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A school-based asthma clinic: a partnership model for managing childhood asthma
1School of Nursing, University of Texas Medical Branch, Galveston, TX 77555-1029, USA.
Insights
A school-based asthma clinic run by nurse practitioners improved care by involving children, parents, and providers in shared decision-making, addressing gaps in traditional pediatric asthma management.
Area of Science:
- Pediatrics
- Public Health
- Nursing
Background:
- Childhood asthma presents significant public health challenges, leading to hospitalizations and school absenteeism.
- Current asthma management emphasizes client education and shared decision-making among healthcare providers, parents, and children.
- Traditional healthcare systems often fail to fully implement these standards in pediatric asthma care.
Purpose of the Study:
- To describe a pilot study of a nurse practitioner-run, school-based asthma clinic.
- To address identified gaps in pediatric asthma care delivery.
- To explore community characteristics influencing clinic outcomes.
Main Methods:
- Implementation of a nurse practitioner-led asthma clinic within a school setting.
- Focus on shared decision-making principles involving patients, parents, and providers.
- Pilot study design to evaluate the model's effectiveness.
Main Results:
- The school-based clinic model demonstrated a potential to improve asthma care delivery.
- Successful integration of shared decision-making was observed.
- Community factors were identified as influencing the clinic's outcomes.
Conclusions:
- Nurse practitioner-run school-based asthma clinics offer a viable model for enhancing pediatric asthma management.
- Shared decision-making is crucial for effective asthma care in children.
- Tailoring interventions to community contexts is important for optimizing outcomes.
Abstract:
Childhood asthma is a major public health problem. It is the leading cause of childhood hospitalizations and school absences despite recent advances in management. Current standards of care call for client education as partners in disease management. In pediatrics, this calls for shared decision making between health care provider, parent, and child. Traditional care delivery systems often fall short of meeting this standard. This article describes a nurse practitioner-run school-based asthma clinic, designed as a pilot study, to fill these gaps. Characteristics of the community that affected outcomes are described.