NRS 493 Negative Pressure Wound Therapy Literature Review
NRS 493 Negative Pressure Wound Therapy Literature Review
PICOT Literature Review 1000 Word APA with refs, please see attached for details and let me know if you need any previous assignments to complete I have attached the ones I think you need. Thanks.
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Literature Review |
While the implementation plan prepares students to apply their research to the problem or issue they have identified for their capstone project change proposal, the literature review enables students to map out and move into the active planning and development stages of the project.
A literature review analyzes how current research supports the PICOT, as well as identifies what is known and what is not known in the evidence. Students will use the information from the earlier PICOT Question Paper and Literature Evaluation Table assignments to develop a 750-1,000 word review that includes the following sections:
- Title page
- Introduction section
- A comparison of research questions
- A comparison of sample populations
- A comparison of the limitations of the study
- A conclusion section, incorporating recommendations for further research
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
Literature Evaluation Table
Student Name: Aynur Kabota
Change Topic (2-3 sentences):
The quality of wound care and the effectiveness of services provided affect patient satisfaction and well-being. Negative pressure wound therapy (NPWT) is one of the approaches to enhance wound healing, and this change project proposes its implementation and comparison with standard care to determine its effectiveness. NRS 493 Negative Pressure Wound Therapy Literature Review
Criteria | Article 1 | Article 2 | Article 3 | Article 4 |
Author, Journal (Peer-Reviewed), and
Permalink or Working Link to Access Article
|
Newton, H., British Journal of Nursing, 26(12), S44-S49. https://www.magonlinelibrary.com/doi/pdfplus/10.12968/bjon.2017.26.12.S44
|
Apelqvist, J., Willy, C., Fagerdahl, A. M., Fraccalvieri, M., Malmsjö, M., Piaggesi, A., … & Vowden, P. Journal of wound care, 26(Sup3), S1-S154. https://www.magonlinelibrary.com/doi/pdf/10.12968/jowc.2017.26.Sup3.S1 | Janssen, A. H. J., Mommers, E. H. H., Notter, J., de Vries Reilingh, T. S., & Wegdam, J. A. Journal of Wound Care, 25(3), 154-159. https://www.magonlinelibrary.com/doi/pdf/10.12968/jowc.2016.25.3.154 | Nordmeyer, M., Pauser, J., Biber, R., Jantsch, J., Lehrl, S., Kopschina, C., … & Brem, M. H. International Wound Journal, 13(6), 1176-1179. https://onlinelibrary.wiley.com/doi/pdf/10.1111/iwj.12436 |
Article Title and Year Published
|
Cost-effective wound management: A survey of 1717 nurses (2017) | Emma document: Negative pressure wound therapy: Overview, challenges, and perspectives (2017) | Negative pressure wound therapy versus standard wound care on quality of life: a systematic review (2016) | Negative pressure wound therapy for seroma prevention and surgical incision treatment in spinal fracture care (2016) |
Research Questions (Qualitative)/Hypothesis (Quantitative)
|
What do nurses know about clinical efficacy and cost-effectiveness in wound care? | What is the current and reliable knowledge of negative pressure wound therapy (NPWT)? | How does NPWT compare to standard wound care affect quality of life? | How does incisional NPWT compare to standard care in seroma prevention? |
Purposes/Aim of the Study | To determine the current nurses’ knowledge and perceptions in delivering cost-effective wound care. | To describe the present knowledge concerning NPWT and provide an overview of its implications for the organization of care, documentation, communication, patient safety, and health economic aspects. | To determine the effect of NPWT versus standard wound care on the quality of life in patients with open or infected wounds. | “To evaluate the clinical use and economic aspects of negative pressure wound therapy (NPWT) after dorsal stabilization of spinal fractures.” |
Design (Type of Quantitative, or Type of Qualitative)
|
Qualitative phenomenological study | Qualitative Literature review | Mixed methods systematic review | A quantitative randomized controlled trial |
Setting/Sample
|
Nurses participating in a study in England, Wales, and Scotland | Articles and health systems in Europe | Articles in PubMed, Science Direct Freedom Collection, Web of Science, CINAHL, Medline, SwetsWise, PSYCArticles, and Infotrac Custom Journals | 20 patients with incisions for spinal fractures |
Methods: Intervention/Instruments
|
Educational interventions and surveys with patients | Literature review searches | MINORS score to determine study credibility | NPWT was conducted on the intervention group, and typical incision dressing on the control group |
Analysis
|
Thematic analysis of nurse responses | Thematic analysis | Thematic analysis | t-tests to determine statistical significance in the control and intervention groups |
Key Findings
|
Nurses are under pressure or scrutiny to reduce wound care costs | NPWT has been detailed as useful in wound care | Although NPWT patients showed better quality of life initially, anxiety developed with time, reducing the quality of life | iNPWT presents economic benefits, promotes wound healing, and prevents infections |
Recommendations
|
Clinicians should work with commissioning groups to enhance efficacy and cost-effectiveness | More research on NPWT should be conducted to enhance current literature | More research on patient perceptions of NPWT is required | iNPWT should be used more for spinal surgery patients |
Explanation of How the Article Supports EBP/Capstone Project
|
The article supports the capstone project by providing an overview of current dilemmas and objectives of wound care and its effectiveness. | This document supports the implementation of the NPWT intervention from the capstone project. | The article presents support for NPWT while also highlighting issues with patient quality of life upon intervention implementation. | This article details a study similar to the capstone study and supports NPWT as more effective than standard care. |
NRS 493 Negative Pressure Wound Therapy Literature Review
Criteria | Article 5 | Article 6 | Article 7 | Article 8 |
Author, Journal (Peer-Reviewed), and
Permalink or Working Link to Access Article
|
Liu, Z., Dumville, J. C., Hinchliffe, R. J., Cullum, N., Game, F., Stubbs, N., … & Peinemann, F., Cochrane Database of Systematic Reviews, (10). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6517143/ | Seidel, D., Storck, M., Lawall, H., Wozniak, G., Mauckner, P., Hochlenert, D., … & Krönert, T. BMJ Open, 10(3), e026345. http://dx.doi.org/10.1136/bmjopen-2018-026345 | Karlakki, S. L., Hamad, A. K., Whittall, C., Graham, N. M., Banerjee, R. D., & Kuiper, J. H. Bone & Joint research, 5(8), 328-337. https://online.boneandjoint.org.uk/doi/pdf/10.1302/2046-3758.58.bjr-2016-0022.r1 | Älgå, A., Haweizy, R., Bashaireh, K., Wong, S., Lundgren, K. C., von Schreeb, J., & Malmstedt, J. The Lancet Global Health, 8(3), e423-e429. https://doi.org/10.1016/S2214-109X(19)30547-9 |
Article Title and Year Published
|
Negative pressure wound therapy for treating foot wounds in people with diabetes mellitus (2018) | Negative pressure wound therapy compared with standard moist wound care on diabetic foot ulcers in real-life clinical practice: results of the German DiaFu-RCT (2020) | Incisional negative pressure wound therapy dressings (iNPWTd) in routine primary hip and knee arthroplasties: a randomized controlled trial (2016) | Negative pressure wound therapy versus standard treatment in patients with acute conflict-related extremity wounds: a pragmatic, multi-site, randomized controlled trial (2020) |
Research Questions (Qualitative)/Hypothesis (Quantitative)
|
What is the effect of NPWT compared to standard care in treating foot wounds in people with diabetes mellitus? | NPWT is safe and produces additional effectiveness in wound care and healing | Incisional NPWT can be effectively used for total knee and hip arthroplasties. | What is the safety and effectiveness of NPWT compared to standard care among civilians with multi-site wounds? |
Purposes/Aim of the Study | “To assess the effects of negative pressure wound therapy compared with standard care or other therapies in the treatment of foot wounds in people with DM in any care setting.” | “To evaluate the effectiveness and safety of negative pressure wound therapy (NPWT) in patients with diabetic foot wounds in clinical practice.” | “To explore the potential benefits of a portable, single-use, incisional negative pressure wound therapy dressing (iNPWTd).” | “To compare the safety and effectiveness of NPWT with that of standard treatment.” |
Design (Type of Quantitative, or Type of Qualitative)
|
A qualitative review of the literature | A quantitative randomized controlled trial | A quantitative randomized controlled trial | A quantitative randomized controlled trial |
Setting/Sample
|
11 randomized controlled trials | 368 patients from 40 facilities in Germany | 220 patients undergoing hip and knee arthroplasties | 172 patients in two civilian hospitals in Jordan and Iraq |
Methods: Intervention/Instruments
|
Review authors independently selected studies based on the detailed criteria. | NPWT compared to standard moist wound care (SMWC) | Wound exudate level measurements | Patients were assigned to either NPWT or standard care. |
Analysis
|
Thematic analysis | Statistical analysis of the significance | Statistical analysis of the significance | Statistical analysis to determine statistical significance |
Key Findings
|
There is low certainty that NPWT is effective in enhancing foot wound closure for diabetes mellitus patients. | NPWT was not more effective than standard care for foot wounds | Incisional NPWT reduces the risk of the additional length of stay and infections for patients undergoing total hip and knee arthroplasties. | NPWT did not yield better outcomes for acute conflict-related extremity wounds |
Recommendations
|
More studies on the effectiveness of NPWT on foot wounds are required | More research on interventions to enhance the healing of foot wounds is required | iNPWT should be used more in wound care | More research on the cost-effectiveness of wound care is required |
Explanation of How the Article Supports EBP/Capstone
|
This article studies the intervention’s effectiveness on a specific wound type and reports primary outcomes that may be useful in implementing the change project. | The article presents evidence that the capstone change intervention cannot be used for certain types of wounds, hence producing more knowledge on the intervention’s effectiveness. | This study produces evidence of the effectiveness of the intervention in the capstone change project. | The research shows that conflict-related wounds may not be adequately enhanced using NNPWT hence showing gaps in practice related to the capstone intervention. |