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- All Subjects: Thesis and Dissertation Dance
- All Subjects: Asthma
Description
Objectives: Asthma education is essential for every pediatric asthma management plan. This Doctor of Nursing Practice (DNP) Quality Improvement (QI) project, guided by the Social Cognitive Theory, aims to explore effective and innovative interventions for asthma management and determine if telehealth is an effective way to deliver asthma education to parents.
Methods: Parents (n = 5) of children with asthma at an urban pediatric primary care clinic were recruited to attend four weekly, 60-minute asthma education sessions over Zoom®. Participants were recruited with flyers and clinic referrals. Participants answered pre- and post-intervention online questionnaires following informed consent, including the Parental Asthma Management Self-Efficacy Scale (PAMSES), the Asthma Control Test (ACT), and a parent program evaluation. Paired sample t-tests were conducted to analyze data and measure mean differences in pre-and post-parent self-efficacy and asthma control in their child.
Results: The results include a statistically significant change in pre-intervention and post-intervention mean PAMSES scores. There was no significant difference between pre-intervention and post-intervention ACT scores; however, there was an increase in mean ACT scores from baseline.
Conclusions: Telehealth is a practical and cost-effective way to address gaps in asthma education and improve patient outcomes. The use of telehealth may be an effective way to address gaps in parent/patient education regarding the prevention of and management of asthma symptoms. Ongoing assessment is needed to evaluate if asthma telehealth education can be effective in other settings, languages, and age groups.
ContributorsFlores, M. Cynthia (Author) / Jacobson, Diana (Thesis advisor) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor)
Created2022-04-29
Description
Purpose: To educate clinic staff on interventions and education materials which are suitable for implementation in a pediatric primary care setting, and to improve delivery and documentation of appropriate asthma interventions and inhaler/spacer education.
Background: Asthma is a chronic illness that impacts 10.9% of the pediatric population in Arizona. Poor asthma understanding and management leads to high-utilization of emergency rooms and urgent care clinics, negatively impacting the healthcare economy. Poor asthma management also leads to decreased health outcomes and impacts on the child’s academic functioning, mental health, and overall quality of life. Current evidence supports use of written asthma action plans (WAAP) and inhaler/spacer instruction to improve asthma management.
Methods: The intervention was an evidence-based educational session provided to the staff of a military, pediatric primary care clinic in southwest Arizona regarding the use of WAAP, the Asthma Control Test (ACT) and integrated inhaler/spacer instruction. Chart reviews were conducted to evaluate the documentation of use of WAAP, ACT, and inhaler/spacer education.
Results: Charts were collected from pre-intervention (n = 33) and post-intervention (n = 18). Data analysis demonstrated a statistically significant higher use of WAAP (U = 0.008, p < 0.05, d = 0.83). Although there was not a statistically significant change in use of ACT tool, Cohen’s value (d = 0.48) suggested a moderate positive effect. A Pearson correlation coefficient was also calculated for the relationship between use of ACT tool and use of WAAP, demonstrating a moderate positive correlation (r (49) = .372, p < .01).
Conclusions: An evidence-based education session for pediatric staff members is a cost-effective and simple method of improving pediatric asthma management practices.
Background: Asthma is a chronic illness that impacts 10.9% of the pediatric population in Arizona. Poor asthma understanding and management leads to high-utilization of emergency rooms and urgent care clinics, negatively impacting the healthcare economy. Poor asthma management also leads to decreased health outcomes and impacts on the child’s academic functioning, mental health, and overall quality of life. Current evidence supports use of written asthma action plans (WAAP) and inhaler/spacer instruction to improve asthma management.
Methods: The intervention was an evidence-based educational session provided to the staff of a military, pediatric primary care clinic in southwest Arizona regarding the use of WAAP, the Asthma Control Test (ACT) and integrated inhaler/spacer instruction. Chart reviews were conducted to evaluate the documentation of use of WAAP, ACT, and inhaler/spacer education.
Results: Charts were collected from pre-intervention (n = 33) and post-intervention (n = 18). Data analysis demonstrated a statistically significant higher use of WAAP (U = 0.008, p < 0.05, d = 0.83). Although there was not a statistically significant change in use of ACT tool, Cohen’s value (d = 0.48) suggested a moderate positive effect. A Pearson correlation coefficient was also calculated for the relationship between use of ACT tool and use of WAAP, demonstrating a moderate positive correlation (r (49) = .372, p < .01).
Conclusions: An evidence-based education session for pediatric staff members is a cost-effective and simple method of improving pediatric asthma management practices.
ContributorsBrown, Jennifer (Author) / Bay, Sarah (Thesis advisor)
Created2019-05-02
Description
Purpose and Aims: An Asthma Project team was assembled and created an Asthma Clinical Practice guideline with the most current literature. The purpose of the Doctor of Nursing Practice (DNP) project is to introduce the Asthma Clinical Practice guidelines and discuss how to maintain a reliable system to sustain positive change created by implementing the project.
ContributorsFoote, Brianna (Author)
Created2016-05-06
Description
Purpose: Improper management of asthma leads to poor patient outcomes and increases in both costs and resources. This study aims to increase provider adherence to asthma clinical practice guidelines.
Methods: A multifaceted intervention was utilized that included educational sessions for providers, adjustments to the electronic health record (EHR), access to toolkits, and workflow changes. Pediatric patients aged 5-18 years and diagnosed with asthma (N = 173) were evaluated using a pre-post design. Provider adherence to key components of clinical practice guidelines were assessed prior to implementation, and a three and six months post-implementation. Data was analyzed using descriptive statists and the Friedman’s ANOVA by rank.
Results: Provider education, EHR adjustments, provider toolkits, and changes to office workflow improved provider adherence to key aspects of asthma clinical practice guidelines. A significant difference was found between the pre and post implementation groups (p < .01).
Conclusion: Increased adherence to clinical practice guidelines leads to fewer complications and an overall improved quality of life. Continuing provider education is critical to sustained adherence.
Methods: A multifaceted intervention was utilized that included educational sessions for providers, adjustments to the electronic health record (EHR), access to toolkits, and workflow changes. Pediatric patients aged 5-18 years and diagnosed with asthma (N = 173) were evaluated using a pre-post design. Provider adherence to key components of clinical practice guidelines were assessed prior to implementation, and a three and six months post-implementation. Data was analyzed using descriptive statists and the Friedman’s ANOVA by rank.
Results: Provider education, EHR adjustments, provider toolkits, and changes to office workflow improved provider adherence to key aspects of asthma clinical practice guidelines. A significant difference was found between the pre and post implementation groups (p < .01).
Conclusion: Increased adherence to clinical practice guidelines leads to fewer complications and an overall improved quality of life. Continuing provider education is critical to sustained adherence.
ContributorsFeith, Megan (Author) / Crawford, Daniel (Thesis advisor)
Created2018-04-27
Description
Objective: Pediatric patients with asthma are frequently cared for in the emergency department (ED). Many studies show early administration of corticosteroids (CS) can improve outcomes for children experiencing an asthma exacerbation. Despite the evidence, delays in care remain. The purpose of this study is to streamline the process for nurse-initiated, triage-based CS administration and determine the effect on overall length of stay (LOS). Methods: For this quality improvement initiative, ED nurses at a large, freestanding, children’s emergency department in the southwestern United States were given education on inclusion and exclusion criteria for nurse-initiated CS in ED triage. Time to CS administration, LOS, and whether the ED nurse or provider ordered the CS were evaluated through chart reviews of patients presenting with a chief complaint of difficulty breathing. These metrics were compared to charts from the previous year during the same timeframe to evaluate for improved timeliness of CS delivery. Results: Time to CS administration decreased from a mean of 98.6 minutes to 57.6 minutes. LOS decreased from an average of 259.3 minutes to 169.6 minutes. The effect of timely CS on LOS was significant for December p =.003, January p =.002, and February p = <.001. Conclusion: A streamlined process for CS delivery to pediatric patients experiencing an asthma exacerbation can enable providers to achieve efficient and effective care in the ED and decrease a patient’s overall LOS.
ContributorsBain, Ilyssa D. (Author) / Bucci, Aimee (Thesis advisor) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor)
Created2021-04-23
Description
The ASU School of Dance presents Emerging Artists - Resite I, November 6, with works by a dance MFA candidate, performed at the Icehouse.
Contributorsnan (Contributor) / Herberger Institute School of Dance (Publisher)
Created2009
Description
The ASU School of Dance presents Emerging Artists II, February 14-17, with works by dance BA and MFA students Cassie Roberts, Katie McCaskill, Lydia Sakolsky-Basquill, Kelly Doherty, and Kristin Tovson, performed at the Dance Studio Theatre.
ContributorsHergerber Institute School of Dance (Publisher) / Ackermann, Jennifer Keane (Choreographer) / McGloin, Aaron (Lighting designer) / Mihaleva, Galina (Costume designer, Costume designer) / Roberts, Cassie (Costume designer, Dancer) / Ebling, Brett (Choreographer, Costume designer) / Trujillo, Davey (Lighting designer, Dancer) / Abruzzi, Lucio (Dancer) / Dumont, Marguerite (Dancer) / Hosack, Brittany (Dancer) / Hauk, Chelsey (Dancer) / Kozulla, Ashle (Dancer) / Murray, Leigh (Dancer) / Mollicone, Karissa (Dancer) / Buskirk, Kelly Van (Dancer) / Fitzgerald, Mary (Choreographer, Costume designer, Set designer) / Koch, Carolyn (Lighting designer) / McCaskill, Katie (Costume designer, Dancer) / Ammerman, Mark (Set designer) / Limon, Jose (Choreographer) / Sakolsky-Basquill, Lydia (Costume designer, Dancer) / Doherty, Kelley (Choreographer, Costume designer, Dancer) / Benard, Jacqueline (Costume designer) / Faciana, Maria (Dancer)
Created2008
Description
The ASU School of Dance presents Emerging Artists I, October 8-10, with works by dance MFA candidates Randi L. Frost, Emily Spranger, and Omilade Davis, performed at the Dance Lab, FAC 122.
ContributorsFrost, Randi L. (Choreographer, Costume designer, Set designer) / Trujillo, Davey (Lighting designer) / Ammerman, Mark C. (Set designer) / Barrett, Kristen (Dancer) / Ferrell, Rebecca A. (Dancer) / Fletcher, Kasey (Dancer) / Klassen, Kaitlyn (Dancer) / Oyer, Xela (Dancer) / Wrobel, Tara (Dancer) / Spranger, Emily (Choreographer, Costume designer) / Benard, Jacqueline (Costume designer) / Brown, Alyssa (Dancer) / Gonzales, Anthony (Dancer) / Karr, Mandi (Dancer) / Pellegrino, Laura (Dancer) / Tryon, Chelsi (Dancer) / Zakrewski, Emily (Dancer) / Davis, Omilade (Choreographer, Costume designer, Videographer, Dancer) / Bey, Gabriel (Composer) / Muhammad, Andre (Composer) / Thompson, Darrell (Composer) / Al-Malik, Sylvia (Dancer) / Davis, Andre (Dancer) / Mayes, Paige (Dancer) / Muhammad-Hays, Ajah (Dancer)
Created2010
Description
The ASU School of Dance presents Emerging Artists II, November 5-7, with works by dance MFA candidates Rebecca A. Ferrell, Rebecca Blair Hillerby, and Crystal Bedford, performed at the Margaret Gisolo Dance Studio.
ContributorsHerberger Institute School of Dance (Publisher) / Ferrell, Rebecca A. (Choreographer) / Swayze, William (Sound designer) / Ammerman, Mark C. (Set designer, Lighting designer) / Mihaleva, Galina (Costume designer) / Bouey, BJ (Dancer) / Hull, Scott (Sound designer) / Trujillo, Davey (Lighting designer) / Raviotta, Todd A. (Sound designer) / Wrobel, Tara, Georgina Bliss (Performer) / Ling, Amanda, Blair Ellis (Performer, Dancer) / Zakrzewski, Emily, Pennelopi Lawson (Performer) / Waugh, Whitney, Foxy McGillicutty (Performer, Dancer) / Hillerby, Rebecca Blair (Performer, Director, Costume designer, Set designer) / Barrett, Kristen (Dancer) / McHale, Samantha (Dancer) / Pellegrino, Laura (Dancer) / Bedford, Crystal (Choreographer, Costume designer, Dancer) / Barnard, Ashley (Dancer) / Bella, Maya (Dancer) / Bocchino, Corinne (Dancer) / Ford, Mary (Dancer) / Levin, Felicia (Dancer) / Montoya, Reyna (Dancer) / Tully, Meghan (Dancer) / Ver Hagen, Michelle (Dancer)
Created2010
Description
The ASU School of Dance presents Emerging Artists I, October 24-26, with works by dance MFA candidates Sara Malan-McDonald and Holly Woodridge, performed at the Dance Studio Theatre, PEBE 132.
ContributorsHerberger Institute School of Dance (Publisher) / Malan-McDonald, Sara (Choreographer, Costume designer, Dancer) / Millicam, Kendahl Lyn (Collaborator deprecated, use Contributor, Dancer) / Woolridge, Holly (Choreographer, Costume designer) / Barrett, Rachael (Dancer) / Boles, Leah (Dancer) / Claudel, Kacie (Dancer) / Harding, Susannah (Dancer) / Horton, Toni (Dancer) / Kusch, Liz (Dancer) / Medina, Tasheena (Dancer) / Sadler, Jessica (Dancer) / Koch, Carolyn (Lighting designer) / Benard, Jacqueline (Costume designer) / Mapes, Aileen (Costume designer, Dancer) / Mihaleva, Galina (Costume designer) / Ammerman, Mark C. (Set designer) / Beck, Jeanette (Dancer) / Gonzalez, Elissa (Dancer) / Hook, Brittany (Dancer) / Kroon, Anjuli (Dancer) / Landon, Melissa (Dancer) / Levin, Gianna (Dancer) / Levin, Gillian (Dancer) / Breen, Leslie (Collaborator deprecated, use Contributor)) / Feliciano, Cynthia (Collaborator deprecated, use Contributor)) / Fitzgerald, Mary (Choreographer, Costume designer) / Basting, Samantha (Dancer) / DeVries, Debbie (Dancer) / McDonald, Aaron (Dancer) / Tovson, Kristin (Dancer) / Endicott, Jenna (Dancer) / Fisher, Rose (Dancer) / Kirwan, Molly (Dancer)
Created2008