Community and Health Research Unit

A new paper entitled ‘Using a narrative approach to enhance clinical care for patients with asthma‘ has been published online in the journal Chest. The paper was authored by Dr Helen Owton, previously of De Montfort University and now a lecturer at the Open University, Dr Jacqueline Allen-Collinson, Reader in the School of Sports Science at the University of Lincoln, and Professor Niro Siriwardena from CaHRU.

The paper describes an approach to foster better patient self-care in patients with asthma by enabling clinicians to empower individuals to take more control of their condition by enhancing patient-clinician communication and relationship through patients’ stories. This is based on previous work from Drs Owton and Allen-Collinson on patient narratives in asthma and work on the consultation from Prof Siriwardena.

The discussion paper, published in the Topics in Practice Management section of the journal, describes the history of narratives in asthma, outlines the evidence on how narratives can provide insights into how people perceive and manage their asthma, and discusses how these ideas might be applied. The paper finally discusses how these notions might be practically implemented in the clinical consultation and how this has potential to improve outcomes for people with asthma.

Researchers in CaHRU and East Midlands Ambulance Service NHS Trust (EMAS) have published a new study: “Identifying barriers and facilitators to ambulance service assessment and treatment of acute asthma: a focus group study” in BMC Emergency Medicine. The study’s lead author was Deborah Shaw of the Clinical Audit and Research Department at EMAS and visiting fellow at CaHRU. She was supported in the work by Prof Niro Siriwardena, director of CaHRU and associate clinical director at EMAS.

The authors aimed to explore paramedics’ attitudes, perceptions and beliefs about prehospital management of asthma, to identify barriers and facilitators to guideline adherence, acknowledging variations in prehospital care for asthma. The investigators interviewed paramedics and managers and their analysis identified that guidelines should be made more relevant to ambulance service care; barriers to assessment; conflicts between clinicians’ and patients’ expectations; complex ambulance service processes and equipment; and opportunities for improved prehospital education, information, communication, support and care pathways for asthma.