NURS FPX 9902 Assessment 2 Literature Search

 Literature Search

The literature quest for this design aimed to assess the effectiveness of substantiated cognitive behavioral remedy (CBT) and motivational canvassing for cases with opioid dependence. A regular and strategic approach was espoused, exercising several scholarly databases, including PubMed, CINAHL, PsycINFO, and the Cochrane Library. These databases were named for their responsibility in offering high-quality disquisition in the healthcare and psychology disciplines. The quest was guided by keywords and expressions applicable to the PICOT question, such as opioid dependence, cognitive behavioral remedy, motivational canvassing, client-centered treatment, and readmission rates. Boolean operators analogous to “AND” and “OR” were employed to combine quest terms, while adulterants for peer-reviewed papers and recent publications were used to upgrade results (Hah et al., 2020). This strategy aimed to describe the most material studies that assess the impact of these interventions on reducing readmission rates in cases with opioid dependence. 

Literature Search Strategy

To identify applicable studies, a combination of strategies was employed. Pivotal terms, including Medical Subject Headings (MeSH), analogous to opioid-combined conditions, cognitive behavioral remedy, and motivational interviewing, were used to enhance quest particularity. Also, reviewing reference lists of linked studies helped uncover supplementary resources. This comprehensive approach ensured that studies published in the last five years were included. Fresh criteria concentrated on disquisition involving adult cases with substance use conditions who entered substantiated CBT and motivational canvassing, with readmission rates as an outgrowth. Studies not in English, those involving children, and disquisitions with shy methodological rigor were barred. Likewise, Argentine literature, including government reports and compositions, was considered when peer-reviewed sources were scarce (DeBar et al., 2021). Ultimately, 20 to 30 high-quality sources were named for in-depth analysis to maintain a robust and up-to-date validation base. 

Analysis of Evidence

An analysis of the 20 named peer-reviewed papers handed precious perceptivity into the effectiveness of CBT and motivational canvassing in treating opioid dependence. The studies employed various methodologies, including randomized controlled trials and regular reviews, to estimate issues analogous to reduced readmission rates and better internal health. Pivotal findings revealed that both CBT and motivational canvassing were effective in managing opioid dependence and co-occurring psychiatric conditions analogous to anxiety and depression (Buckner et al., 2023; McHugh et al., 2024). Despite these promising issues, gaps remained in understanding the long-term goods of these interventions, as well as their effectiveness across different demographic groups. Likewise, the disquisition emphasized the need to consider cost-effectiveness and the delivery modality of these antidotes in different healthcare settings (MacLean et al., 2024; Olmstead et al., 2020). 

Literature Search and Analysis Table

NURS FPX 9902 Assessment 2 Literature Search

Borsari, B., Li, Y., Tighe, J., Manuel, J. K., Gökbayrak, N. S., Delucchi, K., Morasco, B. J., Abadjian, L., Cohen, B. E., Baxley, C., & Seal, K. H. (2021). The study conducted a pilot trial that combined collaborative care with motivational interviewing to lower opioid risk and enhance chronic pain management. Addiction, 116(9). https://doi.org/10.1111/add.15401

Buckner, J. D., Scherzer, C. R., Crapanzano, K. A., & Morris, P. E. (2023). Group cognitive behavioral therapy for substance use disorders among psychiatric inpatients in a medically underserved area: An intervention for opioid misuse. Public Health Reports, 138(1_suppl), 90S–95S. https://doi.org/10.1177/00333549231170219

Buckner, J. D., Walukevich-Dienst, K., Crapanzano, K. A., Tucker, R. P., & Tynes, L. L. (2021). The study focused on brief motivational interviewing-based interventions for opioid misuse in hospital settings. Translational Issues in Psychological Science, 7(2), 114–129. https://doi.org/10.1037/tps0000280

DeBar, L., Mayhew, M., Benes, L., Bonifay, A., Deyo, R. A., Elder, C. R., Keefe, F. J., Leo, M. C., McMullen, C., Owen-Smith, A., Smith, D. H., Trinacty, C. M., & Vollmer, W. M. (2021). The study focuses on a primary care-based cognitive behavioral therapy intervention for long-term opioid users with chronic pain. Annals of Internal Medicine, 175(1). https://doi.org/10.7326/m21-1436

NURS FPX 9902 Assessment 2 Literature Search

Hah, J. M., Trafton, J. A., Narasimhan, B., Krishnamurthy, P., Hilmoe, H., Sharifzadeh, Y., Huddleston, J. I., Amanatullah, D., Maloney, W. J., Goodman, S., Carroll, I., & Mackey, S. C. (2020). Efficacy of motivational interviewing and guided opioid tapering support for patients undergoing orthopedic surgery (MI-Opioid Taper): A prospective, assessor-blind, randomized controlled pilot trial. EClinicalMedicine, 28. https://doi.org/10.1016/j.eclinm.2020.100596