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Dissertation
Evidence-based guidelines and asthma control test implementation in primary care clinic
University of Iowa
Doctor of Nursing Practice (DNP), University of Iowa
Spring 2024
Abstract
Background: Asthma is the most common chronic respiratory condition that affects more than 5.1 million children and nearly 21 million adults in the United States (Asthma and Allergy Foundation of America, 2022; Center for Disease Control and Prevention, 2022). The economic burden of asthma is a challenge to the public health (Allsopp et al., 2020). Asthma symptom control may not be properly assessed due to non-standardized assessment tools (Greenberg et al., 2018). There is underutilization of evidence-based guidelines due to provider’s disagreement, lack of knowledge, and confidence in the recommendation (Pudasainee-Kapri, 2021). Purpose: To implement the Global Initiative for Asthma (GINA) guideline and asthma control test (ACT) questionnaires into clinical practice at the primary care clinic. Methods: The Iowa Model guided this project. The project implementation and data collection were done from August 2023 – December 2023. Participants were healthcare providers and patients with asthma ≥ 12 years old who were seen for their well or sick visits. A PowerPoint presentation about the GINA guidelines and the ACT were presented to the providers and nursing staff. Providers received a survey questionnaire to assess their knowledge. Patients with asthma were assigned ACT before their appointment. Patients with ACT scores ≤ 19 were selected for further chart review. Their asthma medications were assessed if they reflected the GINA recommendation. During their follow-up, ACT was assigned to assess symptom improvement. Findings: 113 patients with asthma were seen in the clinic and 80% of them had a documented ACT. 85% of the 13 uncontrolled patients had clinically significant improvement. 10% had the preferred GINA recommendation. Providers were limited on the patient’s health insurance coverage. 83% of the eight providers had improvement in knowledge. Discussion: The use of ACT gave healthcare providers awareness of patients’ asthma control and identified patients who need medication adjustments. The GINA guideline has been a great resource for consistent care in asthma management.
Details
- Title: Subtitle
- Evidence-based guidelines and asthma control test implementation in primary care clinic
- Creators
- Ricci Amor Cardwell - University of Iowa
- Contributors
- Ann Weltin (Chair) - University of Iowa
- Resource Type
- Dissertation
- Project Type
- Poster
- Degree Awarded
- Doctor of Nursing Practice (DNP), University of Iowa
- Degree in
- Family Nurse Practitioner
- Date degree season
- Spring 2024
- Publisher
- University of Iowa
- Number of pages
- 1 page
- Copyright
- Copyright © 2024 Ricci Amor Cardwell
- Language
- English
- Academic Unit
- College of Nursing; Doctor of Nursing Practice Projects
- Record Identifier
- 9984627256002771
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