Nurs FPX 9902 Assessment 3 Literature Synthesis

 Nurs FPX 9902 Assessment 3 Literature Synthesis

Walid Ibrahim

Capella University

Nurs FPX 9902

Dr. Ramon Fores Pons

March 07, 2025

Literature Synthesis

The Nurs FPX 9902 Assessment 3 Literature Synthesis is complete to expand to become privy to the proof-primarily based completely literature. The doctoral project is better suited to deal with the exercise hole regarding the prevalence of venous thromboembolism (VTE) among surgical patients (Nurse supervisor, personal verbal communication, August 10, 2024). Literature is sought, and Synthesis was used to select studies to the question: “For the acute care staff caring for surgical patients (P), does implementation of a threat assessment toolkit, comprising the Caprini risk assessment version (RAM) and nurse-initiated unfractionated heparin (UFH) infusion protocol (I) versus usual exercising (C) have an effect at the expense of prevalence of venous thromboembolism (VTE) (O) inner 12 weeks (T)? The hypothesized intervention is the use of the hazard assessment toolkit for the earlier detection and treatment of VTEs simultaneously, because the last outcome is the decrease in VTEs in sports. The intervention has two parts, e.g., the Caprini RAM version, to stratify the VTE risk in a number of patients (Abboud et al., 2020). A specific detail is the procedure of nurse-initiated UFH infusion for VTE management, resulting in improved patients’ health outcomes (Basil & Kurt, 2024). Therefore, literature searching for is most likely highly important to valuable, useful resources in the management of the VTE occurrence in patients and hence their health outcomes and quality of life.

Search Strategy

Searching literature in multiple databases aids in locating scholarly articles. The database was searched as fast as possible to find evidence-based, totally confident literature on the advised intervention. More than one method has been used to search the articles to allow the use of the opportunity assessment toolkit to detect and prevent VTE in patients (Qiao et al., 2023). Additionally, research’ important appraisal with the assistance of the power of recommendation taxonomy (type) tool. The techniques utilized in the search of literature are several. The first technique utilized is to search as soon as possible through the utilization of keywords for the search for the appropriate articles (Zurián et al., 2021). Key words with VTE risk assessment, Caprini RAM, unfractionated heparin (UFH), VTE management, and prevention of thrombosis were carried out to search around the database. The possible method is searching the academic databases to offer the articles. One of the databases is the PubMed Library, and it will be beneficial for the articles. Once the key terms and databases are chosen, the application of Boolean operators is the 0.33 method applied in searching the articles.

Nurs FPX 9902 Assessment 3 Literature Synthesis

Therefore, inclusion and exclusion criteria for the set provided the identification of the correct and credible literature. Seeking techniques managed to screen out literature, and hand-searching techniques have been applied to favor proper scholarly articles, which resulted in a shortlist of 430 articles to begin with. The primary screening excluded studies that had not been associated with the study’s location. Subsequently, the study’s articles were intensely researched, and categorically, 35 research articles were selected for similar assessment. After that, the selected studies were subjected to a secondary review, and after being found relevant, 30 studies were selected for the intervention. The upkeep of the articles used to be once per time owing to the close association with the VTE danger assessment tool for preventing the occurrence of thrombosis in patients.

Analysis of Sources

Assessment of the assets using the power of the advice taxonomy (type) tool enables the selection of the legitimacy and authenticity of the study. The exemplary studies had been blended together, five, one of each type of issue topics that illustrate the fit with the suggested intervention. Topics acknowledged in the studies’ beauty are the following: methods of risk assessment of VTE, Caprini RAM in assessing risk of VTE, unfractionated heparin protocol to treat VTE, manipulation of thromboprophylaxis on VTE, and nurses’ capability to use the VTE opportunity assessment tool. The five topics below provide the complete picture surrounding the medical utility of the tool to measure the risk of VTE in order to avert the prevalence of VTE in patients. Similarly, finding the level of evidence of the study is pertinent; hence, a type of critical appraisal tool has been used earlier (Dodgson, 2021). The simple appraisal by kind established several mild to moderate levels of evidence.
Statistics of the peer-reviewed articles were earlier fully included in the proof desk.

Theme 1: VTE Risk Assessment Approaches

Evaluation of the delivery determined the believability, vastness, and validity of the product. Abboud et al. (2020) also evaluated the effectiveness of the scientific practice for preventing VTE. Thus, the type that was identified as examine diploma I was the common reporting object for systematic reviews and meta-analyses (PRISMA) and was quickly finished in the paper. Distinct features of the test had been the approach that was previously as rapid as soon was centered on the use of scholarly databases to identify pertinent studies. The 36 studies were incorporated in the review, and implementation of VTE prevention guidelines and VTE events were the largest variables. The reviewer examined the studies and reported that the implementation of VTE medical exercise hints decreased the occurrence of VTE for hospitalized patients. TheNurs FPX 9902 Assessment 3 Literature Synthesis critique of the valuable resource of the methodology of Lyman et al. (2021) was once one of the leading workout guiding principles, whose aim turned into to investigate the evidence based on the likelihood of strategies to reduce the risk of VTE in patients. The objective mentioned in the studies was to follow the clinical utility of the VTE prevention guidelines improved by way of the use of the American Society of Hematology (ASH) for surgical patients. The authors do not confirm any theoretical or conceptual underpinning. The structure used became descriptive, and the multidisciplinary panel provided records for VTE management. Stage VI ranked the object based on imperative appraisal as a result of the exercising guiding precept nature. The purpose of taking a look at used to be as soon as to find out the importance of VTE preventive measures.

Theme 2: UFH for Managing VTE

Evaluation of the effectiveness of the heparin infusions and dose changes to prevent episodes of VTE was the goal of the take a look. In a report, Bertolaccini et al. (2021) documented the clinical effectiveness of heparin infusions to avert VTE among the victims. The authors employed a potential design in predicting the useability of the heparin infusions among the victims admitted to the medical facility, reporting the evidence as level III with further higher evidence. Data on the VTE activities and heparin infusion dose were previously evaluated by the application of the sanatorium databases and protected the 21 surgical patients. Variables included the nature of heparin dosage, when and how often VTE events occurred, and the use of statistical analysis.

Results showed the efficacy of employing the heparin dose for the reason that heparin infusions reduced the risk of VTE among patients. Tran et al. (2021) contrasted the global functionality of UFH and low-weight heparin in preventing VTE. In order to behavior a systematic comparison, the authors completed the PRISMA model, which degree I high-quality studies that relied on basic evaluation. Academic databases were used for searching the respective studies and included a total of 12 articles to examine. Preventing measures of VTE, risk, and implementation of the evidence-based protocol are the key variables. Reviewers evaluated the results of the look and accounted for the fact that managing LMWH over UFH is better for VTE prevention in patients. Identification of whether or not the heparin infusions are useful by comparing them to other VTE prevention techniques was once as quick because of the purpose of the test. Samuel et al. (2023) determined the effectiveness of the practice of unfractionated heparin infusion in patients.

Theme 3: Caprini RAM to Measure VTE Risk

The 1/3 issue cited the scientific value of the Caprini RAM device to stratify VTE risk in patients. Fang et al. (2024) conducted a retrospective observation that sought to study the validity of the Caprini RAM in assessing the risk of VTE improvement in patients. Assessing the predictive software application utility of the Caprini RAM and the D-dimer test was once upon a time the leading cause of the examination.
Major variables were Caprini RAM usage and D-dimer check measurements. Results indicated that utilization of the dimer test in conjunction with Caprini RAM had excellent scientific applicability to assess the VTE risk in sufferers. Thus, the evidence quality was earlier diploma III evidence, based on the type of required assessment outcomes. Walden et al. (2024) explored the effectiveness of Caprini RAM in VTE risk assessment among patients. A graph from descriptive studies was utilized to investigate Caprini RAM’s role in defining VTE risk, grading the excellence of the evidence as V merely by analysis.

The most notable variables of the research were the use of Caprini RAM and VTE diagnostic accuracy in the patients. A descriptive assessment was utilized by the researchers to quantify the usefulness of the Caprini RAM in evaluating the risk of VTE. The findings confirmed that the Caprini RAM could earlier assess the risk of VTE development in patients and assist staff members in minimizing postoperative VTE occurrences. Tadesse et al. (2020) explored the use of the Caprini RAM in the assessment of the VTE risk in patients. The authors utilized a diagram of retrospective studies to challenge the review. The review involved a total of 155 patients who were admitted to the surgical department. The vital parameters of the study were Caprini RAM’s soft computer program and the diagnostic accuracy of VTE among the patients. It was mentioned earlier as prompt as mentioned that Caprini RAM had diagnosed the risk of VTE among the patients and assisted staff in minimizing postoperative VTE complications. The evidence is excellent level III due to the test chart. The author’s reflection on the format was previously retrospective, and the study’s approach previously experimented with the implementation of the Caprini RAM intervention. Qiao et al. (2023) established the validity of Caprini RAM in measuring VTE risk in patients.

Theme 4: Thromboprophylaxis Management for VTE

The product is peer-reviewed, which provides complete data for preventing VTE in patients. AlHarthy et al.’s (2022) research was categorized as degree III on the type tool because the study diagram was already a retrospective cohort examination to establish the use of the heparin dosing through the method of gathering the former facts.
The methods of measurement were the strength of mind of the prophylaxis remedy administered to the 40 have-a-check patients.
Of interest are the heparin dose sample and frequency of VTE prophylaxis research variables. Findings placed the adjusted and large pattern of heparin dosage once as soon as it was effective for VTE prevention. Ismail et al. (2022) confirmed the clinical utility of VTE threat assessment and thrombo-prophylaxis practice in control through the use of the retrospective research approach. The source of the glance was soon to establish the clinical software of VTE threat appraisal and thrombo-prophylaxis exercise in the management of thrombosis risk in patients. In research, the population was formerly the victims, and the opportunity assessment tool was used as soon as possible to quantify the VTE opportunity among patients. Nurs FPX 9902 Assessment 3 Literature Synthesis Critical variables are the thromboprophylaxis to prevent VTE and the VTE risk assessment. Findings of the statistical parameters established established out that the VTE risk evaluation is high in establishing thrombosis risk among patients. The entire assessment of the examination found that the electricity of evidence is III consistent with kind elegance. An impressive improvement study was used to test the meaning of the danger assessment device for VTE prevention. Preston et al. (2020) aimed to find the efficacy of the VTE threat evaluation in improving the prevention practice. Participants in the observation were 552, and the variable was previously assessed once as soon as the VTE threat evaluation toolkit for the patients.

Theme 5: Nurses’ Competency for Leveraging VTE Risk Assessment Toolkit

The authors utilized a cross-sectional observation to gain knowledge about the attitude of nurses toward preventing VTE risk among patients. Yohannes et al. (2022) elaborated on the range of information for the nurse to prevent VTE risk among patients. The nurses’ knowledge and attitude during the process of VTE prevention have been the test variables, and 423 nurses were sampled. The variables were the nurse’s behavior and attitude towards VTE prevention.
The results of the descriptive evaluation concluded that nurses’ behavior and knowledge for prevention against VTE are substandard, jeopardizing the protection of the sufferers. Degree V proof because of the research framework applied utilized to be circumvented by means of cross-sectional. Toale et al. (2024) identified the effectiveness of the nurse-implemented unfractionated heparin infusion protocol for the patients. Outstanding improvement design was earlier used to establish the significance of nurse-driven UFH infusion protocol for VTE patients. The size technique was earlier as soon identify the conformity of the workforce to UFH protocol in order to avoid VTE incidence. The check variables protected the cost of VTE prevalence and nurses’ conformity to UFH protocol. A look at the assessment found that the introduction of the UFH infusion process tightened the employees’ workforce adherence to 80% as opposed to 79.4%, enhancing the VTE-infected character safety standards. A significant comparison of the research established that the product was previously level VI evidence-certified. The authors made use of the observational plan in presenting an explanation for the significance of the VTE prevention practices used by the nurses. Basil & Kurt (2024) conducted research on the effectiveness of nurses’ behavior in preventing VTE risk for patients. The size method emphasizes the use of the nurse’s understanding, idea-set, and boundaries towards performing VTE recommendations. The variables to be examined were the expense of VTE occurrence and nurses’ compliance with the VTE preventive practices. As per the evaluation, the results revealed that the nurses utilized the superior VTE preventive practices in a bid to enhance the safety of the victims.

Synthesis of Literature

Synthesis of the findings facilitated narrowing the primary findings of the studies illustrating the effectiveness of the threat assessment device in preventing VTE. Five issues provided critical information regarding the effectiveness of the threat assessment device.
The studies below, trouble 1, illustrated the expense of VTE prevention practices. Abboud et al. (2020), Lyman et al. (2021), and Onwuzo et al. (2023) investigated the effectiveness of the VTE prevention guidelines in encouraging scientific exercise. Researchers positioned that the application of the VTE clinical exercise guidelines advanced scientific exercise and lowered the incidence of VTE among hospitalized patients.
The diversity of the case counts 2 in the clinical effectiveness of the UFH for treating VTE among patients.
Bertolaccini et al. (2021), Tran et al. (2021), Samuel et al. (2023), and Nasef et al. (2021) articulated the medical utilization of the UFH protocol for the prevention of VTE risk among patients. The test synthesis of the next challenge discovered how the UFH infusion contributed to solving the VTE among patients. Problem 3 explained how the Caprini RAM version is beneficial for the VTE risk identification of multicultural victims. Bo et al. (2020), Hayssen et al. (2022), and Wu et al. (2020) studied the software application of the Caprini RAM in stratifying the risk of the thrombosis peak of the victims.

Nurs FPX 9902 Assessment 3 Literature Synthesis

Researchers elucidated that the Caprini RAM application aided in identifying early VTE risk in patients. The venture depends on four issues: the administration of thromboprophylaxis for VTE among the patients. AlHarthy et al. (2022) and Ismail et al. (2022) discussed the efficacy of thromboprophylaxis to prevent VTE. Outcomes of the research articles showed that the manipulation of thromboprophylaxis, which comprises threat evaluation and heparin management, is robust in the prevention of VTE among patients. The 5th challenge highlights the nurses’ know-how role in utilizing green practices to the full in order to contain VTE among patients. Toale et al. (2024), Yohannes et al. (2022), and Basil & Kurt (2024) noted the nurse’s level of know-how for VTE hazard prevention among patients. Results revealed that the nurses performed excellent VTE prevention practices to enhance the affected character’s safety. The home relationship with each person is distinct, based on the fact that prevention and risk assessment complement each other in improving the affected character’s health results and safety. The American Society of Scientific Oncology and ASH indicators provided information regarding the nice exercise tips for VTE prevention (Lyman et al., 2021; Key et al., 2020). In addition, the use of the Caprini RAM and UFH computer program works in the direction of controlling VTE among patients (Henke et al., 2020; Krauss et al., 2020; Onwuzo et al., 2023).

Impartial Conclusion and Identified Gaps

The Synthesis and analysis of the literature assisted in adding richness to an objective end that highlighted the significance of the threat assessment toolkit. Cumulative results of several studies reaffirmed the use of the Caprini RAM and the UFH infusion protocol to reduce the VTE risk in patients (Avila et al., 2020; Bertolaccini et al., 2021).
Apart from the strength of the studies, the gap in the studies was once realized. One of the aforementioned holes is the involvement of an unmarried population in research, which can constrain the generalizability of the results (Qiao et al., 2023; Fang et al., 2024). Novel gaps have a more ample structure of research involved in the systematic review that does not provide the applicability of the proposed intervention to the broader population.

Conclusion

Nurs FPX 9902 Assessment 3 Literature Synthesis and attempting to find where achieved to determine the research on the issue of the task. Searching the literature utilizing different databases and keywords helps to locate scholarly works. Type appraisal of the sources helps to determine the credibility and authenticity of the research, and further to determine the scope of evidence for the 30 studies identified.
The integration of the results facilitated summarizing the number one results of the research by enriching the five topics. Synthesis of the literature yielded useful information in terms of the effectiveness of the danger evaluation toolkit in the prevention of the incidence of VTE, which better affected men’s or women’s safety.

References

https://doi.org/10.1186/s13012-020-01008-9

https://doi.org/10.7759/cureus.31717

https://doi.org/10.2147/jmdh.s403383

https://doi.org/10.1002/14651858.CD010196.pub3

https://doi.org/10.1016/j.jvn.2024.12.001

https://doi.org/10.1055/s-0041-1735225

https://doi.org/10.5551/jat.51359

https://doi.org/10.1016/j.ipm.2021.102658

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