Emergency department adult asthma care pathway: healthcare providers' perceived utility and barriers to implementation

Advanced Emergency Nursing Journal
Jennifer Olajos-ClowM Diane Lougheed

Abstract

Clinical pathways provide an outline for evidence-based care and can reduce variation of care across many healthcare settings including the emergency department (ED). The purpose of this study was to examine healthcare providers' perceptions of an ED Asthma Care Pathway (EDACP) and identify barriers to implementation. Following a 6-month pilot implementation of the EDACP, healthcare providers (physicians, nurses, respiratory therapists, and administrators) at 5 Ontario EDs were surveyed about the content, format, and usefulness of the pathway, as well as barriers to implementation. A focus group was convened to further explore these factors. In total, 207 of 338 mailed surveys were returned. Approximately 60% of respondents felt that the pathway was a useful tool, which enabled adherence with asthma guidelines (81%), decreased variation in patient care (79%), decreased uncertainty in patient management (73%), and increased their knowledge of best practice (87%). Time constraints and length of the pathway were common barriers. Healthcare providers perceive the EDACP to be a useful knowledge translation and guideline implementation tool, which promotes best practices. Although barriers to adoption of the tool have been identified...Continue Reading

References

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Citations

Oct 28, 2009·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Rick HodderR Andrew McIvor
Jul 2, 2010·The Journal of Nursing Research : JNR·Kwua-Yun WangHsiang-Ru Lai
Nov 5, 2014·Journal of Medical Engineering & Technology·Melissa L LanghanAndrea G Asnes
Dec 14, 2011·Journal of Safety Research·Mark Speechley
Nov 19, 2019·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Chanel KwokM Diane Lougheed
May 1, 2010·Current Opinion in Allergy and Clinical Immunology·M Diane Lougheed, Jennifer G Olajos-Clow
Sep 15, 2020·Allergy, Asthma, and Clinical Immunology : Official Journal of the Canadian Society of Allergy and Clinical Immunology·Madison MacKinnonM Diane Lougheed

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