A Statewide Survey of Pediatric Nurse Practitioners’ Beliefs on Implementing IgE Allergy Testing in the Management Plan for Pediatric Patients with Persistent Asthma Symptoms Public

Abstract

Approximately 80% of pediatric asthma cases are allergic in nature, with exacerbations occurring in response to environmental triggers. National guidelines recommend allergy testing for patients with asthma to identify and manage sensitized triggers because this testing enhances pediatric providers’ ability to predict asthma development and exacerbations. However, this practice is commonly underutilized by outpatient providers in the primary care setting. The purpose of this project is to conduct a statewide survey of Georgia pediatric nurse practitioners’ beliefs on implementing IgE allergy testing in their management of pediatric patients with persistent asthma symptoms.

Keywords: IgE allergy testing, persistent asthma, asthma guidelines, pediatric asthma

Table of Contents

Table of Contents

Abstract ................................................................................................................... 1 Problem Identification Background .................................................................................................. 3 Significance ................................................................................................. 4 Theoretical Framework ................................................................................ 5 Linking Bandura's Social Cognitive Theory to Clinical Questions ................ 6 Literature Review and Synthesis The Association between Asthma and Allergic Rhinitis ..................... 8 Guideline Recommendations ............................................................. 9 Primary Care Providers Underutilizing Allergy Testing ..................... 10 Study Limitations and Gaps in the Literature .............................................. 12 Setting Population ........................................................................................ 12 Inclusion and Exclusion Criteria ...................................................... 13 Methods ........................................................................................... 13 Data Collection and Analysis ........................................................... 14 Protection of Human Rights ............................................................. 15 Implications Related to SDOH and DEI ........................................... 16 Plan for Dissemination to Key Stakeholders .................................... 17 Results Discussion ...................................................................................................19 Cognitive Factors ........................................................................................ 20 Environmental Factors ................................................................................ 21 Behavioral Factors ...................................................................................... 23 Limitations and Lessons Learned ............................................................... 25 Application to Practice ................................................................................ 26 Evaluation of the Process and Experience ........................................................... 28 References ........................................................................................................... 29

About this Scholarly Project

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• Permission granted by the author to include this thesis or dissertation in this repository. All rights reserved by the author. Please contact the author for information regarding the reproduction and use of this thesis or dissertation.

School	Nell Hodgson Woodruff School of Nursing
Specialty	Pediatric Primary Care Nursing Practice
Degree	D.N.P.
Submission	Scholarly Project
Language	English
Research Field	Health Sciences, Nursing
Mot-clé	persistent asthma IgE allergy testing pediatric asthma asthma guidelines
Committee Chair / Thesis Advisor	Kimble, Laura, Emory University

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