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Enhancing Pediatric Asthma Care and Nursing Education Through an Academic Practice Partnership.
McClure, Natasha; Lutenbacher, Melanie; O'Kelley, Ellen; Dietrich, Mary S.
Afiliación
  • McClure N; Vanderbilt University School of Nursing, Nashville, TN United States. Electronic address: Natasha.j.mcclure@vanderbilt.edu.
  • Lutenbacher M; Vanderbilt University School of Nursing, Nashville, TN United States. Electronic address: melanie.lutenbacher@vanderbilt.edu.
  • O'Kelley E; Department of Pediatrics, Vanderbilt University School of Medicine, Division of Pediatric Allergy, Immunology, and Pulmonary Medicine, Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, TN United States. Electronic address: ellen.okelley@vanderbilt.edu.
  • Dietrich MS; Statistics and Measurement, Schools of Medicine (Biostatistics, Psychiatry) and Nursing, Vanderbilt University School of Nursing, Nashville, TN United States. Electronic address: Mary.dietrich@vanderbilt.edu.
J Pediatr Nurs ; 36: 64-69, 2017.
Article en En | MEDLINE | ID: mdl-28888513
BACKGROUND: Home environmental assessments and interventions delivered via academic practice partnerships (APP) between clinics and schools of nursing may be a low or no cost delivery model of pediatric asthma care and professional education. Patients receive enhanced clinical resources that can improve self-management and healthcare utilization. Additionally, students can practice chronic disease management skills in actual patient encounters. OBJECTIVE: To describe outcomes of the implementation of an APP between a school of nursing and a pediatric asthma specialty clinic (PASC) to deliver a home visit program (HVP). The HVP was designed to reduce emergency department visits and asthma related hospitalizations in PASC patients and provide clinical experiences for nursing students. METHODS: PASC referred patients to the HVP based on their level of asthma control. Students provided an individualized number of home visits to 17 participants over a nine month period. A 12-month pre- and post-HVP comparison of emergency department visits and asthma related hospitalizations was conducted. Additional information was gathered from stakeholders via an online survey, and interviews with APP partners and HVP families. OUTCOMES: Children had fewer asthma related hospitalizations post HVP. Findings suggest a reduction in exposure to environmental triggers, improved patient and family management of asthma, and increased PASC knowledge of asthma triggers in the home and increased student knowledge and skills related to asthma management. CONCLUSIONS: Multiple clinical and educational benefits may be realized through the development of APPs as an infrastructure supporting targeted interventions in home visits to pediatric asthma patients and their families.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Práctica Asociada / Asma / Evaluación de Resultado en la Atención de Salud / Enfermeros de Salud Comunitaria Tipo de estudio: Evaluation_studies / Prognostic_studies Límite: Adolescent / Child / Child, preschool / Female / Humans / Male Idioma: En Revista: J Pediatr Nurs Asunto de la revista: ENFERMAGEM / PEDIATRIA Año: 2017 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Práctica Asociada / Asma / Evaluación de Resultado en la Atención de Salud / Enfermeros de Salud Comunitaria Tipo de estudio: Evaluation_studies / Prognostic_studies Límite: Adolescent / Child / Child, preschool / Female / Humans / Male Idioma: En Revista: J Pediatr Nurs Asunto de la revista: ENFERMAGEM / PEDIATRIA Año: 2017 Tipo del documento: Article Pais de publicación: Estados Unidos