Publications by authors named "Patricia M Gyr"

2 Publications

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Pediatric nurse practitioners effective in teaching providers the Asthma Action Plan using simulation.

J Pediatr Nurs 2017 May - Jun;34:53-57. Epub 2017 Jan 10.

St. Louis Children's Hospital, St. Louis, MO, United States.

Despite traditional education regarding the Asthma Action Plan (AAP), providers in the inpatient setting of a pediatric hospital reported lack of knowledge regarding the AAP and lack of confidence in teaching the AAP to patients and families. The purpose of this study was to assess the effect of a pediatric nurse practitioner (PNP)-led class incorporating simulation on resident physician knowledge of the AAP and confidence in teaching families the AAP. The study setting was a 250 bed Midwest academic pediatric hospital. The 26 participants were second year residents completing a four-week pediatric pulmonary rotation. The class consisted of a brief didactic component regarding the AAP, simulation to teach a patient/parent actor the AAP based on PNP-developed scenarios, and debriefing of the experience. The average composite score on the pre- and post-simulation knowledge assessment showed improvement from 44.8% to 80.4% (p<0.001). All participants answered favorably on questions regarding perceived benefit of the class and 80.8% strongly agreed that they felt more confident teaching the AAP after the class. This study demonstrates that resident physician knowledge of the AAP and confidence in teaching the AAP improved after a PNP-led simulation class.
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http://dx.doi.org/10.1016/j.pedn.2017.01.002DOI Listing
April 2018

Evaluation of the role of the pediatric nurse practitioner in an inpatient asthma program.

J Pediatr Health Care 2008 Sep-Oct;22(5):273-81. Epub 2008 Mar 4.

St. Louis Children's Hospital, MO 63110, USA.

Introduction: In 1994, pediatric nurse practitioners (PNPs) at St. Louis Children's Hospital developed a program to improve the care of children admitted with asthma. In the Asthma Intervention Model, PNPs directly manage the care of children hospitalized with asthma and are instrumental in hospital-wide education. An evaluation study was conducted to measure effectiveness of this inpatient PNP role.

Methods: Attending physicians, interns, nurses, and families were surveyed regarding their perceptions of the PNPs as care manager and educator. A 16-item asthma knowledge test was administered to interns at the start and conclusion of their intern year. Length of stay, readmission rate, and cost were evaluated.

Results: PNPs were found to be effective in the inpatient asthma role by all participants. Significant gains were noted in intern knowledge and confidence in caring for asthma. Interns identified the PNPs as important contributors to their education. No significant differences occurred between interns and PNPs in length of stay, cost, readmissions, or severity of the condition of the asthma patients.

Discussion: PNPs in the inpatient asthma setting are effective care managers and educators.
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http://dx.doi.org/10.1016/j.pedhc.2007.07.004DOI Listing
March 2009