NRS 493 Grand Canyon University Negative Pressure Wound Therapy Literature Review

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: 1. Title page 2. Introduction section 3. A comparison of research questions 4. A comparison of sample populations 5. A comparison of the limitations of the study 6. 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. Course Code NRS-493 Class Code NRS-493-IO9210 Criteria Content Percentage 80.0% Literature Review 10.0% Comparison of Research Questions 20.0% Comparison of Sample Populations 20.0% Comparison of the Limitations of the Study 20.0% Conclusion and Recommendations for Further Research 10.0% Organization and Effectiveness 15.0% Thesis Development and Purpose 5.0% Argument Logic and Construction 5.0% Criteria 3Mechanics of Writing (includes spelling, punctuation, grammar, language use) 5.0% Format 5.0% Paper Format (use of appropriate style for the major and assignment) 2.0% Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 3.0% Total Weightage 100% Assignment Title Literature Review 1: Unsatisfactory (0.00%) An introduction is not present. No comparison of research questions is presented. No comparison of sample populations is presented. No comparison of the limitations of the study is presented. No conclusion and recommendations for further research are presented. Paper lacks any discernible overall purpose or organizing claim. Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. Template is not used appropriately or documentation format is rarely followed correctly. Sources are not documented. Total Points 50.0 2: Less Than Satisfactory (75.00%) An introduction is present, but it does not relate to the body of the paper. A comparison of research questions is presented, but it is not valid. A comparison of sample populations is presented, but it is not valid. A comparison of the limitations of the study is presented, but it is not valid. A conclusion and recommendations for further research are presented, but they are not valid. Thesis is insufficiently developed or vague. Purpose is not clear. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present. Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. 3: Satisfactory (79.00%) An introduction is present, and it relates to the body of the paper. There is nothing in the introduction to entice the reader to continue reading. A cursory though valid comparison of research questions is presented. A cursory though valid comparison of sample populations is presented. A cursory though valid comparison of the limitations of the study is presented. A conclusion and recommendations for further research are valid, but they are cursory. Thesis is apparent and appropriate to purpose. Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. Template is used, and formatting is correct, although some minor errors may be present. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. 4: Good (89.00%) An introduction is present, and it relates to the body of the paper. Information presented in the introduction provides incentive for the reader to continue reading. A moderately thorough and valid comparison of research questions is presented. A moderately thorough and valid comparison of sample populations is presented. A moderately thorough and valid comparison of the limitations of the study is presented. A conclusion and recommendations for further research are valid and moderately thorough. Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used. Template is fully used; There are virtually no errors in formatting style. Sources are documented, as appropriate to assignment and style, and format is mostly correct. 5: Excellent (100.00%) An introduction is present, and it relates to the body of the paper. Information presented in the introduction is intriguing and encourages the reader to continue reading. A reflective and insightful comparison of research questions is presented. A reflective and insightful comparison of sample populations is presented. A reflective and insightful comparison of the limitations of the study is presented. A conclusion and recommendations for further research are reflective and insightful. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. Comments Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. Writer is clearly in command of standard, written, academic English. All format elements are correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. Points Earned 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. 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. #www.magonlinelib rary.com/doi/pdfplus/10.1 2968/bjon.2017.26.12.S4 4 Apelqvist, J., Willy, C., Fagerdahl, A. M., Fraccalvieri, M., Malmsjö, M., Piaggesi, A., … & Vowden, P. Journal of wound care, 26(Sup3), S1-S154. #www.magonlinelibrary.c om/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. #www.magonlinelibrary. com/doi/pdf/10.12968/jowc.20 16.25.3.154 Article Title and Year Published Cost-effective wound management: A survey of 1717 nurses (2017) NRS 493 Grand Canyon University Negative Pressure Wound Therapy Literature Review

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) Research Questions (Qualitative)/Hyp What do nurses know about clinical efficacy 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? Nordmeyer, M., Pauser, J., Biber, R., Jantsch, J., Lehrl, S., Kopschina, C., … & Brem, M. H. International Wound Journal, 13(6), 11761179. #onlinelibrary.wile y.com/doi/pdf/10.1111/i wj.12436 Negative pressure wound therapy for seroma prevention and surgical incision treatment in spinal fracture care (2016) How does incisional NPWT compare to © 2015. Grand Canyon University. All Rights Reserved. othesis (Quantitative) and cost-effectiveness in wound care? Purposes/Aim of the Study To determine the current nurses’ knowledge and perceptions in delivering cost-effective wound care. Design (Type of Quantitative, or Type of Qualitative) Qualitative phenomenological study Setting/Sample standard care in seroma prevention? 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. Qualitative Literature review To determine the effect of NPWT versus standard wound care on the quality of life in patients with open or infected wounds. Nurses participating in a study in England, Wales, and Scotland Articles and health systems in Europe Methods: Intervention/Inst ruments Educational interventions and surveys with patients Literature review searches Articles in PubMed, Science Direct Freedom Collection, Web of Science, CINAHL, Medline, SwetsWise, PSYCArticles, and Infotrac Custom Journals MINORS score to determine study credibility Analysis Thematic analysis of nurse responses Thematic analysis Thematic analysis 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 Mixed methods systematic review © 2017. Grand Canyon University. All Rights Reserved. “To evaluate the clinical use and economic aspects of negative pressure wound therapy (NPWT) after dorsal stabilization of spinal fractures.” A quantitative randomized controlled trial 20 patients with incisions for spinal fractures NPWT was conducted on the intervention group, and typical incision dressing on the control group t-tests to determine statistical significance in the control and intervention groups iNPWT presents economic benefits, promotes wound healing, and prevents infections Recommendation s Explanation of How the Article Supports EBP/Capstone Project Clinicians should work with commissioning groups to enhance efficacy and costeffectiveness The article supports the capstone project by providing an overview of current dilemmas and objectives of wound care and its effectiveness. NRS 493 Grand Canyon University Negative Pressure Wound Therapy Literature Review

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 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. Criteria Article 5 Article 6 Article 7 Article 8 Author, Journal (PeerReviewed), 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). #www.ncbi.nlm.nih.gov /pmc/articles/PMC6517143/ Negative pressure wound therapy for treating foot wounds in people with diabetes mellitus (2018) 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/bmj open-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. #online.boneandjoint.or g.uk/doi/pdf/10.1302/20463758.58.bjr-2016-0022.r1 Incisional negative pressure wound therapy dressings (iNPWTd) in routine primary hip and knee arthroplasties: a randomized controlled trial (2016) What is the effect of NPWT compared to standard care in treating foot wounds in NPWT is safe and produces additional effectiveness in wound care and healing Älgå, A., Haweizy, R., Bashaireh, K., Wong, S., Lundgren, K. C., von Schreeb, J., & Malmstedt, J. The Lancet Global Health, 8(3), e423-e429. #doi.org/10.1016/S 2214-109X(19)30547-9 Negative pressure wound therapy versus standard treatment in patients with acute conflict-related extremity wounds: a pragmatic, multi-site, randomized controlled trial (2020) What is the safety and effectiveness of NPWT compared to standard Article Title and Year Published Research Questions (Qualitative)/Hy Negative pressure wound therapy compared with standard moist wound care on diabetic foot ulcers in real-life clinical practice: results of the German DiaFuRCT (2020) Incisional NPWT can be effectively used for total knee and hip arthroplasties. © 2017. Grand Canyon University. All Rights Reserved. pothesis (Quantitative) people with diabetes mellitus? 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.” A qualitative review of the literature “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, singleuse, incisional negative pressure wound therapy dressing (iNPWTd).” “To compare the safety and effectiveness of NPWT with that of standard treatment.” A quantitative randomized controlled trial A quantitative randomized controlled trial A quantitative randomized controlled trial 11 randomized controlled trials 368 patients from 40 facilities in Germany 220 patients undergoing hip and knee arthroplasties Methods: Review authors Intervention/Inst independently selected ruments studies based on the detailed criteria. Analysis Thematic analysis NPWT compared to standard moist wound care (SMWC) Wound exudate level measurements 172 patients in two civilian hospitals in Jordan and Iraq Patients were assigned to either NPWT or standard care. NRS 493 Grand Canyon University Negative Pressure Wound Therapy Literature Review

Statistical analysis of the significance Statistical analysis of the significance Key Findings 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. iNPWT should be used more in wound care Design (Type of Quantitative, or Type of Qualitative) Setting/Sample Recommendatio ns Explanation of How the Article care among civilians with multi-site wounds? There is low certainty that NPWT is effective in enhancing foot wound closure for diabetes mellitus patients. More studies on the effectiveness of NPWT on foot wounds are required This article studies the intervention’s effectiveness More research on interventions to enhance the healing of foot wounds is required The article presents evidence that the capstone change This study produces evidence of the effectiveness of the © 2017. Grand Canyon University. All Rights Reserved. Statistical analysis to determine statistical significance NPWT did not yield better outcomes for acute conflict-related extremity wounds More research on the cost-effectiveness of wound care is required The research shows that conflict-related wounds Supports EBP/Capstone on a specific wound type and reports primary outcomes that may be useful in implementing the change project. intervention cannot be used for certain types of wounds, hence producing more knowledge on the intervention’s effectiveness. intervention in the capstone change project. © 2017. Grand Canyon University. All Rights Reserved. may not be adequately enhanced using NNPWT hence showing gaps in practice related to the capstone intervention. Running head: PICOT QUESTION 1 PICOT Question Aynur Kabota Grand Canyon University NRS-493 10/11/2020 PICOT QUESTION 2 Standard wound care often includes disinfection of the wound area and dressing the wound to keep it dry and clean. To enhance healing, research has suggested that more than standard care should be implemented. One of the proposed approaches is negative pressure wound therapy, a suction method that removes exudate from the wound, creating conditions for potentially better outcomes. Nurses caring for patient wounds should implement evidence-based practice to promote healing and better health outcomes in wound care and associated health conditions. PICOT Question Among hospitalized patients with wounds, how effective is negative pressure wound therapy (NPWT) compared to standard practice in enhancing wound healing within one week of admission? Population- hospitalized patients with wounds Intervention- negative pressure wound therapy (NPWT) Comparison- standard practice Outcomes- wound healing Time- one week Evidence-Based Solution The described problem is the challenge of wound healing in hospitalized patients with wounds. Primarily, this proposal aims to determine whether using NPWT could improve wound care outcomes and enhance healing for the patients. NRS 493 Grand Canyon University Negative Pressure Wound Therapy Literature Review

The evidence-based solution will be used when research is conducted and articles assessed. For instance, in a study by Bellot et al. (2019), patients who received NPWT experienced enhanced healing compared to standard care. This PICOT QUESTION 3 evidence suggests that the proposed intervention is supported by current evidence. Using EBP in this problem is crucial because it will enhance project outcomes. Nursing Intervention The proposed nursing intervention is to use NPWT to enhance wound healing. Nurses are crucial in implementing organization-based and community-oriented interventions. Nursing interventions are meant to be treatment activities that nurses implement to reach a patient’s treatment goals (Butcher et al., 2018). Viewing the current problem from a nursing intervention point of view shows that NPWT is meant as a treatment approach that challenges the status quo on wound care by advancing the standard practice. Patient Care Additionally, the problem of wound care affects patient care, as well. Patient care can be seen as all those activities that a nurse undertakes to present an environment that enhances the biophysical and psychosocial health (Murray et al., 2018). In wound care, patient care can be described as all those activities that the nurse engages in to provide a good environment for healing the wound. This includes dressing the wound, keeping it dry, and cleaning it. NPWT involves additional activities outside of the standard patient care to promote healing. Health Care Agency Moreover, the described PICOT problem interacts with the health care agency through the required changes in practice. …