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Model for community health nursing care: application to an integrated asthma intervention program
Mary A Nies1, Joan T Bickes, Stephanie Myers Schim
1Wayne State University College of Nursing, Detroit, Michigan, USA.
Summary
A community health nursing model improves asthma care in urban settings by integrating individual, family, school, and community interventions. This approach enhances service coordination and highlights the crucial role of school nurses in managing childhood asthma.
Area of Science:
- Community Health Nursing
- Pediatric Asthma Management
- Public Health Interventions
Background:
- Asthma is a chronic childhood disease with significant physical, social, and economic burdens.
- Despite advances, childhood asthma morbidity and mortality rates remain high, particularly in urban environments.
- Existing interventions often lack integration, limiting their overall impact on affected populations.
Purpose of the Study:
- To present and evaluate a community health nursing model for integrated asthma intervention in an inner-city setting.
- To demonstrate how combining individual, family, school, and community-level strategies can improve asthma care coordination.
- To identify opportunities for interprofessional collaboration among nurses in diverse practice settings.
Main Methods:
- Application of a community health nursing model to an integrated asthma intervention program.
- Focus on multi-level interventions: individual, family, school, and community.
- Emphasis on collegial collaboration between nurses in various settings.
Main Results:
- The model facilitates enhanced coordination of asthma care services.
- Integration of interventions shows potential for significant improvements in asthma management.
- School nurses are identified as key facilitators in urban asthma care delivery.
Conclusions:
- The proposed community health nursing model offers a framework for improving pediatric asthma management in urban areas.
- Integrated, multi-level interventions are effective in addressing the complexities of childhood asthma.
- Strengthening collaboration among nurses is essential for optimizing community-based health programs.