Do United States' teachers know and adhere to the national guidelines on asthma management in the classroom? A systematic review

Yudilyn Jaramillo, Marina Reznik, Yudilyn Jaramillo, Marina Reznik

Abstract

Proper asthma management in schools is important in achieving optimum asthma control in children with asthma. The National Heart, Lung, and Blood Institute (NHLBI) has developed guidelines on classroom asthma management. We conducted a systematic review to examine teacher knowledge of the NHLBI guidelines on asthma management in the classroom. We searched PubMed and EMBASE using search terms "asthma management," "teacher(s)," "school teacher," and "public school." The inclusion criteria were articles published in English from 1994 to May 2014 that focus on schools in the United States (US). From 535 titles and abstracts, 9 studies met inclusion criteria. All studies reported that school teachers did not know the policies and procedures of asthma management. Teachers relied on school nurses to handle medical emergencies. Some studies identified that lack of full-time school nurses was a barrier to asthma management. Only one study showed directly that classroom teachers were not following the NHLBI guidelines on asthma management. Our literature review revealed that US teachers do not know the NHLBI guidelines on asthma management in the classroom. Future research should focus on interventions targeted toward training classroom teachers on asthma management as per NHLBI guidelines to ultimately improve asthma management in schools.

Figures

Figure 1
Figure 1
Flow chart of included studies.

References

    1. Malveaux F. J. The state of childhood asthma: introduction. Pediatrics. 2009;123(supplement 3):S129–S130. doi: 10.1542/peds.2008-2233b.
    1. Clark N. M., Brown R., Joseph C. L. M., et al. Issues in identifying asthma and estimating prevalence in an urban school population. Journal of Clinical Epidemiology. 2002;55(9):870–881. doi: 10.1016/S0895-4356(02)00451-1.
    1. Basch C. E. Asthma and the achievement gap among urban minority youth. The Journal of School Health. 2011;81(10):606–613. doi: 10.1111/j.1746-1561.2011.00634.x.
    1. Akinbami L. J., Moorman J. E., Liu X. Asthma prevalence, health care use, and mortality: United States, 2005–2009. National health statistics reports. 2011:1–14.
    1. United States Environmental Protection Agency. IAQ tools for Schools. Health and Achievement Managing Asthma in the School Environment, .
    1. Webber M. P., Carpiniello K. E., Oruwariye T., Lo Y., Burton W. B., Appel D. K. Burden of asthma in inner-city elementary schoolchildren: do school-based health centers make a difference? Archives of Pediatrics and Adolescent Medicine. 2003;157(2):125–129. doi: 10.1001/archpedi.157.2.125.
    1. Eisenberg J. D., Moe E. L., Stillger C. F. Educating school personnel about asthma. The Journal of Asthma. 1993;30(5):351–358. doi: 10.3109/02770909309056739.
    1. Anderson E. W., Valerio M., Liu M., et al. Schools' capacity to help low-income, minority children to manage asthma. The Journal of School Nursing. 2005;21(4):236–242. doi: 10.1177/10598405050210040901.
    1. US Department of Health and Human Services. Managing Asthma: A Guide for Schools. 1991. .
    1. Getch Y. Q., Neuharth-Pritchett S. Teacher characteristics and knowledge of asthma. Public Health Nursing. 2009;26(2):124–133. doi: 10.1111/j.1525-1446.2009.00763.x.
    1. Bruzzese J.-M., Unikel L. H., Evans D., Bornstein L., Surrence K., Mellins R. B. Asthma knowledge and asthma management behavior in urban elementary school teachers. Journal of Asthma. 2010;47(2):185–191. doi: 10.3109/02770900903519908.
    1. Neuharth-Pritchett S., Getch Y. Q. Teacher capability and school resource scale for asthma management. The Journal of Asthma. 2006;43(10):735–738. doi: 10.1080/02770900601031219.
    1. Neuharth-Pritchett S., Getch Y. Q. Asthma and the school teacher: the status of teacher preparedness and training. The Journal of School Nursing. 2001;17(6):323–328. doi: 10.1177/10598405010170060701.
    1. Snow R. E., Larkin M., Kimball S., Iheagwara K., Ozuah P. O. Evaluation of asthma management policies in New York City public schools. The Journal of Asthma. 2005;42(1):51–53. doi: 10.1081/jas-200044776.
    1. Rodehorst T. K. Rural elementary school teachers' intent to manage children with asthma symptoms. Pediatric Nursing. 2003;29(3):184–192.
    1. McCarthy A. M., Williams J. K., Eidahl L. Children with chronic conditions: Educators' views. Journal of Pediatric Health Care. 1996;10(6):272–279. doi: 10.1016/s0891-5245(96)90053-x.
    1. Lucas T., Anderson M. A., Hill P. D. What level of knowledge do elementary school teachers possess concerning the care of children with asthma? A pilot study. Journal of Pediatric Nursing. 2012;27(5):523–527. doi: 10.1016/j.pedn.2011.07.004.
    1. Sapien R. E., Fullerton-Gleason L., Allen N. Teaching school teachers to recognize respiratory distress in asthmatic children. The Journal of Asthma. 2004;41(7):739–743.
    1. Sapien R. E., Allen A. Emergency preparation in schools: a snapshot of a rural state. Pediatric Emergency Care. 2001;17(5):329–333. doi: 10.1097/00006565-200110000-00003.
    1. Hillemeier M. M., Gusic M., Bai Y. Communication and education about asthma in rural and urban schools. Ambulatory Pediatrics. 2006;6(4):198–203. doi: 10.1016/j.ambp.2006.04.004.
    1. Bruzzese J.-M., Evans D., Kattan M. School-based asthma programs. The Journal of Allergy and Clinical Immunology. 2009;124(2):195–200. doi: 10.1016/j.jaci.2009.05.040.

Source: PubMed

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