweden and three in the middle of Sweden for the pragmatic pilot trial.	The setting was 14 center-based community, medium, and large-sized healthcare facilities providing pulmonary rehabilitation services.	The study was conducted in three main Portugal hospitals within an AECOPD outpatient setting. Journal of Medical Internet Research Assignment
Sample (Number and characteristics of participants)	The study used 17 participants, which is a significant number. relatives (n = 2), COPD (n = 10), patient organization representative (n = 1) and health care givers (n = 4)	Marklund et al. (2021) used two groups in the exploratory qualitative study. The main group incorporated 83 COPD patients. 43 were randomized to intervention group with three participants in every five units subjected to individual interviews. Also, through purposeful sampling, the authors ensure that at least a male or a female was obtained from every primary health unit.	The study aimed at recruiting 490 participants to serve in the intervention and control groups subjected to an 8-week model. The model’s effectiveness will be assessed using EQ-5D-5L changes, indirect costs, and direct healthcare cost changes.	The researchers used 24 participants, 12 of whom will be used in the intervention and control group since it is the recommended sample size for pilot studies.
Methods Interventions/Instruments	The study was a qualitative research design that integrated workshops using pre-selected relevant topics.	The study used the COPD Web, which the research participants had to use to meet the research objectives.	The researchers needed to use weekly telephone calls, home exercises, diary exercise training, and home visits. Journal of Medical Internet Research Assignment	The authors used the Charlson Comorbidity Index was used to collect data in terms of severe, mild, and moderate diseases. Also, the physical activity level was assessed using an assessment tool for brief physical activity.
Analysis How were the data that were collected analyzed?	The authors integrated an inductive approach for data analysis to understand the utilization of e-health tools. Journal of Medical Internet Research Assignment	The data analysis used for the study was qualitative content analysis’s inductive approach to increase understanding of e-health tool usage experiences.	The researchers will use EQ-5D-5L, which helps them measure quality of life and estimate QALYs (quality-adjusted life-years) and economic analyses.	The researchers used statistical analyses using IBM SPSS Statistics version 24.0 (IBM Corporation with 0.05 set as the significant level. The authors also used descriptive statistics for sample description, while the Shapiro-Wilk test was used to explore the data normality. Also, chi-squared tests, Mann-Whitney U tests, and independent t-tests to compare general clinical characteristics, anthropometric, and sociodemographic among the selected group.
Outcomes/key findings of the study and implications for nursing practice (Summary of study results)	According to this study’s co-creators, an eHealth tool is a useful digital addition to the current medical resources. That is because the eHealth tool’s content features, technical, and design were subject to intense demand.	The primary findings represented the experiences of research participants in the areas of unclear effect, prerequisites for use, and approaching capability. They also showed that motivation, ease of use of IT tools, and overall literacy all appeared to impact using an electronic healthcare tool over the years.	The acceptance of alternative pulmonary rehabilitation approaches will depend on the ability to show equivalent or superior clinical results to those of conventional pulmonary rehabilitation programs that may be administered economically.	According to the study, community-based pulmonary rehabilitation may be helpful for those with mild-to-moderate AECOPD.
Recommendations of the researcher	The results of this study may aid in the future creation of innovative eHealth solutions that are more user-friendly and tailored to the real needs that potential users have expressed in the study.	The authors recommend that time may be crucial in assessing the advantages of eHealth technologies that modify self-management techniques through behavioral changes.	The data from this experiment will support future recommendations and legislative choices about pulmonary rehabilitation. If the study is successful, it will significantly impact how pulmonary rehabilitation services are provided globally in the future. It will also allow more patient options and possibilities for program customization.	Community-based pulmonary rehabilitation is recommended since there were notable improvements in the quadriceps muscle strength, condition’s impact, vital signs, and other symptoms since no adverse effects were associated with the intervention.
Explain how this article supports your proposed PICO(T) question.	The article projects the effectiveness of e-health tools in increasing the effectiveness of pulmonary rehabilitation in terms of access. For instance, the study participants accepted that using an eHealth tool to help them take charge of treating the illness is necessary, but they also need evidence-based guidance and assistance. Journal of Medical Internet Research Assignment	The article will be crucial to the PICO question since it proposes using e-health tools to enhance pulmonary rehabilitation.	The research is ongoing, proving that research on pulmonary rehabilitation is crucial and that medical researchers should better assess ways to enhance access to COPD patients.	The article is necessary since it also supports that pulmonary rehabilitation is an effective intervention for COPD patients.

References

Holland, A. E., Jones, A. W., Mahal, A., Lannin, N. A., Cox, N., Hepworth, G., O’Halloran, P., & McDonald, C. F. (2022). Implementing a choice of pulmonary rehabilitation models in chronic obstructive pulmonary disease (HomeBase2 trial): protocol for a cluster randomized controlled trial. BMJ Open, 12(4), e057311. https://doi.org/10.1136/bmjopen-2021-057311

Machado, A., Oliveira, A., Valente, C., Burtin, C., & Marques, A. (2020). Effects of a community-based pulmonary rehabilitation program during acute chronic obstructive pulmonary disease exacerbations – A quasi-experimental pilot study. Pulmonology, 26(1), 27–38. https://doi.org/10.1016/j.pulmoe.2019.05.004

Marklund, S., Tistad, M., Lundell, S., Östrand, L., Sörlin, A., Boström, C., Wadell, K., & Nyberg, A. (2021). Experiences and Factors Affecting Usage of an eHealth Tool for Self-Management Among People With Chronic Obstructive Pulmonary Disease: Qualitative Study. Journal of Medical Internet Research, 23(4), e25672. https://doi.org/10.2196/25672

Sönnerfors, P., Skavberg Roaldsen, K., Lundell, S., Toots, A., Wadell, K., & Halvarsson, A. (2023). Preferences for an eHealth tool to support physical activity and exercise training in COPD: a qualitative study from the viewpoint of prospective users. BMC Pulmonary Medicine, 23(1). https://doi.org/10.1186/s12890-023-02353-3

Yohannes, A. M. (2020). COPD patients in a COVID-19 society: depression and anxiety. Expert Review of Respiratory Medicine, 15(1), 1–3. https://doi.org/10.1080/17476348.2020.1787835

The purpose of this assignment is to refine the PICOT question you developed in the discussion forum this week and begin evaluating literature that you will use in subsequent weeks to write your research paper. Journal of Medical Internet Research Assignment

Use the “Literature Evaluation Table” to complete this assignment. Prior to starting the “Literature Evaluation Table,” complete the following:

ORDER HERE

Review the feedback you have received in the discussion forum related to your PICOT question so far. Make any necessary edits to your PICOT question.
Conduct a literature search to locate four research articles focused on your selected nursing practice problem of interest. Note: This literature search should include two quantitative and two qualitative, peer-reviewed, primary research articles to support your nursing practice problem. A mixed methods article can qualify towards meeting a qualitative or quantitative methodology. The two articles identified in Topic 1 DQ 2 can be used should you still find them relevant to your PICOT question.
Articles must be published within the past 5 years, appropriate for the assignment criteria, and relevant to nursing practice. Journal of Medical Internet Research Assignment

The PICOT question and four peer-reviewed research articles you chose will be utilized for subsequent assignments.

Note: For best search results, do not include the words qualitative and quantitative in your search terms. Do include words that narrow or broaden your main topic. For example: Search for diabetes and pediatric and dialysis. To determine what research design was used in the articles the search produced, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. Systematic reviews, literature reviews, and metanalysis articles are good resources and provide a strong level of evidence but are not considered primary research articles. Therefore, they should not be included in this assignment. Journal of Medical Internet Research Assignment

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

My PICOT question for this assignment is “In COPD patients (P), does pulmonary rehabilitation (I) compared to regular treatment (C) reduce the rate of COPD-related hospitalization (O)?”. Journal of Medical Internet Research Assignment