Barriers and Facilitators to Asthma Care After Hospitalization as Reported by Caregivers, Health Providers, and School Nurses

Author:

Parikh Kavita12,Paul Jahmeilia3,Fousheé Naja3,Waters Damian3,Teach Stephen J.42,Hinds Pamela S.52

Affiliation:

1. Pediatric Hospitalist Division,

2. George Washington University School of Medicine and Health Sciences, Washington, District of Columbia

3. Center for Translational Science,

4. Children’s Research Institute, and

5. Department of Nursing Science, Professional Practice and Quality, Children’s National Health System, Washington, District of Columbia; and

Abstract

OBJECTIVES: To develop a comprehensive understanding of the barriers and/or facilitators for asthma management for the health professionals and caregivers of children with >1 hospitalization. METHODS: Individual interviews were conducted with family caregivers and health professionals. Focus groups were conducted with school nurses. The interview and focus group guide were used to probe for barriers and facilitators of asthma management. Interviews were recorded, transcribed, and coded by using qualitative software. Themes were identified by using content analysis in the interviews and descriptive qualitative analysis in the focus groups. RESULTS: Caregivers (n = 10), asthma educators (n = 4), physicians (n = 4), and a payer (n = 1) were individually interviewed. School nurses were interviewed via a focus group (n = 10). Children had a median age of 7 years, mean length of stay of 1.9 days, and 56% had a previous hospitalization in the previous 12 months. The “gaps in asthma knowledge” theme (which includes an inadequate understanding of asthma chronicity, activity restrictions, and management with controller medications) emerged as a theme for both caregivers and health professionals but with different health beliefs. School nurses reinforced the difficulty they have in managing children who have asthma in schools, and they identified using the asthma action plan as a facilitator. CONCLUSIONS: Caregivers and health professionals have different health beliefs about asthma knowledge, which raises challenges in the care of a child who has asthma. In addition, school nurses highlight specific barriers that are focused on medication use in schools. A comprehensive understanding of the barriers and facilitators of asthma management that families experience after hospital discharge is crucial to design better efforts to support families.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics,General Medicine,Pediatrics, Perinatology and Child Health

Reference29 articles.

1. Changing trends in asthma prevalence among children;Akinbami;Pediatrics,2016

2. Trends in racial disparities for asthma outcomes among children 0 to 17 years, 2001-2010;Akinbami;J Allergy Clin Immunol,2014

3. Expert panel report 3 (EPR-3): guidelines for the diagnosis and management of asthma-summary report 2007 [published correction appears in J Allergy Clin Immunol. 2008;121(6):1330];National Asthma Education and Prevention Program;J Allergy Clin Immunol,2007

4. Predictors of early hospital readmission for asthma among inner-city children;Reznik;J Asthma,2006

5. Rehospitalization for childhood asthma: timing, variation, and opportunities for intervention;Kenyon;J Pediatr,2014

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