实施针对 5 岁以下儿童的基于证据的哮喘决策支持工具。
Implementing an Evidence-Based, Asthma Decision Support Tool for Children Younger Than 5 Years Old.
机构信息
Grace Thapa, DNP Graduate, George Mason University, Fairfax, VA; and Family Nurse Practitioner, Burke Family Practice, Burke, VA.
Sharmila Nair, Pediatrician, Sterling Pediatrics, Sterling, VA.
出版信息
J Pediatr Health Care. 2019 May-Jun;33(3):296-308. doi: 10.1016/j.pedhc.2018.10.003. Epub 2019 Feb 28.
INTRODUCTION
Asthma 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.
METHODS
This 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.
RESULTS
Despite above-average results in the end-users' usability scale, the DST had poor utilization.
DISCUSSION
Implementation 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.
简介
哮喘的诊断率较低，尤其是 5 岁以下的儿童。临床实践指南已被证明可以改善哮喘的诊断和管理，但使用率较低。本循证实践项目旨在开发、实施和评估一个三页的决策支持工具（DST），以改善 5 岁以下儿童的哮喘诊断流程。
方法
本项目采用预实验设计，在以南亚裔人群为主的儿科初级保健环境中进行。作者分析了 DST 的使用情况以及最终用户对该工具的看法。
结果
尽管最终用户的可用性量表得分高于平均水平，但 DST 的使用率很低。
讨论
建议在类似的儿科初级保健场所实施 DST。EBP 项目组建议将 DST 翻译成电子健康记录，并改善拥护者的角色。
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