NURS FXP 4000 ASSESSMENT 2: Applying Research Skills
Applying Research Skills
Chronic conditions like diabetes, hypertension, and cardiovascular disease persistently impose a substantial burden on individuals, families, and the healthcare system as a whole. Despite advancements in medical treatments and technology, the mishandling of these disorders leads to adverse health outcomes, increased healthcare expenses, and a reduced quality of life (Alruwaili et al., 2024). Effective management of chronic illnesses necessitates continuous treatment, patient education, and interdisciplinary collaboration. Nurses play a crucial role in these domains by delivering information, advocating for lifestyle changes, and promoting medication adherence. This paper examines the effects of chronic disease mismanagement, addresses its significance to professional nursing practice, delineates the procedure for selecting trustworthy research, and provides an annotated bibliography of scholarly materials pertinent to this critical subject.
Healthcare Problem and Professional Relevance
The improper management of chronic diseases continues to be a significant challenge in contemporary healthcare. Notwithstanding the existence of efficient treatment alternatives and instructional materials, numerous patients afflicted with illnesses including diabetes, hypertension, and heart disease do not obtain sufficient care (Facchinetti et al., 2023). This results in repeated hospitalizations, diminished quality of life, and preventable fatalities. Nurses are frequently at the forefront of care, possessing distinct opportunities to educate patients, encourage compliance, and recognize early indicators of deterioration. Efficient management of chronic diseases is crucial for patient outcomes, as well as for minimizing healthcare expenditures and alleviating pressure on emergency services. Mismanagement jeopardizes these objectives, making it a critical area of concern for nursing staff in diverse care settings.
My interest in the improper management of chronic diseases is profoundly influenced by personal experience. My grandmother struggled with diabetes for decades, and I observed how inadequate care and little support adversely impacted her health. Her challenges and subsequent difficulties were disastrous, frequently rendering me exasperated and powerless. These personal experiences fueled my aspiration to pursue a profession in healthcare, particularly in a capacity that enables people to manage their ailments effectively. Observing the impact of educational disparities and systemic deficiencies on her distress underscored the significance of nursing interventions that extend beyond mere medicine administration (Chan, 2021). I realized that constant, empathetic, and informed support from nurses might markedly enhance chronic disease outcomes.
I encountered this difficulty early in my nursing career. Mr. Salerno, a patient, was often hospitalized for diabetic ketoacidosis, attributable to nonadherence to treatment and lifestyle choices. His recurrent hospitalizations, despite having access to healthcare, demonstrated how systemic difficulties, including insufficient follow-up and a deficiency in patient-centered education, perpetuate chronic disease mismanagement. The casual remark from my preceptor—“he is always here”—highlighted the normalization of this issue. Observing examples such as Mr. Salerno’s has reinforced my dedication to enhancing chronic care. These real-world experiences underscore the necessity for enhanced nurse-led programs in chronic disease education, prevention, and long-term management (Cho & Kim, 2021).
Article Selection Process
To locate pertinent peer-reviewed journal articles for this research project, I utilized Capella University’s online library, which provides access to numerous academic databases. I initiated my search using keywords such as “chronic disease management,” “nurse-led interventions,” “telehealth for chronic disease,” “low socioeconomic status,” and “peer support and chronic illness” (Lee et al., 2022). I refined my search to encompass solely full-text, scientific, and peer-reviewed journal papers published in the past five years. Databases such as CINAHL, PubMed, and ProQuest proved to be very beneficial. I evaluated article abstracts for their relevance to the healthcare issue of chronic illness mismanagement, choosing those that discussed new interventions and patient-centered results. The approach was initially daunting owing to the extensive literature, but employing filters and utilizing specific keywords enabled me to effectively refine my search to the three most pertinent and reliable publications for this annotated bibliography.
Assessing Credibility and Relevance
The credibility of the chosen sources was established by verifying that all three studies were published in academic, peer-reviewed journals: Journal of Medical Internet Research, BMC Family Practice, and BMC Health Services Research. Each publication is recent, having been issued between 2021 and 2022, ensuring conformity with modern healthcare standards. Relevance was determined by examining each study’s emphasis on chronic disease management, a critical and persistent healthcare concern that requires ongoing attention. The study by Lee et al. (2022) was selected due to its robust methodology and incorporation of multiple trials, thereby strengthening the evidence base for practice. Van Wilder et al. (2021) was selected for its direct patient viewpoints, providing contextually rich data. Thompson et al. (2022) provided a comprehensive synthesis of the efficacy of peer assistance, thereby enhancing its generalizability. Each article uniquely enhances the topic, bolstering its relevance and utility in informing strategies for managing chronic illnesses.
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Annotated Bibliography
Lee, A. Y. L., Wong, A. K. C., Hung, T. T. M., Yan, J., & Yang, S. (2022). Nurse-Led Telehealth Intervention for Rehabilitation (Telerehabilitation) among Community-Dwelling Patients with Chronic Diseases: Systematic Review and Meta-analysis. Journal of Medical Internet Research, 24(11), e40364. https://doi.org/10.2196/40364
The research systematically studies and evaluates the effects of nurse-led telehealth therapies, referred to as telerehabilitation, on patients with chronic illnesses. The authors aim to evaluate the effectiveness of virtual, nurse-led care models in improving health outcomes for individuals with chronic diseases, including diabetes and hypertension. The research encompasses randomized controlled trials and observational studies with adults residing in the community. The results indicate that telerehabilitation significantly enhances self-care practices, medication adherence, and patient satisfaction. Lee et al. (2022) assert that nurse-led telehealth projects serve as effective alternatives to conventional treatment, providing scalable and patient-centered assistance for chronic disease management. This study advocates for the augmentation of nursing duties in digital health and highlights how technology can mitigate disparities in care, particularly for marginalized or remote populations.
Thompson, D. M., Booth, L., Moore, D., & Mathers, J. (2022). Peer support for people with chronic conditions: a systematic review of reviews. BMC Health Services Research, 22(1). https://doi.org/10.1186/s12913-022-07816-7
This article examines various meta-analyses and systematic reviews to assess the overall efficacy of peer support treatments for patients with chronic illnesses. The authors concentrate on several ailments, encompassing diabetes, cardiovascular disease, and respiratory disorders. The objective is to identify recurring patterns and results associated with peer support programs, including emotional well-being, health behavior modification, and clinical outcomes. Thompson et al. (2022) found that peer support enhances chronic disease treatment by augmenting patients’ motivation, fostering shared experiences, and alleviating loneliness. The review suggests that although peer support is not a substitute for clinical care, it acts as a beneficial adjunct that improves engagement and adherence. These observations highlight the importance of integrating social support networks into chronic care models, particularly in areas where conventional institutions may be insufficient.
Van Wilder, L., Pype, P., Mertens, F., Rammant, E., Clays, E., Devleesschauwer, B., Boeckxstaens, P., & De Smedt, D. (2021). Living with a chronic disease: insights from patients with a low socioeconomic status. BMC Family Practice, 22(1). https://doi.org/10.1186/s12875-021-01578-7
This qualitative study examines the lived experiences of people with chronic illnesses from low socioeconomic origins. The authors aim to understand the challenges these individuals face in effectively managing their diseases through comprehensive interviews. Van Wilder et al. (2021) demonstrate that financial limitations, inadequate health literacy, care discontinuity, and psychosocial stressors significantly contribute to disease mismanagement. Patients indicated sentiments of helplessness, skepticism towards the healthcare system, and recurrent interruptions in therapy attributable to financial or accessibility challenges. The study suggests that effective management of chronic illnesses must consider socioeconomic factors and provide customized assistance, including community outreach and nurse-led interventions. These findings are crucial for nurses and healthcare professionals working in underserved regions, underscoring the importance of advocacy, education, and policy in addressing health inequities.
Reflections on Developing the Annotated Bibliography
This annotated bibliography significantly enhanced my comprehension of chronic disease management by introducing me to several new nursing treatments and patient experiences. The research process enhanced my proficiency in identifying high-quality, peer-reviewed literature and taught me to evaluate evidence based on relevance, methodology, and practical applicability (Lee et al., 2022). I valued the insights gained on the distinct impact of nurse-led telemedicine, peer support systems, and socioeconomic determinants on patient outcomes. Each piece enhanced my understanding, underscoring the essential role of nurses in chronic care, encompassing education and advocacy. This job enhanced my ability to engage with academic research and apply findings in practical nursing contexts.
Conclusion
Chronic disease mismanagement persists in burdening healthcare systems and degrading patient quality of life. An analysis of trustworthy, contemporary literature reveals that nurse-led interventions, peer support programs, and socioeconomic factors are essential in enhancing care outcomes. This annotated bibliography has enhanced my understanding of the intricacies of chronic illness management and strengthened my commitment to evidence-based nursing practices that empower patients and address systemic barriers to care. Continuous research and education are essential for ensuring that nurses are well-prepared to lead in the management of chronic diseases.
References
Alruwaili, M. J. J., Alwallah, S. A., ALRuwaili, F. S., Asmari, M. A., AlRowily, R. T. S., Alghamedi, F. H., Alenazi, E. M., Alanazi, A. D., Alshammari, W. F., & Alghamedi, N. H. A. (2024). The Role of Nursing in Managing Chronic Illness: A Review of Patient Outcomes and Quality of Life. Journal of Ecohumanism, 3(7). https://doi.org/10.62754/joe.v3i7.4681
Chan, S. W. (2021). Chronic Disease Management, Self-Efficacy, and Quality of Life. Journal of Nursing Research, 29(1), e129. https://doi.org/10.1097/jnr.0000000000000422
Cho, M., & Kim, M. Y. (2021). Self-Management Nursing Intervention for Controlling Glucose among Diabetes: A Systematic Review and Meta-Analysis. International Journal of Environmental Research and Public Health, 18(23), 12750. https://doi.org/10.3390/ijerph182312750
Facchinetti, G., Petrucci, G., Albanesi, B., De Marinis, M. G., & Piredda, M. (2023). Can smart home technologies assist older adults in managing their chronic conditions? A systematic literature review. International Journal of Environmental Research and Public Health, 20(2), 1205. https://doi.org/10.3390/ijerph20021205
Lee, A. Y. L., Wong, A. K. C., Hung, T. T. M., Yan, J., & Yang, S. (2022). Nurse-Led Telehealth Intervention for Rehabilitation (Telerehabilitation) among Community-Dwelling Patients with Chronic Diseases: Systematic Review and Meta-analysis. Journal of Medical Internet Research, 24(11), e40364. https://doi.org/10.2196/40364
Thompson, D. M., Booth, L., Moore, D., & Mathers, J. (2022). Peer support for people with chronic conditions: a systematic review of reviews. BMC Health Services Research, 22(1). https://doi.org/10.1186/s12913-022-07816-7
Van Wilder, L., Pype, P., Mertens, F., Rammant, E., Clays, E., Devleesschauwer, B., Boeckxstaens, P., & De Smedt, D. (2021). Living with a chronic disease: insights from patients with a low socioeconomic status. BMC Family Practice, 22(1). https://doi.org/10.1186/s12875-021-01578-7
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Description: Managing chronic diseases such as diabetes, hypertension, and heart disease can be challenging due to the need for ongoing medical care, lifestyle changes, and medication adherence. Poor management of chronic diseases can lead to complications and reduced quality of life
- Writing: Produce text with minimal grammar, usage, spelling, and mechanical errors.
- Sources: Integrate into text appropriate use of current scholarly sources, evidence, and citation style. Use the Evidence and APA guidelines provided. Cite the reference in its summary.
- Formatting: Include a title page and reference page, Times New Roman, 12 point.
- Length: Complete no more than 3–5 typed, double-spaced pages, in addition to the title page and reference page.
- References: Although you are citing your three scholarly or academic peer-reviewed journal articles within the Annotated Bibliography section of this paper, be sure to also list your citations on a reference page at the end of your paper, along with any other resources you may have included.
Write a 3–5 page paper in which you include the following:
Topic Identification
Select one of the healthcare problems or issues presented in the Assessment 02 Supplement: Applying Research Skills [PDF] Download Assessment 02 Supplement: Applying Research Skills [PDF]resource. Write a brief overview of the healthcare problem or issue. In your overview:
- Summarize the healthcare problem or issue, including describing its professional relevance.
- Describe your interest in the problem or issue.
- Describe any professional experience you have with this topic.
Discussion of Research
Discuss your research and selection process for each of the three journal articles you have chosen to include in your annotated bibliography.
- Describe your process of applying library research skills to identify the journal articles relevant to the healthcare problem or issue you are researching.
- Identify the keywords you used to select the articles.
- Describe the criteria you used to select the resources, including the names of the databases you used.
- What was the process like to locate relevant articles?
- Assess the credibility of the information sources.
- Determine whether each resource is from an academic, peer-reviewed journal.
- Determine whether the publication is current (published within the last 3–5 years).
- Determine whether information in the academic peer-reviewed journal article is still relevant.
- Assess the relevance of the information sources.
- Explain how the healthcare problem or issue is addressed in each source.
- Discuss what kind of contribution each resource provides.
Annotated Bibliography
Summarize each of the three current academic, peer-reviewed journal articles you chose, using the annotated bibliography organizational format. The purpose of an annotated bibliography is to document a list of references along with key information about each one. The detail about the reference is the annotation. Developing this annotated bibliography will create a foundation of knowledge about the selected topic. In your annotated bibliography:
- List each full reference in APA format, followed immediately by its annotation.
- Present your three current, annotated references in alphabetical order, according to the reference citation.
- Double-space each reference and format it with a hanging indent.
- Provide the full APA reference citation, including the author, date, title, publisher or publication, and any additional information required by APA style.
- Write the annotation (summary) for each citation in paragraph form, using approximately 150 words (or 1–3 paragraphs) for each citation. Make sure to cite the article in your summary. Include the following components for each annotation:
- Identify the purpose of the article.
- Summarize the article.
- Include the conclusions and findings of the article.
Summary
In a separate paragraph or two at the end of the paper, summarize what you learned from the process of developing the annotated bibliography.