Implementing an Evidence-Based,Asthma Decision Support Tool for Children Younger Than 5 Years Old |
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Authors: | Grace Thapa Sharmila Nair Cheryl Oetjen |
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Institution: | 1. Grace Thapa, DNP Graduate, George Mason University, Fairfax, VA; and Family Nurse Practitioner, Burke Family Practice, Burke, VA.;2. Sharmila Nair, Pediatrician, Sterling Pediatrics, Sterling, VA.;3. Cheryl Oetjen, Assistant Professor and Assistant Dean for MSN and DNP Programs in the School of Nursing, George Mason University, School of Nursing, Fairfax, VA. |
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Abstract: | IntroductionAsthma is underdiagnosed, particularly for children younger than 5 years old. Clinical practice guidelines have been shown to improve asthma diagnosis and management, but are underutilized. This evidence-based practice project aimed to develop, implement, and evaluate a three-page decision support tool (DST) to improve the asthma diagnosis process among children younger than 5 years old.MethodsThis project used a pre-experimental design and was conducted in a pediatric primary care setting with a predominantly South Asian population. The authors analyzed the utilization of the DST as well as the end-users' perception of the tool.ResultsDespite above-average results in the end-users' usability scale, the DST had poor utilization.DiscussionImplementation of the DST is recommended at similar pediatric primary care sites. The EBP Project team recommends translating the DST to the electronic health record and improving the roles of the champion. |
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Keywords: | Asthma decision support tool risk stratification South Asian |
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