Challenges of Asthma Management for School Nurses in Districts with High Asthma Hospitalization Rates

Autor/inn/en	Liberatos, Penny; Leone, Jennifer; Craig, Ann Marie; Frei, Elizabeth Mary; Fuentes, Natalie; Harris, India Marie
Titel	Challenges of Asthma Management for School Nurses in Districts with High Asthma Hospitalization Rates
Quelle	In: Journal of School Health, 83 (2013) 12, S.867-875 (9 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-4391
DOI	10.1111/josh.12105
Schlagwörter	School Nurses; Role; Elementary School Students; Health Promotion; At Risk Students; Barriers; School Districts; Program Effectiveness; Hospitals; Surveys; Self Management; Statistical Analysis; Parent School Relationship; Physicians; Clinical Diagnosis; Parent Participation; Communication Strategies; Mixed Methods Research; New York + Suchen Sie Ihr Suchwort? Rollen; Gesundheitsfürsorge; Gesundheitshilfe; Reihenuntersuchung; School district; Schulbezirk; Krankengymnast; Krankenhaus; Survey; Umfrage; Befragung; Selbstmanagement; Statistische Analyse; Parent-school relationship; Parent school relationships; Parent-school relationships; Parent-school relation; Parent school relation; Eltern-Schule-Beziehung; Physician; Doctor; Arzt; Elternmitwirkung; Kommunikationsstrategie
Abstract	Background: School nurses play a central role in assisting elementary school children in managing their asthma, especially those in higher-risk school districts that are at increased risk of uncontrolled asthma. Study purposes are to (1) identify barriers to asthma management by school nurses in higher-risk school districts; and (2) assess the extent to which National Asthma Education and Prevention Program (NAEPP) recommendations are followed in these districts. Methods: School districts containing at least one zipcode with high asthma hospitalization rates among children (0-14?years) in a New York State county were identified. Nurses in 44 elementary schools were surveyed about asthma management during 2008. Both quantitative and qualitative data were collected. Results: Study nurses learned of children with asthma mainly through school records and when students presented with symptoms rather than through parents. The major obstacles to asthma management were communication with parents and parental support. Reluctance of some physicians to diagnose asthma in these children presented a barrier and contributed to the nurses' ability to gain parental cooperation. Adherence to the NAEPP school recommendations was inconsistent. Conclusions: Improvement in the communication among parents, school nurses, and providers is critical to the improvement of asthma management for children in high-risk school districts. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10