The Future of COPD Management: Advancing Nursing’s Pivotal Role

A special issue of Nursing Reports (ISSN 2039-4403).

Deadline for manuscript submissions: 1 November 2026 | Viewed by 600

Special Issue Editors


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Guest Editor
School of Nursing and Midwifery, Centre for Health Research, University of Southern Queensland, Toowoomba, QLD 4350, Australia
Interests: hospital avoidance; COPD research; obstructive sleep apnoea

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Guest Editor
Faculty of Health, Southern Cross University, Bilinga, QLD 4225, Australia
Interests: respiratory; emergency; critical care; artificial intelligence pedagogy; digital health; e-health

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Guest Editor
School of Nursing and Midwifery, Centre for Health Research, University of Southern Queensland, Toowoomba, QLD 4350, Australia
Interests: women’s health; sexual and reproductive health; intimate partner violence; patient safety; nursing workforce; community wellbeing and health equity
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Special Issue Information

Dear Colleagues,

Chronic obstructive pulmonary disease (COPD) continues to be a major cause of illness and death worldwide and requires a coordinated and multidisciplinary approach to care. As health care systems move toward integrated, preventative, and technology-enabled models, nurses are central in shaping the future of COPD management. Their evolving roles now extend across early diagnosis, patient education, acute and community-based management, telemonitoring, and long-term case coordination. Nurse educators play a vital role in preparing the workforce with the clinical reasoning, leadership, and technological competencies needed to drive these innovations.

In emergency settings, nurses provide rapid assessment and stabilisation, while in rural and remote areas where specialist services are scarce, they often lead on diagnosis, monitoring, and follow-up. The growing use of portable diagnostic tools, digital platforms, and artificial intelligence is expanding nurses’ capacity to detect and manage comorbidities, including sleep-disordered breathing. Nurse-led models of care that harness these technologies can improve accessibility, continuity, and person-centeredness. Collectively, these advances position nurses as key agents in preventing exacerbations, reducing hospital admissions, and improving quality of life. The future of COPD care will depend on empowering nurses as clinical leaders, educators, and innovators within dynamic, patient-focused health systems.

Prof. Dr. Clint Moloney
Dr. Hancy Issac
Prof. Dr. Leah East
Guest Editors

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Keywords

  • COPD management
  • nurse-led care
  • respiratory nursing
  • nurse educator
  • emergency nursing
  • community nursing
  • rural health
  • telehealth
  • diagnostics
  • case management
  • sleep evaluation
  • Apnea Link
  • chronic disease
  • technology-enabled care
  • primary care integration

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Published Papers (1 paper)

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Research

18 pages, 249 KB  
Article
Beyond Triage: The Critical Role of Emergency Nurses in COPD Assessment and Management—Insights from Patients and Staff
by Clint Moloney, Gavin Beccaria and Amy B. Mullens
Nurs. Rep. 2026, 16(4), 136; https://doi.org/10.3390/nursrep16040136 - 14 Apr 2026
Viewed by 251
Abstract
Background: Chronic Obstructive Pulmonary Disease (COPD) remains a leading cause of emergency department (ED) presentation, hospitalisation, and preventable healthcare utilisation worldwide. Although guidelines advocate coordinated, preventative, and community-based management, care within ED settings often remains reactive and crisis-driven. Nurses occupy a central [...] Read more.
Background: Chronic Obstructive Pulmonary Disease (COPD) remains a leading cause of emergency department (ED) presentation, hospitalisation, and preventable healthcare utilisation worldwide. Although guidelines advocate coordinated, preventative, and community-based management, care within ED settings often remains reactive and crisis-driven. Nurses occupy a central role in COPD management; however, the experiential dimensions of nursing practice and its contribution to improving patient outcomes are insufficiently understood. Objectives: To explore the lived experiences of patients, nurses and medical officers regarding COPD presentations to the ED, with particular focus on the nursing role in assessment, coordination, education, and identification of unmet and comorbid care needs. Methods: A qualitative phenomenological approach was undertaken across three regional Australian EDs. Purposive sampling recruited patients presenting with acute exacerbations of COPD and nursing and medical officers involved in their care. Semi-structured interviews were conducted and transcribed verbatim. Data were analysed using Braun and Clarke’s thematic analysis framework, supported by reflexive discussion and audit trails to enhance rigour. Results: Six interrelated themes were identified: (1) nursing within a “crisis first” model of care; (2) holistic assessment and translation of complexity; (3) education and care coordination as preventative nursing work; (4) relational care and therapeutic connection; (5) nurses as sentinels for undiagnosed comorbidities, particularly obstructive sleep apnoea; and (6) system pressures constraining optimal nursing practice. Participants consistently described nurses as the clinicians who stabilised acute episodes, interpreted contextual risks, coordinated services, and provided relational and educational support, yet whose preventative contributions were limited by time and organisational demands. Conclusions: ED nurses function as critical integrators between acute stabilisation and chronic disease management for patients with COPD. Formalising nurse-led assessment, education, coordination, and sleep-disordered breathing screening may reduce avoidable ED presentations and enhance patient-centred outcomes. Investment in structured nursing models represents a key opportunity for improving COPD care delivery. Full article
(This article belongs to the Special Issue The Future of COPD Management: Advancing Nursing’s Pivotal Role)
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