Date of Award

January 2017

Document Type

Open Access Thesis

Degree Name

Doctor of Nursing Practice (DNP)


Yale University School of Nursing

First Advisor

Jane K. Dixon

Second Advisor

Ruth McCorkle



Introduction: The purpose of this project was to examine criteria derived from evidence-based pediatric acute asthma exacerbation assessment tools, asthma scores, and the acute asthma prediction rule validated and utilized in the emergency department and to adapt these criteria for pediatric primary care.

Method: Three stages of the project included: (1) identification of criteria in a literature review, (2) validation of the criteria by an expert panel, and (3) adaptation of the criteria in the design of an assessment tool.

Results: The criteria were validated and adapted in the design of “The Pediatric Acute Asthma Exacerbation Severity Assessment and Disposition Decision Making Tool for Pediatric Primary Care.”

Discussion: The adaptation of criteria derived from the evidence and validated by an expert panel will inform and guide clinicians in assessing severity and support decision making in determining disposition of pediatric patients presenting with an acute asthma exacerbation in primary care.


This is an Open Access Thesis.

Open Access

This Article is Open Access