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Chicago Public School nurses examine barriers to school asthma care coordination
Author(s) -
Pappalardo Andrea A.,
Paulson Allison,
Bruscato Robin,
Thomas Leretha,
Minier Mark,
Martin Molly A.
Publication year - 2018
Publication title -
public health nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.471
H-Index - 55
eISSN - 1525-1446
pISSN - 0737-1209
DOI - 10.1111/phn.12574
Subject(s) - psychological intervention , asthma , medicine , medicaid , general partnership , nursing , family medicine , intervention (counseling) , public health , health care , business , finance , economics , economic growth
Objective/Design Well documented asthma disparities in Chicago pose a continual challenge for the Chicago Public Schools ( CPS ). Coordinated Healthcare for Complex Kids ( CHECK ) is a health care demonstration project funded by a Centers for Medicare and Medicaid Services Health Care Innovation Award. A collaborative partnership was formed between CHECK and CPS . With CHECK support, CPS administered a survey to 160 nurses to understand the asthma problems nurses perceived and interest in intervention. Results Seventy‐five per cent ( n = 120) completed the survey. While asthma was the top diagnosis managed by 95%, 72% reported gaps in asthma understanding. Appropriate communication between school nurses and providers occurred 33% of the time; 18% believed they received sufficient support to follow‐up on deficient paperwork. The barriers mentioned were lack of medications (73%), time (67%), and communication with providers (61%). When asked their opinions on potential interventions, 78% of nurses supported web‐based applications, 66% community health workers (CHW), and 66% stock albuterol in schools. Conclusions The greatest barriers for CPS nurses with asthma management are time and communication. Potential interventions such as web‐based communication applications and CHW in schools were well received.