1 research outputs found
Chicago Public School Nurses Examine Barriers to School Asthma Care Coordination
Objective/Design:
Well documented asthma disparities in Chicago pose a continual challenge for the Chicago
Public Schools (CPS). Coordinated Health Care 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 percent (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, 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 community health
workers in schools were well received