A Mixed-methods Study Examining Inhaler Carry and Use among Children at School

Volerman, Anna; Kim, Tae Yeon; Sridharan, Geetha; Toups, Madeleine; Hull, Ashley; Ignoffo, Stacy; Sharp, Lisa K.; Press, Valerie G.

doi:10.1080/02770903.2019.1640729

Cited by 9 publications

(5 citation statements)

References 42 publications

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“…Another major finding was that a large percentage of nurses encountered students in respiratory distress in students without a known diagnosis of asthma. This supports the idea that stock inhaler policies can be not only a failsafe option for children with undiagnosed asthma to de-escalate emergencies when they present in school, but also the utilization and documentation of the use of stock inhalers may also encourage asthma diagnosis to be formalized (Volerman et al, 2020). Regardless, we must act to ensure that schools are equipped to deal with asthma emergencies and management on a daily basis by having a school nurse in every school, as recommended by the National Association of School Nurses.…”

Section: Resultssupporting

confidence: 61%

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Asthma policy in Illinois: A survey of school nursing and staff knowledge and implementation patterns

Hardy,

Gonzalez,

Volerman

et al. 2024

Public Health Nursing

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ObjectiveOur goal is to examine gaps in self‐carry, asthma emergency protocol, and stock inhaler policy knowledge in Illinois schools.DesignA 30‐item REDCap cross‐sectional survey developed by a team of stakeholders was disseminated. Questions assessed policy knowledge, awareness, and practices regarding asthma emergency protocols, self‐carry, and stock inhalers.SampleParticipants were Illinois school nurses belonging to a governmental organization listserv.MeasurementsAnalysis utilized Chi‐square tests, descriptive statistics, and t‐tests.ResultsNurses reported 36% of students on average self‐carried asthma medication. Thirty percent of nurses were not aware of their emergency asthma policy and only 60% reported having an emergency asthma protocol in their school(s). Fifty‐four percent of nurses were aware of stock inhaler programming. Of the 10.3% who reported a stock inhaler program, a lower frequency reported calling 911 for asthma emergencies. Perceived school asthma prevalence varied from 0%–87%.ConclusionsOur survey demonstrates large variation in knowledge and implementation of school‐based asthma health policy. This is likely due to variations in health policy education dissemination. Future efforts should focus on the dissemination and implementation of school‐based asthma health policies to improve their more universal adoption and better support school‐based asthma management.

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Section: Resultssupporting

confidence: 61%

“…Knowledge of emergency asthma protocol and self‐carry policies were correlated with implementation. Asthma self‐management education has been shown to be effective in managing asthma and improving clinical outcomes (Volerman et al., 2020). We recommend further education for nurses regarding the three policies be prioritized.…”

Section: Discussionmentioning

confidence: 99%

Asthma policy in Illinois: A survey of school nursing and staff knowledge and implementation patterns

Hardy,

Gonzalez,

Volerman

et al. 2024

Public Health Nursing

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“…This research is needed to design and test solutions, particularly regarding access to children's inhalers. Interventions to improve children's self-management of their asthma at school may also aim to reduce the social stigma associated with using inhalers 50 .…”

Section: Discussionmentioning

confidence: 99%

Child and caregiver experiences and perceptions of asthma self-management

Kelada

Molloy

Hibbert

et al. 2021

npj Prim. Care Respir. Med.

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Asthma is the most common chronic condition of childhood. Self-management is integral to good asthma control. This qualitative paper explores how children with asthma and their parents perceive asthma, their experience with asthma, and how they manage symptoms, preventions and medications within and outside the home. We undertook 15 focus groups with 41 school-aged (6–11 years) children with asthma and 38 parents. Parents and their children attended the same focus groups. We used thematic analysis to analyse the transcripts. Our findings show the impact asthma can have on children’s social and emotional wellbeing and highlight how reliant school-aged children are on their parents to effectively manage their asthma. Parents reported being unsure when their child’s symptoms warranted visiting their doctor or hospital. Schools were identified as a source of difficulty regarding asthma management; families reported that children may be self-conscious about their asthma and using their inhaler at school. School policies and teachers’ lack of asthma knowledge were reported to exacerbate children’s reluctance to use their inhaler at school. Our results have implications for the design and implementation of children’s self-management interventions for their asthma, particularly when they are at school and away from their parents.

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“…Several studies indicate that despite these laws, students are still not self-carrying their medication due to a knowledge deficit regarding the medication, variance in policy application between schools, and various other factors limiting access to the medication while at school. 23,41…”

Section: Theme 4: Managing Activity and Physical Educationmentioning

confidence: 99%