Children with Persistent Asthma During the COVID-19 Pandemic: A Retrospective Analysis of ED Usage Patterns and Clinical Practice Recommendations prior to and during the Pandemic for Pediatric Health Care Providers
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Children with persistent asthma during the COVID-19 pandemic may be more susceptible and vulnerable to COVID-19 infection. Using a retrospective chart review, data was collected and analyzed on Emergency Department (ED) utilization by children with asthma during and prior to COVID-19 to determine if ED utilization increased or decreased. A comprehensive review of research literature showed that new practice recommendations for children with persistent asthma were instituted to prevent infections, provide continued asthma care during the pandemic and to improve their outcomes. The purpose of this Doctor of Nursing Practice (DNP) Project was to provide information that promotes knowledge and collaboration among Advanced Practice Nurses working in School Based Health Clinics (SBHC’s) and in other outpatient clinics within the city of Buffalo, NY. The objectives of this DNP Project were to share research data analysis results on ED utilization and to provide review of literature findings on practice recommendations initiated during COVID-19 for children with persistent asthma. Orlando’s Nursing Process Discipline Theory was used as the framework to guide the development of this DNP Project Proposal. The design of this project is a quantitative descriptive data analysis utilizing a retrospective chart review. The data was statistically analyzed for frequency distributions and descriptive analysis. Since this DNP Project acquired de-identified data from a retrospective chart (EMR) review; there were no associated risks, and the confidentiality of the patients were protected. Further research is needed for future practice of these recommendations with asthmatic children and improved outcomes.