Implementation and Evaluation of a School Nurse Toolkit to Reinforce Best Practices for Asthma Care in Schools.

IF 4.4 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Preventing Chronic Disease Pub Date : 2024-08-22 DOI:10.5888/pcd21.240027

Diane Wing, Evilia Jankowski, John Dowling, Tisa Vorce

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引用次数: 0

Abstract

A toolkit, developed by a multidisciplinary team of national and statewide professionals, was promoted among school nurses in Michigan to support use of the standards of care for asthma in schools. We evaluated the effectiveness of the toolkit to assist school nurses in providing support for students with asthma. We used a multimethod approach to assess use of the toolkit, changes in nursing practices as a result of using the toolkit, and challenges encountered when implementing the standards for asthma care. During a 12-month period, from July 2022 through June 2023, increases in time on web page and monthly page views aligned with efforts to promote toolkit use. School nurses reported using the toolkit and implementing practice changes pertaining to training and education, ensuring proper use of and access to asthma medications, and advocating for self-carry of asthma medications. Challenges to implementing the standards of asthma care were time, parental engagement, institutional support, and identifying students with asthma. We found that our promotional efforts prompted school nurses to access the toolkit, which helped school nurses to effectuate practice changes to improve support for students with asthma in schools.

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实施和评估校医工具包，加强学校哮喘护理的最佳实践。

密歇根州向学校护士推广了一个由全国和全州专业人员组成的多学科团队开发的工具包，以支持在学校使用哮喘护理标准。我们评估了该工具包在协助学校护士为哮喘学生提供支持方面的有效性。我们采用了多种方法来评估工具包的使用情况、使用工具包后护理实践的变化以及在实施哮喘护理标准时遇到的挑战。从 2022 年 7 月到 2023 年 6 月的 12 个月期间，网页停留时间和每月页面浏览量的增加与推广工具包使用的努力相一致。据报告，学校护士使用了工具包，并在培训和教育、确保正确使用和获取哮喘药物以及倡导自行携带哮喘药物方面实施了实践变革。实施哮喘护理标准所面临的挑战是时间、家长参与、机构支持以及识别患有哮喘的学生。我们发现，我们的宣传工作促使学校护士获取了工具包，这有助于学校护士改变做法，改善对在校哮喘学生的支持。

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来源期刊

Preventing Chronic Disease PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

6.70

自引率

3.60%

发文量

期刊介绍： Preventing Chronic Disease (PCD) is a peer-reviewed electronic journal established by the National Center for Chronic Disease Prevention and Health Promotion. The mission of PCD is to promote the open exchange of information and knowledge among researchers, practitioners, policy makers, and others who strive to improve the health of the public through chronic disease prevention. The vision of PCD is to be the premier forum where practitioners and policy makers inform research and researchers help practitioners and policy makers more effectively improve the health of the population. Articles focus on preventing and controlling chronic diseases and conditions, promoting health, and examining the biological, behavioral, physical, and social determinants of health and their impact on quality of life, morbidity, and mortality across the life span.