Guidelines versus practice: UK asthma nurses often recommend intermittent, symptom-driven use of inhaled corticosteroids

M.E. Hyland; S. Blake; C.J. Greaves; M. Pinnuck; C. Seamark; D. Seamark; D. Ward; D.M.G. Halpin

doi:10.3132/pcrj.2008.00066

Guidelines versus practice: UK asthma nurses often recommend intermittent, symptom-driven use of inhaled corticosteroids

M.E. Hyland, S. Blake, C.J. Greaves, M. Pinnuck, C. Seamark, D. Seamark, D. Ward, D.M.G. Halpin

Sport, Exercise and Rehabilitation Sciences

Research output: Contribution to journal › Article › peer-review

6 Citations (Scopus)

Abstract

Background: Recent clinical trials suggest that intermittent use of inhaled corticosteroids (ICS) is safe for mild persistent asthma. Intermittent ICS use is inconsistent with current guidelines but is a common form of non-compliance. The aim of this study was to investigate how asthma nurses advise patients to use ICS.

Methods: Practice managers of 241 GP surgeries in the southwest of England were sent questionnaires to distribute to practice nurses.

Results: Questionnaires were returned by 105 nurses (104 had asthma-specific training). There was a wide variation in attitudes to guideline-based care and advice given to patients. 97% indicated that they sometimes advised patients to decrease their ICS use, 85% sometimes advised patients to stop their ICS when their asthma was well controlled, and 70% reported sometimes advising intermittent use.

Conclusion: Asthma nurse recommendations are often inconsistent with guidelines. There is considerable variation between different asthma nurses in the advice given to patients.

Original language	English
Pages (from-to)	114-117
Number of pages	4
Journal	Primary Care Respiratory Journal
Volume	18
Issue number	2
DOIs	https://doi.org/10.3132/pcrj.2008.00066
Publication status	Published - 15 Oct 2008

Keywords

Guidelines
compliance
nurse management
adherence
concordance
asthma

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Cite this

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abstract = "Background: Recent clinical trials suggest that intermittent use of inhaled corticosteroids (ICS) is safe for mild persistent asthma. Intermittent ICS use is inconsistent with current guidelines but is a common form of non-compliance. The aim of this study was to investigate how asthma nurses advise patients to use ICS.Methods: Practice managers of 241 GP surgeries in the southwest of England were sent questionnaires to distribute to practice nurses.Results: Questionnaires were returned by 105 nurses (104 had asthma-specific training). There was a wide variation in attitudes to guideline-based care and advice given to patients. 97% indicated that they sometimes advised patients to decrease their ICS use, 85% sometimes advised patients to stop their ICS when their asthma was well controlled, and 70% reported sometimes advising intermittent use.Conclusion: Asthma nurse recommendations are often inconsistent with guidelines. There is considerable variation between different asthma nurses in the advice given to patients.",

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AU - Seamark, C.

AU - Seamark, D.

AU - Ward, D.

AU - Halpin, D.M.G.

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Guidelines versus practice: UK asthma nurses often recommend intermittent, symptom-driven use of inhaled corticosteroids

Abstract

Keywords

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