Negative Pressure Wound Therapy vs Conventional Treatment Methods: which is the most suitable treatment for pilonidial sinus wound healing?
 
 
 
E​‌‍‍‍‌‍‍‌‍‌‌‍‍‍‌‍‌‌‌‍​xtended Literature Review and report For this task you are required to undertake a systematic review of pertinent literature and present this as a report. Points for structuring my systematic review. Title – Negative Pressure Wound Therapy vs Conventional Treatment Methods: which is the most suitable treatment for pilonidial sinus wound healing? Abstract (150 words) – The most significant elements of the study should be outlined in the review’s abstract. – Introduction to background of the problem – Study aim and objectives – Systematic review methods – Results – Conclusion/interpretation – Recommendations Introduction (800 words) – This section should ‘set the scene’ by providing the background to the research and explaining the health issue. Why it is important to public health/nursing. The introduction should contain: • Rationale – Describe the rationale for the review in the context of existing knowledge. What is the ‘gap’. • Objectives -Provide an explicit statement of the objective of the review Research Question – Using PICO structure, formulate a researchable question to guide your review. Please present in a tabulated PICO format. Population – Adults with pilonidial sinus disease Intervention – Negative Pressure Wound Therapy Comparison – Conventional Treatment Methods Outcome – Reducing complications associated with pilonidial sinus wound healing Methods (800 words) – This section should contain a clear review of the systematic review methodologies used in the development of your review. This section should contain: – Your aim and research objectives. – A paragraph on your Epistemological approach and one on Positionality and how you’ve mitigated against the potential issues (most important in qualitative systematic reviews). Information about your literature search strategy: • Inclusion and exclusion criteria for the review. – Which variables will guide your review • Information sources (in a table) • Search and selection strategy (in a table) – this section demonstrates how you have selected studies for inclusion and exclusion in the review – Present the full search strategies for all databases, registers and websites, including any filters and limits used. – Specify all databases, registers, websites, organisations, reference lists and other sources searched or consulted to identify studies. Specify the date when each source was last searched or consulted. – Present a tabulated description of all the included studies supporting the review. Information about the appraisal of methodological quality • Critique each study individually and present a precis in tabulated format. • Data extraction and the identification of relevant information which will be used to answer the research question. – Compile a relevant data extraction table to support this section. • Appraisal of the articles used in the review (4/5 papers) using a structured appraisal tool to determine the methodological quality (this would include CAS​‌‍‍‍‌‍‍‌‍‌‌‍‍‍‌‍‌‌‌‍​P). Notes: Remember the research objectives are steps in your systematic review in order to achieve your aim. There should be one objective on the criteria for the systematic review, one on the process methodology for the systematic review, one or two on outcomes (e.g. recommendations to inform policy/practice). Remember that anything in a table format has no word count.This is the justification of your methodological quality of your review, not the papers. Results/synthesis (1300 words): This section contains a synthesis of current knowledge in relation to the research question. This will either be a meta-analysis (quantitative) or meta-synthesis (qualitative). • Data presentation and analysis • Trends and themes in results and how this support or refute the research question. Results are presented depending on the type of study: • Quantitative – presented in tabular/chart format with a critical review of the statistical methods employed and the results obtained • Qualitative – presented in themes and sub-themes Outcome data will be used to support/refute the research question and will be presented in chart/table/dialogue format depending on the study type. Notes: You can give a precis of the outcome data/box if you wish – this will give an overview of the outcome of the paper but will also save you some word count to concentrate on the analysis. Here you develop the papers into a critical discussion of the themes/data supporting or refuting the research question. Discussion (1300 words) : This section discusses the findings from the studies in a clear and concise manner. This includes a critical discussion of the findings in relation to the relevant background literature. • The discussion will be clearly linked to the research question. • What are the limitations of your research findings? • It is not a repeat of information from the results section. • This section should be clearly linked to the development of advanced clinical practice in your area of practice. Notes: Link back to the supporting background literature and discuss the findings in a wider context than just the papers – how do the concepts you identified link to the research question for example? Conclusion and recommendations ( 300 words) : A brief conclusion of the main findings from the review is provided and clearly linked to the research question, and recommendations made. Here you should be demonstrating how the findings can or should be applied in the real world. How do the results affect the changing landscape of clinical practice and identify areas for service improvement/development. Dissemination Strategy (300 words): Within this section you will provide a synopsis of your work as if you were preparing for publication/dissemination. However, you do not need to send this for publication. You need to think about your own sphere of practice and what could potentially be the barriers and enablers to you sharing and disseminating the findings of your research into practice. Y​‌‍‍‍‌‍‍‌‍‌‌‍‍‍‌‍‌‌‌‍​ou also need to provide a summary of your dissemination strategy.
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Think of a human service organization with which you are familiar. What are the key forces in its environments (local, state, national, and international) to which its stakeholders should be paying attention? How does the agency identify needs and opportunities for new services? In what ways does the agency involve the community in the assessment process?
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