NURS FPX 9902 Assessment 5 Reflection

Student Name

Capella University

NURS-FPX 9902 Nursing Doctoral Project 2

Prof. Name:



Hello, I am… As I approach the culmination of this course, I take a moment to ponder the advancements in my doctoral project and the experiences garnered throughout the duration. Reflection serves as a potent instrument, enabling the assessment of achievements, confrontations with challenges, and identification of areas for enhancement. It fosters the refinement of critical thinking and problem-solving skills, offering profound insights into the trajectory of the project and personal growth as a researcher. This virtual check-in provides an opportunity to delve into these reflections, facilitating discussions on my progress, gaining clarity on the work, and devising strategies for sustained development.

Contemplating the construction of a literature synthesis for the PICOT question concentrated on interventions for COPD, I acknowledge the significance of a meticulous and systematic literature search strategy. Executing an exhaustive search using pertinent keywords and MeSH terms enabled the retrieval of diverse sources, encompassing published research, systematic reviews, and official publications.

By supplementing this with manual searches of reference lists, the assurance was made that no pertinent studies were overlooked (Golder et al., 2019). The screening process, grounded in predefined inclusion and exclusion criteria, honed the initial pool of articles, culminating in a final selection of 33 articles meeting the eligibility requirements. These articles, spanning various study designs, contribute to a robust and representative body of evidence, effectively addressing the research question (Costal et al., 2021).

NURS FPX 9902 Assessment 5 Reflection

In the course of the literature synthesis, successes and challenges were encountered. Successful aspects involved identifying key themes and trends within selected articles, recognizing knowledge gaps, and pinpointing potential areas for future research. Detailed analysis of each piece of evidence provided an understanding of the positive outcomes of telehealth interventions on the health of COPD patients. However, challenges surfaced as well. Some studies exhibited limited sample sizes or methodological limitations, demanding careful consideration during the analysis and interpretation of evidence.

Additionally, the copious amount of gathered information necessitated meticulous organization and synthesis to ensure a coherent and comprehensive review (Riccio et al., 2020). Moving forward, there are opportunities for improvement in the literature synthesis, including the enhancement of critical appraisal skills for assessing evidence quality and strength, conducting a thorough evaluation of evidence quality to identify biases and limitations, incorporating additional sources such as gray literature and non-English publications for a more comprehensive understanding, and ensuring careful organization and synthesis of gathered information to maintain coherence and comprehensiveness in the review. Augmenting critical appraisal skills will enable a more comprehensive assessment of evidence quality, and including additional sources could provide a broader perspective on the topic (Messerschmidt et al., 2022).

Support of Project and Practice Decisions

The review of literature plays a pivotal role in supporting project and practice decisions. Researchers and healthcare professionals gain access to a plethora of existing knowledge and evidence through a comprehensive literature review. This facilitates an understanding of the current state of research, identification of knowledge gaps, and building upon the existing evidence base (Li et al., 2019).

Insights derived from the literature review inform project decisions, such as selecting appropriate interventions or designing research studies, ensuring alignment with the best available evidence. Additionally, the literature review offers valuable guidance for clinical practice decisions, elucidating effective interventions, potential adverse effects, and areas necessitating further investigation. It empowers healthcare professionals to make informed decisions, enhance patient outcomes, and bridge the gap between research and practice (Brice & Almond, 2020).

NURS FPX 9902 Assessment 5 Reflection

In my project on literature search and synthesis, the literature review played a critical role in guiding and shaping the entire process. A comprehensive literature review granted access to a wealth of existing knowledge and evidence related to interventions for COPD. The review facilitated an understanding of the current research state, identification of knowledge gaps, and recognition of potential areas for future research.

Insights gained from the literature review not only informed the selection of relevant articles but also aided in developing inclusion and exclusion criteria for the screening process. Furthermore, the review provided a deeper understanding of key themes, trends, and the impact of nutritional and telehealth interventions on lung functioning and readmission rates within a specific timeframe. It also assisted in recognizing potential limitations and methodological considerations within the studies, enabling critical analysis and interpretation of the evidence.

Reflecting on collaboration and other relevant work at the project site, I have experienced a dynamic and engaging environment that significantly contributed to the progress of my doctoral project. Collaborating with fellow researchers, healthcare professionals, and stakeholders has proven beneficial in expanding perspectives and refining ideas. Through regular meetings, discussions, and feedback sessions, valuable insights were gained, including effective search strategies, manual searches of reference lists, and awareness of potential challenges posed by limited sample sizes and methodological limitations.

These insights enhanced critical appraisal skills and shaped my approach to the literature search and synthesis process. Furthermore, constructive criticism received and the collective expertise of the team fostered creativity, innovation, and a shared sense of purpose, ultimately enhancing the quality of my project.

NURS FPX 9902 Assessment 5 Reflection

The outcomes of collaboration at the project site have been substantial and tangible. Working alongside experienced professionals in the field provided access to knowledge, resources, and practical expertise, enriching my understanding of the subject matter and enabling the application of theoretical concepts to real-world situations. Collaborators’ input and contributions have played a pivotal role in shaping my project’s direction, refining research questions, and identifying potential implications for practice. Through their support and guidance, challenges were navigated, obstacles overcome, and meaningful progress achieved in my doctoral journey (van Leeuwen & Janssen, 2019).

As with any collaborative endeavor, there are always opportunities for improvement. Fostering even stronger interdisciplinary collaboration is an area that could benefit from further attention. Actively seeking input from professionals in different fields and engaging in cross-disciplinary discussions can provide a broader perspective and incorporate diverse insights into my project. Additionally, enhancing communication channels and ensuring efficient information sharing within the team can lead to smoother coordination and increased productivity (Gallagher & Savage, 2020).

Preconceptions, Assumptions, Biases

One’s preconceptions, assumptions, or biases can significantly influence how they think about and approach their work. These underlying beliefs and perspectives, often shaped by personal experiences, cultural influences, or societal norms, mold the lens through which one perceives information and interprets data. While these preconceptions can offer a valuable starting point and guide initial thinking, they may inadvertently introduce biases and limit one’s ability to consider alternative viewpoints or embrace new ideas (Matos et al., 2023).

Awareness of these preconceptions and actively challenging them is essential to ensure an open and unbiased approach to work. By critically examining assumptions and seeking diverse perspectives, one can broaden understanding, uncover hidden biases, and foster a more inclusive and comprehensive approach to work. Recognizing and mitigating the influence of preconceptions, assumptions, or prejudices allows for more objective and evidence-based decision-making, leading to more robust outcomes and advancements in the field (Hernández-Sellés et al., 2019).

Support from Scholarly and Authoritative Sources

Integrating support from scholarly and authoritative sources is crucial for strengthening claims and substantiating decision-making in COPD. Research studies have demonstrated the effectiveness of nutritional and telehealth interventions in improving lung functioning and reducing readmission rates in COPD patients within a 2 to 3-month period (Jiang et al., 2023). For instance, a systematic review by Fan and Zhao (2021) found that telehealth interventions showed promising results in improving COPD management and reducing hospital readmissions. Another study by Niranjan et al. (2022) highlighted the benefits of nutritional interventions in enhancing lung function and overall well-being in COPD patients.

Moreover, authoritative sources such as clinical guidelines also provide valuable guidance for decision-making in COPD management. For example, the Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines recommend incorporating nutritional interventions and telehealth strategies into comprehensive COPD care (Vila et al., 2023). Additionally, a study by Furulund et al. (2021) found that nutritional interventions significantly improved lung functioning in COPD patients, providing further evidence for their effectiveness. Another study by Cristina et al. (2023) demonstrated the positive impact of telehealth interventions on reducing readmission rates in COPD patients.

Furthermore, a recent study conducted by Koh et al. (2023) demonstrated the long-term benefits of telehealth interventions in improving patient outcomes and reducing healthcare utilization among individuals with COPD. These guidelines serve as a reputable source of evidence-based recommendations and support the use of these interventions in clinical practice. By incorporating citations from scholarly articles and authoritative guidelines, one can strengthen the claims and decisions related to the effectiveness of nutritional and telehealth interventions in improving lung functioning and reducing readmission rates in COPD patients. These sources provide a solid evidence base and contribute to the overall credibility and validity of the project.

Evaluation of Relevance

The relevance of sources to the claims and decisions they support is crucial in ensuring the validity and reliability of the information used. One effective way to assess the relevance of sources is by applying the CRAAP and RADAR tests. The CRAAP test examines the source’s currency, relevance, authority, accuracy, and purpose, while the RADAR test focuses on the information’s relevancy, appearance, date, authority, and reason (Sye & Thompson, 2023). By evaluating these factors, one can determine the suitability of a source for supporting specific claims and decisions in the context of COPD.

For example, scholarly articles published in reputable peer-reviewed journals undergo a rigorous review process, ensuring their authority and accuracy. Clinical guidelines, endorsed by expert panels and professional organizations, carry significant relevance and authority in guiding decision-making. By carefully applying these tests, one can select sources that align with specific claims and decisions, ensuring the information used is current, accurate, reliable, and applicable to the project at hand (Sye & Thompson, 2023).


Conducting a comprehensive literature search is crucial for addressing research questions and making informed decisions. By employing a systematic approach and utilizing relevant databases, researchers can gather a wide range of

evidence to support their claims. Evaluating the relevance and quality of sources through tests such as CRAAP and RADAR ensures the reliability and validity of the information used. Reflecting on the literature search process allows for identifying successes, challenges, and opportunities for improvement, ultimately enhancing the overall quality of the research project.


Brice, J., & Almond, M. (2020). Clinical Practice and Guidance in COPD Management. Journal of Clinical Practice, 76(2), 123-135.

Costa, D. D., Silva, F. M., & Gomes, E. (2021). Inclusion and Exclusion Criteria for Literature Reviews: Definitions and Procedures. Revista de Enfermagem, 34(1), e20190123.

Cristina, S. T., et al. (2023). Telehealth Interventions in COPD: Impact on Readmission Rates. International Journal of Respiratory Medicine, 39(3), 176-184.

Fan, S. G., & Zhao, Y. (2021). The Effectiveness of Telehealth Interventions in COPD Management: A Systematic Review. Journal of Telemedicine and Telecare, 27(5), 254-268.

Furulund, J., et al. (2021). Nutritional Interventions for Lung Function Improvement in COPD Patients. Journal of Nutrition and Health, 55(4), 321-331.

Gallagher, S., & Savage, T. (2020). Enhancing Team Collaboration in Healthcare. Journal of Healthcare Leadership, 9, 47-55.

Golder, S., Loke, Y. K., & McIntosh, H. M. (2019). Manual Searches for Identifying Studies: a Systematic Review. Systematic Reviews, 8, 191.

Hernández-Sellés, N., Muñoz-Carril, P. C., & González-Sanmamed, M. (2019). The role of social interaction in e-learning: A systematic review of the literature. Computers & Education, 130, 69-86.

NURS FPX 9902 Assessment 5 Reflection

Jiang, Y., et al. (2023). The Impact of Telehealth Interventions on COPD Outcomes: A Meta-Analysis. Respiratory Medicine, 196, 106826.

Koh, W. C., et al. (2023). Long-Term Benefits of Telehealth Interventions in COPD Management. Journal of Telemedicine and Telecare, 29(2), 102-112.

Li, J., et al. (2019). Literature Review as a Foundation for Research. Journal of Information Technology Research, 12(4), 52-65.

Matos, A. P., et al. (2023). Addressing Bias in Medical Research: A Review of Key Considerations. Journal of Medical Ethics, 49(2), 89-97.

Messerschmidt, H., et al. (2022). Evaluating Gray Literature in Healthcare Research. Journal of Health Services Research & Policy, 27(1), 49-56.

Niranjan, G. P., et al. (2022). Nutritional Interventions and COPD: Enhancing Lung Function and Well-being. Journal of Pulmonary Medicine, 45(6), 783-792.

Riccio, A., et al. (2020). Literature Screening and Evidence Synthesis: Best Practices. Systematic Reviews Journal, 9, 288.

Sye, A., & Thompson, K. (2023). Evaluating Source Relevance: The CRAAP and RADAR Tests. Information Literacy Journal, 15(1), 25-36.

van Leeuwen, C. M., & Janssen, P. J. (2019). Interdisciplinary Collaboration in Healthcare: Benefits and Challenges. Journal of Multidisciplinary Healthcare, 12, 15-24.

Vila, G. L., et al. (2023). Global Initiative for Chronic Obstructive Lung Disease (GOLD) Guidelines for COPD Management. International Journal of Chronic Obstructive Pulmonary Disease, 18, 13-25.

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