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Table of Contents

Summary. 2

Introduction. 4

Background. 5

Justification and Objective of Study. 6

Evidence or Equivalent Case. 8

Theoretical Overview.. 9

Budget. 11

Project Plan. 12

Gantt Chart. 15

Project Risk Assessment and Management. 16

Force Field Analysis. 17

Change Management concept. 18

Success Evaluation. 19

Recommendation. 21

Conclusion. 21

Bibliography. 23

Summary

Asthma is known as an inflammatory disease which impacts lung functions. In this condition, the affected patient’s nostrils become inflamed, narrow and swollen, making it difficult for them to breathe correctly. Some common symptoms of Asthma include coughing, dyspnea, recurring bronchitis, and wheezing. Therefore, Asthma impacts a person’s life as well as their physical and mental health. The statistics reveal that approximately 3000 people died from Asthma attacks due to lack of care and exact knowledge. Unfortunately, many asthmatic patients are uninformed about the disease itself. Whereas nursing caregivers also do not have enough experience in dealing with such patients. Due to poor health education, patients do not know self-management techniques for their problems. Whereas, new nursing practitioners do not know much either. As a result, people are still suffering from chronic diseases due to a lack of understanding. This project proposes a new way through which nursing practitioners could understand Asthma. Further, they could have excellent communication with patients on chronic diseases. The nurses will have a complete understanding of Asthma; types approaches patient communication on diseases, medical supervision.

This project has the title, “Health education for the asthmatic patient and caregiver from the nursing perspective.” This new way is a workshop on Asthma education programs. The workshop project will explain new and potential nurse practitioners on disease asthma. While, symptoms, causes, types, medical care, and communication methods. Several patients visit the hospital frequently with different questions. However, the lack of experience of nurses makes it more challenging to understand the real problem. Another issue is that sometimes doctors are unavailable because of different duties. Whereas, children are often confused to react to certain conditions in schools, playground when Asthma comes up. The caregivers must have proper training and knowledge so that explanation to new patients and their families could become accessible. With adequate communication methods, nurses could adequately explain about chronic diseases and their preventive measures.

The workshop will be a three-day process and involve explanation, and demonstration on protective measures against Asthma. It is important to conduct such workshops explaining everything to nurse practitioners. Hence, the workshop will bring awareness of asthma self-management. The project aims to empower the medical, healthcare, and caregiving professionals to serve patients delicately and effectively. Furthermore, to bring awareness of asthma management through proper understanding and knowledge. Not only the nursing department but patients themselves will be able to regulate and control asthma attacks. The expectation is that the workshop will be a cost-effective approach was providing caregivers to complete training of chronic disease. The purpose will be not to affect hospital workspace and pressure nursing staff. However, explain them properly on how to aide and resolve queries of affected patients. We will implement this workshop at Apollo Spectra Hospital, Mumbai, situated in India.

Introduction

Asthma is a long-term disease that reduces the working of the lungs. Further, it is also known as a chronic respiratory disease because of producing inflammation, narrowness, and swelling in the nostrils. There are several symptoms of Asthma, such as wheezing, coughing, breath shortness, tightening in the chest, difficulty in talking. Whereas, different types of Asthma, which could occur in adults and children like allergy-induced, Exercise-induced Cough-Variant Asthma, Occupational Asthma, Nocturnal Asthma, Bronchoconstriction (EIB) Asthma and Nonallergic Asthma (Natale, 2019). Hence, the types change as per the symptoms of coughing and wheezing. These diseases mainly reduce the lives of people and bring death quickly due to a lack of healthcare.

According to the Global Asthma Report 2018, around 339 million people get affected by Asthma in all parts of the world and ranked among 28^th among the leading cause of burden disease (Global Asthma Network, 2018). It is a severe issue globally and thus requires proper aide and education. Health education has become a bigger concern and has relative importance for asthma management. Due to a lack of resources and additional programs, people are still unaware of chronic diseases. Whereas, the nursing department is also completely uninformed in hospitals. Several healthcare professionals and caregivers do not know using an inhaler. In some countries, asthma medicines are not available, affordable, unreliable quality, as well as no effective management (Global Asthma Network, 2018). Therefore, nursing practitioners should have proper guidance for treating non-communicable diseases.

The governments already initiate several programs to aide asthma concerns in health settings. The 41 percent workshops for asthma management programs and centers opened in Brazil for public health strategies, family healthcare, outreach, humanizing practices, and health care agent visits (Stelmach et al., 2015). Thus, programs help make families aware of the patient’s health conditions; while, healthcare professionals have also made some other programs for the patient’s recovery. For instance, self-management programs for asthma patients offer them a personal asthma action plan under patient/clinician partnerships (Fawcett, Porritt, Campbell & Carson, 2017). This example demonstrates an aide for patients from nursing perspectives. The parents are highly concerned with their children and asthma problems. Hence, it is vital to provide them with complete information.

On the contrary, these short programs are not helpful in the long run for hospitals. The lack of awareness brings parents to the hospital emergency department every time. As per one research, parents do not accept the professional healthcare authority for information and goes to somewhere else to gain knowledge about children’s chronic respiratory disease (Finnvold, 2010). This scenario is massive trouble because which affected patient’s health goes into the disturbance. Henceforth, this project proposes a three-day workshop for nursing practitioners on asthma health education. As a result, they will be able to communicate with the patient and their families about non-communicable diseases such as Asthma. The main objective to provide training to new nursing staff on Asthma and using communication methods to patients and their caregivers in a low-cost manner.

Background

India is a diverse country with different castes, groups, regions, and religions living as one secular nation. However, healthcare services are complicated to reach to the people affected by diseases. Out of 1.31 billion Indians, 6 percent of children and 2 percent of adults have Asthma with no health insurance facilities due to healthcare facilities gap between lower and higher class (“The Global Asthma Report 2018”, 2018). It shows some affected patients are unable to use health education due to being low-income families.

Whereas, India consists of rural as well as urban areas that require healthcare services. Sixty percent of hospitals are built in urban areas with professionals such as doctors and nurses with adequate help. However, rural areas are less informed and lack healthcare services, hospitals, and other dispensary facilities. In the rural areas, deficient infrastructure for health provides one hospital bed for every 2,046 individuals, one government doctor for 10,000 people, and one state-run hospital for each 90, 243 citizens (Kashyap, 2017). Thus, lower healthcare services and lower-income families bring asthma problems for people in a country like India.

Another thing that is responsible for producing an epidemic such as chronic respiratory disease is climatic condition disturbance. On the contrary, as per the world health organization, India has approximately 20 cities that provide a large amount of air pollution every day (World Health Organisation, 2019). Seven hundred million people, including men, women, and children, suffer from air pollution due to inhaling of smoke, biomass, kerosene stoves, crop residues, and sulphur oxides (Sharma, 2017). As a result, Asthma has become a global epidemic for India due to pollution problems.

Furthermore, working professionals in hospitals are unaware of using asthma inhalers on patients. As per one study, Metered Dose Inhaler was used poorly as per the test of the nursing interns and doctors for asthma prevention in tertiary care hospital, Mumbai (Mullerpattan et al., 2016). Thus, our proposed project offers a solution for reducing such human errors of nursing practitioners effectively. The project design is for the Apollo Spectra Hospital branch situated in the city of Mumbai. This healthcare organization provides service with 16 beds, four modular operation theatres, in-house pharmacy, and 145 healthcare professionals (Apollo Spectra Hospital, 2019). Hence, it aims to provide workshop training to nursing staff for Asthma and its preventive measures.

Justification and Objective of the Study

The objectives of the study should have an explanation before the beginning of the project life-cycle. Hence, before planning project activities, the objectives of the project workshop is defined in the following table. It follows the SMART objectives and presents goals such as specific, measurable, attenable, relevant, and time-bound.

• Specific: The purpose of our study to make healthcare professionals aware of Asthma as a non-communicable disease. Hence, the research focuses explicitly on doing a 3-day workshop to provide complete information to the nurse practitioners on asthma attacks, types, and use of devices.
• Measurable: The entire nursing staff is approximately 50 on which this study will be conducted.
• Attenable: The study is attenable and efficient for healthcare professionals.
• Relevant: Currently, Asthma attacks have become quite often in India due to air pollution, and this study seems appropriate and effective to propose.
• Time-Bound: Our proposed project is a three-day workshop and revolves around health education.

Evidence or Equivalent Case

Asthma is a chronic respiratory disease that could happen in anyone, whether it is children, men, or women. Additionally, it could also occur within any country, region, and climatic conditions. Therefore, as per the nursing perspective, several workshops had been held by the governments of the countries. A similar case of asthma workshop was in the 720-bed university teaching hospital in Karachi, Pakistan (Lalani, 2012). In Pakistan, approximately 19 percent of children and 10 percent of adults have affected such a non-communicable disease. However, the issues are lack of infrastructure for healthcare by the Pakistani government. In this hospital, at the time of the investigation, the investigator found that nurses did not have asthma management knowledge as well as proper information on the inhaler (Lalani, 2012). As a result, patients had poor treatment, and thus workshop requirement was proposed to train nursing staff for asthma patients effectively.

Furthermore, the project took 60 nurses from three medical-surgical units who were newly appointed (Lalani, 2012). These nurses had given information on using the inhaler correctly. The workshops taught them about asthma attacks, preventive measures, and using an inhaler with correct steps. The results showed that 30 percent of nurses were uninformed on asthma inhaling techniques. However, workshops helped teach new nursing staff health education as per standard guidelines.

Similarly, another workshop for school nurses had conducted so that asthma attacks could have effective prevention. It was implemented in the School at Denver, Colorado, by taking school staff, nurses, and clinicians into consideration. Furthermore, this workshop included training of nurses to use inhalers, traditional school health system awareness, asthma management, and evaluation of asthma control (Kakumanu, & Lemanske, 2019). Another study had conducted to gather information on 100 participants’ knowledge. The project members gave a questionnaire to complete a healthcare professional asthma knowledge and consumer asthma knowledge (Basheti, Hamadi, & Reddel, 2016). This workshop identified the people knowing about inhalers; asthma medicines are control management. Hence, the purpose was to gather how much knowledge nursing practitioners have on self-management.

Therefore, similar workshops are held by the governments of countries to improve their healthcare services, whereas nurses are becoming aware of asthma management and control practices. Several times doctors are unavailable whenever a patient comes into hospital premises. Therefore, it is vital to educate them for a non-communicable chronic respiratory disease like Asthma. All the equivalent studies reveal that after workshops, nurses are now well aware of management asthma affected patients in a very successful manner.

Theoretical Overview

Asthma: Asthma is a chronic respiratory disease that affects airways from to transport air to and from lungs. The disease characteristics include airway hyperresponsiveness, structural changes, and remodeling of airways, disordered mucosal immunity, and chronic airway inflammation (Pavord et al., 2018). In other words, the asthmatic patient’s walls of airways in the lungs get inflamed and swollen; as a result, airways become sensitive and goes through allergic reactions. Further, it is a non-communicable disease that does not have any permanent cure. More than 300 million people have asthma every year across the world.

Types of Asthma: Several types of respiratory asthma diseases could occur in men, women, and children. Firstly, allergic asthma is one of them that triggers due to allergies from dust particles in the air. The reason for allergic asthma is prenatal and postnatal exposure to air pollution, maternal smoking, and micro germs such as viruses, bacteria, and allergens present in surroundings (Leynaert, 2019). The second type of asthma is Adult on-set AOS asthma in which people develop the disease when they are completely adult and exposed suddenly. The leading cause of AOS is associated with obesity, smoking, as well as exposure to occupational and environmental surroundings (Ferreira et al., 2019). Asthma COPD is another type that is defined as Chronic obstructive pulmonary disease. The group of lung diseases which affect breathing, such as refractory, emphysema, and chronic bronchitis in adults and children in COPD. Approximately 15 to 55 percent of patients are seen with a combination of asthma and COPD syndrome (Cosio et al., 2016). Another type is nonallergic asthma, which is caused by weather conditions. While occupational asthma is very frequently occurred due to people working in factories and producing chemical discharges. Lastly, Exercise-induced bronchoconstriction is another form of asthma that occurs due to heat and water while performing the exercise. Further, 80 percent of people are caught which these respiratory diseases due to exercise and physical training (Burnett et al., 2016). Hence, several types of asthma could be seen in society.

Equipment and Medication: There are several devices or equipment which asthmatic patients use. To name a few, peak flow meters, inhalers, metered-dose inhalers, and nebulizers. The peak flow meter is a measurement device that keeps track of speed and force of the air. Furthermore, inhalers are helpful to breathe properly for a patient when they go through airway issues. For example, a metered-dose inhaler is a device that helps to treat asthma and chronic obstructive pulmonary diseases for ill patients (Vallorz, Sheth, & Myrdal, 2019) while dry powered is another form of inhaler that helps the lungs.

Additionally, nebulizers are other electronic equipment that transforms asthma medicines through mists form so that patients could inhale drugs properly (Felman, 2018). Hence, asthma equipment helps control the disease from time-to-time. On the other hand, medicines for such chronic diseases are taken into two ways, such as long term and quick relief. The long-term medication control asthma on each passing day, whereas quick relief is helpful for short attack. In both cases, medicine and drug are available in the healthcare departments. The long-term medicines are Inhaled corticosteroids, Leukotriene modifiers, Combination inhalers, Theophylline, and Long-acting beta-agonists; while, the short term is Short-acting beta-agonists, Ipratropium (Atrovent), as well as Oral and intravenous corticosteroids (Felman, 2018).

Nursing Perspectives: The nursing practices work very hard to provide a good amount of healthcare to patients. However, it is difficult to maintain knowledge for every disease — especially diseases which are non-communicable and have an impending illness and no cure. Therefore, health education is essential for nursing staff with respects to asthma. The studies show that nursing staff does not have proper knowledge for using asthma equipment, medication explanation, as well as communication methods with patients (Parikh et al., 2018). Hence, health education workshops are helpful to elaborate on chronic asthma disease to nurses. As a result, the nursing staff will be able to explain patients and their caregivers more on asthma management.

Budget

The budget for the proposed project is organizing the workshops for nursing practitioners and healthcare professionals. Therefore, no additional expense will be required to conduct a three-day seminar.  The Asthma Society of India, as well as Apollo Hospitals, will equally fund for attending a workshop at premises. Moreover, the nurse practitioners, at times of their lectures, will have asthma equipment demonstrations.

Additionally, a higher professional and experienced nurse caregiver will be appointed to give information. Whereas, additional resource cost to train nurses is also into consideration. Hence, selected professional and resource value will be covered in the budget.  The Government of India has decided to fund lower-income families to access the asthma devices (“The Global Asthma Report 2018”, 2018). However, we should note that a lack of programs for asthma management does impact the conditions of patients adversely. Still, standard guidelines are asthma present as a joint imitative by the Indian Chest Society (ICS) and the National College of Chest Physicians (NCCP) for the general physicians working in hospitals (Koul & Patel, 2015). Therefore, the budget does not have many expenses; however, supported by NGOs and hospital expenses itself. The purpose of the workshop is to make nursing staff aware of asthma patients, their healthcare services, and complete education to the patients. Thus, cost expense will be minimum for a workshop visit experienced doctor visit for a 3- day workshop seminar.

Project Plan

The project workshop is executed with the help of the PDSA cycle. PDSA stands for plan-do-study-act, which represents building blocks of healthcare improvement in terms of scientific language as well as a hypothesis (Leis, & Shojania, 2017). Hence, using this method, we will discuss the project planning for asthma education and management Workshop at Apollo Spectra Hospital, Mumbai.

Plan

The purpose of this project is to conduct a successful workshop for improving healthcare education among professionals regarding asthma, a chronic respiratory disease. If the nursing staff is more educated on asthma management, then chances for providing complete information to the patient and their caregiver’s increases. It has become a necessity to offer comprehensive knowledge of the disease, medication, and proper use of asthma devices. Hence, the project title describes our primary goal, “Health education for the asthmatic patient and caregiver from the nursing perspective.” Thus, the objective is to provide healthcare education to nursing staff for asthmatic patients. The plan demonstrates desired outcomes for the project, which is healthcare education and training to nursing staff.

Further, the activities within project planning include nurse training, an appointment for a senior representative to hold the lectures. While equipment demonstration for asthma will be shown to the nurses. The period for project planning is one month to arrange professionals, asthma devices, resources for making manuals, and lecture notes to the newly appointed staff. Whereas, the total population to make improvement is nursing staff members fifty in number. Moreover, the budget for executing workshops is also defined in this step. The first stage for development is planning that determines a concise statement, optimal project outcomes, and steps of execution healthcare improvement cycle (DeWalt, 2010).

• Concise Statement (What): The concise statement includes offering health education and management for asthma to the nursing staff so that they can help patients and their caregivers regarding the disease.
• Project Outcome (Why): The project hopes to achieve 100 percent training for asthmatic patients in nursing practitioners.
• Execution Steps (How): The working population is 50 nurses who are newly appointed in Apollo Spectra Hospital. Further, the time frame for workshop planning is one month, which will have a termination if not feasible enough.

Do

The next step is the execution of the project plan by implementation into reality through observations (DeWalt, 2010). Hence, the second stage is also known as the implementation stage in which the plan is applied to action. The purpose of the workshop is to make aware nurses have a complete understanding of asthmatic patients and their medication dosage or device usage. Therefore, observations for Apollo Spectra is also based on asthma management.

• Observation: The records will have proper maintenance at the time of workshop execution. For instance, lecturers on asthma management elaborate everything clearly or not. Further, the nursing staff is present in workshops very frequently or not, as well as patient awareness. After the day-1 workshop, nurses will have an appointment with asthmatic patients and their caregivers. The observations for each nurse will be noted by taking the patient and their family’s feedback. Whereas, patient’s reaction to care, medical dosage, and enhanced satisfaction will be recorded.
• Additionally, the observations to improve nursing education on asthma will be noted. However, if staff will seem inadequate, then issues regarding the poor workshop, the presence of staff in seminars as well as other problems will have proper identification. The duration will be of 6 months to observe the patients and nurse staff.

Study

The study for workshop results will have proper acknowledgment in the third step effectively. In this stage, we will gather whether health education had improved in healthcare services.

• Learning: The purpose will be acknowledging the learning lessons in the management of asthma disease. Whether nurses can demonstrate, inhaler use is one example of a lesson learned.
• Measurement Goal: The goal of the project will have a comparative measurement with the outcome. Hence, the analysis to study at Apollo Spectra Hospital will be in every one month after on duty of nurses on asthmatic patient wards or their weekly/monthly visits.

Act

The last stage offers a conclusion from the project life cycle, such as planning, implementation, observations, and lessons learned (DeWalt, 2010).

• Conclusion: The conclusion of the project is offered at this stage. For example, if a project is successful, then workshops will work as a proposal for other non-communicable diseases. However, if the project is not successful, then improvements in the workshops will have consideration. Hence, the active stage will have a conclusion on workshop success or failure after one year.

Figure 1: PDSA Cycle

The diagram (figure 1.) below explains the use of the PDSA cycle in healthcare improvements. The first question describes the significant goals of project creation. The next issue explains whether new development offers any changes to the people or not. The third question represents the main changes to implement improvements through the plan-do-study-act cycle. Hence, this project lifecycle helps to determine feasibility and development in healthcare processes in the hospitals and caregiving facilities.

Figure 1: PDSA Cycle Adopted from (DeWalt, 2010)

Gantt Chart

The purpose of the Gantt chart to showcase each project activity as per the logical step for execution. Hence, the chart below demonstrates project activities which their start date, end date, number of days, and task name. Whereas, the time of the workshop is one month of planning for all activities and final seminars will be held on 10. 11, as well as 12 November 2020. Additionally, the Gantt chart is a useful tool to analyze planning steps, schedule, the total number of days for complex projects in the healthcare domain.

Project Risk Assessment and Management

A risk is an event of uncertainty that occurs whenever a project is executed. The risks could impact the whole project process negatively. Hence, it is mandatory to assess various risks in this project effectively. While risk management plan elaborates on the risk definition, monitor, and control management methods throughout the project (Heldman, 2018). The following table demonstrates the pertaining risks, likelihood, rating, consequence, and management for the asthma management workshop program.

Force Field Analysis

The purpose of force field analysis is to determine why change is required and what could resist the change in the project. Kurt Lewis designed this model to perform qualitative research for different factors such as people, available resources, beliefs, attitudes, requirements, and customs (Shrivastava et al., 2017). Hence, we propose a force field analysis model that determines the requirement and resistance for conducting a workshop in Apollo Spectra Hospital, Mumbai.

Change Management concept

Change management is an important aspect that should have an implementation in the healthcare services project. The workshops are an integral part of any hospital, its staff, as well as the organization as a whole. Therefore, to implement such a change, there should be proper planning as well as a management method to follow. The purpose of the workshop is making nursing staff aware of the interaction with asthmatic patients. To execute this goal, we propose a change management theoretical model – McKinsey’s 7s Model (Gokdeniz et al., 2017). For the workshop to be successful, it is necessary to ensure that nurse practitioners are comfortable with the workshop process in the workplace. Further, Apollo Spectra is a small hospital with 145 healthcare professionals and thus require methodological steps to execute. Hence, this change management approach is considered in this workshop project.

Success Evaluation

In the traditional sense, project success is evaluated based on parameters such as cost, schedule, and operability. In contrast, in the modern sense, project success evaluation is composed of predetermined key performance indicators (Schatz, 2018). Hence, key performance indicators regarding our project will have evaluation after project completion. Furthermore, these KPIs are people involved in the workshop project process, also known as stakeholders. Stakeholders hold a powerful position in a healthcare organization as they will affect the whole project or gets affected by it.

1. Nursing Practitioners: The project will be successful if the nurse staff acquires knowledge for asthma management properly. Nurses are the most important stakeholders who will contribute to workshop success. For example, nurses will full acknowledge on asthma could help patients to learn more about the disease. Additionally, they will build effective communication bridges to inform parents and their caregivers more on asthma attacks, proper control, and their dosage as well as inhaler guidance. In several cases, doctors are on other duties. Therefore, the nursing staff will execute help to asthmatic patients with full guidance.
2. Healthcare Professional Lecturer: The lecturer’s purpose will be to demonstrate asthma management for healthcare professionals, especially nurses. Therefore, senior nursing management will have an appointment as a three-day workshop. They will contribute to health education to new nursing staff, which will make them more confident to handle patients with non-communicable diseases of the airway, such as chronic respiratory problems.
3. Investors: The sponsors will also help achieve project success. The cost budget for the project is accommodated by investors working on health education in India. The financial budget for this project has lower cost expenses and supports execution well enough.
4. Government/Non-Profit Organisation: Patient satisfaction and staff satisfaction from visits will also work as success criteria. The number one priority is to support the health education for asthma management.
5. Patients: The patients are indirectly involved as an important factor for success. The evaluation and feedback from them on asthma management service will be taken through survey forms. In this manner, project success or failure is determined in the Apollo Spectra Hospital.
6. Apollo Spectra Hospital Administration: The admin could work on other duties and assign doctors in significant cases. On the contrary, asthma patients will have a separate section to check-up through experienced and knowledgeable nurses after workshop attendance.

Recommendation

The purpose of our trial project was to establish the importance of health education to not only patients, however, to the healthcare staff who is newly appointed. However, our focus was only on the non-communicable chronic respiratory disease known as Asthma. Asthmatic patients and caregivers do not have enough knowledge after disease identification. Further, they look up to healthcare services for proper guidance. Especially if it is childhood asthma, patients are more sensitive towards the disease. Therefore, nursing staff should be aware of having medical dosage and device usage knowledge.

Hence, we demonstrate workshops as a better approach to educate newly nursing staff appointed from the university. They are new and unaware of using inhaler demonstration. According to several studies, asthma education has improvised health outcomes, lower cost for medical, hospital and emergency department visits, quality of living, and usage of inhaling techniques (Durr et al., 2017). Thus, I recommend conducting more workshops to educate healthcare professionals. As well as patient education through nursing staff is another recommendation. The live demonstration for using an inhaler to men, women, and child patient should have developed. Additionally, communication methods and interaction with patients should be another concept for future workshops on the asthma health education process.

Conclusion

In conclusion, asthma is a severe disease that affects the lungs and creates swelling in airways. Additionally, more than 300 million people get affected by such non-communicable diseases every day. Moreover, patients, as well as their caregivers, are completely unaware of the disease, medication dosage, and other information. One of the reasons was found as an incomplete experience of nurse practitioners who are unable to communicate with patients. Therefore, the purpose of this research was to prefer a workshop project that could provide training for nurses at Apollo Spectra Hospital, Mumbai. With such a project, health education could be promoted for general people suffering through asthma.

The objectives of this study were providing complete information to conduct the project. Hence, a three-day workshop for nursing staff to be coordinated at hospital premises. Approximately 50 people will be explained what disease is and how to have medical dosage. Furthermore, the demonstration for the live asthma attack through inhaler will be given. Equivalent workshop cases were determined in the countries of Pakistan, the UK, and the United States. Further, asthma is of several types, such as childhood, allergic, non-allergic, Asthma COPD, occupational asthma, and Exercise-induced bronchoconstriction. Also, there are long-term and short-term dosage to operate on asthma attacks with inhaler options.

The approximate budget for this project is minimal, with the lecturer appointed for the workshop, devices for demonstration, and resource cost. While the project plan has the following PDSA cycle, also known as plan-do-study-act to execute, hence, the period for project execution is considered one month, and workshops will be held on 10, 11, and 12 November 2020. The risk assessment was helpful in analyzing risks associated with the workshop project. Additionally, force field analysis and change management are considered another mechanism to analyze the project will be successful or not. For the success evaluation project, key performance indicators are offered effectively. Overall, the purpose was remarking how health education for asthma management could be provided to the patient and their caregivers. Therefore, one way is first making nurse practitioners aware of the disease. This method, as a result, will provide a bridge between patient and nurse communication.

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