一项试点研究,以改善提供商遵守NAEPP指南的情况.
Joanne M Fierro1, Mary Ann Lewis1, Mary-Lynn Brecht1
1University of California, Los Angeles, United States of America.
Journal of pediatric nursing
|July 27, 2023
概括
将喘登记处整合到电子医疗记录中,改善了供应商遵守国家喘教育和预防计划 (NAEPP) 的指导方针. 这种干预措施通过增加使用喘控制测试,行动计划和药物来提高患者护理和结果.
科学领域:
- 肺部医学 肺部医学
- 医疗信息学 医疗信息学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 尽管发布了指导方针,但喘患病率和发病率在美国已经上升.
- 提供者遵守国家喘教育和预防计划 (NAEPP) 专家小组报告-3 (EPR-3) 准则仍然是一个挑战.
研究的目的:
- 评估将儿科喘注册表 (PAR) 整合到电子病历 (EMR) 中的有效性,以改善提供者遵守NAEPP指南.
- 评估这项干预措施对喘管理实践的影响.
主要方法:
- 一项连续的横截面研究比较了在2014年之前 (2018年) 和之后 (2018年) 的喘患者的提供者管理.
- 评估了四种坚持措施:喘控制测试 (ACT),喘行动计划 (AAP),吸入性皮质类固醇 (ICS) 和间隔器.
- 统计分析包括通用线性混合模型和千平方测试.
主要成果:
- 2018年,与2014年相比,患者接受ACT (OR=14.95),AAP (OR=12.70),ICS (OR=1.85) 和间隔器 (OR=1.45) 的可能性明显增加.
- 这些发现表明,干预后遵循指南的护理大幅增加.
结论:
- 儿童喘登记处的EMR集成是有效的临床决策支持工具.
- 该干预措施成功地提高了提供者遵守NAEPP喘指南的程度.
- 持续的改进需要持续的监测,教育和潜在的多个地点的研究.
相关概念视频
01:11Guidelines for Writing Outcome
2.8K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
2.8K
01:15Nursing Implementation
5.1K
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
5.1K
01:19Standards of Care II
680
Nurses bear specific legal responsibilities under several federal statutes, including:
680
01:11Clinical Trials: Overview
3.0K
Clinical development focuses on how the drug will interact with the human body and encompasses four key phases of clinical trials, each serving a specific purpose in assessing the safety and effectiveness of new drugs. These phases overlap and build upon one another. Phase I involves a small group of healthy volunteers (typically 20-80 individuals) or, in cases where significant toxicity is expected, patients with the targeted disease, such as cancer or AIDS. The volunteers are tested for...
3.0K