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Implementing an Evidence-Based, Asthma Decision Support Tool for Children Younger Than 5 Years Old.

Authors
  • Thapa, Grace1
  • Nair, Sharmila2
  • Oetjen, Cheryl3
  • 1 Grace Thapa, DNP Graduate, George Mason University, Fairfax, VA; and Family Nurse Practitioner, Burke Family Practice, Burke, VA.
  • 2 Sharmila Nair, Pediatrician, Sterling Pediatrics, Sterling, VA.
  • 3 Cheryl Oetjen, Assistant Professor and Assistant Dean for MSN and DNP Programs in the School of Nursing, George Mason University, School of Nursing, Fairfax, VA.. Electronic address: [email protected]
Type
Published Article
Journal
Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
Publication Date
Jan 01, 2019
Volume
33
Issue
3
Pages
296–308
Identifiers
DOI: 10.1016/j.pedhc.2018.10.003
PMID: 30826137
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Asthma is underdiagnosed, particularly for children younger than 5 years old. Clinical practice guidelines have been shown to improve asthma diagnosis and management, but are underutilized. This evidence-based practice project aimed to develop, implement, and evaluate a three-page decision support tool (DST) to improve the asthma diagnosis process among children younger than 5 years old. This project used a pre-experimental design and was conducted in a pediatric primary care setting with a predominantly South Asian population. The authors analyzed the utilization of the DST as well as the end-users' perception of the tool. Despite above-average results in the end-users' usability scale, the DST had poor utilization. Implementation of the DST is recommended at similar pediatric primary care sites. The EBP Project team recommends translating the DST to the electronic health record and improving the roles of the champion. Copyright © 2018 National Association of Pediatric Nurse Practitioners. Published by Elsevier Inc. All rights reserved.

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