scholarly journals Impact of Nurse-Led Asthma Intervention on Child Health Outcomes: A Scoping Review

2021 ◽  
pp. 105984052110033
Author(s):  
Zainab Al Kindi ◽  
Catherine McCabe ◽  
Margaret McCann

Given the leading role school nurses occupy within the school setting, they are often the most suited health care professionals to lead asthma programs. However, most school-based asthma programs have been conducted by researchers outside the school setting. Thus, we aim to determine what is currently known about the type of school nurse-led asthma intervention programs and their impact on children’s asthma-related outcomes. This article describes published literature on school nurse-led asthma intervention programs for the school-aged population using Arksey and O’Malley’s scoping review framework. A search strategy was developed and implemented in six electronic databases from 1980 to 2020. Results showed that school nurse-led asthma programs were predominantly educational interventions. Yet given the positive outcomes of school nurse-led asthma interventions reported across the articles reviewed, it is important to emphasize the leadership role school nurses assume in asthma programs, to promote more positive asthma-related outcomes in school children.

2005 ◽  
Vol 21 (5) ◽  
pp. 279-282 ◽  
Author(s):  
Cheryl A. Krause-Parello

Tooth avulsions occur when a tooth is displaced from its socket. Tooth avulsions are common dental injuries that may occur before, during, or after school. Therefore, it is essential that school nurses be well prepared to intervene when such a dental emergency arises. It is also imperative that school nurses and school personnel are fully equipped to manage a tooth avulsion. Time is of the essence when attempting to save an avulsed tooth. The goal is to successfully reinsert the avulsed tooth and to preserve the periodontal ligament. The school nurse is responsible for implementing the appropriate actions needed to save the avulsed tooth.


2008 ◽  
Vol 24 (5) ◽  
pp. 310-318 ◽  
Author(s):  
Julie E. Volkman ◽  
Marianne M. Hillemeier

This study examined school nurses’ communication with community physicians and its relationship to school nurse satisfaction with school health services. A stratified random sample of school nurses in Pennsylvania ( N = 615) were surveyed about communication effectiveness with community physicians, satisfaction with school health services for students, perception of leadership, and students’ health care needs. Additional information from national/state education data on student poverty, nurse-to-student ratio, and rural/urban location was included. Findings indicate that having a leadership role in influencing school health policy is related to school nurses’ communication with community physicians and satisfaction with school health services. Effective communication with physicians was found to be a salient issue influencing satisfaction with school health services, suggesting the importance of stressing communication as well as leadership skills in school nurse education.


2019 ◽  
Vol 34 (2) ◽  
pp. 104-106 ◽  
Author(s):  
Sharon Guthrie

Clean, accurate data, also known as data fidelity, support school nurses’ professional credibility in the school setting by allowing them to report their work and outcomes to important stakeholders. School nurses collect data every day through documentation, creating an essential record of the health needs of students and how school nurses meet those needs. To report these data effectively, school nurses should use standard definitions, technology, or standardized forms and review their data regularly to maintain accurate data. All school nurses, no matter how they document, should be thinking of data fidelity. This is the fourth article in the 2018-2019 NASN School Nurse article series on data.


2018 ◽  
Vol 23 (suppl_1) ◽  
pp. e9-e9
Author(s):  
Jun Feng (Alex) Pan ◽  
Katrina Hurley ◽  
Janet Curran ◽  
Eleanor Fitzpatrick

Abstract BACKGROUND Parents’ inaccurate dosing of liquid medications for their children is common, resulting in treatment failure and potential adverse effects. Educational interventions delivered by health care professionals are a means to help parents properly administer liquid medications. OBJECTIVES This scoping review was conducted to identify and describe empirically researched educational interventions that prevent inaccurate dosing of liquid medications by parents of children less than 12 years old. DESIGN/METHODS We conducted a scoping review using the Joanna Briggs Institute Methodology for Scoping Reviews. With assistance from a library scientist, we searched PubMed, CINAHL, and Web of Science for English-language articles published before June 2017. We also looked at the reference lists of the included articles and subsequent articles that have cited them to identify additional studies (forward and backward searching). Two reviewers independently screened the retrieved titles and abstracts using predetermined criteria. Only quantitative, empirically designed studies that examined interventions delivered by health care professionals to help parents of children under 12 years old to accurately dose liquid medications were included. We appraised the quality of the included articles using the mixed methods appraisal tool (MMAT) and conducted a thematic analysis to identify trends and patterns. RESULTS Of the 180 abstracts identified in the search strategy, 9 studies met our inclusion criteria. We identified four main types of interventions: 1. use of visual aids (n=6); 2. use of advanced counselling strategies (n=2); 3. use of standardized measuring tools (n=3); and, 4. use of standardized units of measurement (n=2). Some studies evaluated more than one type of intervention. The overall quality of the included studies was moderate, with 11.1% (n=1) scoring 0.25, 33.3% (n=3) scoring 0.50, 55.6% (n=5) scoring 0.75, and none scoring 1.0. CONCLUSION Dosing accuracy of liquid medication for children by their parents is an important topic. More high quality studies conducted by a variety of research groups are needed to ensure the development and implementation of effective evidence-based educational interventions. There is a lack of standardization in the definition of a dosing error. Consensus regarding a standard definition would help studies be more comparable.


2020 ◽  
Vol 35 (6) ◽  
pp. 327-331
Author(s):  
Elizabeth A. Flaherty

School nurses across Massachusetts and the nation rose to the challenges presented by the pandemic of the coronavirus disease 2019 (COVID-19). One of the many ways in which school nurses responded to the pandemic was to work in collaboration with their Local Boards of Health in a variety of capacities. The essential functions of a school nurse uniquely prepare them for the roles of case investigators and contact tracing monitors as a means to ensure population health. In addition to both individual and population health within the school setting, school nurses are effective partner in emergency planning and can help inform decision making and policy making within communities.


2009 ◽  
Vol 25 (4) ◽  
pp. 302-313 ◽  
Author(s):  
Susan Adams

Primary and acute care settings are the focus of a concerted effort to implement evidence-based practice (EBP) in health care; yet, little attention has been given to use of EBP among school nurses. The aims of this study were to (a) describe current use of EBP among school nurses attending a national school nurse conference, (b) describe demographic, individual, and organizational factors associated with EBP use, and (c) identify resources needed to enhance EBP use. A survey designed for this study was distributed during a national school nurse conference. Descriptive statistics, correlations, and independent t tests were used to analyze respondent data regarding the current level of EBP use, awareness, skills, and information sources. Respondents also identified resources needed to increase use of EBP, which included networking opportunities, predeveloped EBP guidelines, and education on outcome evaluation. The results from this study will be used to develop strategies to increase the use of EBP in the school setting.


2019 ◽  
Vol 34 (6) ◽  
pp. 351-356
Author(s):  
Ruth Collins ◽  
Robin Wallin ◽  
Katherine Park

Human biting is considered a common stage in pediatric infant growth and development. However, this stage is not considered appropriate once children enter group daycare and school settings, and such behavior can lead to injury, stress, and trauma for other students and staff. When biting occurs in the school setting, staff are often unprepared to respond appropriately, and may seek delayed care, if at all. The school nurse may also be ill-equipped to provide first aid and education if there are no standardized guidelines to follow. Having a protocol in place for human bite incidents in the school setting helps school nurses provide information to students, parents, and staff in a timely manner and assists them with following evidence-based practice. Accurate documentation of the incidents also allows school nurses to identify triggers and knowledge deficits, which can assist them in planning educational interventions and training in the school setting.


2020 ◽  
Vol 35 (6) ◽  
pp. 314-318
Author(s):  
Erin Bradley

The school nurse is the most consistent healthcare provider for students who require scheduled intermittent self-catheterization; however, there is little literature regarding the role of the school nurse for educating and promoting self-catheterization independence for pediatric populations in the school setting. School nurses are dependent on research to identify best practices when implementing teaching strategies with young students who are ready to start catheterizing independently. The intent of this article is to contribute relevant information that is both useful and evidence based, so the school nurse is equipped with information to support the assessment, planning, and implementation of independent self-catheterization of school-age children. Additionally, this article will examine how to determine candidates for independent self-catheterization, product information and procedure guidelines, and coordination with caregivers and other members of the school health team to provide best outcomes for students diagnosed with neurogenic bladder in the school setting.


2018 ◽  
Vol 33 (3) ◽  
pp. 163-166
Author(s):  
Ann R. Stillwater

Medication errors occur in the school setting as they do in other healthcare settings. In this article, three accounts of school nurse medication errors are presented. School nurses often undergo emotional trauma after a mistake is made. Other fields of healthcare are incorporating the second victim phenomena in their responses to errors, with the patient as the first victim and the caregiver who made the mistake as the second. Researchers have identified six stages of the second victim’s journey. School nurses and administrators would benefit from understanding and utilizing this model.


2017 ◽  
Vol 33 (1) ◽  
pp. 19-22 ◽  
Author(s):  
Rebecca Toothaker ◽  
Pamela Cook

The school nurse plays a vital role in providing care and meeting the health needs of students in the school setting. Students attend school with chronic conditions and complex medical problems such as quadriplegia, cerebral palsy, spina bifida, and muscular dystrophy. It is the responsibility of the school nurse to provide appropriate assessment, early intervention, and care for children in the school environment. The purpose of this article is to review and discuss the knowledge and skills the school nurse needs to care for students with central venous lines, gastrostomy tubes, altered urinary elimination, and tracheostomies.


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