NR585NP: Literature Summary Assignment Template

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NR585NP: Literature Summary Assignment Template

 

Name: 

 

Date: 12/1/2024

 

Follow the instructions provided in the Week 5 Assignment Guidelines and Rubric to complete the information below. 

  1. Use this Literature Summary Template to complete the assignment. Use of the template is required. A 10% deduction will be applied if the template is not used. See the rubric.
  2. Use complete sentences to document findings.  
  3. State the PICOT question from Week 2 in the first table, including
    1. Population
    2. Intervention
    3. Comparison
    4. Outcome
    5. Timeframe
    6. Use standard PICOT format and label each element
  4. Select the correct table for each of the five articles and complete the information that aligns with the type of research article selected.
  • Original research: single quantitative, qualitative, or mixed methods study
  • Synthesis: systematic review, meta-analysis, or meta-synthesis
  • CPG: clinical practice guideline 
  1. Copy and paste the tables to classify your five articles correctly. Delete tables that are not used.

 

PICOT Statement
State your PICOT statement from Week 2 in the standard format and label each element ( e.g., P, I, C, O, T).

  • P-Population -In adults with uncontrolled hypertension
  • I-Intervention – how does a combined lifestyle intervention and medication adherence program
  • C-Comparison- compared to medication-only management
  • O-Outcome – affect blood pressure control
  • T-Timeframe – within a 6-month period

 

Original Research Articles
Full reference for article (APA Format) and Chamberlain University hyperlink Smolen, J. R., Wang, J. J., & Anane, S. P. (2019). Challenges and strategies for hypertension management: Qualitative analysis of small primary care practices with varying blood pressure control. Family Practice, 36(5), 644-649. https://doi.org/10.3389/fcvm.2021.716080 
Purpose and Type of Research The study aimed to explore the challenges and strategies primary care providers face in managing hypertension in small practices, particularly with varying blood pressure (BP) control rates.
Methods  A cross-sectional study employing semi structured interviews with 23 clinicians from small New York City practices, stratified by their patients’ BP control rates.
Sample and Participants  23 small primary care practices with 5 or fewer providers, by BP control status (high, average, low).
Study Findings Lack of medication compliance was cited by the providers as a significant barrier and education and patient activation were employed to enhance BP management
Limitations of the Study  The study was conducted on small practices in one city which restricts the generalization of the findings.
Relevance to Practice Issue or Proposed Intervention Relevant because the study emphasizes on the role of communication and patient involvement approaches in enhancing BP control.

 

Original Research Articles
Full reference for article (APA Format) and Chamberlain University hyperlink Dey, S., Mukherjee, A., Pati, M. K., Kar, A., Ramanaik, S., Pujar, A., … & N, S. (2022). Socio-demographic, behavioural and clinical factors influencing control of diabetes and hypertension in urban Mysore, South India: a mixed-method study conducted in 2018. Archives of Public Health, 80(1), 234. https://doi.org/10.1186/s13690-022-00996-y
Purpose and Type of Research The purpose of the study was to determine the socio-demographic, behavioral and clinical predictors of diabetes and hypertension control in urban Mysore, India. It used both quantitative and qualitative research methods in its design.
Methods  The study focused on primary healthcare settings in Mysore, utilizing both logistic regression for quantitative analysis and in-depth interviews for qualitative insights
Sample and Participants  399 patients with diabetes and/or hypertension.
Study Findings Age, BMI, tobacco, alcohol, and stress were found to be associated with worse disease control.
Limitations of the Study  Sampled only a particular urban population, and therefore the results could not be extrapolated to the general population.
Relevance to Practice Issue or Proposed Intervention The study also emphasizes the importance of developing specific care management plans that take into consideration the biological, social and behavioral aspects.

 

Original Research Articles
Full reference for article (APA Format) and Chamberlain University hyperlink Schober, D. J., Tate, M., Rodriguez, D., Ruppar, T. M., Williams, J., & Lynch, E. (2021). High blood pressure medication adherence among urban, African Americans in the Midwest United States. Journal of racial and ethnic health disparities, 8(3), 607-617. https://doi.org/10.1007/s40615-020-00819-2 
Purpose and Type of Research The purpose of this research was to identify challenges and enablers of medication compliance among urban African Americans with hypertension to enhance blood pressure control.
Methods  A qualitative approach was employed, and participants included 24 African Americans (58.5% females, and a mean age of 59.5 years). Thematic analysis was then used to categorise the barriers and facilitators to medication adherence.
Sample and Participants  24 urban African Americans with hypertension were interviewed; their average age was 59.5 years.
Study Findings Hindrances were side effects and forgetfulness while enablers were reminders, routines and social support.
Limitations of the Study  The study sample was small and was selected from a single demographic group.
Relevance to Practice Issue or Proposed Intervention Implications can inform multiple level interventions with regards to medication adherence to eliminate racial disparities and heart disease.

 

Synthesis Articles
Full reference for article (APA Format) Sharp, A. S., Sanderson, A., Hansell, N., Reddish, K., Miller, P., Moss, J., … & McCool, R. (2024). Renal denervation for uncontrolled hypertension: a systematic review and meta-analysis examining multiple subgroups. Journal of Hypertension, 42(7), 1133-1144. https://doi.org/10.1097/HJH.0000000000003727 
Purpose and Type of Research The purpose of the study was to evaluate the effectiveness of renal denervation (RDN) in patients with uncontrolled hypertension using a systematic review of RCTs.
Search strategy  The authors only selected RCTs that evaluated RDN for uncontrolled hypertension and only compared RDN with sham control and medication control.
Discussion of Inclusion Criteria  Included trials were RCTs investigating RDN for patients with treatment-refractory hypertension with outcomes based on blood pressure management.
Study Findings RDN was able to significantly decrease blood pressure in multiple subgroups with the exception of treatment-resistant hypertension.
Limitations of the Study  The study is restricted to published RCTs only and may not necessarily reflect the rest of the population.
Relevance to Practice Issue or Proposed Intervention RDN is a potential therapeutic option for patients with uncontrolled hypertension and who have not responded to conventional therapy.

 

Synthesis Articles
Full reference for article (APA Format) Dhungana, R. R., Pedisic, Z., Pandey, A. R., Shrestha, N., & de Courten, M. (2021). Barriers, enablers and strategies for the treatment and control of hypertension in Nepal: a systematic review. Frontiers in Cardiovascular Medicine, 8, 716080. https://doi.org/10.3389/fcvm.2021.716080 
Purpose and Type of Research This systematic review was conducted with the purpose of identifying barriers, facilitators and interventions in hypertension treatment and control in Nepal.
Search strategy  The study used PubMed, Web of Science, and Nepalese journals to search for qualitative, quantitative, and mixed-method studies.
Discussion of Inclusion Criteria  Literature reviewed was based on hypertension management and control in Nepal, including challenges and facilitators for health systems and patients.
Study Findings Challenges were lack of resources, communication, noncompliance to medication, and financial issues. Facilitators were free medical care and family support.
Limitations of the Study  The review was only done on published articles and may not include unpublished or on-going research.
Relevance to Practice Issue or Proposed Intervention The results of the study underscore the importance of developing interventions to address the system-level, provider-level, and patient-level factors that influence hypertension care in Nepal.