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Barriers to Asthma Management for School Nurses: An Integrative Review
Ellen Hanley Nadeau1, Coleen E Toronto2
1Westwood Public Schools, Westwood, MA, USA enadeau@westwood.k12.ma.us.
Summary
School nurses face significant barriers in managing childhood asthma, including resource limitations and communication challenges. Addressing these obstacles is crucial for improving asthma care in schools.
Area of Science:
- Pediatrics
- Public Health
- Nursing
Background:
- Childhood asthma is a prevalent chronic illness, leading to frequent emergency visits and school absences.
- School nurses are vital for effective asthma management within educational settings.
- Barriers to asthma management by school nurses hinder optimal student health outcomes.
Purpose of the Study:
- To conduct an integrative review identifying barriers school nurses face in managing childhood asthma.
- To explore the multifaceted nature of these barriers within the school environment.
Main Methods:
- An integrative review methodology was employed to synthesize existing research.
- The review focused on identifying and categorizing barriers encountered by school nurses.
Main Results:
- Six key themes of barriers emerged: lack of resources/support, time constraints, communication issues, knowledge gaps, and underutilization of expertise.
- Barriers are constructed by multiple stakeholders including students, parents, healthcare providers, school administration, and nurses themselves.
Conclusions:
- Overcoming identified barriers is essential for implementing evidence-based asthma management in schools.
- School nurses and leaders must develop targeted strategies to enhance asthma care delivery.
- Collaborative efforts are needed to address systemic issues impacting asthma management by school nurses.
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