2.50
Hdl Handle:
http://hdl.handle.net/10755/153473
Type:
Presentation
Title:
Development of Evaluation Measures: Promoting Asthma Control in Children
Abstract:
Development of Evaluation Measures: Promoting Asthma Control in Children
Conference Sponsor:Sigma Theta Tau International
Conference Year:2006
Author:Davies, Barbara L., RN, PhD
P.I. Institution Name:University of Ottawa
Title:Associate Professor
Co-Authors:Evangeline Danseco, PhD; Nancy Edwards, RN, PhD; Kathryn Smith Higuchi, PhD, RN; Heather McConnell, RN, BScN, MA(Ed); Debra Clarke, BScN; Ana MacPherson, RRT, CAE, MSc
The Registered Nurses Association of Ontario in Canada produced an evidence-based guideline recommending that children with asthma should have their inhaler/device technique assessed by the nurse at each visit to ensure accurate use. Incorrect technique among pediatric patients and by healthcare providers is common. Objectives: 1) Develop and assess the content validity of a tool to assess skills on appropriate usage of inhalation devices for asthma control in children (IDAT-N); and 2) evaluate the acceptability, feasibility, and reliability of this tool. Methods:  The tool incorporated common errors and coaching techniques. Content validity was assessed by five experts. Seventy nurses working on pediatric units and emergency units at two community hospitals were recruited. They completed a 14-item questionnaire on the tool?s usability.  A 3-phase study ensued with baseline assessment, training sessions and post-training assessment. Devices included placebo metered dose inhaler with and without spacer and mask, Diskus and Turbuhaler. Descriptive and bivariate statistics were used for analyses. Results: The feasibility and acceptability of using the tool were good. Overall mean scores (sd) on 5- point rating scales about ease of use were 3.55 (0.92), time to administer 3.44 (1.02), clear instructions 3.67 (1.00).and likelihood of using checklist 4.01 (0.84). Inter-rater agreement of observations of nurse participants ranged from .70 to 100% with one exception. All 5 pre and post-comparisons of nurses training scores increased significantly with pre scores ranging from a mean of 1.96 (1.50) to 3.04 (1.02)  and post scores ranging from a mean of 4.92 (0.28) to 4.99 ( 0.12) p < .001.  Conclusions: Results show that the IDAT ?N tool is highly feasible, acceptable, valid and reliable tool for teaching nurses with pediatric patients in emergency departments and in-patient pediatric units on the use of 5 inhalation devices.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDevelopment of Evaluation Measures: Promoting Asthma Control in Childrenen_GB
dc.identifier.urihttp://hdl.handle.net/10755/153473-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Development of Evaluation Measures: Promoting Asthma Control in Children</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Davies, Barbara L., RN, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Ottawa</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">bdavies@uottawa.ca</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Evangeline Danseco, PhD; Nancy Edwards, RN, PhD; Kathryn Smith Higuchi, PhD, RN; Heather McConnell, RN, BScN, MA(Ed); Debra Clarke, BScN; Ana MacPherson, RRT, CAE, MSc</td></tr><tr><td colspan="2" class="item-abstract">The Registered Nurses Association of Ontario in Canada produced an evidence-based guideline recommending that children with asthma should have their inhaler/device technique assessed by the nurse at each visit to ensure accurate use. Incorrect technique among pediatric patients and by healthcare providers is common. Objectives: 1) Develop and assess the content validity of a tool to assess skills on appropriate usage of inhalation devices for asthma control in children (IDAT-N); and 2) evaluate the acceptability, feasibility, and reliability of this tool. Methods:  The tool incorporated common errors and coaching techniques. Content validity was assessed by five experts. Seventy nurses working on pediatric units and emergency units at two community hospitals were recruited. They completed a 14-item questionnaire on the tool?s usability.  A 3-phase study ensued with baseline assessment, training sessions and post-training assessment. Devices included placebo metered dose inhaler with and without spacer and mask, Diskus and Turbuhaler. Descriptive and bivariate statistics were used for analyses. Results: The feasibility and acceptability of using the tool were good. Overall mean scores (sd) on 5- point rating scales about ease of use were 3.55 (0.92), time to administer 3.44 (1.02), clear instructions 3.67 (1.00).and likelihood of using checklist 4.01 (0.84). Inter-rater agreement of observations of nurse participants ranged from .70 to 100% with one exception. All 5 pre and post-comparisons of nurses training scores increased significantly with pre scores ranging from a mean of 1.96 (1.50) to 3.04 (1.02)  and post scores ranging from a mean of 4.92 (0.28) to 4.99 ( 0.12) p < .001.  Conclusions: Results show that the IDAT ?N tool is highly feasible, acceptable, valid and reliable tool for teaching nurses with pediatric patients in emergency departments and in-patient pediatric units on the use of 5 inhalation devices.</td></tr></table>en_GB
dc.date.available2011-10-26T12:17:49Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:17:49Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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