Translating Evidence into Practice: A Systematic Review of Chest Physiotherapy for Pediatric Acute Bronchiolitis and an Evaluation of EBP Outcomes

2.50
Hdl Handle:
http://hdl.handle.net/10755/243189
Category:
Abstract
Type:
Presentation
Title:
Translating Evidence into Practice: A Systematic Review of Chest Physiotherapy for Pediatric Acute Bronchiolitis and an Evaluation of EBP Outcomes
Author(s):
Ho, Hsin-Mei; Chou, Kuan-Ling; Wang, Heng-Hua; Fang, Yueh-Yen; Shao, Pao-Ping; Chun, Weng-Ya
Author Details:
Ho, Hsin-Mei, BSN, RN, 890210@ms.kmuh.org.tw; Chou, Kuan-Ling, BSN, RN; Wang, Heng-Hua, BSN, RN; Fang, Yueh-Yen , PhD, RN; Shao, Pao-Ping , BSN, RN; Chun, Weng-Ya, BSN, RN;
Abstract:
Acute bronchiolitis is a major respiratory problem in children under two years old. Chest physiotherapy (CP) is routinely integrated into its treatment but the effectiveness of this procedure in improving respiratory functions is inconsistent concluded across research evidence. The current project intended to resolve problems evolved from the CP in children under two years old. The EBP team of a pediatric nursing unit conducted a systematic review to evaluate effectiveness of CP in treating pediatric bronchiolitis. A literature search using eight English and Chinese databases located four randomized clinical trials from 159 citations. Results of the review presented a lack of evidence to support utilization of CP in treating bronchiolitis and limited research quality of these primary studies. Results of the review and the experience of nurse clinicians who provided the CP were communicated among multidisciplinary professionals. Practice protocols were changed based on the evidence-based decision. After the implementation of the evidence-based decision of discontinuing the CP order, physiological indicators of respiratory functions and emotional distress between children under two who received or not received CP were compared to evaluate the outcome of the evidence-based decision. Results of the evaluation indicated that there was no physiological difference among children of CP and no CP groups. The qualitative exploration from five nurses’ observations presented that children under two years old showed fear, crying, sleep disruption, and increased respiration and agitation after CP. Children without CP presented a stable state of emotion and respiration, and full eight-hour overnight sleep. Parents of these children also presented lower care-giving stress and anxiety on their face.
Keywords:
chest physiotherapy; bronchiolitis; pediatric
Repository Posting Date:
12-Sep-2012
Date of Publication:
12-Sep-2012
Conference Date:
2012
Conference Name:
23rd International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Brisbane, Australia

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleTranslating Evidence into Practice: A Systematic Review of Chest Physiotherapy for Pediatric Acute Bronchiolitis and an Evaluation of EBP Outcomesen_GB
dc.contributor.authorHo, Hsin-Meien_GB
dc.contributor.authorChou, Kuan-Lingen_GB
dc.contributor.authorWang, Heng-Huaen_GB
dc.contributor.authorFang, Yueh-Yenen_GB
dc.contributor.authorShao, Pao-Pingen_GB
dc.contributor.authorChun, Weng-Yaen_GB
dc.author.detailsHo, Hsin-Mei, BSN, RN, 890210@ms.kmuh.org.tw; Chou, Kuan-Ling, BSN, RN; Wang, Heng-Hua, BSN, RN; Fang, Yueh-Yen , PhD, RN; Shao, Pao-Ping , BSN, RN; Chun, Weng-Ya, BSN, RN;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/243189-
dc.description.abstractAcute bronchiolitis is a major respiratory problem in children under two years old. Chest physiotherapy (CP) is routinely integrated into its treatment but the effectiveness of this procedure in improving respiratory functions is inconsistent concluded across research evidence. The current project intended to resolve problems evolved from the CP in children under two years old. The EBP team of a pediatric nursing unit conducted a systematic review to evaluate effectiveness of CP in treating pediatric bronchiolitis. A literature search using eight English and Chinese databases located four randomized clinical trials from 159 citations. Results of the review presented a lack of evidence to support utilization of CP in treating bronchiolitis and limited research quality of these primary studies. Results of the review and the experience of nurse clinicians who provided the CP were communicated among multidisciplinary professionals. Practice protocols were changed based on the evidence-based decision. After the implementation of the evidence-based decision of discontinuing the CP order, physiological indicators of respiratory functions and emotional distress between children under two who received or not received CP were compared to evaluate the outcome of the evidence-based decision. Results of the evaluation indicated that there was no physiological difference among children of CP and no CP groups. The qualitative exploration from five nurses’ observations presented that children under two years old showed fear, crying, sleep disruption, and increased respiration and agitation after CP. Children without CP presented a stable state of emotion and respiration, and full eight-hour overnight sleep. Parents of these children also presented lower care-giving stress and anxiety on their face.en_GB
dc.subjectchest physiotherapyen_GB
dc.subjectbronchiolitisen_GB
dc.subjectpediatricen_GB
dc.date.available2012-09-12T09:18:45Z-
dc.date.issued2012-09-12-
dc.date.accessioned2012-09-12T09:18:45Z-
dc.conference.date2012en_GB
dc.conference.name23rd International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationBrisbane, Australiaen_GB
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