Review management for children with asthma in primary care: a qualitative case study.
Aims of the study. To present an overview of review management of childhood asthma in one UK primary care trust with respect to organization and perceptions of key stakeholders and children's and families' needs. Background. Review management of childhood asthma in primary care is important in addre...
| Published in: | Journal of Nursing & Healthcare of Chronic Illness Vol. 16; no. 2; pp. 123 - 133 |
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| Main Authors: | , , , |
| Format: | case study research tables/charts Journal Article |
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Wiley-Blackwell
Jul2007 7b
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106160530&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106160530 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17529816 34UA jtl: Journal of Nursing & Healthcare of Chronic Illness issn: 17529816 maglogo: Y pubinfo: dt: Jul2007 7b vid: 16 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 106160530 106160530 2009626259 NLM17584421 106160530 ppf: 123 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Review management for children with asthma in primary care: a qualitative case study. aug: au: Lyte G Milnes L Keating P Finke A affil: Lecturur, Nursing, University of Manchester, Manchester, UK. sug: subj: Asthma Nursing Asthma Therapy Asthma Therapy Patient Satisfaction Evaluation Patient Satisfaction In Infancy and Childhood Primary Health Care Evaluation Primary Health Care In Infancy and Childhood Child Interviews Nursing Role Evaluation Purposive Sample Qualitative Studies Quality of Health Care Evaluation United Kingdom Human Child: 6-12 years ab: Aims of the study. To present an overview of review management of childhood asthma in one UK primary care trust with respect to organization and perceptions of key stakeholders and children's and families' needs. Background. Review management of childhood asthma in primary care is important in addressing the continuing high levels of morbidity. However, the delivery of this service appears to be fragmented, so it is not known how well primary care asthma clinics function. Children's, parents' and professionals' perceptions of such clinics and the roles they play within them are also poorly understood. Research design.Aqualitative case study design was used in the study. This is a form of enquiry that investigates contemporary issues within their real life contexts, using particular situations within the case to describe important phenomena. Methods. Eighteen children, 16 parents, 14 practice purses and 14 general practitioners from 14 general practices in one primary care trust were interviewed. Review appointments were observed and asthma-related documentation examined. Findings. Key findings point to diversity in the service and that key stakeholders' view practice nurses as primarily responsible for the review management. However, there are issues related to their levels of responsibility, other health professionals' roles and interdisciplinary communication. Finally, families felt some of their needs were neglected and professionals reported uncertainties in providing family-centred care. Conclusions. This case study indicates that responsibility for review consultations in childhood asthma needs to be formalized, including a more proactive and familycentred approach. There are implications for the practice nurse role regarding professional education and preparation for family-centred care. Relevance to clinical practice. This paper shows that unstructured, diverse care delivery persists in primary care; children and their families identify both strengths and unmet needs in review management visits; and professionals have uncertainties about providing effective child and family-centred care. pubtype: Academic Journal doctype: case study research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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