Care bundles in the management of a COPD exacerbation

Charlotte Lloyd1, Joanne Garside2

  • 1Clinical Nurse Educator, Calderdale and Huddersfield NHS Foundation Trust.

British Journal of Nursing (Mark Allen Publishing)
|January 12, 2018
PubMed

Insights

Care bundles for chronic obstructive pulmonary disease (COPD) show inconsistent components, making effectiveness in reducing readmissions and improving care inconclusive. Further research is needed for standardized COPD management.

Area of Science:

  • Pulmonary Medicine
  • Healthcare Management

Background:

  • Chronic obstructive pulmonary disease (COPD) is a leading cause of death and significant healthcare burden, with high readmission rates.
  • Escalating healthcare costs are linked to COPD emergencies and increasing patient readmissions.
  • Care bundles are increasingly adopted to standardize and improve COPD patient care.

Purpose of the Study:

  • To review the literature on the effectiveness of care bundles in managing chronic obstructive pulmonary disease (COPD).
  • To assess the impact of care bundles on reducing COPD readmission rates and improving the quality of care.
  • To identify challenges in evaluating the efficacy of current COPD care bundles.

Main Methods:

  • An integrative literature review was conducted.
  • The review focused on studies examining the use and outcomes of care bundles for COPD patients.
  • Analysis aimed to determine the effectiveness of care bundles in reducing readmissions and enhancing care quality.

Main Results:

  • Inconsistencies were found in the components of various care bundles used for COPD management.
  • Difficulties exist in attributing positive outcomes to specific components within care bundles.
  • The effectiveness of care bundles in reducing COPD readmission rates and improving care quality yielded inconclusive results.

Conclusions:

  • Current evidence on the effectiveness of care bundles for COPD is inconclusive due to component variability.
  • Further research is recommended to investigate the impact of individual components within care bundles.
  • The development of internationally agreed-upon care bundles for COPD management is suggested to improve standardization and outcomes.

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