Assignment title: An education program on using a metered dose inhaler (MDI) with spacer for asthma patients to reduce asthma attack compared to using MDI only Details: Essay 1,500 words With reference to your own clinical practice in no more than 1500 words identify the challenges and describe strategies for implementing an evidence-based approach to clinical practice. Incorporate literature into your discussion. Marking criteria for the assignment are attached. ***Please do the assignment including: Introduction Background (why you want to do?, literature support) Barriers for implementing the education program Strategies to overcome the barriers of implementing the education program Conclusion ##### Please read my attached assignment sample (but different title) for your work guide! Please follow this way to write the assignment. Background: I am working in respiratory ward, some people with asthma attack will admit to my ward for management, i found out some patients with uncontrolled asthma due to poor metered dose inhaler(MDI) technique, they always resist using spacer for MDI inhalation. Spacers should always be used with MDIs that deliver inhaled corticosteroids. Spacers can make it easier for medication to reach the lungs, and also mean less medication gets deposited in the mouth and throat, where it can lead to irritation and mild infections. So it recommends that anyone, of any age, using a puffer, consider using a spacer. Some literatures show using spacer for MDIs inhalation can improve asthma symptoms and reduce asthma attack compared to using MDI only. But some patients does not want to use spacer device due to feel trouble and knowledge deficit. so i would like to implement a education program on using MDIs with spacer to reduce asthma attack (please give evidence to support). Education program including face to face education, assess and demonstrate technique of using spacer for inhalation, free provide spacer to patient use, video sharing and follow up plan. And prescribe some barrier to this program, and how to overcome it!