Outcomes measurement for asthma following acute presentation to an emergency department

Masters, Geoff N; Hall, Sonj E; Phillips, Michael; Boldy, Duncan

doi:10.1071/ah010053

Aust. Health Review

2001

DOI: 10.1071/ah010053

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Outcomes measurement for asthma following acute presentation to an emergency department

Geoff N Masters¹,

Sonj E Hall²,

Michael Phillips³

et al.

Abstract: The Asthma Management Plan (AMP) This study was designed to evaluate the impact of these two instruments on asthma outcomes one month after presentation to the emergency department. The AMP and CP were both found to have had positive influences on asthma management. However, the study illustrates that there continue to be problems with asthma management, which would be improved by a more consistent use of these instruments.

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Cited by 5 publications

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“…Because of this shift in healthcare utilization, there is an increasing need to consider delivery of patient education and counseling in EDs. While some believe that the ED is not an appropriate venue for education (Masters, Hall, Phillips, & Boldy, 2001), others believe that it offers a unique "teachable moment" during which time patients may be motivated to learn from healthcare providers (Bowling, 1993;Todd, 1996). Overcrowded conditions and the length of time required to provide the necessary information may affect ED staffs' ability to provide teaching (Drummond, 2002).…”

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confidence: 99%

Patient Education in the Emergency Department

Szpiro

Harrison

Kerkhof

et al. 2008

Advanced Emergency Nursing Journal

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Patient education is a key component for the management of many acute and chronic conditions. Presentation to the emergency department (ED) may offer an opportunity for patient education. The purpose of this review was to explore and analyze the type of interventions and outcomes used in this setting and to determine whether there is emerging evidence of effectiveness of these interventions. This systematic review was guided by an explicit search strategy, retrieval procedures, and appraisal process. An initial search was done using the key words "emergency" and "patient education." Data sources included articles published between 1966 and 2005. Synthesis tables were created using Weston and Cranton's adaptation of Bloom's Taxonomy of Learning Domains as a framework. Nineteen studies met the inclusion criteria and comprised the final set for this review. Interventions used lecture, discussion, demonstration, and practice and instructional tools to relay information. Outcome measures included those from cognitive, affective, and psychomotor learning domains. In 10 randomized controlled trials, 6 studies reported being able to meet their learning domain outcomes using a variety of teaching methods. Educational interventions in the ED are both possible and feasible as examined in the studies in this review. Key words: emergency medical services, health education, patient education P ATIENT COUNSELING and education are key components for effective selfmanagement and monitoring required with many acute and chronic conditions. Current evidence-based guidelines for complex conditions, such as asthma and diabetes, in-

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confidence: 99%

Patient Education in the Emergency Department

Szpiro

Harrison

Kerkhof

et al. 2008

Advanced Emergency Nursing Journal

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Clinical pathways: effects on professional practice, patient outcomes, length of stay and hospital costs

Rotter¹,

Kinsman

James

et al. 2010

Cochrane Database of Systematic Reviews

558

482

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Asthma Education Delivered in an Emergency Department and an Asthma Education Center

Szpiro

Harrison

VanDenKerkhof

et al. 2009

Advanced Emergency Nursing Journal

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Implementation of asthma education in the emergency department (ED) setting is controversial. Time constraints and patient anxiety may be potential barriers to learning. This study aimed to describe the feasibility and impact of a brief evidence-based asthma education intervention delivered in the ED and an asthma education center (AEC) on asthma knowledge and perceived control. The educational intervention was easily integrated into routine care in the ED. Participants were similar except for age and current state of anxiety. At follow-up, both groups showed a significant increase in asthma knowledge (ED, n = 3.1, SD = 2.1, p < .01; AEC, n = 2.6, SD = 2.7, p = .01). Perceived control improved significantly in the ED (n = 2.6, SD = 3.9; p = .01). Despite higher state anxiety scores in the ED setting, a brief asthma educational intervention resulted in a short-term increase in asthma knowledge and perceived control. Asthma knowledge also increased after the intervention in the AEC setting. Educational initiatives are feasible and may be beneficial in an ED, providing an additional opportunity for counseling that should not be missed.

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Outcomes measurement for asthma following acute presentation to an emergency department

Cited by 5 publications

References 11 publications

Patient Education in the Emergency Department

Patient Education in the Emergency Department

Clinical pathways: effects on professional practice, patient outcomes, length of stay and hospital costs

Asthma Education Delivered in an Emergency Department and an Asthma Education Center

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