NURS FPX 8004 Assessment 3 Annotated Bibliography

NURS FPX 8004 Assessment 3 Annotated Bibliography

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Hanley

Capella University

NURS FPX 8004

Dr. Carmen McDonald

3rd May, 2025

Annotated Bibliography

In NURS FPX 8004 Assessment 3 Annotated Bibliography the Agency deficits in diagnosis and restoration among the outpatient sturdy point sanatorium in the Midwest for youths with cardiopulmonary conditions, as well as pulmonary high blood pressure, significantly influence early identification and results. Internal first-class audits and workers’ conferences within the sanatorium revealed that over forty of the youth specialists did not do a timely analysis for more than six months (authority Nurse, private conversation, March 15, 2025). The non-on-time evaluation in the existing timeframe results in impaired infection advancement and raised healthcare pressures. The issue also suggests that there is a lack of firm knowledge and ineffective referral systems (government Nurse, private interview, March 15, 2025). Gap closure requires a collective top-level development initiative focused on early evaluation. Pulmonologists, cardiologists, and primary general care physicians are the hospital’s prime stakeholders (Laurisz et al., 2023). The strategy implemented includes employee training, streamlined referrals, and expert rights to get proper access.

The PICO

In pulmonary excess blood pressure (P) patients, how does early diagnostic and treatment protocol execution (I), rather than preferred not-on-time assessment and treatment (C) influence illness progression cost and hospitalization expense (O) after 12 months (T)?

Thesis Statement

The quality improvement (QI) program aims to decrease the wide gap in the early diagnosis and treatment of pulmonary high blood pressure in children by the implementation of emerging proof-primarily based exercise that entirely eliminates diagnostic delays. Through focused interventions, including sophisticated company training and streamlined referrals, the program aims to reduce the interval between the onset of signs and symptoms and signs and signs to evaluation to a great deal tons a good deal less than three months, ultimately resulting to better-affected character outcomes and healthcare cost credit score due to postponed care.

Literature Search Process

A literature review was previously completed as quickly as possible to determine early pulmonary excessive blood pressure. All of the databases tried are PubMed, Scopus, and Wiley Online Library. The materials inform the modern primary examination available in proof-based research. The keywords most used were “pulmonary high blood pressure,” “early analysis,” “hospitalization,” and “outcomes.” One hundred forty articles were retrieved after an early database search and have been sifted according to pre-defined inclusion criteria. The studies involved were published from 2020 to 2025 in the English language and full text concerning early analysis and treatment of pulmonary immoderate blood pressure.

NURS FPX 8004 Assessment 3 Annotated Bibliography

Exclusion criteria were non-English studies, review articles, editorials, and anything else than the study topics. Duplicates and papers with low relevance or no full text have been omitted. Then, the 25 papers were evaluated well on excellence and relevance. The best-suited among the eight articles chosen in the final were now answering the PICOT question and giving methodological strength (Min et al., 2021). The articles under review are original research with scientific or observational data. The facts established are hospitalizations, early interventions, and illness development. Establishing the literature ensured evidence-based, complete findings to better plan for development.

Annotated Bibliography

Dalton, R., Desai, A. A., Jiao, T., & Duarte, J. D. (2025). Disparities in scientific outcomes observed in inner virtual fitness record information from a statewide cohort of pulmonary arterial immoderate blood strain patients. Pulmonary motion, 15(1), 10–33.  https://doi.org/10.1002/pul2.70041 

The study compared demographic and socioeconomic differences in medical outcomes among PAH patients. A retrospective evaluation of virtual fitness data from 6,379 PAH patients in a point in 12 medical centers in Florida was previously done. Impacts like mortality, hospital admissions, and emergency department visits were measured. Outcomes revealed that patients with greater social deprivation index values had higher hospital admissions and emergency visits. Hispanic patients showed lower costs of mortality with equal healthcare utilization. The evaluation reveals the need for particular interventions to enhance healthcare gaps in PAH management. The evaluation is research-based solely applying retrospective information analysis.

Didden, E., Lee, E., Wyckmans, J., & Quinn, D. A. (2023). Time to evaluation of pulmonary immoderate blood strain and diagnostic burden: A retrospective evaluation of national US healthcare facts. Pulmonary circulation, 13(1), three–7.  https://doi.org/10.1002/pul2.12188 

They conduct a trial in an effort to measure delays in pulmonary excessive blood pressure evaluation through the application of real-world data. The design was retrospective, examining 1,361 cases of infected patients in pulmonary immoderate blood pressure clinics in Europe at some point. Outcomes revealed a median 2.1-12 months removal from symptom onset to pulmonary excessive blood pressure evaluation. The study confirmed that patients frequently face more than one misdiagnosis before a proper referral, suggesting systemic gaps in early detection. Diagnostic methods from the time are the most crucial in improving affected individuals. The study outlines the importance of optimizing scientific processes for timely excessive pulmonary blood pressure. They have a study that is studies-primarily based totally barring. A query about the appropriateness of the use of retrospective chart analysis is needed.

NURS FPX 8004 Assessment 3 Annotated Bibliography

DuBrock, H. M., Germack, H. D., Linder, J., Manceur, A. M., Cloutier, M., Lefebvre, P., & Frantz, R. P. (2023). Economic cost of delayed diagnosis in patients with pulmonary arterial excessive blood pressure (PAH). PharmacoEconomics – Open, nine(4), 10–33.  https://doi.org/10.1007/s41669-023-00453-8 

The author wrote about the financial effects of no longer having a timely pulmonary arterial high blood pressure (PAH) examination. Scientists used claims information on 2,576 American patients to analyze price differentials. Not prompt prognosis patients had 27% higher than expected hospital costs and $13,4 hundred more in yearly health costs. The authors encouraged early diagnosis as a rate-good value intervention and created firm economic reasoning behind early diagnostic interventions. The results underscore the significance of profitable assistance-green early intervention in PAH assessment. The abstract is analysis-based and actually uses quantitative monetary evaluation.

Emmons, S., Johnson, C., Corris, P. A., Leary, P. J., Wealth, S., Yacoub, M., & Roth, G. A. (2022). Incidence, incidence, and survival of pulmonary arterial immoderate blood strain: a systematic take a look at for the global burden of disease 2020 have a study. Pulmonary Circulation, 12(1), 3–7. https://doi.org/10.1002/pul2.12020

The multinational had a glance at the diagnostic delays investigated in PAH somewhere along nine international locations. Asked 1,128 patients placed a median 2.3-3 hundred and sixty 5 days away from the onset of symptoms to evaluation. Numerous patients utilized four or more healthcare agencies before being provided with an evaluation. The authors demonstrated global systemic barriers to early pulmonary immoderate blood stress detection and endorsed conventional early screening recommendations. The results emphasized the essential necessity for extended perception and training among frontline healthcare workers. Early detection of pulmonary arterial excessive blood pressure indicators and symptoms should greatly decrease diagnostic delay and improve patient outcomes.

The test provided a worldwide view of delays in favor of the need for timely analysis guidelines. The check is research-based, totally definitely clearly utilization of pass pass-by-sectional survey technique.

George, M. P., Germack, H. D., Goyal, A., Ward, C., & Studer, S. (2023). Effect of the COVID‐19 pandemic on care disruptions, effects, and fees in patients receiving pulmonary arterial immoderate blood pressure-specific remedy within the US. Of America: An observational look at it. Pulmonary flow into, thirteen(3), eight–12. https://doi.org/10.1002/pul2.12283

The test tried to abstract international PAH epidemiology and survival discoveries. A scientific analysis of 45 studies placed a 5-three hundred and sixty-five days survival rate of absolutely 57%. Incidence and occurrence charges created a towering international model in PAH epidemiology and survival results. The authors supported the approach in which no longer timely evaluation results in overdue-degree diagnosis and adverse consequences. The assessment also found unequal access to treatment and treatment availability at some indeterminate points in the future of some states. In NURS FPX 8004 Assessment 3 Annotated Bibliography results emphasized the use of standardized diagnostic and treatment plans internationally to improve long-term outcomes for PAH patients. The research provided population-level evidence supporting early intervention recommendations to make survival more beautiful. The research is research-based, a completely clear, honest, and systematic assessment.

Min, J., Badesch, D., Chakinala, M., Elwing, J., Frantz, R., Horn, E., Klinger, J., Lammi, M., Mazimba, S., Sager, J., Shlobin, O., Simon, M., Thenappan, T., Grinnan, D., Ventetuolo, C., & Al-Naamani, N. (2021). Prediction of fitness-related amazing of existence and hospitalization in pulmonary arterial high blood pressure: The pulmonary immoderate blood strain company registry. American Magazine of Breathing and Crucial Care Remedy, 203(6), 761–764.

The trial evaluated predictors of hospitalization and superior of life in PAH evaluation. Two hundred forty-nine patients were followed prospectively over 12 months. Higher risk scores were related to an increased risk of forty hospitalizations. Lower-risk score patients had a superior life and experienced considerably fewer medical headaches over the years. The results supported the use of installed chance tests in routine PAH management to inform proactive treatment decisions. The results validated the way early opportunity stratification guides timely intervention in order to prevent worse conditions. The evidence connects early scientific discretion to reduced medical facility admissions. They have a look at whether it is research-based, truly, absolutely, with a functional observational sketch.

Small, M., Perchenet, L., Bennett, A., & Linder, J. (2024). The diagnostic experience of pulmonary arterial excessive blood pressure patients: results from a multinational actual-international survey. restoration Advances in breathing ailment, 18(three), 5–7. https://doi.org/10.1177/17534666231218886

The study assessed COVID-19’s disruption of PAH care and outcomes. Among 1,4 hundred patients, care disruptions had been associated with 18% additional hospitalizations. Emergency admissions were prolonged due to late diagnostics and non-timely treatment. Telemedicine became a partial solution, which previously was as fast as fast is no longer accessible to all suffering. The review called for robust healthcare measures that ensure uninterrupted ongoing infection control during the period of global disruptions. The authors establish the significance of having properly timed care in order to prevent infection development, even amidst the course of public health emergencies. The observation lent to the early evaluation of continuity inside disaster emergency plans. The test is research-based and sincerely utilizes longitudinal data evaluation.

Wangkaew, S., Pota, P., Prasertwittayakij, N., & Phrommintikul, A. (2020). Occurrence, predictors, and survival of pulmonary high blood pressure determined through echocardiography in Thai patients with early systemic sclerosis (SSc): Inception cohort have a look at. scientific Rheumatology, 40(3), 973–980. https://doi.org/10.1007/s10067-020-05296-w

The purpose of the check was to establish the incidence and survival of pulmonary excess blood pressure among patients with early systemic sclerosis (SSC trouble). A functionality cohort takes a look at what used to be finished on 126 SSC patients over an average of four. Two years. Echocardiography was used for use to discover pulmonary excessive blood pressure, and survival rates were analyzed. The look determined a nine.five% % incidence of pulmonary immoderate blood pressure, with a 5-12 months survival rate of 68% among pulmonary immoderate blood pressure patients. The earlier echocardiographic diagnosis was once linked with better survival rates. The study points out routine echocardiographic screening for early detection of excessive pulmonary blood pressure in SSC patients. The review is studies-based only, really, with a possible cohort design.

Conclusion

In conclusion of NURS FPX 8004 Assessment 3 Annotated Bibliography regular delay in the diagnosis of pulmonary excessive blood pressure was found across the large literature review in even younger patients. The stress led to impaired fitness outcomes and high-level, clinically useful, beneficial resource utilization. Continued evidence favored early detection to prevent illness onset and hospitalizations. The observed results stressed the importance of applying well-timed policies to enhance patient outcomes. A multi-dimensional and systematic endeavor comprises gaps in referral and company records. Implementation of early diagnosis and treatment regimes could enhance care fairness.

References

https://doi.org/10.1002/pul2.70041

https://doi.org/10.1002/pul2.12188

https://doi.org/10.1007/s41669-023-00453-8

https://doi.org/10.1002/pul2.12020

https://doi.org/10.1002/pul2.12283

https://doi.org/10.3390/ijerph20032416

https://doi.org/10.1164/rccm.202010-3967LE

https://doi.org/10.1177/17534666231218886

https://doi.org/10.1007/s10067-020-05296-w

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