Evidence Based Health Research and Practice

Running head: ASSESSMENT 3
Evidence Based Health Research and Practice
Name of the Student
Name of the University
Author Note

1ASSESSMENT 3
Table of Contents
Introduction................................................................................................................................2
Importance of the topic..........................................................................................................2
Interest in the topic.................................................................................................................2
Aim.........................................................................................................................................2
Presenting the evidence..............................................................................................................2
Annotated Bibliography.............................................................................................................3
Justification of literature............................................................................................................5
Relevance to nursing and barriers to practice............................................................................7
References..................................................................................................................................9

2ASSESSMENT 3
Introduction
Importance of the topic
Chronic Obstructive Pulmonary Disease refers to an umbrella term that describes
progressive lung disorders that include chronic bronchitis, emphysema, and refractory
asthma, primarily characterized by breathlessness (López‐Campos, Tan & Soriano, 2016).
The main factors that increase susceptibility of an individual to COPD include an exposure to
irritants that damage the lungs. Owing to the fact that COPD symptoms worsen over time,
there is a need to determine the association of this disorder with its risk factors.
Interest in the topic
I hold the opinion that early detection of COPD would facilitate its prevention and
management in an appropriate way. I gained an interest in conducting this research due to
presence of mounting evidences that smoking is significantly related to high rates of
mortality due to COPD. I also wanted to gain an understanding of factors that might increase
incidence of COPD among non-smokers.
Aim
The research aims to examine the impact of smoking as a risk factor in contracting
COPD among the Australian aboriginal population.
Presenting the evidence
Best Practice Level of Evidence and
Type of Study
Citation in CDU APA 6th
format
Avoid smoking Level I from meta-analysis
and randomized trial
(Zwar et al., 2016)
Eat dietary food and regular
exercise
Level V from qualitative and
descriptive reviews
(Vogelmeier et al., 2017)
Pulmonary rehabilitation Level IV from cohort studies (McCarthy, Casey, Devane,

3ASSESSMENT 3
Murphy, Murphy &Lacasse,
2015)
Annotated Bibliography
1) McCarthy, B., Casey, D., Devane, D., Murphy, K., Murphy, E., &Lacasse, Y. (2015).
Pulmonary rehabilitation for chronic obstructive pulmonary disease. The Cochrane
Library.DOI: 10.1002/14651858.CD003793.pub3
Level IV from cohort studies
McCarthy, Casey, Devane, Murphy, Murphy and Lacasse, (2015) are renowned
individuals in the field of biological/clinical research and their work have been cited by
several other researchers. The primary aim of the review was to compare the impacts of
pulmonary rehabilitation with usual care strategies on health-related QoL, in addition to the
exercise capacity among COPD patients. This review selected RCTs from the Cochrane
Airways Group Specialised Register that focused on pulmonary rehabilitation in COPD
patients that measured HRQoL and maximal or functional exercise capacities. The mean
differences were calculated by random-effects model. No significant difference was observed
in baseline demographics between individuals in the intervention group and those receiving
usual care. Pulmonary rehabilitation produced statistically significant outcomes for fatigue,
emotional function, mastery and dyspnoea. Improvements were also observed in functional
and maximal exercise capacities. The authors concluded that pulmonary rehabilitation can be
administered for improving emotional function and relieving symptoms of fatigue and
breathlessness and dyspnoea in COPD patients.
2) Vogelmeier, C. F., Criner, G. J., Martinez, F. J., Anzueto, A., Barnes, P. J., Bourbeau,
J., ...& Frith, P. (2017). Global strategy for the diagnosis, management and prevention