The Role of the Nurse Educator in Managing Atopic Dermatitis

Nicol, Noreen Heer; Ersser, Steven J.

doi:10.1016/j.iac.2010.06.007

Cited by 26 publications

(33 citation statements)

References 28 publications

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“…There are examples of nurse-led clinics that have delivered education more systematically in primary and secondary care 8 ; however, their evaluation is limited. A Cochrane review, now being updated, revealed few robust trials evaluating education interventions for child eczema, with some evidence for two models, multidisciplinary teamled education and nurse-led delivery 9 .…”

Section: Introductionmentioning

confidence: 99%

A service evaluation of the Eczema Education Programme: an analysis of child, parent and service impact outcomes

et al. 2013

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Background: The systematic support of parents of children with eczema is essential to their effective management. The few existing support models have a limited evidence base. This paper reports the outcome-orientated service evaluation of an original, extensive social learning theory based, nurse-led Eczema Education Programme (EEP).Objectives: To evaluate the EEP using specified child and parental outcomes and service impact data.Methods: From a sample of 257 parent-child dyads attending the EEP, a pretest-posttest design evaluated its child impact using health related quality of life measures (Infant's Dermatitis Quality of Life index, IDQOL, which includes a small dermatitis severity element; Children's Dermatology Life Quality Index, CDLQI), severity measures (Patient Orientated Eczema Measure, POEM), a new parental measure (Parental Self-Efficacy in Eczema Care Index, PASECI) and service impact data based on General Practice (GP) attendance patterns pre-post intervention.Results: Statistically significant impacts were observed, compared to baseline, on infant quality of life (p<0.001), child quality of life (p=0.027), disease severity (p<0.001) and parental self-efficacy (p<0.001). Improvements in child quality of life, parental efficacy and service impact were also evident from qualitative data. The cumulative total of all GP visits for selected participants post EEP reduced by 62%. Conclusions:The EEP appears to be an effective model of delivering structured education to parents of children with eczema and one generalizable to other multi-ethnic metropolitan populations. As a non-controlled study, this rigorous service evaluation highlights the model's significance and the case for an evaluative multi-centre randomised controlled trial of this educational intervention to inform a nurse-led programme of care.

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Section: Introductionmentioning

confidence: 99%

A service evaluation of the Eczema Education Programme: an analysis of child, parent and service impact outcomes

et al. 2013

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“…A typical example is that of the patient who was observed to apply a very small quantity of medication from a small-sized tube over a large area. On examination of their dispensed medication, the tube which should have lasted for only 2 weeks still remained partially full at the 3-month period [ 25 ] . This type of educational interaction provides a teaching opportunity to discuss these practical points.…”

Section: Key Educational Challenges For Emollient and Moisturizer Usementioning

confidence: 99%

“…These include factors such as the patient or parental carer having a poor understanding of disease [ 17 ] . In this context, there may be an educational discussion to enhance the parent's capacity to avoid or manage trigger factors, managing [ 25 ] , p. 378 the child's sleep disturbance (dry skin may be more pruritic) or fi nding better ways of communicating with professionals regarding treatment. Consi deration needs to be given to the parent's and, in some cases, the child's ability to manage successfully topical applications such as emollients, antibiotic and steroid creams.…”

Section: Promoting Adherence Through Concordancementioning

confidence: 99%

“…If educational approaches are to be effective in managing dry skin in children, especially if of a chronic nature, then attention needs to be given to the parent's and child's knowledge and behaviour. Lack of knowledge and skills lead to poor treatment adherence and ineffective therapy, and this may in turn compound the problem as treatments are erroneously abandoned as ineffective [ 25 ] . Further examination of treatment adherence is discussed elsewhere in this text.…”

Section: Introductionmentioning

confidence: 99%

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Educational Interventions for the Management of Children with Dry Skin

Ersser

Nicol

2012

Treatment of Dry Skin Syndrome

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“…Parents or caregivers are encouraged to attend because educational interventions can improve adherence, thereby reducing disease severity. 7 Patients and their accompanying persons then move to an examination room, while providers rotate to the room at 20-minute intervals (Table). Following the primary providers, there are slots for skin prick testing and/or atopy and conventional patch testing, as necessary.…”

mentioning

confidence: 99%