Barriers to Asthma Management as Identified by School Nurses

Quaranta, Judith E.; Spencer, Gale A.

doi:10.1177/1059840516641189

Cited by 17 publications

(36 citation statements)

References 39 publications

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“…Research must move toward understanding existing school nurse practice modelsincluding staffing mix and how it affects both nursing and student outcomes. Quaranta & Spencer (2016) address the barriers school nurses face in asthma management, which may support an investigation into staffing practices. Winkelstein et al (2006) encourage a complete understanding of school nurses' needs, which can lead to the successful implementation of asthma education in their work settings.…”

Section: Discussionmentioning

confidence: 99%

A Review of School Nurses’ Self-Efficacy in Asthma Care

McCabe

McDonald

Connolly

et al. 2018

The Journal of School Nursing

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Asthma is the most common pediatric chronic respiratory illness and has a significant influence on children's health, school attendance, and overall school success. Despite the effect of education and training, gaps remain in understanding school nurses' self-efficacy in asthma care. The purpose of this integrative literature review is to gain a greater understanding of school nurses' self-efficacy in asthma care. Themes and topics in the current school nursing literature regarding self-efficacy in asthma care include the value of continuing education, educational interventions and the use of resources in clinical practice such as the asthma action plan. This review indicates the importance of developing a greater understanding of the unique features of school nursing, the necessary resources, and the external factors that influence practice. Further research to establish a framework to evaluate how a change in practice may support school nurses' self-efficacy and promote positive student health outcomes is needed. Asthma, the school-aged child and the role of the school nurse Asthma is a chronic lung disease that affects approximately six million children in the United States and accounts for nearly 14 million missed school days (Center for Disease Control (CDC), 2017). It may negatively affect academic achievement in school-aged children and lead to poor academic performance and increased dropout rates (Basch, 2011; Fowler, Davenport, & Garg, 1992). It is strongly associated with absenteeism (Cicutto, Gleason, & Szefler, 2014; Hollenbach & Cloutier, 2014), as approximately 36,000 children miss school each day due to asthma symptoms. Low-income students comprise a majority of children with asthma who miss school (Meng, Babey, & Wolstein, 2012). Proper asthma care management of children with asthma is vital for their social (Rhee, McQuillan, Chen, &

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Section: Discussionmentioning

confidence: 99%

A Review of School Nurses’ Self-Efficacy in Asthma Care

McCabe

McDonald

Connolly

et al. 2018

The Journal of School Nursing

View full text Add to dashboard Cite

show abstract

“…Institutional resources recently reported as barriers include limited Wi-Fi access for required modern technology such as continuous glucose monitoring (March et al, 2020). Financial issues related to keeping necessary supplies in stock and hiring staff were also obstacles in school health care services (Kao et al, 2018;Quaranta & Spencer, 2016;Seki et al, 2017).…”

Section: Institutional Level Barriersmentioning

confidence: 99%

“…Additionally, school nurses reported a lack of intangible materials, such as resources developed by school nurses or teachers, for providing school health care as a barrier. A lack of educational resources for students (Quaranta & Spencer, 2016), such as access to age-appropriate asthma education materials (Carpenter et al, 2017), was also identified as a barrier in school health services.…”

Section: Institutional Level Barriersmentioning

confidence: 99%

School nurses' perceptions regarding barriers and facilitators in caring for children with chronic diseases in school settings: A mixed studies review

Uhm

Choi

Lee

2020

Nursing & Health Sciences

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This study aimed to understand school nurses' perceptions regarding barriers to and facilitators for health care services for children with chronic diseases in school settings. Using the PubMed, Cumulative Index to Nursing and Allied Health Literature, Embase, and Web of Science databases, a mixed studies review was conducted for literature published between January 2011 and June 2020. We performed a mixedmethods systematic review using a convergent integrated approach. A quality appraisal of the included studies was conducted using a mixed-methods appraisal tool. Twenty-seven articles (10 qualitative, 10 quantitative, and seven mixedmethods) that met the inclusion criteria were analyzed. Integrated findings that emerged from data synthesis were categorized into four levels (intrapersonal level, interpersonal level, institutional level, and community and public policy level) based on a socio-ecological model framework. This mixed systematic review provides a comprehensive understanding of school nurses' perceived barriers and facilitators when providing school health care for students with chronic diseases and how these barriers and facilitators interact across multiple systems. Further policies and strategies should be developed to provide effective school health services considering this study's findings. K E Y W O R D S childhood chronic disease, mixed systematic review, school health services, school nursing 1 | INTRODUCTION Although advances in hygiene, sanitation, vaccinations, and medications have led to decreasing child mortality, the prevalence of chronic diseases among children is increasing worldwide (Perrin, Anderson, & Van Cleave, 2014). The major chronic diseases in childhood are asthma, diabetes, epilepsy, food allergies, and cancer. Asthma is a common chronic disease among children below 18 years of age, with a prevalence rate of 8.5%, followed by epilepsy and diabetes, with prevalence rates of 0.

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“…One relevant aspect for this is self-efficacy, which is an individual’s belief in his/her own ability to perform a specific action to manage a particular situation [ 12 , 13 ]. Furthermore, self-efficacy is essential for managing asthma [ 14 , 15 , 16 ] and for medication adherence in general [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Young Muslim Women Living with Asthma in Denmark: A Link between Religion and Self-Efficacy

et al. 2018

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Asthma is a chronic respiratory disease that can be controlled with appropriate medicinal treatment. Adherence to pharmacological treatment is therefore critical. Self-efficacy plays a key role in adherence to medicine in chronic diseases, including asthma. Additionally, ethnic minorities have poor adherence to medicines. However, the impact of religion on self-efficacy and adherence is understudied. Therefore, the aim of this study was to explore the role of self-efficacy in adherence to asthma medicine treatment and the influence of religion on self-efficacy among young, Muslim minority women. A focus group and individual interviews with 10 Muslim minority women (14–24 years of age) living in Denmark were conducted. Data analysis was deductive using Bandura’s theory of self-efficacy and modes of agency. Overall, religion was shown to affect self-efficacy. The women reported changes in self-perceived self-efficacy during the holy month of Ramadan. In addition, praying was used as an alternative to medicine for controlling asthma symptoms. However, the women did not perceive religion and treating asthma with medicine as mutually exclusive, but rather as coexisting for the shared goal of controlling asthma symptoms. It is important for healthcare professionals (HCPs) to be aware of the link between self-efficacy, religion and adherence to asthma medicine treatment. This awareness can aid HCPs in giving advice regarding adherence to asthma treatment, and when monitoring treatment to improve the quality of asthma care for young Muslim minority women.

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Barriers to Asthma Management as Identified by School Nurses

Cited by 17 publications

References 39 publications

A Review of School Nurses’ Self-Efficacy in Asthma Care

A Review of School Nurses’ Self-Efficacy in Asthma Care

School nurses' perceptions regarding barriers and facilitators in caring for children with chronic diseases in school settings: A mixed studies review

Young Muslim Women Living with Asthma in Denmark: A Link between Religion and Self-Efficacy

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