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School asthma screening and case management: attendance and learning outcomes
Michelle L Moricca1, Merry A Grasska, Marcia BMarthaler
1Newport-Mesa Unified School District, Costa Mesa, CA 92865, USA. mmoricca@nmusd.us
Summary
School nurse case management (CM) for children with asthma reduced illness absences and maintained academic performance. This pilot study highlights the benefits of early identification and medical collaboration for student health.
Area of Science:
- Pediatric Health
- School Nursing
- Public Health
Background:
- Asthma significantly impacts elementary students, leading to school absenteeism and academic underperformance.
- Effective management strategies are crucial for mitigating these effects in a school setting.
Purpose of the Study:
- To assess the impact of school nurse case management (CM) on academic performance and school absenteeism in elementary students with asthma.
- To evaluate the effectiveness of early identification and medical collaboration for managing childhood asthma.
Main Methods:
- A pilot study utilized a validated questionnaire to identify students at risk for asthma.
- School nurse case management (CM) was implemented to link students to medical care and ensure asthma action plans.
- Academic performance was compared using standardized testing, and illness-related absences were tracked post-intervention.
Main Results:
- Children receiving CM showed academic performance similar to low-risk peers.
- Average illness-related absences decreased from 5.8 to 3.7 days in the CM group post-intervention.
- Early identification, referral, and treatment through school nurse screening and collaboration were observed.
Conclusions:
- School nurse case management (CM) can effectively reduce illness absences in students with asthma.
- CM, coupled with medical provider collaboration, supports early diagnosis and treatment, potentially improving student health outcomes and attendance.
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