Assessing the Capability of School-Age Children With Asthma to Safely Self-Carry an Inhaler

Flower, J. W.; Saewyc, Elizabeth

doi:10.1177/10598405050210050701

Cited by 10 publications

(5 citation statements)

References 5 publications

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“…Can you show me?" (ALA, n.d.c) and "Show me how to use your inhaler" (Flower & Saewyc, 2005). None of the nurses in our study mentioned the use of an assessment tool, instead they followed the permission slip requirements, relied on the practitioner's signature that the student was capable, or performed a personal informal assessment.…”

Section: Controlmentioning

confidence: 80%

“…Thirty-three percent of students in Grades 3 to 5, 60 % of students in Grades 6 to 8, and 100% of students in Grades 9 and 10 passed the AAI. Only 13 of 34 students achieved a passing score (Flower & Saewyc, 2005). One limitation of this study was the small sample size; the number of students in each grade level was extremely low.…”

Section: Self-carry Of Inhalersschool Nurse Perceptions and Decision-mentioning

confidence: 93%

“…This descriptive study, by Flower and Saewyc (2005), involved 34 children aged 5 to 16 years and piloted the Asthma Assessment Interview (AAI), a tool to measure the age children might become competent to self-carry an inhaler. The AAI collected demographics related to age and ethnicity, type of asthma diagnosis, and time using an inhaler.…”

Section: Self-carry Of Inhalersschool Nurse Perceptions and Decision-mentioning

confidence: 99%

“…One tool was developed by Flower and Saewyc (2005) as a pilot study. The other tool was found on the ALA (n.d.c) website under resources for parents and practitioners.…”

Section: Controlmentioning

confidence: 99%

“…(ALA, n.d.c) and "When your breathing feels bad, what do you do for it?" (Flower & Saewyc, 2005). Both tools were designed for an adult to implement or interpret by asking, "What part of your body is affected by asthma?…”

Section: Controlmentioning

confidence: 99%

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School Nurse Perceptions and Decisions about Children Self-Carrying Inhalers in School

Jaurigue¹,

Anne²

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Every state in the United States has passed legislation allowing students to selfcarry rescue inhalers in the school setting. Many organizations are stakeholders in respiratory issues, school health issues, and pediatric issues, recommending the support of this practice. Students' ability to self-carrying rescue inhalers in the school setting has been impacted by school nurse perceptions and decision-making. This study addressed the questions: (a) What are school nurse perceptions and attitudes in regard to children self-carrying inhalers in the school setting? (b) How do school nurses decide whether children can self-carry inhalers in the school setting? and, (c) Are school districts and school nurses aware of the laws and guidelines regarding children self-carrying inhalers in the school setting? In this grounded theory study, 20 elementary and high school nurse participants were interviewed. The taped interviews were transcribed and analyzed utilizing grounded theory methods. The data were categorized into a conditional matrix that addressed context, conditions, actions, and consequences. From this analysis, a substantive theory was developed, "Balancing decisions about the self-carry practice: Powerful influences." Various factors weighed on the nurses' decision-making, such as laws, policies, school characteristics, student characteristics, trust, knowledge deficits, teachers, safety nets, control, nursing philosophy, internal policies, praxis, and assessments of students. The consequences included elementary school nurses manipulating the situation and micromanaging; and high school nurses manipulating the situation, letting it go, and fostering independence and empowerment. Elementary school nurses neither encouraged nor facilitated the self-carrying of rescue inhalers unless the parent was adamant about the need to self-carry. Conversely, high school nurses iii encouraged and facilitated the self-carry practice. These findings have implications for nursing practice, nursing science, and policy development that could enhance self-carry practices. Based on these implications, future study could address many areas of limited research, such as manipulation of the self-carry situation, appropriate practices to support or prepare students for the self-carry practice, legislative evaluation, and outcomes with students who self-carry. iv

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Section: Controlmentioning

confidence: 80%

Section: Self-carry Of Inhalersschool Nurse Perceptions and Decision-mentioning

confidence: 93%

Section: Self-carry Of Inhalersschool Nurse Perceptions and Decision-mentioning

confidence: 99%

“…One tool was developed by Flower and Saewyc (2005) as a pilot study. The other tool was found on the ALA (n.d.c) website under resources for parents and practitioners.…”

Section: Controlmentioning

confidence: 99%

Section: Controlmentioning

confidence: 99%

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School Nurse Perceptions and Decisions about Children Self-Carrying Inhalers in School

Jaurigue¹,

Anne²

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Assessing children's readiness to carry and use quick-relief inhalers

Volerman

Toups

Hull

et al. 2019

The Journal of Allergy and Clinical Immunology: In Practice

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Asthma self-management is critical to minimize adverse consequences and depends partly on access to inhalers, including independent carry and use of inhalers by children at school ("self-carry").(1) Traditionally, parents decide when children are ready to self-carry. However, parents often overestimate their child's self-management skills.(2) Further, many children have limited asthma knowledge and misuse inhalers.(3) One study concluded 38% of students (kindergarten-10 th grade) have the ability to self-carry.(4) This study aimed to identify factors associated with children's readiness to self-carry inhalers using an objective tool and to determine how this tool aligns with traditionally utilized subjective readiness measures.

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Air pollution indicators predict outbreaks of asthma exacerbations among elementary school children: integration of daily environmental and school health surveillance systems in Pennsylvania

et al. 2012

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Objectives of this study are to determine if a relationship exists between asthma exacerbations among elementary school children in industrialized countries (with climatic seasons) and exposure to daily air pollution with particulate matter, sulfur dioxide, nitrogen dioxide, nitrogen oxides, carbon monoxide, and ozone, when controlled for potential confounders; and, if so, to derive a statistical model that predicts variation of asthma exacerbations among elementary school children. Using an ecological study design, health records of 168,25 students from elementary schools in 49 Pennsylvania counties employing "Health eTools for Schools" were analyzed. Asthma exacerbations were recorded by nurses as treatment given during clinic visits each day. Daily air pollution measurements were obtained from the EPA's air quality monitoring sites. The distribution of asthmatic grouping for pollen and calendar seasons was developed. A Poisson regression model was used to predict the number of asthma exacerbations. The greatest occurrence of asthma exacerbations was in autumn, followed by summer, spring and winter. If the number of asthma exacerbations on a day is N and the daily mean of asthma exacerbations for the three-year period is 48, the probabilities of N > 48 in tree pollen and grass pollen seasons were 56.5% and 40.8%, respectively (p < 0.001). According to the Poisson regression, the week number and prior day CO, SO₂, NO₂, NOx, PM₂.₅, and O₃ had significant effects on asthma exacerbations among students. Monitoring of air pollutants over time could be a reliable new means for predicting asthma exacerbations among elementary school children. Such predictions could help parents and school nurses implement effective precautionary measures.

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Assessing the Capability of School-Age Children With Asthma to Safely Self-Carry an Inhaler

Cited by 10 publications

References 5 publications

School Nurse Perceptions and Decisions about Children Self-Carrying Inhalers in School

School Nurse Perceptions and Decisions about Children Self-Carrying Inhalers in School

Assessing children's readiness to carry and use quick-relief inhalers

Air pollution indicators predict outbreaks of asthma exacerbations among elementary school children: integration of daily environmental and school health surveillance systems in Pennsylvania

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