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NR 715 Week 5 Discussion; Evidence Synthesis

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NR 715 Week 5 Discussion; Evidence Synthesis

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Week 5 -Evidence Synthesis


A search to online Chamberlain University (CINAHL) was utilized to conduct an advanced
practice search to find a quantitative study, a single source related to the National Practice
Problem of Coronary Artery Disease (CAD) and prevention.


The quantitative article of choice is “Effects of a Web-Based Educational Support Intervention
on Total Exercise and Cardiovascular Risk Markers in Adults with Coronary Heart Disease”
(Wong et al., 2020). The John Hopkins Appraisal Tool finds the article a level I with an A of
high quality.
https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?
direct=true&db=c8h&AN=145318133&site=ehost-live&scope=site
Wong, E. M., Leung, D. Y. P., Chair, S. Y., & Sit, J. W. H. (2020). Effects of a Web-Based
Educational Support Intervention on Total Exercise and Cardiovascular Risk Markers in Adults
With Coronary Heart Disease. Worldviews on evidence-based nursing, 17(4), 283–292.
https://doi.org/10.1111/wvn.12456
Themes:
Kaldal et al. (2021). Cardiac risk factors, prevention, follow-up care, consultations
Winkler et al. (2023). Referral care, Primary Care Physician decision-making in referrals for
probable coronary artery disease patients. Patient risk factors that may or may not lead to
referral.
Wong et al. (2020). Cardiac prevention, eHealth usage in preventing CAD (promoting exercise
and managing cardiac risk markers), follow-up care.


The main theme:
The central theme in all three articles is the importance of follow-up consultations with primary
care or specialists (Kaldal et al., 2021; Winkler et al., 2023; Wong et al., 2020). Each article
discusses the primary signs of coronary artery disease. Proper patient education, follow-up, and
referrals are crucial to evaluating new cardiac events or disease progression risks. Follow-up or
referrals allow the patient to question the physician, identify misunderstandings, make further
assessments, and adjust treatment plans. Kaldal et al. (2020) underline the importance of
continuous follow-up to maintain treatment results.


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