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What Is The Prevalence Of The Adverse Effects Of Oxygen Therapy Administered During Acute Exacerbations Of Chronic Obstructive Pulmonary Disease?’

8048 words - 32 pages

'What Is The Prevalence of The Adverse Effects of Oxygen Therapy
Administered During Acute Exacerbations of Chronic Obstructive
Pulmonary Disease?'
A Systematic Review of The Literature.
LISE-ANNE JENNINGS
Dissertation submitted for Master of Nursing Science, School of Nursing, Faculty of Medicine, University of
Nottingham.
I declare that this dissertation is my own work. Signed: Date:

ACKNOWLEDGEMENTS
I wish to thank Dr. Andy Meal for the valuable support and advice he provided
whilst supervising this project.
I would also like to show gratitude to my parents Karen and Sean for
proofreading this dissertation, and for their constant encouragement.
Finally, appreciation is expressed to my sister Kate and my friends who have
supported me throughout the dissertation process.

TABLE OF CONTENTS
PAGE NUMBER ACKNOWLEDGEMENTS
I
SUMMARY OF TABLES
II
SUMMARY OF ABBRIEVATIONS
III
ABSTRACT
IV-V
INTRODUCTION & BACKGROUND
1-11
INTRODUCTION 1 CHRONIC OBSTRUCTIVE PULMONARY DISEASE 1-4 ACUTE EXACERBATION OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE
5-6
OXYGEN THERAPY & HYPOXIC DRIVE 6-10 MEASURING THE ADVERSE EFFECTS OF OXYGEN THERAPY IN COPD
10
RELATION OF THE TOPIC TO NURSING & EVIDENCE BASED PRACTICE
10-11
SUMMARY 11 THE REVIEW QUESTION
12-14
INTRODUCTION 12 FORMULATING THE RESEARCH QUESTION 12-13 THE RESEARCH QUESTION AND AIMS AND OBJECTIVES OF THE PROJECT
13
CONCLUSION 14 METHODOLOGY & METHOD
15-24
INTRODUCTION 15 CHOSEN METHODOLOGY: SYSTEMATIC REVIEW 15-16 LITERATURE SCOPING 16-18 SEARCH STRATEGY 18-19 EXTENDED SEARCH METHODS 20 INCLUSION AND EXCLUSION CRITERIA 21-22 QUALITY ASSESSMENT 22-23 DATA EXTRACTION 23-24 SUMMARY 24

INCLUSION AND EXCLUSION OF STUDIES
25-29
INTRODUCTION 25 SEARCH STRATEGY RESULTS 26 CHARACTERISTICS OF INCLUDED STUDIES 26-28 SUMMARY 29 RESULTS
30-44
INTRODUCTION 30 DATA EXTRACTION 30-31 DATA SYNTHESIS 31 KEY THEMES OF RESULTS 31-38 CRITICAL ANALYSIS OF INCLUDED STUDIES 38-43 META-ANALYSIS 43-44 SUMMARY 44 DISCUSSION
45-68
INTRODUCTION 45 PRINCIPAL FINDINGS OF REVIEW 45-49 STRENGTHS & WEAKNESSES OF THE REVIEW 50-55 APPLICATION OF FINDINGS 55-56 ANSWER TO RESEARCH QUESTION 56-61 IMPLICATIONS FOR FUTURE RESEARCH 61-63 RECOMMENDATIONS FOR FUTURE PRACTICE 63-64 REFLECTION 64-67 SUMMARY 68 CONCLUSION
69-71
REFERENCES & BIBLIOGRAPHY
VI-XVII
APPENDIX I
XVIII-XIX
APPENDIX II
XX-XXIII
APPENDIX III
XXIV-XXVIII
APPENDIX IV
XIX-XL
APPENDIX V
XLI-XLII
WORD COUNT: 14,989

SUMMARY OF TABLES
§ Table One: Formulation of Inclusion/Exclusion Criteria pp.21.
§ Table Two: Summary of Arterial Blood Gas Findings pp.32.
§ Table Three: Summary of In-hospital Mortality Findings pp.34.
§ Table Four: Summary of the Need for Mechanical Ventilation pp.35.
§ Table Five: Summary of the Length of Hospital Stay pp.36.
§ Table Six: Summary of the Need for High Dependency/Intensive Care
Unit Care pp.36.
§ Table Seven: Summary of the Need for Non-Invasive Ventilation pp.37.
§ Table Eight: Summary of...

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