Increasing Pediatric Asthma Follow-up Visits and Decreasing Emergency Department Visits in a Primary Care Setting

Author

Rima M. Basal, University of Texas at ArlingtonFollow

Graduation Semester and Year

Summer 2025

Language

English

Document Type

DNP Project

Degree Name

Doctor of Nursing Practice

Department

Nursing

First Advisor

Michelle M. Hampton

Abstract

The implementation of the asthma follow-up visits bundle in the pediatric primary care setting is an evidence-based practice project aimed at improving pediatric asthma management. This manuscript discusses the deployment of the bundle, which includes pre- and post- knowledge assessment for parents/caregivers, asthma education through a short video and handout, administration of the asthma control test (ACT), completion of a written asthma action plan (WAAP), and education about the patient portal and telehealth. The goal is to improve parent/caregiver knowledge, treatment adherence, follow-up visit compliance (in-person or virtual) and reduce emergency department (ED) utilization. Parent/caregiver knowledge increased by 23%, ACT scores improved by an average of 10%, follow-up rates rose from 53% to 100% within two weeks, and ED visits decreased by 60% over eight weeks. The components of this bundle were selected based on current pediatric asthma management guidelines and evidence from recent studies demonstrating their effectiveness in improving outcomes.

Keywords

Pediatric asthma, Parent knowledge, Primary care, Reduce ED visit, Asthma control test (ACT), Written asthma action plan (WAAP).

Disciplines

Maternal, Child Health and Neonatal Nursing | Other Public Health | Pediatric Nursing | Public Health and Community Nursing | Quality Improvement | Respiratory Tract Diseases

License

This work is licensed under a Creative Commons Attribution-NonCommercial-Share Alike 4.0 International License.

Comments

Acknowledgements:

Faculty Project Advisor: Michelle Hampton PhD, RN, NEA-BC.

Statistician.

My family.

Recommended Citation

Basal, Rima M., "Increasing Pediatric Asthma Follow-up Visits and Decreasing Emergency Department Visits in a Primary Care Setting" (2025). Doctor of Nursing Practice (DNP) Scholarly Projects. 106.
https://mavmatrix.uta.edu/nursing_dnpprojects/106