Barriers and Facilitators to Timely Epinephrine Administration for Anaphylaxis in Schools: A Systematic Review

2.50
Hdl Handle:
http://hdl.handle.net/10755/621795
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Barriers and Facilitators to Timely Epinephrine Administration for Anaphylaxis in Schools: A Systematic Review
Author(s):
Christensen, Emily; Miller, Susi; von Sadovszky, Victoria
Lead Author STTI Affiliation:
Non-member
Author Details:
Emily Christensen, BA, RN, Professional Experience: Ms. Christensen came into nursing after obtaining a degree in dance. She is studying to be a pediatric nurse practitioner and currently is working as a research assistant at Nationwide Children's Hospital in Columbus, OH. Her ultimate goal is to conduct research regarding the treatment of allergies in school-aged children. Author Summary: Ms. Christensen came into nursing after obtaining a degree in dance. She is studying to be a pediatric nurse practitioner and currently is working as a research assistant at Nationwide Children's Hospital in Columbus, OH. Her ultimate goal is to conduct research regarding the treatment of allergies in school-aged children.
Abstract:

Purpose:

Anaphylaxis affects 2% of the United States population and the incidence is increasing the US, UK, and Australia (Koplin, Marcin, & Allen, 2011; Lieberman et al, 2006). Rates of anaphylaxis are highest in children between the ages of 0 and 19 years, with between 10%-18% cases of all pediatric anaphylaxis occurring in schools (Song, Worm, & Lieberman, 2014). In children not previously diagnosed with anaphylaxis, 24% of first time anaphylaxis occurred at school (Dinakar, 2012). In 32 cases of fatal anaphylaxis in the school setting, 28% of those were due do a delay in the administration of epinephrine (Sicherer &Mahr, 2010). At present there is some research examining issues with availability and use of epinephrine in the United States population (Song, 2014) and no research examining systems that expedite administration. The purpose of this systematic review is to examine the scientific literature for research on epinephrine administration in the American school system.

Methods:

Following the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA, 2015), two reviewers performed independent literature searches in PubMed, CINAHL, Psychinfo, OVID and ERIC. The Keywords searched were “anaphylaxis”, “school” and “epinephrine” with additional searches on “barriers” and “facilitators”. Limits for the search included: 1) peer-reviewed publications, systematic reviews and meta-analyses; 2) published within the past 10 years; 3) pediatric population. Seventy-eight abstracts were selected and two researchers are evaluating the associated articles for inclusion in the systematic review and agreement on abstracts will provide interrater reliability. Articles will then be reviewed by the study authors. Articles will be analyzed for epidemiology, demographics, and epinephrine use in schools.

Results:

 This review is currently in progress and we anticipate the findings to be completed by March2017.

Conclusion:

Anaphylaxis is a severe and unpredictable life-threatening allergic reaction that is fairly common in developed nations (Koplin, 2011; Lieberman, 2006). Anaphylaxis frequently occurs in the school setting, however there is scant research regarding facilitators and barriers of rapid epinephrine administration. A systematic review is needed to direct future research as well as current practice regarding epinephrine administration at school.

Keywords:
anaphylaxis; epinephrine; school
Repository Posting Date:
12-Jul-2017
Date of Publication:
12-Jul-2017
Other Identifiers:
INRC17PST364
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleBarriers and Facilitators to Timely Epinephrine Administration for Anaphylaxis in Schools: A Systematic Reviewen_US
dc.contributor.authorChristensen, Emilyen
dc.contributor.authorMiller, Susien
dc.contributor.authorvon Sadovszky, Victoriaen
dc.contributor.departmentNon-memberen
dc.author.detailsEmily Christensen, BA, RN, Professional Experience: Ms. Christensen came into nursing after obtaining a degree in dance. She is studying to be a pediatric nurse practitioner and currently is working as a research assistant at Nationwide Children's Hospital in Columbus, OH. Her ultimate goal is to conduct research regarding the treatment of allergies in school-aged children. Author Summary: Ms. Christensen came into nursing after obtaining a degree in dance. She is studying to be a pediatric nurse practitioner and currently is working as a research assistant at Nationwide Children's Hospital in Columbus, OH. Her ultimate goal is to conduct research regarding the treatment of allergies in school-aged children.en
dc.identifier.urihttp://hdl.handle.net/10755/621795-
dc.description.abstract<p><strong>Purpose:</strong></p> <p>Anaphylaxis affects 2% of the United States population and the incidence is increasing the US, UK, and Australia (Koplin, Marcin, & Allen, 2011; Lieberman et al, 2006). Rates of anaphylaxis are highest in children between the ages of 0 and 19 years, with between 10%-18% cases of all pediatric anaphylaxis occurring in schools (Song, Worm, & Lieberman, 2014). In children not previously diagnosed with anaphylaxis, 24% of first time anaphylaxis occurred at school (Dinakar, 2012). In 32 cases of fatal anaphylaxis in the school setting, 28% of those were due do a delay in the administration of epinephrine (Sicherer &Mahr, 2010). At present there is some research examining issues with availability and use of epinephrine in the United States population (Song, 2014) and no research examining systems that expedite administration. The purpose of this systematic review is to examine the scientific literature for research on epinephrine administration in the American school system.</p> <p><strong>Methods:</strong></p> <p>Following the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA, 2015), two reviewers performed independent literature searches in PubMed, CINAHL, Psychinfo, OVID and ERIC. The Keywords searched were “anaphylaxis”, “school” and “epinephrine” with additional searches on “barriers” and “facilitators”. Limits for the search included: 1) peer-reviewed publications, systematic reviews and meta-analyses; 2) published within the past 10 years; 3) pediatric population. Seventy-eight abstracts were selected and two researchers are evaluating the associated articles for inclusion in the systematic review and agreement on abstracts will provide interrater reliability. Articles will then be reviewed by the study authors. Articles will be analyzed for epidemiology, demographics, and epinephrine use in schools.</p> <p><strong>Results:</strong></p> <p> This review is currently in progress and we anticipate the findings to be completed by March2017.</p> <p><strong>Conclusion:</strong></p> <p>Anaphylaxis is a severe and unpredictable life-threatening allergic reaction that is fairly common in developed nations (Koplin, 2011; Lieberman, 2006). Anaphylaxis frequently occurs in the school setting, however there is scant research regarding facilitators and barriers of rapid epinephrine administration. A systematic review is needed to direct future research as well as current practice regarding epinephrine administration at school.</p>en
dc.subjectanaphylaxisen
dc.subjectepinephrineen
dc.subjectschoolen
dc.date.available2017-07-12T16:57:19Z-
dc.date.issued2017-07-12-
dc.date.accessioned2017-07-12T16:57:19Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
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