- Title
- A cross-sectional survey of Australian healthcare professionals' confidence, evidence-based knowledge and guideline use for antenatal asthma management
- Creator
- Wright, Thomas K.; McLaughlin, Karen; Jensen, Megan E.; Robijn, Annelies L.; Foureur, Maralyn; Murphy, Vanessa E.
- Relation
- Australian and New Zealand Journal of Obstetrics and Gynaecology Vol. 62, Issue 5, p. 681-687
- Publisher Link
- http://dx.doi.org/10.1111/ajo.13525
- Publisher
- John Wiley & Sons
- Resource Type
- journal article
- Date
- 2022
- Description
- Background: Asthma is one of the most common chronic health conditions experienced during pregnancy and is associated with numerous adverse maternal and perinatal outcomes. Aims: To better understand the confidence, evidence-based knowledge and guideline use among healthcare professionals around Australia commonly involved in providing antenatal care for women with asthma. Materials and Methods: An online, cross-sectional survey was developed and distributed to maternity carers (obstetricians and midwives), primary carers (general practitioners and general practice nurses) and respiratory specialists (respiratory physicians and respiratory nurses). Self-reported confidence and use of clinical guidelines were recorded. Evidence-based knowledge was assessed with 13 questions relating to four clinical scenarios that covered recommendations from national and international guidelines. Results: Primary carers and respiratory specialists were more confident in providing antenatal asthma care, more likely to use clinical guidelines and scored significantly higher in evidence-based knowledge of antenatal asthma management than maternity carers (P < 0.01 and P < 0.001, respectively). There was no significant difference in evidence-based knowledge among healthcare professionals from metropolitan, regional and rural backgrounds. However, healthcare professionals who used clinical guidelines scored significantly higher than those who did not (P < 0.0001). Conclusion: Greater utilisation of clinical guidelines could improve the evidence-based knowledge of maternity carers. However, the absence of antenatal asthma management in obstetric- and maternity-specific guidelines poses a potential barrier that needs to be addressed. Furthermore, the development of multidisciplinary antenatal clinics, staffed by respiratory nurses and/or physicians, could improve outcomes for pregnant women with asthma who are not undertaking shared care.
- Subject
- antenatal; asthma; guideline; guideline adherence; obstetrics; SDG 3; Sustainable Development Goals
- Identifier
- http://hdl.handle.net/1959.13/1464409
- Identifier
- uon:46987
- Identifier
- ISSN:0004-8666
- Language
- eng
- Reviewed
- Hits: 1693
- Visitors: 1682
- Downloads: 0