Asthma academy: A student nurse-led telehealth education program for low-income family caregivers of children with asthma

Cynthia Foronda, Susan Prather, Kenya Snowden, Juan M Gonzalez, Karina A Gattamorta, Jiye Lee, Juan E Gonzalez, Monica Cardenas, Cynthia Foronda, Susan Prather, Kenya Snowden, Juan M Gonzalez, Karina A Gattamorta, Jiye Lee, Juan E Gonzalez, Monica Cardenas

Abstract

Aims: The aims of the Asthma Academy study were to (1) evaluate the telehealth performance of DNP students, (2) evaluate the perceived learning experience of DNP students and (3) investigate whether an association exists related to student performance and family caregiver outcomes.

Design: A descriptive study was conducted with doctor of nursing practice students.

Methods: Students conducted telehealth visits to help family caregivers of children with asthma and were rated on their performance by two faculty members using a rubric. Student perception data were gathered via survey.

Results: Out of a total possible score of 15 points, the mean telehealth performance score of students was 13.38 points. Students indicated the telehealth experience was valuable and that they were satisfied with their learning. This model of leveraging telehealth to bridge nursing students to the community may be adapted to help family caregivers of children with various disease foci.

Trial registration: ClinicalTrials.gov NCT04132297.

Keywords: asthma; caregivers; education; nursing; students; telehealth; telenursing.

© 2021 The Authors. Nursing Open published by John Wiley & Sons Ltd.

References

    1. Ali, N. S. , Carlton, K. H. , & Ali, O. S. (2015). Telehealth education in nursing curricula. Nurse Educator, 40(5), 266–269. 10.1097/NNE.0000000000000149
    1. American Association of Colleges of Nursing (AACN) . (2006). The Essentials of Doctoral Education for Advanced Nursing Practice.
    1. American Telemedicine Association (ATA) (2019). Practice Guidelines.
    1. Aratani, Y. , Nguyen, H. A. , & Sharma, V. (2020). Asthma‐related emergency department visits among low‐income families with young children by race/ethnicity and primary language. Pediatric Emergency Care, 36(11), e636–e640.
    1. Beydon, N. , Cochez, M. , Mahut, B. , Tarbé de Saint Hardouin, A.‐L. , Gajdos, V. , Régnard, D. , Soussan‐Banini, V. , de Pontual, L. , & Delclaux, C. (2016). Avoidable emergency visits for acute asthma in children: Prevalence and risk factors. Pediatric Allergy, Immunology, and Pulmonology, 29(3), 130–136. 10.1089/ped.2016.0646
    1. Chappell, F. (2015). Medication adherence in children remains a challenge. Prescriber, 26(12), 31–34. 10.1002/psb.1371
    1. El‐Rachidi, S. , Larochelle, J. M. , & Morgan, J. A. (2017). Pharmacists and pediatric medication adherence: Bridging the gap. Hospital Pharmacy, 52(2), 124–131. 10.1310/hpj5202-124
    1. Foronda, C. L. , Gonzalez, J. M. , Snowden, K. , Prather, S. , Majilton, C. , Weisman, A. , Parmeter, S. , Herrera, A. , Gattamorta, K. A. , Gonzalez, J. E. , Downs, C. , Hooshmand, M. , & Cardenas, M. (2021). Improving knowledge and decreasing depressive symptoms in caregivers of children with asthma through the Asthma Academy: A randomized controlled trial. International Journal of Nursing Studies Advances, 3, 100047. 10.1016/j.ijnsa.2021.100047
    1. Foronda, C. L. , Kelley, C. N. , Nadeau, C. , Prather, S. L. , Lewis‐Pierre, L. , Sarik, D. A. , & Muheriwa, S. R. (2020). Psychological and socioeconomic burdens faced by family caregivers of children with asthma: An integrative review. Journal of Pediatric Health Care, 34(4), 366–376. 10.1016/j.pedhc.2020.02.003
    1. Foronda, C. L. , Muheriwa, S. R. , Fernandez‐Burgos, M. , Prather, S. , & Nersesian, P. (2020). Medication adherence of latino children and caregivers: An integrative review. Hispanic Health Care International, 18(4), 207–213. 10.1177/1540415319896623
    1. Hughes, H. K. , Matsui, E. C. , Tschudy, M. M. , Pollack, C. E. , & Keet, C. A. (2017). Pediatric asthma health disparities: Race, hardship, housing, and asthma in a national survey. Academic Pediatrics, 17(2), 127–134. 10.1016/j.acap.2016.11.011
    1. Lv, S. , Ye, X. , Wang, Z. , Xia, W. , Qi, Y. , Wang, W. , Chen, Y. , Cai, X. , & Qian, X. (2019). A randomized controlled trial of a mobile application‐assisted nurse‐led model used to improve treatment outcomes in children with asthma. Journal of Advanced Nursing, 75(11), 3058–3067. 10.1111/jan.14143
    1. McDermott, K. W. , & Jiang, H. J. (2020). Characteristics and Costs of Potentially Preventable Inpatient Stays, 2017: Statistical Brief #259. In Healthcare Cost and Utilization Project (HCUP) Statistical Briefs (pp.1–18). Agency for Healthcare Research and Quality (US).
    1. Miller, G. F. , Coffield, E. , Leroy, Z. , & Wallin, R. (2016). Prevalence and costs of five chronic conditions in children. The Journal of School Nursing, 32(5), 357–364. 10.1177/1059840516641190
    1. Munzenberger, P. , Secord, E. , & Thomas, R. (2010). Relationship between patient, caregiver, and asthma characteristics, responsibility for management, and indicators of asthma control within an urban clinic. Journal of Asthma, 47(1), 41–45. 10.3109/02770900903395226
    1. Pate, C. A. , Zahran, H. S. , Qin, X. , Johnson, C. , Hummelman, E. , & Malilay, J. (2021). Asthma Surveillance‐United States, 2006–2018. Morbidity and Mortality Weekly Report. Surveillance Summaries (Washington, DC: 2002), 70(5), 1–32.
    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. Powers, K. , Neustrup, W. , Thomas, C. , Saine, A. , Sossoman, L. B. , Ferrante‐Fusilli, F. A. , Ross, T. C. , Clark, K. , & Dexter, A. (2020). Baccalaureate nursing students' experiences with multi‐patient, standardized patient simulations using telehealth to collaborate. Journal of Professional Nursing, 36(5), 292–300. 10.1016/j.profnurs.2020.03.013
    1. Shigekawa, E. , Fix, M. , Corbett, G. , Roby, D. H. , & Coffman, J. (2018). The current state of telehealth evidence: A rapid review. Health Affairs, 37(12), 1975–1982. 10.1377/hlthaff.2018.05132
    1. Yoost, J. L. , Starcher, R. W. , King‐Mallory, R. A. , Hussain, N. , Hensley, C. A. , & Gress, T. W. (2017). The use of telehealth to teach reproductive health to female rural high school students. Journal of Pediatric and Adolescent Gynecology, 30(2), 193–198. 10.1016/j.jpag.2016.10.002
    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.

Source: PubMed

3
Sottoscrivi