Article: A nurse-led Asthma Care Team transitioning patients from hospital to home improves asthma control: A pilot study exploring an alternative model of care.
2022 Volume 34, Issue 2, Page(s) 429–436
Abstract: Introduction: Recurrent asthma admissions are frequent in our patients at a tertiary Australian hospital and are commonly related to poor health literacy and medication adherence. A need exists to improve these asthma self-management skills within our ... ...
| Abstract | Introduction: Recurrent asthma admissions are frequent in our patients at a tertiary Australian hospital and are commonly related to poor health literacy and medication adherence. A need exists to improve these asthma self-management skills within our current model of care, especially during the vulnerable postdischarge period. Aim: To examine if the addition of a nurse-led Asthma Care Transition Team (ACTT) compared with usual care alone (UC) (1) improves asthma control at 12 weeks posthospital discharge; the number of patients using a Written Action Plan (WAP), compliance with inhaler therapy at 12 weeks, and readmission rates at 6 months. Methods: Adults admitted with asthma were randomised to either: UC: involving review of asthma medication and self-management skills by the ward team prior to discharge; a standard 6-week post discharge clinic visit and a 12-week study visit where an independent assessor assessed outcomes; or ACTT: In addition to UC, involved ACTT nurse-led review at 1 week and 6 weeks. Key aspects included a pre defined, structured review reinforcing education and self-management skills, and telephone support during working hours. Result: Sixty participants (UC and ACTT) had similar baseline characteristics: Mean age: 41 vs 38 years, asthma duration: 20 vs 18 years, baseline Asthma Control Questionnaire 3.1 vs 3.4. At 12 weeks Asthma Control Questionnaire (ACQ) improved significantly in both groups but more so with ACTT; ACTT group had a higher uptake of WAP and a trend to reduced readmissions. Conclusion and practice implication: A nurse-led ACTT improves asthma control and self-management skills following discharge and may lead to fewer readmissions. |
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| MeSH term(s) | Adult ; Humans ; Patient Discharge ; Pilot Projects ; Aftercare ; Patient Transfer ; Nurse's Role ; Hospital to Home Transition ; Australia ; Hospitals ; Asthma/drug therapy ; Patient Care Team |
| Language | English |
| Publishing date | 2022-06-05 |
| Publishing country | Australia |
| Document type | Randomized Controlled Trial ; Journal Article |
| ZDB-ID | 2250864-8 |
| ISSN | 2201-1617 ; 1036-1073 |
| ISSN (online) | 2201-1617 |
| ISSN | 1036-1073 |
| DOI | 10.1002/hpja.620 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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