Document Detail


Addressing asthma management challenges in a multisite, urban Head Start program.
MedLine Citation:
PMID:  20626833     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To develop an action plan based on asthma management challenges identified by Head Start teachers in a multisite program.
DESIGN AND SAMPLE: Qualitative, participatory action research project. Three focus groups were conducted with Head Start teachers (n=14), and 1 with Center managers (n=15) in an urban Midwestern program.
MEASURES: Brief background questionnaire and semistructured focus group interview guide. Content analytic techniques were used to identify and categorize asthma management issues in transcripts of teacher focus groups. Center managers verified the findings and recommended action plan strategies to address asthma management challenges.
RESULTS: Head Start staff identified 4 common challenges: (a) undiagnosed and unreported asthma, (b) coordinating asthma care with parents, (c) medication administration issues, and (d) variability among asthma action plans. The action plan focused on (a) early identification of asthma, (b) improving coordination of asthma care with parents, (c) developing more asthma education and resources for Head Start staff and parents, and (d) developing a standardized, comprehensive Head Start asthma action plan.
CONCLUSIONS: Public health nurses can play a major role in ensuring quality care in Head Start programs by periodically identifying staff needs and developing strategies to address asthma management challenges.
Authors:
Ann W Garwick; Ann Seppelt; Michelle Riesgraf
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Public health nursing (Boston, Mass.)     Volume:  27     ISSN:  1525-1446     ISO Abbreviation:  Public Health Nurs     Publication Date:    2010 Jul-Aug
Date Detail:
Created Date:  2010-07-14     Completed Date:  2011-01-14     Revised Date:  2011-08-25    
Medline Journal Info:
Nlm Unique ID:  8501498     Medline TA:  Public Health Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  329-36     Citation Subset:  IM; N    
Affiliation:
School of Nursing, University of Minnesota, Minneapolis, Minnesota 55455, USA. garwi001@umn.edu
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MeSH Terms
Descriptor/Qualifier:
Asthma / ethnology,  prevention & control*
Attitude to Health*
Child, Preschool
Community-Based Participatory Research
Continuity of Patient Care
Early Intervention (Education)* / organization & administration
Faculty* / organization & administration
Focus Groups
Health Planning Guidelines
Humans
Minnesota
Needs Assessment / organization & administration*
Nurse's Role
Parents / education,  psychology
Patient Care Planning
Professional-Family Relations
Public Health Nursing / organization & administration
Qualitative Research
Questionnaires
Urban Health Services / organization & administration*
Grant Support
ID/Acronym/Agency:
5 R03 NR008752-02/NR/NINR NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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