Opinion of Stakeholder on the Feasibility of a Nurse-Led Clinic for Self-management of Bronchial Asthma in a Tertiary Care Center: North Zone Study (India)

Abstract

Background: Bronchial asthma is a non-communicable disease demanding long-term adherence to medical treatment and self-management. The effectiveness of a Nurse-Led Clinic for the management of long-term illness is well established. In our setup, we intend to establish a Nurse-Led Clinic. Before establishing one, it is essential to explore stakeholders’ perspectives on the feasibility of a Nurse-Led Clinic for the self-management of bronchial asthma. Objective: The study was done to explore stakeholders’ opinions on the Nurse-Led Clinic’s feasibility for the self-management of bronchial asthma. Methods: Five doctors, six nurses, and 11 patients were taken as stakeholders using the purposive sampling technique. A pre-validated semi-structured opinionnaire having a Content Validity Index (CVI) of 0.82 was used. Face-to-face individual interviews were conducted. The data triangulation and dependability were ensured. Results: After the thematic analysis, themes were categorized into two sections based on the common and different questions for all the stakeholders. The major themes of both sections were as follows: Nurse-Led Clinic-A perceived helpful initiative, strengthening the Nurse-Led Clinic, current obstacles/restorative measures in the management of bronchial asthma, a glance at the current scenario, patient satisfaction with doctors’ consultation, and challenges Nurse-Led Clinic may face and related remedial measures. Conclusion: All stakeholders favored the idea of a Nurse-Led Clinic for the self-management of bronchial asthma.