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Qualitative evaluation of asthma services for young people: a sequential simulation study.
Martha Fawcett1, Charles Coughlan1, Elizabeth McGeorge1
1Connecting Care for Children, Imperial College Healthcare NHS Trust, London, UK.
BMJ Simulation & Technology Enhanced Learning
|May 6, 2022
Summary
Young people find chaotic lifestyles a barrier to asthma care. Improving communication and integrating school nurses can enhance routine asthma management for children and young people.
Area of Science:
- Pediatric Respiratory Medicine
- Healthcare Delivery Research
- Patient Engagement Strategies
Background:
- Asthma is a leading chronic childhood illness and a preventable cause of mortality in children and young people (CYP).
- Limited research explores the patient perspective of routine asthma care involving CYP and health professionals.
- This study investigated how young people engage with routine asthma care in North West London.
Purpose of the Study:
- To explore young people's perspectives on routine asthma care.
- To identify barriers and facilitators in asthma management from the patient viewpoint.
- To inform improvements in asthma care delivery for children and young people.
Main Methods:
- A sequential simulation was designed focusing on routine asthma management for individuals aged 12-18.
- A 20-minute simulation depicted typical interactions with school nurses and primary care.
- Facilitated discussions with attendees (young people, GPs, pediatricians, school nurses, commissioners) were audio-recorded, transcribed, and thematically analyzed.
Main Results:
- Thirty-seven individuals attended the sequential simulation.
- Key themes included chaotic family lifestyles as a barrier to care access.
- The importance of multidisciplinary team communication and the role of school nurses in routine care were highlighted.
Conclusions:
- Sequential simulation offers valuable insights into routine asthma care from the patient perspective.
- Recommendations include better integration of school nurses and regular multidisciplinary team meetings.
- These interventions aim to reduce care fragmentation, enhance interprofessional education, and combat professional complacency regarding childhood asthma.
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