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Barriers to Asthma Management as Identified by School Nurses
Judith E Quaranta1, Gale A Spencer2
1Decker School of Nursing, Binghamton University, Binghamton, NY, USA jquarant@binghamton.edu.
Summary
School nurses face barriers to managing childhood asthma effectively. Removing these obstacles can improve nurses
Area of Science:
- Pediatric Nursing
- Respiratory Health
- School Health Services
Background:
- Childhood asthma prevalence is rising, necessitating effective management strategies.
- School nurses are pivotal in providing care for students with asthma.
- Barriers within the school environment hinder optimal asthma management by nurses.
Purpose of the Study:
- To identify barriers encountered by school nurses in managing childhood asthma.
- To assess the impact of these barriers on nurses' asthma management behaviors.
- To determine the influence of barriers on nurses' self-efficacy, attitudes, and perceived importance of asthma management.
Main Methods:
- A survey was administered to 537 school nurses assessing perceived barriers.
- The study analyzed the relationship between the number of barriers and performance of asthma management behaviors.
- Statistical analyses examined correlations between barriers and nurses' self-efficacy, attitudes, and behavior importance ratings.
Main Results:
- A significant majority (72%) of nurses reported at least one barrier to asthma management.
- Increased numbers of barriers were associated with decreased performance of asthma management behaviors.
- Specific barriers correlated with specific asthma management behaviors, but not with self-efficacy, attitudes, or importance ratings.
Conclusions:
- Barriers significantly impede school nurses' ability to perform asthma management behaviors effectively.
- Addressing and removing identified barriers is crucial for enhancing nurses' performance.
- Optimizing asthma care in schools requires a focus on mitigating environmental and systemic barriers faced by nurses.
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