Annals of Emergency Medicine
Volume 51, Issue 1 , Pages 70-77 , January 2008

Perceptual Reasons for Resistance to Change in the Emergency Department Use of Holding Chambers for Children With Asthma

  • Katrina F. Hurley, MD

      Affiliations

    • Emergency Medicine, Dalhousie University, Halifax, Nova Scotia, Canada
    • Corresponding Author InformationAddress for correspondence: Katrina Hurley, MD, Emergency Department, QEII, Halifax Infirmary: Rm 3021, 1796 Summer Street, Halifax, NS, Canada B3H 3A7; 902-473-2220, pager 2827, fax 902-473-3617
    • ,
  • Joan Sargeant, PhD

      Affiliations

    • Continuing Medical Education, Dalhousie University, Halifax, Nova Scotia, Canada
    • ,
  • Jack Duffy, PhD

      Affiliations

    • Faculty of Management, Dalhousie University, Halifax, Nova Scotia, Canada
    • ,
  • Ingrid Sketris, PharmD, MPA (MSA)

      Affiliations

    • College of Pharmacy, Dalhousie University, Halifax, Nova Scotia, Canada
    • ,
  • Doug Sinclair, MD

      Affiliations

    • Emergency Medicine, Dalhousie University, Halifax, Nova Scotia, Canada
    • Continuing Medical Education, Dalhousie University, Halifax, Nova Scotia, Canada
    • IWK Health Centre, Halifax, Nova Scotia, Canada
    • ,
  • James Ducharme, MD

      Affiliations

    • Emergency Medicine, Dalhousie University, Halifax, Nova Scotia, Canada
    • Atlantic Health Sciences Corporation, Saint John, New Brunswick, Canada.

Received 28 October 2006 ,Revised 29 March 2007 ,Accepted 6 April 2007.

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 Supervising editor: Kathy N. Shaw, MD, MSCE

 Author contributions: KH and DS conceived the study. KH, JS, and J Duffy designed the trial. IS and DS obtained research funding. KH recruited participants, carried out the interviews and focus groups, and primarily undertook data analysis. KH, JS, J Duffy, and DS discussed the coding categories and their relationships and reviewed participant quotes. KH managed the data, including quality control. JS and J Duffy provided advice on qualitative data analysis. KH drafted the article, and all authors contributed substantially to its revision. KH takes responsibility for the paper as a whole.

 Disclaimer: The observations and opinions in this article are those of the investigators and do not represent the opinions of the Nova Scotia Department of Health, Canadian Institute of Health Research/Canadian Health Services Research Foundation; or Nova Scotia Health Research Foundation.

 Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article, that may create any potential conflict of interest. See the Manuscript Submission Agreement in this issue for examples of specific conflicts covered by this statment. Dr. Sketris holds a chair in drug use management and policy funded by the Canadian Institute of Health Research/Canadian Health Services Research Foundation, cosponsored by the Nova Scotia Health Research Foundation. Dr. Hurley received salary support under this chair as part of the Drug Use Management and Policy Residency. Other project funding was provided by the emergency departments of the 2 hospitals that participated in this study.

 Publication dates: Available online June 7, 2007.

 Reprints not available from the authors.

PII: S0196-0644(07)00485-4

doi: 10.1016/j.annemergmed.2007.04.008

Annals of Emergency Medicine
Volume 51, Issue 1 , Pages 70-77 , January 2008

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