Date of Conferral

2023

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Courtney Nyange

Abstract

November 2022Abstract A significant number of individuals affected by the coronavirus (COVID) developed severe acute respiratory syndrome (SARS), causing respiratory dysfunction which led to decreased functional capacity. This project aimed to evaluate the project site’s archival data for post-COVID patients to determine whether respiratory treatments improved physical activity, as evidenced by the results of the pre and post 6-minute walk test (6MWT) and oxygen saturation (SpO2) levels. The Donabedian quality model was utilized to evaluate the resources, the interventions, and the outcomes of post-COVID patients. Sources of evidence used were peer-reviewed articles retrieved from the Walden Library and CINAHL databases using Boolean search operators. The project question focused on whether respiratory treatments in post COVID patients improved the scores on the 6MWT. The project site’s archival data from September 2020 to December 2020 were analyzed with EXCEL and SPSS software using one-way analysis of variance (ANOVA) and scientific evidence in the treatment of respiratory diseases. The sample size was 20 with three groups: (a) albuterol, (b) long-acting beta agonist, and (c) other, which included short-acting beta agonists and inhaled corticosteroids . The findings show respiratory treatments were prescribed during the recovery phase. However, there was not sufficient evidence that any specific respiratory treatment improved physical activity. Further research on a larger sample and a longer timeframe is recommended. The positive social change implications of this project are possible improvement in patient outcomes, nursing practice and workflow, and identification of the best interventions for post-COVID patients that can improve respiratory dysfunction.

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