Doctor of Nursing Practice (DNP) Projects

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Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.

Embargo Period

3-29-2018

Degree Program

Doctor of Nursing Practice

Degree Track

Post Master's DNP Completion

Year Degree Awarded

2018

Month Degree Awarded

May

Keywords

Asthma, Pediatric Asthma, Team Based Asthma Care, Evidence Based Treatment

Advisor

Pamela Aselton

Abstract

Purpose: Asthma is a chronic condition that affects millions of people, many of whom are children. There is a significant amount of evidence detailing best evidence step-by-step treatments based on severity, yet many children still have uncontrolled asthma. The comprehensive management of asthma is essential to improve health outcomes for children with asthma.

Methods: This project evaluated the implementation of the Global Initiative for Asthma (GINA) guidelines and assessed the barriers and facilitators present in a pediatric clinic which impact care delivery. This project Involved the implementation of an educational intervention based on the GINA guidelines to facilitate a team-based approach to asthma management.

Results: Eight staff members participated in the project. The most significant changes were 75% of staff reported an increase in their knowledge of the GINA guideline recommendations, staff reported a 25% increase in team member participation in asthma care, and staff reported a 12.5% increase in their feelings of support for the use of team-based implementation of the GINA guidelines from leadership. The results of this quality improvement project support the use of Roger’s Diffusion of Innovations model as a theoretical framework to support implementation of a team-based approach to the use of the GINA guidelines in a pediatric clinic.

Conclusions: Education on evidence-based guidelines improves clinic staff knowledge and utilization of the guidelines. However, factors such as leadership involvement, clinic infrastructure, and standardized clinical tools are essential for successful implementation of a team-based approach to asthma management.

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