Impact of Nurse-Led Asthma Intervention on Child Health Outcomes: A Scoping Review

Zainab Al Kindi, Catherine McCabe, Margaret McCann, Zainab Al Kindi, Catherine McCabe, Margaret McCann

Abstract

Given the leading role school nurses occupy within the school setting, they are often the most suited health care professionals to lead asthma programs. However, most school-based asthma programs have been conducted by researchers outside the school setting. Thus, we aim to determine what is currently known about the type of school nurse-led asthma intervention programs and their impact on children's asthma-related outcomes. This article describes published literature on school nurse-led asthma intervention programs for the school-aged population using Arksey and O'Malley's scoping review framework. A search strategy was developed and implemented in six electronic databases from 1980 to 2020. Results showed that school nurse-led asthma programs were predominantly educational interventions. Yet given the positive outcomes of school nurse-led asthma interventions reported across the articles reviewed, it is important to emphasize the leadership role school nurses assume in asthma programs, to promote more positive asthma-related outcomes in school children.

Keywords: asthma programs; child health outcomes; nurse-led intervention program.

Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Preferred Reporting Items for Systematic Review and Meta-Analyses flowchart.

References

    1. Agusala V., Vij P., Agusala V., Dasari V., Kola B. (2018). Can interactive parental education impact health care utilization in pediatric asthma: A study in rural Texas. Journal of International Medical Research, 46(8), 3172–3182. 10.1177/0300060518773621
    1. Al Aloola N. A., Naik-Panvelkar P., Nissen L., Saini B. (2014). Asthma interventions in primary schools—A review. Journal of Asthma, 51(8), 779–798. 10.3109/02770903.2014.914534
    1. Arksey H., O’Malley L. (2005). Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology, 8(1), 19–32. 10.1080/1364557032000119616
    1. Asthma UK. (2020). Asthma facts and statistics.
    1. Bettany-Saltikov J. (2012). How to do a systematic literature review in nursing: A step-by-step guide. McGraw Hill Education (UK).
    1. Brooten D., Youngblut J. M., Royal S., Cohn S., Lobar S. L., Hernandez L. (2008). Outcomes of an Asthma program: Healthy children, healthy homes. Pediatric Nursing, 34(6), 448–455.
    1. Carpenter D. M., Alexander D. S., Elio A., DeWalt D., Lee C., Sleath B. L. (2016). Using tailored videos to teach inhaler technique to children with asthma: Results from a school nurse-led pilot study. Journal of Pediatric Nursing, 31(4), 380–389. 10.1016/j.pedn.2016.02.005
    1. Carpenter L., Lachance L., Wilkin M., Clark N. M. (2013). Sustaining school-based asthma interventions through policy and practice change. The Journal of School Health, 83(12), 859. 10.1111/josh.12104
    1. Cicutto L., To T., Murphy S. (2013). A randomized controlled trial of a public health nurse-delivered asthma program to elementary schools. The Journal of School Health, 83(12), 876. 10.1111/josh.12106
    1. Coelho A. C., Cardoso B., Souza L., Souza-Machado C. d., Souza-Machado A. (2016). The impacts of educational asthma interventions in schools: A systematic review of the literature. Canadian Respiratory Journal, 2016. 10.1155/2016/8476206
    1. Council on School Health. (2016). Role of the school nurse in providing school health services. Pediatrics, 137(6), e20160852. 10.1542/peds.2016-0852
    1. Global Initiative for Asthma. (2019). Global strategy for asthma management and prevention.
    1. Goei R., Boyson A. R., Lyon-Callo S. K., Schott C., Wasilevich E., Cannarile S. (2010). An examination of EPPM predictions when threat is perceived externally: An asthma intervention with school workers. Health Communication, 25(4), 333–344. 10.1080/10410231003775164
    1. Grover C., Goel N., Armour C., Van Asperen P., Gaur S., Moles R., Saini B. (2016). Medication education program for Indian children with asthma: A feasibility study. Nigerian Journal of Clinical Practice, 19(1), 76–84. 10.4103/1119-3077.173716
    1. Halterman J. S., Fagnano M., Tajon R. S., Tremblay P., Wang H., Butz A., Perry T. T., McConnochie K. M. (2018). Effect of the school-based telemedicine enhanced asthma management (SB-TEAM) program on asthma morbidity: A randomized clinical trial. JAMA Pediatrics, 172(3), e174938–e174938. 10.1001/jamapediatrics.2017.4938
    1. Harrington C. B., Langhans E., Shelef D. Q., Savitz M., Whitmore C., Teach S. J. (2018). A pilot randomized trial of school-based administration of inhaled corticosteroids for at-risk children with asthma. Journal of Asthma, 55(2), 145–151. 10.1080/02770903.2017.1323915
    1. Hoekstra B. A., Young V. L., Eley C. V., Hawking M. K., McNulty C. A. (2016). School nurses’ perspectives on the role of the school nurse in health education and health promotion in England: A qualitative study. BioMed Central Nursing, 15(1), 1–9. 10.1186/s12912-016-0194-y
    1. Horner S. D., Brown A., Brown S. A., Rew D. L. (2016). Enhancing asthma self-management in rural school-aged children: A randomized controlled trial. Journal of Rural Health, 32(3), 260–268. 10.1111/jrh.12150
    1. Isik E., Fredland N. M., Freysteinson W. M. (2019). School and community-based nurse-led asthma interventions for school-aged children and their parents: A systematic literature review. Journal of Pediatric Nursing, 44, 107–114. 10.1016/j.pedn.2018.11.007
    1. Isik E., Fredland N. M., Young A., Schultz R. J. (2020). A school nurse–led asthma intervention for school-age children: A randomized control trial to improve self-management. The Journal of School Nursing. 10.1177/1059840520902511
    1. Ismaila A. S., Sayani A. P., Marin M., Su Z. (2013). Clinical, economic, and humanistic burden of asthma in Canada: A systematic review. BMC Pulmonary Medicine, 13(1), 70. 10.1186/1471-2466-13-70
    1. Johnson S. B., Spin P., Connolly F., Stein M., Cheng T. L., Connor K. (2019). Peer reviewed: Asthma and attendance in urban schools. Preventing Chronic Disease, 16. 10.5888/pcd16.190074
    1. Kintner E. K., Cook G., Marti C. N., Allen A., Stoddard D., Harmon P., Gomes M., Meeder L., Van Egeren L. A. (2015). Effectiveness of a school- and community-based academic asthma health education program on use of effective asthma self-care behaviors in older school-age students. Journal for Specialists in Pediatric Nursing, 20(1), 62–75. 10.1111/jspn.12099
    1. Lucas T., Anderson M. A., Hill P. D. (2012). What level of knowledge do elementary school teachers possess concerning the care of children with asthma? A pilot study. Journal of Pediatric Nursing, 27(5), 523–527. 10.1016/j.pedn.2011.07.004
    1. McWhirter J., McCann D., Coleman H., Calvert M., Warner J. (2008). Can schools promote the health of children with asthma? Health Education Research, 23(6), 917–930. 10.1093/her/cym081
    1. Melnyk B., Fineout-Overholt E. (2015). Box 1.3: Rating system for the hierarchy of evidence for intervention/treatment questions. In Evidence-based practice in nursing & healthcare: A guide to best practice (p. 11). UCHealth.
    1. Moricca M. L., Grasska M. A., Bmarthaler M., Morphew T., Weismuller P. C., Galant S. P. (2013). School asthma screening and case management. The Journal of School Nursing, 29(2), 104–112. 10.1177/1059840512452668
    1. National Association of School Nurses. (2016). The role of the 21st century school nurse, position statement.
    1. National Institutes of Health. (2012). National heart, lung, and blood institute, expert panel report 3: Guidelines for diagnosis and management of asthma.
    1. Nurmagambetov T., Kuwahara R., Garbe P. (2018). The economic burden of asthma in the United States, 2008–2013. Annals of the American Thoracic Society, 15(3), 348–356. 10.1513/AnnalsATS.201703-259OC
    1. Payrovee Z., Kashaninia Z., Alireza Mahdaviani S., Rezasoltani P. (2014). Effect of family empowerment on the quality of life of school-aged children with asthma. Tanaffos, 13(1), 35–42.
    1. Perry T. T., Halterman J. S., Brown R. H., Luo C., Randle S. M., Hunter C. R., Rettiganti M. (2018). Results of an asthma education program delivered via telemedicine in rural schools. Annals of Allergy, Asthma & Immunology, 120(4), 401–408. 10.1016/j.anai.2018.02.013
    1. Persaud D. I., Barnett S. E., Weller S. C., Baldwin C. D., Niebuhr V., McCormick D. P. (1996). An asthma self-management program for children, including instruction in peak flow monitoring by school nurses. Journal of Asthma, 33(1), 37–43. 10.3109/02770909609077761
    1. Rasberry C. N., Cheung K., Buckley R., Dunville R., Daniels B., Cook D., Robin L., Dean B. (2014). Indicators of asthma control among students in a rural, school-based asthma management program. Journal of Asthma, 51(8), 876–885. 10.3109/02770903.2014.913620
    1. Rodríguez Fernández-Oliva C. R., Torres Alvarez de Arcaya M. L., Aguirre-Jaime A. (2010). Knowledge and attitudes of teachers on children with asthma. Anales De Pediatria, 72(6), 413–419. 10.1016/j.anpedi.2010.01.018
    1. Rodriguez E., Rivera D. A., Perlroth D., Becker E., Wang N. E., Landau M. (2013). School nurses’ role in asthma management, school absenteeism, and cost savings: A demonstration project. Journal of School Health, 83(12), 842–850. 10.1111/josh.12102
    1. Román-Rodríguez M., Metting E., Gacía-Pardo M., Kocks J., van der Molen T. (2019). Wrong inhalation technique is associated to poor asthma clinical outcomes. Is there room for improvement? Current Opinion In Pulmonary Medicine, 25(1), 18–26. 10.1097/mcp.0000000000000540
    1. Salazar G., Tarwala G., Reznik M. (2018). School-based supervised therapy programs to improve asthma outcomes: current perspectives. Journal Of Asthma And Allergy, 11, 205. 10.2147/jaa.s147524
    1. Salisbury C., Francis C., Rogers C., Parry K., Thomas H., Chadwick S., Turton P. (2002). A randomised controlled trial of clinics in secondary schools for adolescents with asthma. British Journal of General Practice, 52(485), 988–996.
    1. Shin E. M., Roh Y. S. (2020). A school nurse competency framework for continuing education. Healthcare 2020, 8, 246. 10.3390/healthcare8030246
    1. Simoneau T., Langton C. R., Kuo C.-L., Marrero J., Gherlone N., Cloutier M. M., Hollenbach J. P. (2020). A school nurse-led asthma program reduces absences: Evaluation of easy breathing for schools. Academic Pediatrics. 10.1016/j.acap.2019.07.007
    1. Suwannakeeree P., Deerojanawong J., Prapphal N. (2016). School-based educational interventions can significantly improve health outcomes in children with asthma. Journal of the Medical Association of Thailand = Chotmaihet Thangphaet, 99(2), 166–174.
    1. Szefler S. J., Cloutier M. M., Villarreal M., Hollenbach J. P., Gleason M., Haas-Howard C., Vinick C., Calatroni A., Cicutto L., White M., Williams S., McGinn M., Langton C., Shocks D., Mitchell H., Stempel D. A. (2018). Building bridges for asthma care: Reducing school absence for inner-city children with health disparities. Journal of Allergy and Clinical Immunology. 10.1016/j.jaci.2018.05.041
    1. Trivedi M., Patel J., Lessard D., Kremer T., Byatt N., Phipatanakul W., Pbert L., Goldberg R. (2018). School nurse asthma program reduces healthcare utilization in children with persistent asthma. Journal of Asthma, 55(10), 1131–1137. 10.1080/02770903.2017.1396473
    1. van Bragt S., van den Bemt L., Kievits R., Merkus P., Van Weel C., Schermer T. (2015). PELICAN: A cluster-randomized controlled trial in Dutch general practices to assess a self-management support intervention based on individual goals for children with asthma. Journal of Asthma, 52(2), 211–219. 10.3109/02770903.2014.952439
    1. Yoder C. M. (2019). School nurses and student academic outcomes: An integrative review. The Journal of School Nursing. 10.1177/1059840518824397
    1. Zahran H. S., Bailey C. M., Damon S. A., Garbe P. L., Breysse P. N. (2018). Vital signs: Asthma in children—United States, 2001–2016. Morbidity and Mortality Weekly Report, 67(5), 149. 10.15585/mmwr.mm6705e1

Source: PubMed

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