Evaluation of the Role of the Pediatric Nurse Practitioner in an Inpatient Asthma Program

Borgmeyer, Anne; Gyr, Patricia M.; Jamerson, Patricia A.; Henry, L

doi:10.1016/j.pedhc.2007.07.004

Cited by 39 publications

(20 citation statements)

References 10 publications

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“…Patients hospitalized were evaluated by specialized nurses and given discharge instructions emphasizing controller medication use and PCP follow-up. 30 …”

Section: Methodsmentioning

confidence: 99%

A Randomized Controlled Trial of Parental Asthma Coaching to Improve Outcomes Among Urban Minority Children

Nelson

Highstein²,

Garbutt

et al. 2011

Arch Pediatr Adolesc Med

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“…Patients hospitalized were evaluated by specialized nurses and given discharge instructions emphasizing controller medication use and PCP follow-up. 30 …”

Section: Methodsmentioning

confidence: 99%

A Randomized Controlled Trial of Parental Asthma Coaching to Improve Outcomes Among Urban Minority Children

Nelson

Highstein²,

Garbutt

et al. 2011

Arch Pediatr Adolesc Med

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“…Dès 1994, un programme de formation d'infirmier praticien en puériculture spécialisé dans la prise en charge de la maladie asthmatique a été développé aux États-Unis et a démontré son efficacité [39]. En 1999, L. Refabert et al soulignaient l'importance de la formation du personnel soignant à l'éducation thérapeutique [40].…”

Section: Formation Et Compétences Des Praticiens Avancésunclassified

Infirmier de pratique avancée en allergologie : quelle formation et quelles compétences ?

Danan

Guyon

Dury³

et al. 2015

Revue Française d'Allergologie

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“…Most published programs use a dedicated nurse educator in providing educational programming for patients and families to improve asthma management knowledge at the point of discharge [62][63][64]. One randomized trial compared an enhanced bedside educational intervention that included a video, materials with pictures, skill assessment, and follow-up call to a basic bedside educational program.…”

Section: Inpatient Education Programsmentioning

confidence: 99%

Improving Asthma Care in the Hospital: an Overview of Treatments and Quality Improvement Interventions for Children Hospitalized for Status Asthmaticus

Kenyon

Auger

Adams

et al. 2014

Curr Treat Options Peds

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Asthma is one of the leading causes of pediatric hospitalization in the USA. This review summarizes evidence-based practices for inpatient pediatric asthma treatment, including routine care, care escalation, and discharge care, along with established and emerging inpatient quality improvement approaches. Intermittent inhaled beta agonists, systemic steroids, and, for patients with low oxygen saturation, supplemental oxygen remain the cornerstones of routine inpatient asthma care. Compared to nebulization, metered-dose inhaler delivery of intermittent beta agonist therapy is more effective and underused. Oral prednisone produces similar clinical outcomes and is more cost-effective when compared with intravenous methylprednisolone. Standardized respiratory assessment scores should supplement clinical judgment in evaluating response to therapy. There are no studies that demonstrate the effectiveness of routine adjuvant anticholinergic therapy outside of the emergency room, though it may be effective in a subset of inpatients. Evidence for inpatient care escalation is limited. With respect to discharge care, simple provision of asthma care plans does not appear to reduce readmissions, though individually tailored asthma care plans remain a standard of discharge care, along with systemic steroids, beta agonists, and, when indicated, inhaled corticosteroids. To avoid medication access barriers for high-risk patients, clinicians can ensure that discharge medications are in-hand before the patient leaves the hospital. A number of quality improvement strategies have shown promise in the inpatient setting. Clinical pathways reduce length of stay and costs associated with care without an associated increase in readmissions. Inpatient family education programs can be effective but should incorporate multiple strategies, including individualized management strategies and post-discharge follow-up. Inpatient care also serves as a useful opportunity to assess home environmental risk and to refer high-risk families to outpatient and community resources.

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Evaluation of the Role of the Pediatric Nurse Practitioner in an Inpatient Asthma Program

Cited by 39 publications

References 10 publications

A Randomized Controlled Trial of Parental Asthma Coaching to Improve Outcomes Among Urban Minority Children

A Randomized Controlled Trial of Parental Asthma Coaching to Improve Outcomes Among Urban Minority Children

Infirmier de pratique avancée en allergologie : quelle formation et quelles compétences ?

Improving Asthma Care in the Hospital: an Overview of Treatments and Quality Improvement Interventions for Children Hospitalized for Status Asthmaticus

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