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Updating asthma management: the process of change
G Maskell1, C V Powell, M K Marks
1Royal Children's Hospital, Flemington Rd., Parkville, Victoria, Australia 3052.
Summary
Implementing new asthma guidelines for children using pressurized metered dose inhalers and spacer devices proved effective. A multidisciplinary team approach, thorough planning, and consistent education were key to successful clinical practice change.
Area of Science:
- Pediatric Medicine
- Clinical Practice Change
- Respiratory Care
Background:
- Current evidence supports pressurized metered dose inhalers (pMDIs) with spacer devices for pediatric asthma.
- Acute pediatric asthma management requires effective and evidence-based treatment strategies.
Purpose of the Study:
- To implement new Asthma Delivery Device Guidelines at a tertiary pediatric hospital.
- To improve the treatment of acute pediatric asthma.
Main Methods:
- A multidisciplinary team managed the strategic change in clinical practice.
- A significant planning phase was undertaken.
- Intensive and ongoing staff and patient/parent education was provided.
Main Results:
- The implementation of new Asthma Delivery Device Guidelines was successful.
- The change in practice was attributed to a multifaceted, multidisciplinary approach.
- Accessibility of information played a role in the successful implementation.
Conclusions:
- A multidisciplinary, strategic approach is effective for changing clinical practice.
- Effective implementation of new asthma treatment guidelines requires comprehensive planning and education.
- The Royal Children's Hospital successfully updated its asthma treatment protocols.