The School Nurse Role in Asthma Management: Can the Action Plan Help?

Borgmeyer, Anne; Jamerson, Patricia A.; Gyr, Patricia M.; Westhus, Nina; Glynn, Emily

doi:10.1622/1059-8405(2005)021[0023:tsnria]2.0.co;2

Cited by 10 publications

(15 citation statements)

References 17 publications

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“…[25][26][27] For example, many schools with appropriate policies in place often fail to implement them fully. [28][29][30][31][32][33] Others face similar challenges obtaining asthma action plans from physicians and parents, 29,[34][35][36][37] securing physician time to complete personalized asthma action plans, 29 ensuring that school personnel have the knowledge needed to manage asthma at school, 32 and obtaining access to asthma specialists.…”

Section: Access To Quick Relief Medication In School 13mentioning

confidence: 99%

Availability of Asthma Quick Relief Medication in Five Alabama School Systems

Gerald¹,

Stroupe

McClure

et al. 2012

Pediatric Allergy, Immunology, and Pulmonology

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Objectives: This paper documents individual asthma action plan presence and quick relief medication (albuterol) availability for elementary students enrolled in five Alabama school systems. Patients and Methods: Data were obtained during baseline data collection (fall 2005) of a school-based supervised asthma medication trial. All students attended 1 of 36 participating elementary schools across five school systems in Jefferson County, Alabama. In addition, they had to have physician-diagnosed asthma requiring daily controller medication. Each school system had its own superintendent and elected school board. Asthma action plan presence and albuterol availability was confirmed by study personnel. Asthma action plans had to contain daily and acute asthma management instructions. Predictors of asthma action plan presence and albuterol availability were also investigated. Associations between albuterol availability and self-reported characteristics including health care utilization prior to study enrollment and outcomes during the study baseline period were also investigated. Results: Enrolled students had a mean (SD) age of 11.0 (2.1) years, 91% were African American, and 79% had moderate persistent asthma. No student had a complete asthma action plan on file and only 14% had albuterol physically available at school. Albuterol availability was not predicted by gender, race, insurance status, secondhand smoke exposure, need for pre-exercise albuterol, asthma severity, or self-reported health care utilization prior to study enrollment. Albuterol availability did not predict school absences, red/yellow peak flow recordings, or medication adherence during the study's baseline period. Conclusion: Despite policies permitting students to possess albuterol, few elementary students across five independent school systems in Alabama actually had it readily available at school.

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Section: Access To Quick Relief Medication In School 13mentioning

confidence: 99%

Availability of Asthma Quick Relief Medication in Five Alabama School Systems

Gerald¹,

Stroupe

McClure

et al. 2012

Pediatric Allergy, Immunology, and Pulmonology

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“…We contacted the authors of four studies comprising children and adults, where the data were not clearly attributable to children, but none replied so these papers were excluded. Nine papers met our inclusion criteria (see Table ): four papers were judged to be key, two minor and three of poor quality …”

Section: Resultsmentioning

confidence: 99%

“…Collectively, the included papers represent a total of 818 participants, ranging from 14 to 479 per study. Three studies represented the views of parents and carers, two school nurses, two studies HCPs, and two studies mixed stakeholder groups of homeless parents and shelter staff and parents, school nurses, school personnel and clinic health professionals . Six studies were conducted in the USA, including all of the studies in school settings/incorporating the views of school nurses.…”

Section: Resultsmentioning

confidence: 99%

“…Teachers, coaches, school nurses and shelter staff expressed that they would welcome written information on what to do in an emergency involving a child they are looking after . School nurses knew of specific examples, where the information given in a WAP helped them look after a student and concluded that:

[the] plan made it easier to determine [the] course of action .…”

Section: Resultsmentioning

confidence: 99%

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Written action plans for children with long‐term conditions: A systematic review and synthesis of qualitative data

Waldecker

Malpass

King

et al. 2017

Health Expectations

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BackgroundLong‐term conditions (LTCs) in children require a high level of self‐management. Written action plans (WAPs) have been advocated to guide decision‐making and support self‐management but there is uncertainty about how WAPs “work” and what aspects are important for successful implementation.ObjectiveTo review and synthesize existing qualitative evidence about the design and use of WAPs across childhood LTCs.MethodWe undertook a systematic search of the literature (Medline, EMBASE, CiNAHL, PsycInfo, Web of science) from inception to May 2015; critically appraised included studies; and synthesized the findings, drawing on normalisation process theory.Results3473 titles were screened and 53 papers read in full. Nine studies (four key, two minor and three of poor quality) contributed to our analysis, predominantly work on asthma from the USA and in specialist settings. WAPs may help to alleviate user worry and boost confidence. Confidence to act was closely linked to feelings of responsibility and authority. The value and use of WAPs are determined by multiple factors, and varies between different user groups. Logistical challenges include sharing a WAP between different stakeholders and keeping it up to date. Colour coding and pictures may enhance the appeal and usability of WAPS.Conclusion WAPs are complex interventions but our understanding of their use and value in children with LTCs is limited. WAPs need to meet the needs of users who have different requirements/levels of understanding and confidence according to their different roles. Future research into WAPs needs to be both disease and context‐specific.

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“…These school health services can vary in clinical intensity. For instance, asthma medications are one of the most common medications children receive at school and school nurses report feeling competent in administering them (Allen, et al, 2012; Borgmeyer, et al, 2005, Olympia, et al, 2005). Although less common but equally important, central venous lines, gastrostomies, and tracheotomies are also part of the practice of school nurses.…”

mentioning

confidence: 99%

Best Practice at Your Fingertips

DuChateau¹,

Beversdorf

Wolff³

2015

NASN School Nurse

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School nurses are responsible for providing and supervising school nursing services for children with complex health concerns. Given school nurses frequently practice in isolation and may have limited access to clinical practice changes, they can benefit from up-to-date, evidence-based resources. Additionally, the resources must account for the fact that the nursing procedures will be performed in the unique setting of a school building and in many cases, will be performed by school personnel who have limited formal education in health care. This article provides an overview of a newly developed, easy to use, online school nursing procedures website for school nurses and other school personnel.

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The School Nurse Role in Asthma Management: Can the Action Plan Help?

Cited by 10 publications

References 17 publications

Availability of Asthma Quick Relief Medication in Five Alabama School Systems

Availability of Asthma Quick Relief Medication in Five Alabama School Systems

Written action plans for children with long‐term conditions: A systematic review and synthesis of qualitative data

Best Practice at Your Fingertips

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