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Implementation of an Asthma Self-Management Education Guideline in the Emergency Department: A Feasibility Study

Implementation of an Asthma Self-Management Education Guideline in the Emergency Department: A... Patients often present to emergency departments (EDs) for the management of chronic asthma. Because of the nature of ED care, national guideline recommendations for asthma education are generally not initiated in the ED. There is evidence that asthma education can have a positive effect on patient outcomes (P. Gibson et al., 2009; H. Powell & P. Gibson, 2009). This study examines the feasibility of implementing an asthma self-management guideline in a tertiary care center ED. Despite protocol utilization by physicians (87%), nurse practitioners and physician assistants (66.7%), and nurses (41.7%), total compliance with national guideline was accomplished in only 25.93% of cases. Barriers to protocol implementation included staff education, high workload, rapid turnover, and competing initiatives within the department. Linear regression analysis identified high daily census as a predictor of protocol noncompliance (p = 0.033). Key words: asthma, asthma management, patient education, self-management HERE IS AN UNEQUAL distribution health literacy (Agency for Healthcare Re- of health care throughout the United search and Quality, 2010). As a result, many T States, with poor and underserved patients resort to using the emergency depart- communities lacking access. The cause of ment (ED) in place of primary care to meet this disparity is http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Advanced Emergency Nursing Journal Wolters Kluwer Health

Implementation of an Asthma Self-Management Education Guideline in the Emergency Department: A Feasibility Study

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Publisher
Wolters Kluwer Health
ISSN
1931-4485
eISSN
1931-4493
DOI
10.1097/TME.0000000000000177
Publisher site
See Article on Publisher Site

Abstract

Patients often present to emergency departments (EDs) for the management of chronic asthma. Because of the nature of ED care, national guideline recommendations for asthma education are generally not initiated in the ED. There is evidence that asthma education can have a positive effect on patient outcomes (P. Gibson et al., 2009; H. Powell & P. Gibson, 2009). This study examines the feasibility of implementing an asthma self-management guideline in a tertiary care center ED. Despite protocol utilization by physicians (87%), nurse practitioners and physician assistants (66.7%), and nurses (41.7%), total compliance with national guideline was accomplished in only 25.93% of cases. Barriers to protocol implementation included staff education, high workload, rapid turnover, and competing initiatives within the department. Linear regression analysis identified high daily census as a predictor of protocol noncompliance (p = 0.033). Key words: asthma, asthma management, patient education, self-management HERE IS AN UNEQUAL distribution health literacy (Agency for Healthcare Re- of health care throughout the United search and Quality, 2010). As a result, many T States, with poor and underserved patients resort to using the emergency depart- communities lacking access. The cause of ment (ED) in place of primary care to meet this disparity is

Journal

Advanced Emergency Nursing Journal – Wolters Kluwer Health

Published: Mar 1, 2018

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