SPECIAL SESSION: From Evidence to Practice and Policy Making: Promoting the Health Care Quality of Children with Asthma in Taiwan

Description/Overview: Background: Asthma is the most common chronic illness of children in Taiwan. As a pediatric nurse, developed a series studies to explore the problems of their quality of life and tailor series nursing intervention to improve their quality of life is our responsibilities. Advocating the needs of children and family and designing the appropriate nursing intervention for them are the challenge and accountability of nurses. Dissemination the quality care by clinical application and health care policy making for continuous education of health care providers is the most important strategies for knowledge translation. Series Research: From evidence-based perspective, we asked the clinical questions (PICO) by answer the meaning, diagnosis, therapy of PICOs to assess the impact of asthma on children and families, and examine the various nursing intervention to promote the quality care of children with asthma. Results: The self-management behaviors scale of parents was developed by triangulation method. The predictors of self-management behaviors of parents were explored by a clinical survey. We developed the Asthma-related Quality of Life (ARQOL) to measure the impacts of chronic asthma by a qualitative study and a psychometric evaluation. SEAT (Self-Efficacy for Asthma Teaching) was developed to evaluate the teaching efficacy of health care providers, and it could be used for the preparation for the asthma education among health care providers. A hospital-based health education was tailored to improve their self-management for children with asthma. Relaxation techniques for reducing the anxiety of children with asthma was examined by a RCT. Developing an asthma home control inventory for patient-centered care was proved to reduce asthma sign/symptoms and increase the peak flow. Family-centered empowerment was developed to increase the quality care. Application: Practice: Three instruments could be used as the diagnosis tools for assessing the asthma disease impacts on life, the competency of parents’ self-management, and the teaching efficacy of health care providers. Knowledge translation was disseminated by the national-wide asthma education for primary nurses, school nurses, and community nurses in Taiwan. TAC (Taiwan Asthma Council) was established to revise the GINA guidelines for up-dated knowledge translation. Establishing the evidence for childhood asthma care is continuous