NURS FPX 8004 Assessment 3 Annotated Bibliography

• NURS FPX 8004 Assessment 3 Annotated Bibliography.

Assessment 3: Annotated Bibliography

Capella University

8004

Instructor Name

Due Date

Annotated Bibliography

Midwest outpatient substantial health facility delays of services for cardiopulmonary toddlers, collectively with a pulmonary high blood pressure ailment, appreciably affect early detection and results. Clinic and body of employees conferences and internal splendid audits of clinics indicated that more than 40% of the toddlers were not on time by using more than six months of prognosis (government Nurse, personal verbal exchange, March 15, 2025). Now, it is not on. Time procrastination diagnosis causes one-of-a-kind ailments to get worse and increase fitness expenditure. The caregiver’s absence of records and referral fabric also exists (authorities, Nurse, private communication, March 15, 2025). A nicely timed prognosis and a fantastic development deficit are made feasible by filling the deficit. Pulmonologists, cardiologists, and modern-day practitioners are stakeholders in the sanatorium (Laurisz et al., 2023). Systematized control includes tremendous referral, training of the frame of employees, and expert presence. Explore NURS FPX 8004 Assessment 2 for more information.

The PICO

In an adolescent’s pulmonary high blood pressure (P), does strict compliance to early remedy and evaluation guiding precept (I) in assessment to every day now not on time analysis and remedy (C) impact the incidences of sickness development and a fee of hospitalizations (O) after 12 months comply with-up length (T)?

Thesis Statement

A brilliant development (QI) software program is taking steps to fill the vast hole of early detection and evaluation of high pulmonary blood pressure in teens by implementing evidence-based, comprehensive work to alleviate the delay in assessment. Via the approach of using centered intervention within the structure of advanced employer education and further effective referral techniques, this device will reduce the time from symptom onset to evaluation to less than three months, leading to advanced outcomes among patients and healthcare charge credit score rating due to avoided treatment exclusion.

Literature Search Process

As part of the NURS FPX 8004 Assessment 3 Annotated Bibliography, a literature assessment focused on early pulmonary high blood pressure diagnosis and evaluation. The databases searched included PubMed, Scopus, and Wiley Online Library. The sources consisted of the most current primary studies available in evidence-based literature. The search terms used included “pulmonary high blood pressure,” “early assessment,” “hospitalization,” and “outcomes.” Following an initial database search and screening based on pre-defined inclusion criteria, 140 articles were identified. The search was limited to English-language full-text articles published between 2020 and 2025 on early evaluation and treatment of pulmonary high blood pressure.

Reviews, off-difficulty dependencies, non-English language studies, and editorials have been excluded. Low or no relevance, whole-textual content research, and duplicates were further excluded. The second one, filtering the articles for first-rate and appropriateness, was finished in 25. Out of the eight final sets of articles, the most self-obtrusive that replied to the PICOT query and had the proper technique were those (Min et al., 2021). The proof used is specific studies originating from clinical or observational evidence. The evidence derived is on early intervention, hospitalization, and disease improvement—literature retrieval furnished proof-based data to guide magnificent development-making plans.

Annotated Bibliography

Dalton, R., Desai, A. A., Jiao, T., & Duarte, J. D. (2025). Disparities in scientific results were identified in virtual health report facts from a statewide cohort of pulmonary arterial excessive blood stress sufferers. Pulmonary go with the flow, 15(1), 10–33. https://doi.org/10.1002/pul2.70041

The cutting-edge study has investigated demographic and socioeconomic factors and clinical outcome disparities among PAH sufferers. A retrospective cohort assessment of PAH sufferers (n = 6,379) from 12 Florida health systems with virtual health records was completed as soon as possible. The measures of the last results employed were hospitalization, emergency visits, and mortality.

The final results used to be as soon as as soon as that the patients with a higher social deprivation index score had extended hospitalization and emergency visits. Hispanic patients had decreased mortality but equal healthcare usage. They have studied elements regarding the direction of focused interventions in healthcare disparities within the control of PAH. The study is proof-primarily based on proof and employs a retrospective data assessment.

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

Delayed Diagnosis Impact Analysis

The reason was that it was possible to analyze the put-off inside the diagnosis of pulmonary high blood pressure in the real world. The 1,361 affected men or women statistics of sufferers dealt with at EU pulmonary severe blood pressure centers were protected in a retrospective analysis. Findings have been 2.1 years, with a median of several assessments of excessive pulmonary blood pressure and symptom onset. Misdiagnosis preceding referring the affected person successfully through all means is proof of loopholes in initial evaluation using a scientific method. Prolonged diagnostic steps are required to offer better outcomes for the patients. The studies contend that clinical pathways with inclining inside the route of an earlier analysis of severe pulmonary blood pressure are needed. Evidence used in this observation comes from literature based primarily on retrospective chart assessment.

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

Researchers assess the price burden of not being on time for pulmonary arterial excessive blood stress (PAH) assessment on this check. Researchers contrasted US rate claims amongst 2,576 US sufferers. No longer on time analysis, patients were 27% more likely to be hospitalized, accounting for $ 13,400 of today’s yearly fitness expenditure. Early detection was once the authors’ first desire for price-saving intervention and economically justified early diagnostic exercise. Findings delineate the effect of fee-saving early analysis of PAH. Research is a quantitative monetary assessment-based thorough check.

Emmons, S., Johnson, C., Corris, P. A., Leary, P. J., Wealth, S., Yacoub, M., & Roth, G. A. (2022). Prevalence, prevalence, and survival of pulmonary arterial excessive blood stress: a systematic evaluation for the worldwide burden of sickness 2020 check. Pulmonary flow into, 12(1), three–7. https://doi.org/10.1002/pul2.12020

NURS FPX 8004 Assessment 3 Annotated Bibliography

Global research approximated delays in the evaluation of PAH in 9 international places. Respondents to questionnaires of 128 sufferers anticipated a median of 2 years from presentation to analysis. All sufferers had no more than four visits to fitness care companies before diagnosis. The authors provided descriptions of global systemic boundaries for the early detection of pulmonary immoderate blood stress and provided coverage hints for early screening. The outcomes strongly supported the importance of early training and consciousness among the front-line docs. Early diagnosis of pulmonary arterial immoderate blood stress symptoms and symptoms can, in all likelihood, lead to with information and higher patient outcomes.

The observer furnished an average attitude of the cast-off for well-timed guidelines for evaluation within the context. Once the cross-sectional survey plan was decided upon, the observation was conducted. 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 excessive blood stress‐specific treatment within the United States. Of the United States: An optional have a look at. Pulmonary drift, 13(three), 8–12. https://doi.org/10.1002/pul2.12283

Global PAH Diagnosis Challenges

The goal was to offer an estimate of survival in PAH and Epidemiology International as soon as possible. A systematic assessment of forty-five articles stated that survival was>57% in five years. Prevalence, charge, and occurrence graphed big version in international epidemiology and survival in PAH. The authors described the diagnostic put-off mechanism as similar to postponing an assessment in late presentation and terrible final results. The research also encountered inconsistent treatment access to provision, and treatment outcomes worldwide. The findings warranted harmonizing remedy and assessment, exercising internationally toward more potent, prolonged-term effects in PAH sufferers. Population-stage results have been advocated through research on early intervention strategies with greater survival. It is a literature examination.

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-associated first-rate of life and hospitalization in pulmonary arterial high blood pressure: The pulmonary high blood pressure business corporation registry. American magazine of respiration and indispensable Care remedy, 203(6), 761–764. https://doi.org/10.1164/rccm.202010-3967L

Predictors and awesome of life at the time of prognosis of PAH have been assessed through this check. Sufferers have been 249 in an extensive range and determined for three hundred and sixty-five days. Hospitalization was once as quick as anticipated, via excessive hazard rankings with a 40% risk. The low-risk rating was once characterized by fewer medical headaches and the development of an incredible life through the years. The effects supported formal hazard evaluation within the ordinary PAH control for informed decision-making for treatment. Effects display how the initial threat stratification directs the initial intervention to prevent annoying instances. Admissions have decreased due to the early medical selection. They have a look at it based on a capability observational test.

Small, M., Perchenet, L., Bennett, A., & Linder, J. (2024). The diagnostic journey of pulmonary arterial excessive blood stress patients: effects from a multinational real-world survey. recuperation Advances in breathing infection, 18(three), 5–7. https://doi.org/10.1177/17534666231218886

Early Diagnosis Amid Disruptions

The research adjusted for disruption of COVID-19 care and PAH’s very last outcomes. Disruption of care intermittently used to be as quick as associated with 18% hospitalization of 1 four hundred patients, no longer on-time treatment, and diagnosis of advanced emergent presentation. Telemedicine was palliative as soon as possible, but is no longer universally applicable. The research addressed the position of dynamic healthcare systems, including non-save-you persistent disease care at some point during the worldwide disruption. The authors proved the significance of reorganizing care to slow down infection development, even in emergencies, where most people stand up. The research was initially based on the potential of continuity early analysis on the incidence of upcoming emergencies. Longitudinal information, proof-based, has a cecheckWangkaew, S., Pota, P., Prasertwittayakij, N., & Phrommintikul, A. (2020). Incidence, predictors, and survival of pulmonary excessive blood stress determined through echocardiography in Thai patients with early systemic sclerosis (SSc): Inception cohort study. medical Rheumatology, forty(3), 973–980. https://doi.org/10.1007/s10067-020-05296-w

The occurrence and survival of pulmonary immoderate blood pressure have been assessed in SSC sufferers. Ability cohort assessment was as soon finished in 126 SSC sufferers with a median follow-up of 4.2 years. Pulmonary hypertension was soon diagnosed via the method of echocardiography, and survival was once evaluated. Pulmonary excessive blood stress used to be recognized in nine.5%, and survival at five years was as low as sixty percent in pulmonary excessive blood pressure patients. Echocardiography used to be a better early evaluation. The test shows that the problem of acting echocardiographic screening is often used in early evaluation of pulmonary immoderate blood pressure in SSC patients. The test is evidence-based, primarily based on the truth capacity cohort.

Conclusion

A literature study compiled in the NURS FPX 8004 Assessment 3 Annotated Bibliography determined a generalized cut-out in evaluating pulmonary hypertension among infants. Harmonizing proof requires early analysis to avoid ailment development and hospitalization. The consequence of the research presented is the use of early steps toward the most beneficial patient outcomes. Referral gaps and physician perception are among the interrelated and systemic issues. Utilization of early diagnostic and treatment strategies will improve care equity.

References

1. https://doi.org/10.1002/pul2.70041
2. https://doi.org/10.1002/pul2.12188
3. https://doi.org/10.1007/s41669-023-00453-8
4. https://doi.org/10.1002/pul2.12020
5. https://doi.org/10.1002/pul2.12283