Open AccessExploring Factors Contributing to Chronic Obstructive Pulmonary Disease (COPD) Guideline Non-Adherence and Potential Solutions in the Emergency Department: Interdisciplinary Staff Perspective
Author(s) -
Hancy Issac,
Melissa Taylor,
Clint Moloney,
Jackie Lea
Publication year - 2021
Publication title -
journal of multidisciplinary healthcare
Language(s) - English
Resource type - Journals
ISSN - 1178-2390
DOI - 10.2147/jmdh.s276702
Subject(s) - medicine , emergency department , psychological intervention , context (archaeology) , copd , qualitative research , staffing , nursing , clarity , pharmacist , family medicine , psychiatry , paleontology , social science , biochemistry , chemistry , sociology , pharmacy , biology
Acute exacerbations of chronic obstructive pulmonary disease (COPD) have a significant and prolonged impact on health-related quality of life, patient outcomes, and escalation of pulmonary function decline. COPD-X guidelines published in 2003 subsist to facilitate a shift from the emphasis on pharmacological treatment to a more holistic multi-disciplinary interventions approach. Despite the existing comprehensive recommendations, readmission rates have increased in the last decade. Evidence to date has reported sub-optimal COPD guidelines adherence in emergency departments. This qualitative study explored contributing factors to interdisciplinary staff non-adherence and utilisation of COPD-X guidelines in a major Southern Queensland Emergency Department.