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Implementation of the asthma control test in a primary care practice

Descriptive

TitleInfo
Title
Implementation of the asthma control test in a primary care practice
Name (type = personal)
NamePart (type = family)
Lukusa
NamePart (type = given)
Heather
NamePart (type = date)
1983-
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Heather Lukusa
Role
RoleTerm (authority = RULIB)
author
Name (type = personal)
NamePart (type = family)
Kamienski
NamePart (type = given)
Mary
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Mary Kamienski
Affiliation
Advisory Committee
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chair
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Advisory Committee
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outside member
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Rutgers University
Role
RoleTerm (authority = RULIB)
degree grantor
Name (type = corporate)
NamePart
School of Nursing - RBHS
Role
RoleTerm (authority = RULIB)
school
TypeOfResource
Text
Genre (authority = marcgt)
theses
Genre (authority = ExL-Esploro)
ETD doctoral
OriginInfo
DateCreated (qualifier = exact); (encoding = w3cdtf); (keyDate = yes)
2020
DateOther (type = degree); (qualifier = exact); (encoding = w3cdtf)
2020-10
Language
LanguageTerm (authority = ISO 639-3:2007); (type = text)
English
Abstract (type = abstract)
Purpose of the Project
The Asthma Control Test (ACT) was developed in 2004 as a brief screening questionnaire that assesses a patient’s asthma control and recent symptoms (Nathan et al., 2004). The ACT is available in 35 languages, is free and widely available in print and online, and takes approximately one minute to conduct (American Thoracic Society, 2016). However, despite the availability and ease of use, many primary care practices are not using this important tool. This project evaluated the implementation of the ACT in a large primary care practice in Northern New Jersey and evaluated the impact it has on asthma outcomes. A brief, 15-minute educational session about the ACT and how to properly document the results in the electronic medical record was conducted for all medical providers, nurses, and medical assistants in internal medicine.

Methodology
A retrospective chart review was performed to assess for compliance with the ACT and documentation of the score, and to evaluate whether a change to the asthma management plan was initiated based on the result of the ACT score.

Results
It was found that after the brief educational session, the ACT was conducted on 28% of patients with a diagnosis of asthma, which is an improvement from the 15% of patients who had the Asthma Control Questionnaire performed prior to the intervention.

Implications for Practice
Utilizing the ACT in a primary care practice can improve the evaluation of presence of asthma symptoms and increase the number of patients who receive a change to their asthma management plan.
Subject (authority = local)
Topic
Asthma
Subject (authority = RUETD)
Topic
Post-Master's DNP Practice
RelatedItem (type = host)
TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier (type = RULIB)
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ETD_11230
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application/pdf
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text/xml
Extent
1 online resource (74 pages) : illustrations
Note (type = degree)
DNP
Note (type = bibliography)
Includes bibliographical references
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TitleInfo
Title
School of Nursing (RBHS) DNP Projects
Identifier (type = local)
rucore10004500001
Location
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NjNbRU
Identifier (type = doi)
doi:10.7282/t3-1zaj-xz16
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Rights

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The author owns the copyright to this work.
RightsHolder (type = personal)
Name
FamilyName
Lukusa
GivenName
Heather
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2020-09-28 19:55:29
AssociatedEntity
Name
Heather Lukusa
Role
Copyright holder
Affiliation
Rutgers University. School of Nursing - RBHS
AssociatedObject
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License
Name
Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
RightsEvent
Type
Embargo
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2020-10-31
DateTime (encoding = w3cdtf); (qualifier = exact); (point = end)
2022-10-31
Detail
Access to this PDF has been restricted at the author's request. It will be publicly available after October 31st, 2022.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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Technical

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DateCreated (point = end); (encoding = w3cdtf); (qualifier = exact)
2020-09-28T23:54:10
DateCreated (point = end); (encoding = w3cdtf); (qualifier = exact)
2020-09-28T23:54:10
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