School nurse perception of asthma care in school-based telehealth

MacGeorge, Claire; King, Kathryn; Andrews, Annie Lintzenich; Sterba, Katherine R.; Johnson, Emily; Brinton, Daniel; Teufel, Ronald J.; Kruis, Ryan; Ford, Dee W.

doi:10.1080/02770903.2021.1904978

Cited by 9 publications

(4 citation statements)

References 35 publications

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“…A critical area highlighted in our review concerns the management of chronic diseases such as asthma and addressing speciality care issues, such as hearing loss, through telehealth. Studies have shown that regular communication facilitated by telehealth tools such as video conferencing, mobile telephones, and patient portals significantly helps manage chronic childhood diseases such as asthma [80][81][82]. Noteworthy is the role of school nurses, who are critical in coordinating healthcare and education through telehealth [83].…”

Section: Discussionmentioning

confidence: 99%

Nursing Practice and Telehealth in School Health Services: A Scoping Review

Ayuso Margañon,

Llistosella,

Ayuso Margañon

et al. 2023

Healthcare

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Background: The COVID-19 pandemic has propelled the adoption of telehealth in school settings, emphasising the pivotal role of nurses. This review explores the last decade’s evidence on telehealth interventions in school nursing practice; Methods: Following Joanna Briggs Institute guidelines, we conducted a systematic search in PubMed, CINHAL, and Web of Science in March 2023. Out of 518 articles across 21 journals, 32 satisfied the review criteria. The selection process rigorously adhered to PRISMA-ScR guidelines for scoping reviews; Results: The results were categorised into three main areas: (a) the purpose of telehealth and intervention strategies, (b) the role of nursing in school-based telehealth practice, and (c) perceived benefits and limitations of school-based telehealth studies. Telehealth interventions encompass health promotion, mental health management, and early diagnosis. School nurses play a multifaceted role, including management, education, and remote monitoring. While telehealth offers advantages like improved health and cost savings, challenges include digital literacy, device access, and costs; Conclusion: This review underscores the crucial role of telehealth in schools for enhancing healthcare delivery in educational settings. However, more empirical evidence is required to specify nurses’ contributions to school-based telehealth interventions. Promoting their leadership through stakeholder collaboration is essential. Further research should address challenges and opportunities in school nursing practice, enriching healthcare in educational settings.

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Section: Discussionmentioning

confidence: 99%

Nursing Practice and Telehealth in School Health Services: A Scoping Review

Ayuso Margañon,

Llistosella,

Ayuso Margañon

et al. 2023

Healthcare

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“…SBTH programs have the benefit of providing health care to children in rural or underserved areas that may not otherwise receive care, although family involvement and engagement in telehealth services has been identified as a barrier to optimal uptake. 11,13 m-Health applications that can be utilized by patients and caregivers in the home can improve caregiver involvement in their child's health care, with the potential to improve asthma-related health outcomes. 14 This study found that key stakeholders of SBTH were enthusiastic and supportive about the potential benefits of incorporating m-health to existing SBTH asthma programs.…”

Section: Discussionmentioning

confidence: 99%

“…10 Although evidence has shown that SBTH asthma programs are beneficial to the children they serve as well as the community, 9,10 caregiver engagement has been demonstrated as a barrier to full uptake of these programs. [11][12][13] Mobile health (mhealth) can potentially improve caregiver engagement and education and thus outcomes of these programs, [14][15][16] yet there is minimal knowledge and guidelines for the ideal approach to implement and incorporate m-health into existing SBTH programs. The objective of this study was to determine perceived acceptability of an asthma m-health application to be incorporated with an existing SBTH asthma program and key desired features and barriers to implementation of this novel application.…”

mentioning

confidence: 99%

Nurse Perspectives Regarding Implementation of an Asthma Monitoring Mobile Health Application in the School Setting

Johnson

MacGeorge

Andrews

et al. 2021

Telemedicine and e-Health

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Background: School-based telehealth (SBTH) plays a valuable role in child asthma management, although nurses have concerns with caregiver engagement. Mobile technology (m-health) has potential to improve this engagement. Objective: We identified barriers and key desired features of an asthma m-health application as a supplement to an existing SBTH asthma program in rural settings. Methods: Multimethod design using school nurse surveys and interviews with school and SBTH personnel to describe processes related to implementation of an m-health application. Results: Nurses reported SBTH programs were an ideal setting to identify potential families for m-health. Benefits of caregiver education and engagement and barriers related to technology, smart phone data availability, and family buy-in were described. Desired application features included education on inhaler technique, asthma symptom, and medication adherence reports. Conclusions: The feedback identified from nurses can be incorporated into an asthma m-health program within an SBTH program to facilitate implementation.

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“…Both inadequate time to complete tasks and lack of caregiver involvement in care planning were identified in most locations. 33 In a study evaluating 2 public school systems in Colorado and Connecticut, the average time the school nurse time committed for the study was 2 hours each week. 34 In another study, a bilingual asthma nurse educator was embedded in the school full-time for the initial year.…”

Section: The Originating Sitementioning

confidence: 99%