The Practical Approach to Lung Health in South Africa (PALSA) intervention: respiratory guideline implementation for nurse trainers

Bheekie, Angeni; Buskens, I; Allen, Stephen; English, RG; Mayers, Pat; Fairall, Lara; Majara, BP; Bateman, ED; Zwarenstein, Merrick; Bachmann, Max

doi:10.1111/j.1466-7657.2006.00520.x

Cited by 32 publications

(35 citation statements)

References 20 publications

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“…4) Assessment of patterns of disease and symptoms in adults presenting to firstlevel facilities in LMICs should serve as a guide to the development of transverse programmes. 5) Development and evaluation of transverse (integrated) programmes of prevention and care in selected LMICs with different resources and needs employing methods used in the Practical Approach to Lung Health (PAL) [51], Practical Approach to Lung Health and HIV/AIDS in South Africa (PALSA Plus) [50,60] and other similar programmes. A dominant feature of this programme is the strengthening of health systems through education and the optimal use of resources.…”

Section: Prioritised Research Agenda For Crdsmentioning

confidence: 99%

Prioritised research agenda for prevention and control of chronic respiratory diseases

Bousquet¹,

Kiley²,

Bateman³

et al. 2010

Eur Respir J

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123

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The 2008-2013 World Health Organization (WHO) action plan on noncommunicable diseases (NCDs) includes chronic respiratory diseases as one of its four priorities. Major chronic respiratory diseases (CRDs) include asthma and rhinitis, chronic obstructive pulmonary disease, occupational lung diseases, sleep-disordered breathing, pulmonary hypertension, bronchiectiasis and pulmonary interstitial diseases. A billion people suffer from chronic respiratory diseases, the majority being in developing countries. CRDs have major adverse effects on the life and disability of patients. Effective intervention plans can prevent and control CRDs, thus reducing morbidity and mortality. A prioritised research agenda should encapsulate all of these considerations in the frame of the global fight against NCDs. This requires both CRD-targeted interventions and transverse NCD programmes which include CRDs, with emphasis on health promotion and disease prevention.

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Section: Prioritised Research Agenda For Crdsmentioning

confidence: 99%

Prioritised research agenda for prevention and control of chronic respiratory diseases

Bousquet¹,

Kiley²,

Bateman³

et al. 2010

Eur Respir J

Self Cite

123

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show abstract

“…Based on this feedback, the guideline development group developed support materials and a training intervention strategy. 10 Three further focus group discussions were held to pilot the intervention.…”

Section: Review and Revision Of Draft Versions Of The Palsa Guidelinementioning

confidence: 99%

“…The intervention comprises a syndromic diagnostic algorithm, supporting educational materials, and a programme of educational outreach for primary care nurses provided by trained supervisors. 10 …”

Section: Introductionmentioning

confidence: 99%

“…[5][6][7] The Practical Approach to Lung Health in South Africa (PALSA) initiative is a local adaptation and expansion of the World Health Organisation's (WHO) Practical Approach to Lung Health (PAL) strategy. [8][9][10] PALSA aims to strengthen the health system through the implementation of locally applicable integrated symptom-and sign-based (syndromic) algorithms for the detection and management of respiratory disease conditions in primary care. The rationale for this approach is that, particularly in developing countries, approximately one-third of patients presenting to primary care facilities have respiratory symptoms.…”

Section: Introductionmentioning

confidence: 99%

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Development of a South African integrated syndromic respiratory disease guideline for primary care

English

Bateman

Zwarenstein

et al. 2008

Primary Care Respiratory Journal

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Aims: The Practical Approach to Lung Health in South Africa (PALSA) initiative aimed to develop an integrated symptom-and sign-based (syndromic) respiratory disease guideline for nurse care practitioners working in primary care in a developing country.Methods: A multidisciplinary team developed the guideline after reviewing local barriers to respiratory health care provision, relevant health care policies, existing respiratory guidelines, and literature. Guideline drafts were evaluated by means of focus group discussions. Existing evidence-based guideline development methodologies were tailored for development of the guideline.Results: A locally-applicable guideline based on syndromic diagnostic algorithms was developed for the management of patients 15 years and older who presented to primary care facilities with cough or difficulty breathing.Conclusions: PALSA has developed a guideline that integrates and presents diagnostic and management recommendations for priority respiratory diseases in adults using a symptom-and sign-based algorithmic guideline for nurses in developing countries.

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“…PALSA training materials included customised messages that were incorporated into illustrated support materials [34]. Documents on how to use, clean and maintain equipment such as peak flow meters, inhalation chambers, nebulisers, spirometry and oxygen supply should be provided [2,9], together with demonstration devices [34].…”

Section: Training Modalitiesmentioning

confidence: 99%

Practical approach to lung health: lung health for everyone?

Hamzaoui

Ottmani

2012

Eur Respir Rev

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The Practical Approach to Lung Health in South Africa (PALSA) intervention: respiratory guideline implementation for nurse trainers

Abstract: In addition to tailored guideline recommendations, training programmes should consider individual learning styles and adult learning processes.

Cited by 32 publications

References 20 publications

Prioritised research agenda for prevention and control of chronic respiratory diseases

Prioritised research agenda for prevention and control of chronic respiratory diseases

Development of a South African integrated syndromic respiratory disease guideline for primary care

Practical approach to lung health: lung health for everyone?

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