¶ … Evidence-Based Practice citation that was of interest to the author of this document is called "Closing the quality gap: A critical analysis of quality improvement strategies: volume 5 -- asthma care." It focuses on the phenomenon in which "there remains a significant gap between accepted best practices for asthma care and actual care delivered to asthma patients" (Stanford University, 2007). Specifically, the authors of this document sought to analyze a host of articles related to best practices for treating asthma for juveniles and adults to see which quality improvement strategies had the most efficacy. It analyzed a variety of articles that utilized various frameworks for research including interrupted time series trials and randomized controlled trials. The various strategies considered pertained to patient education, practitioner education, auditing and others.
The primary recommendations have a direct correlation to educating the patients and their families. The evidence demonstrates that for juveniles, consulting and education efforts are best when they are targeted at the parents, family members, and the daily providers for the children -- rather than targeting such information to the juveniles themselves. For adults, there were a host of recommendations that demonstrated efficacy in the treatment of asthma. These included utilizing quality improvement strategies that are "based explicitly on a theoretical framework, provide multiple educational sessions, have longer durations, and use combinations of instructional modalities" (Stanford University, 2007).
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