Breathe Easy: A Quality Improvement Project to Enhance Pediatric Asthma Care Using Spirometry Protocol and Education.

Authors

Lauren Faris, Elishia Featherston, Jenilea Thomas

Published in

Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners. Aug 19, 2026. Epub Aug 19, 2026.

Abstract

Asthma is the most common childhood chronic disease in the United States and imposes a significant health care burden. Spirometry is a lung function test recommended routinely at well-child checks to assess asthma control.
Despite national guidelines recommending routine spirometry, it remains underutilized in primary care.
A quality improvement initiative integrated a spirometry eligibility protocol and provided education to APRNs and staff on spirometry administration and interpretation to improve its appropriate use among children with asthma.
Spirometry utilization among eligible patients increased from 0% to 25.9% (χ² [1, 100] = 12.78, p < .001), protocol adherence rate was 12.1%, and APRN perspective survey results increased by 14.8% (median = 20.25 [n = 4] vs. median = 23.25 [n = 4]; Z = -0.730, p = .465).
Spirometry education and protocol integration increased spirometry utilization in primary care and improved APRNs' understanding of its role in pediatric asthma management.

PMID:
42622579
Bibliographic data and abstract were imported from PubMed on 20 Aug 2026.

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