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Developing a nurse-led salbutamol weaning pathway for children and young people with asthma or viral-induced wheeze.
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- Author(s): O’Hagan, Kate; Hall, Annette
- Source:
Nursing Children & Young People; May2024, Vol. 36 Issue 3, p18-24, 7p- Subject Terms:
NURSING education; DRUG therapy for asthma; RESPIRATORY organ sounds; CHILDREN'S health; INAPPROPRIATE prescribing (Medicine); ADRENOCORTICAL hormones; DISEASE exacerbation; EMPLOYEE retention; DRUG therapy; NURSING; CONFIDENCE; LUNG diseases; EMPLOYEE recruitment; ABILITY; ALBUTEROL; VIRUS diseases; QUALITY assurance; LENGTH of stay in hospitals; TRAINING; CHILDREN; ADULTS - Source:
- Additional Information
- Subject Terms:
- Abstract: Why you should read this article: • To recognise that, although asthma is a common long-term condition, its management can be improved through consistent and timely care • To learn about the development of a nurse-led salbutamol weaning pathway for children and young people with acute asthma exacerbations • To be aware that nurses reported improved confidence after completing a nurse-led salbutamol weaning training, education and competency package. Acute asthma exacerbations and viral-induced wheeze are common presenting complaints on one general paediatric ward in a tertiary children’s hospital in England. An inhaled beta
2 agonist, such as salbutamol, is the first-line treatment for these children and young people and they have frequent clinician reviews for salbutamol weaning before discharge. However, the informal salbutamol weaning practices used by nurses, as well as challenges in the recruitment and retention of paediatric trainee doctors, led to the development of a nurse-led salbutamol weaning pathway as a quality improvement project. Twelve nurses completed the associated nurse-led salbutamol weaning training, education and competency package and subsequently completed a questionnaire exploring their perceptions of the effect of the training package and pathway. After the training, all respondents reported feeling more confident in assessing the salbutamol requirements of children with wheeze. All of the respondents also felt that the introduction of the pathway and training would improve patient care and the confidence of children and young people, parents and carers in nurses’ ability to assess children’s salbutamol requirements. Time constraints were identified as a potential barrier to implementation of the pathway. [ABSTRACT FROM AUTHOR] - Abstract: Copyright of Nursing Children & Young People is the property of RCNi and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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