Author : Terry Keene
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (974 download)
Book Synopsis Initiation of Evidence-based Guidelines for the Treatment of Exacerbation of Asthma in a Rural Convenient Care Setting by : Terry Keene
Download or read book Initiation of Evidence-based Guidelines for the Treatment of Exacerbation of Asthma in a Rural Convenient Care Setting written by Terry Keene and published by . This book was released on 2011 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Convenient care clinics are becoming part of the landscape of the healthcare system throughout the country. Clinics owned and operated by Nurse Practitioners are becoming more prevalent in states where the practice laws allow for independence in practice. One such practice was started in 2006 by a Nurse Practitioner (NP) in a rural area of Washington State. there were few options for access to care within this small town except for using the local emergency department of the hospital. The traditional medical offices had no same day appointments and obtaining care for common illnesses in a timely manner was challenging. The clinic was created to address the healthcare needs of the community. This NP owned and operated clinic is open for extended hours during the week and is open on weekends. The NPs working at this clinic provide episodic care for all walk in patients. The services are paid by either insurance or out of pocket expense by the patient. The owner of this clinic understands and embraces the benefits of using evidence-based guidelines for the care of the patients. Although there have been no formal guidelines for treatment of acute issues such as exacerbation of asthma used in this clinic since it opened, the clinic has the equipment needed to care for patients in an urgent setting. The owner has purchased spirometer and nebulizers for the assessment and treatment of acute exacerbations of asthma. One of the more common diagnoses seen at this clinic is acute exacerbation of allergies and asthma. When the owner of the clinic was approached about using evidence-based clinical practice guidelines for the treatment of asthma, she was immediately enthusiastic. The electronic medical record, is use at this clinic would facilitate the capture of data. The purpose of this capstone project was to initiate and evidence-based clinical practice guideline and to measure outcomes in the treatment of asthma exacerbations in a convenient care setting. This project intends to answer the question: what are the clinical outcomes for patients treated for exacerbation of asthma using evidence-based clinical guidelines in a convenient care setting? The theoretical foundation for this outcome project is the Johns Hopkins Nursing Model. This model provides a framework for measurement of nursing outcomes. The model describes three major elements: identification of the practice question, gather evidence relating to the practice question and translation of the findings. Under translation, there are four elements: plan the intervention, implement the intervention, evaluate the intervention and communicate the findings. The plan for this project will follow this framework. The Project Director hypothesized that the standard treatment of acute exacerbations of asthma using evidence-based clinical practice guidelines will enhance the patient experience and become integrated into the everyday practice of the clinic. It is further theorized that the successful implementation of this clinical practice guideline would facilitate the use of clinical practice guidelines for other diagnoses. The overall arching goal is to improve patient outcomes by the use of evidence-based clinical practice guidelines in everyday practice.
