Date
12-2021
Department
School of Nursing
Degree
Doctor of Nursing Practice (DNP)
Chair
Ken Thompson
Keywords
COPD, AECOPD, COPD discharge bundles, effectiveness of COPD discharge bundles, COPD bundles effects on 30 day hospital readmissions, COPD bundles effects on 30 day hospital readmissions
Disciplines
Nursing
Recommended Citation
Wingo, Leigh Goodwin, "COPD Discharge Care Bundles: An Integrative Review" (2021). Doctoral Dissertations and Projects. 3347.
https://digitalcommons.liberty.edu/doctoral/3347
Abstract
Chronic obstructive pulmonary disease (COPD) is one of the leading causes of death in the United States. It is the reason for millions of emergency room and hospitalizations, increasing healthcare costs, morbidity, and mortality. Many studies have evaluated the effects of COPD patient care bundles to help reduce the risk of 30-60-90-day readmissions post discharge from the hospital for COPD exacerbation. A comprehensive search was conducted on articles dated between February 2015 to January 2020 in the MEDLINE, EMBASE, and CINAHL, OVID, internet search, and Liberty University online library. This review included articles based on the effectiveness of COPD discharge bundles on 30-day hospital readmissions. Results varied showing variance between statistical evidence versus clinical outcomes. It is concluded that COPD discharge care bundles can in fact have significance in reduction of 30-day hospital readmissions for AECOPD to reduce 30-day hospital admissions. The studies that showed insignificance still revealed best practice and clinically significant data.
