Shared Medical Appointments: Facilitating Care for Children With Asthma and Their Caregivers

• Published in: Journal of pediatric health care Vol. 26; no. 1; pp. 37 - 44
• Main Authors: Wall-Haas, Constance L., DNP, EdM, CPNP, Kulbok, Pamela, MS, DNSc, RN, PHCNS-BC, Kirchgessner, John, PhD, RN, PNP-BC, Rovnyak, Virginia, PhD
• Format: Journal Article
• Language: English
• Published: United States Mosby, Inc 2012
• Subjects: Adolescent; Advanced Practice Nursing; Appointments and Schedules; asthma; Asthma - therapy; Caregivers; Child; Child, Preschool; Efficiency, Organizational; Female; Health Services Accessibility - organization & administration; Humans; Male; nurse practitioner; Nursing; Office Visits - trends; Patient Care Team - organization & administration; Patient Education as Topic - organization & administration; Patient Satisfaction - statistics & numerical data; Pediatrics; Primary Health Care; Shared medical appointment; Social Cognitive Theory; Social Cognitive Theory; Shared medical appointment; asthma; nurse practitioner; pediatrics
• ISSN: 0891-5245; 1532-656X
• DOI: 10.1016/j.pedhc.2010.06.007

Abstract As important members of the health care team, patients and caregivers must be empowered to recognize their asthma status and to act accordingly. Education about asthma, complications, and successful management of asthma provide the best way to empower children and their caregivers. A Shared Medical Appointment (SMA) is a unique health care delivery approach that integrates disease management and patient education. The SMA described here is a 90-minute group appointment for four to nine patients who share a diagnosis of asthma, bronchospasm, or wheeze and their caregivers. The appointment includes a brief individual examination, health education delivered to the group, and the opportunity for interaction between group members. Because a supporting theoretic framework is not identified in the original design proposals for the SMA model or in the literature on its use, for the purposes of this project, Social Cognitive Theory is identified as the theoretical framework that best explains and reinforces the benefits of the SMA. The theoretic framework is important to direct the development and continued success of this treatment model. This project report describes the first nurse practitioner-led SMA as a tool for improving quality of care and service for children with asthma and their caregivers.