Date of Conferral

2020

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Barbara Barrett

Abstract

Asthma, a chronic inflammatory respiratory disease, is the third-ranking cause of hospitalization among children under the age of 15. Of the 25 million Americans living with asthma, 6.2 million are children under the age of 18. In 2018, more than 11.4 million people with asthma, including more than 3 million children reported having one or more asthma exacerbations. The burden of pediatric asthma accounts for more than 13.8 million missed school days among children ages 5 to 17 years, $3 billion in losses due to missed work, $29 billion due to asthma-related mortality and $50.3 billion in medical costs. Asthma management in children is an ongoing challenge. This staff education project was driven by the inconsistencies in the use of current guidelines for managing pediatric asthma among providers at an outpatient clinic. The project’s purpose was to enhance providers’ knowledge and their perceived self-efficacy about current asthma management and practice. The novice to expert model was used to inform this project. A webinar-based educational program with a pretest/posttest design was provided. A 17 - question evidence-based self-efficacy scale was used to assess provider confidence for incorporating their knowledge into practice. Ten members of the clinic staff participated in the educational program. The pretest results ranged from 40% to 90%, and the posttest results reflected an increase in scores to 100%; with a pretest mean of 66, a posttest mean of 100, and a mean gain of 34. The P value on the sample t test was 0.000, which demonstrated that the educational intervention was effective. The findings of this project are important to providers in pediatric clinics who by incorporating existing asthma guidelines can optimize client care.

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