<abstract xmlns="http://www.w3.org/1999/xhtml"><sec id="j_fon-2018-0019_s_009_w2aab3b7b7b1b6b1aab1c17b1Aa"><h3>Objective</h3><p>This review aimed to examine the effectiveness of clinical nurse specialist (CNS) interventions in patients with chronic obstructive pulmonary disease (COPD). COPD significantly affects people’s health worldwide. With the development in nursing, CNSs are playing increasingly important roles in different departments. However, the studies on the effectiveness of CNSs in COPD are not as well organized as the studies on the effectiveness of CNSs in bronchiectasis and asthma. Therefore, this review aims to find some updated evidence on the CNS interventions for patients with COPD and on whether these interventions are effective.</p></sec><sec id="j_fon-2018-0019_s_010_w2aab3b7b7b1b6b1aab1c17b2Aa"><h3>Methods</h3><p>A narrative analysis of the data was performed for the eligible studies. Four databases were chosen: CINAHL, MEDLINE, British Nursing Index, and Cochrane Library. Other websites such as the National Institute for Health and Clinical Excellence, National Health Service Evidence, Association of Respiratory Nurse Specialists, and National Association of Clinical Nurse Specialist were searched as well. Two reviewers performed study identification independently, and all the retrieved articles were stored using the EndNote X7 software. The risk of bias in the included studies was assessed using the Cochrane Collaboration’s risk of bias tool.</p></sec><sec id="j_fon-2018-0019_s_011_w2aab3b7b7b1b6b1aab1c17b3Aa"><h3>Results</h3><p>A total of nine studies were included in this review. There were five current interventions by CNSs for patients with COPD. These interventions were home nursing support, CNS’s supported discharge, multidisciplinary cooperation programs, nurse-led care programs, and self-care management education. The effectiveness of these five interventions was evaluated individually. There is low- to moderate-quality evidence indicating that home nursing support interventions may have a positive effect on mortality and quality of life. No significant difference in quality of life has been found between the CNS-supported discharge intervention and the usual service. The multidisciplinary cooperation program probably had a positive effect on quality of life in patients with COPD. Both nurse-led care and self-care management education intervention had a positive effect on mortality of patients with COPD.</p></sec><sec id="j_fon-2018-0019_s_012_w2aab3b7b7b1b6b1aab1c17b4Aa"><h3>Conclusions</h3><p>The findings of this review provide updated evidence on the effectiveness of CNS interventions for patients with COPD. Although nine trials were included and five types of interventions were identified, there is still lack of high-quality evidence.</p></sec></abstract>

ObjectiveThis review aimed to examine the effectiveness of clinical nurse specialist (CNS) interventions in patients with chronic obstructive pulmonary disease (COPD). COPD significantly affects people’s health worldwide. With the development in nursing, CNSs are playing increasingly important roles in different departments. However, the studies on the effectiveness of CNSs in COPD are not as well organized as the studies on the effectiveness of CNSs in bronchiectasis and asthma. Therefore, this review aims to find some updated evidence on the CNS interventions for patients with COPD and on whether these interventions are effective.MethodsA narrative analysis of the data was performed for the eligible studies. Four databases were chosen: CINAHL, MEDLINE, British Nursing Index, and Cochrane Library. Other websites such as the National Institute for Health and Clinical Excellence, National Health Service Evidence, Association of Respiratory Nurse Specialists, and National Association of Clinical Nurse Specialist were searched as well. Two reviewers performed study identification independently, and all the retrieved articles were stored using the EndNote X7 software. The risk of bias in the included studies was assessed using the Cochrane Collaboration’s risk of bias tool.ResultsA total of nine studies were included in this review. There were five current interventions by CNSs for patients with COPD. These interventions were home nursing support, CNS’s supported discharge, multidisciplinary cooperation programs, nurse-led care programs, and self-care management education. The effectiveness of these five interventions was evaluated individually. There is low- to moderate-quality evidence indicating that home nursing support interventions may have a positive effect on mortality and quality of life. No significant difference in quality of life has been found between the CNS-supported discharge intervention and the usual service. The multidisciplinary cooperation program probably had a positive effect on quality of life in patients with COPD. Both nurse-led care and self-care management education intervention had a positive effect on mortality of patients with COPD.ConclusionsThe findings of this review provide updated evidence on the effectiveness of CNS interventions for patients with COPD. Although nine trials were included and five types of interventions were identified, there is still lack of high-quality evidence.

A systematic review of the effectiveness of clinical nurse specialist interventions in
patients with chronic obstructive pulmonary disease (COPD)

Zhuhai People’s Hospital (The Third Hospital Affiliated to Jinan University)

Frontiers of Nursing

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

ObjectiveThis review aimed to examine the effectiveness of clinical nurse specialist (CNS) interventions in patients with chronic obstructive pulmonary disease...

A systematic review of the effectiveness of clinical nurse specialist interventions in patients with chronic obstructive pulmonary disease (COPD)

Article Category: Original Article

Published Online: Aug 14, 2018

Page range: 147 - 156

Received: Sep 03, 2017

Accepted: Nov 25, 2017

DOI: https://doi.org/10.2478/fon-2018-0019

Keywords
chronic obstructive pulmonary disease (COPD), clinical nurse specialists (CNSs), effectiveness, systematic review, advanced practice nurse, RNS, CNS led

© 2018 Hua Yin, Ling Yang, Qiao Ye, published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

A systematic review of the effectiveness of clinical nurse specialist interventions in patients with chronic obstructive pulmonary disease (COPD)

Article Category: Original Article

Published Online: Aug 14, 2018

Page range: 147 - 156

Received: Sep 03, 2017

Accepted: Nov 25, 2017

DOI: https://doi.org/10.2478/fon-2018-0019

Keywordschronic obstructive pulmonary disease (COPD), clinical nurse specialists (CNSs), effectiveness, systematic review, advanced practice nurse, RNS, CNS led

© 2018 Hua Yin, Ling Yang, Qiao Ye, published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
chronic obstructive pulmonary disease (COPD), clinical nurse specialists (CNSs), effectiveness, systematic review, advanced practice nurse, RNS, CNS led