Related Experiment Video

Updated: Aug 23, 2026

Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma
14:39

Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma

Published on: November 4, 2010

Impoverished children with asthma: a pilot study of urban healthcare access

Andrea Wallace1, Jill Scott, Mary Klinnert

  • 1University of Colorado Health Sciences Center School of Nursing, Denver, USA. andrea.wallace@uchsc.edu

Journal for Specialists in Pediatric Nursing : JSPN
|July 23, 2004
PubMed

Insights

Children with asthma face barriers accessing urban healthcare, including lack of management plans and medication adherence issues. Expanded nursing roles are crucial for improving pediatric asthma care.

Area of Science:

  • Pediatric Healthcare
  • Health Services Research
  • Asthma Management

Background:

  • Asthma is a significant chronic condition in children.
  • Accessing urban healthcare systems presents unique challenges for pediatric patients.
  • Andersen's Behavioral Model provides a framework for understanding healthcare utilization.

Purpose of the Study:

  • To explore the healthcare experiences of children with asthma within an urban setting.
  • To identify barriers and facilitators to accessing care using Andersen's Behavioral Model.
  • To inform strategies for improving pediatric asthma care delivery.

Main Methods:

  • A descriptive pilot study utilizing a convenience sample.
  • Data collection involved semistructured interviews with 34 families of pediatric asthma patients.
  • Medical record review was conducted to supplement interview data.

Main Results:

  • A significant lack of written asthma exacerbation management plans was observed.
  • Beliefs about medication addiction and side effects acted as barriers to adherence.
  • Pediatric asthma patients encountered numerous providers in primary care settings.

Conclusions:

  • Family and system-level factors impede effective healthcare access for children with asthma.
  • Expanded nursing roles present a promising avenue to address identified barriers.
  • Prioritizing nursing interventions is essential for enhancing pediatric asthma care.
Abstract

Related Concept Videos

Asthma-I: Introduction01:29

Asthma-I: Introduction

Asthma is a chronic respiratory ailment that requires careful management due to its varying symptoms and influencing factors. It is characterized by airway inflammation, bronchial hyperresponsiveness, and reversible airflow obstruction, leading to symptoms like wheezing, shortness of breath, chest tightness, and coughing. The symptom frequency and intensity may vary considerably over time. It is also linked to immune system responses to allergens and irritants, highlighting the complex...
Asthma-III: Symptoms and Complications01:24

Asthma-III: Symptoms and Complications

Asthma, a common chronic respiratory condition, is classified considering the frequency and severity of symptoms alongside lung function impairment. Understanding this classification is essential for appropriate treatment and management. Here's a detailed look at the classification of asthma and its clinical features and complications:
Classification of Asthma
Asthma I: Introduction01:28

Asthma I: Introduction

Asthma is a chronic inflammatory disorder of the airways characterized by variable airflow obstruction and heightened bronchial responsiveness to a wide range of triggers. The underlying inflammation leads to airway swelling, mucus hypersecretion, and smooth muscle constriction, all of which narrow the airway lumen and impede airflow. Clinically, asthma presents with recurrent episodes of wheezing, shortness of breath, chest tightness, and coughing, symptoms that typically vary in intensity and...
Asthma-IV: Nursing Management01:30

Asthma-IV: Nursing Management

The nursing management of asthma is a comprehensive approach that relies heavily on the expertise and dedication of healthcare professionals. It involves thorough assessment, accurate diagnosis, strategic planning, effective implementation, and diligent evaluation. By meticulously following this step-by-step process, healthcare professionals play a crucial role in providing the best possible care and treatment for patients with asthma, enhancing their overall health and well-being.
First, in...
Asthma-IV: Diagnostic and Management01:30

Asthma-IV: Diagnostic and Management

The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Inhaled Medications01:23

Inhaled Medications

Inhaled medications are crucial for managing chronic obstructive pulmonary disease (COPD) and asthma. They are essential for effective treatment and control, ensuring optimal respiratory health and well-being. Inhaled medication delivers drugs directly to the lungs, providing a rapid onset of action and reducing systemic side effects compared to oral or injectable medications. Three primary types of inhalation devices are used to administer these medications: nebulizers, metered-dose inhalers...