Reply 1 For The Topic Of Asthma: Six Articles On Asthma ✓ Solved

Reply1 for The Topic Of Asthma There Are Six Articles On Asthma

For the topic of asthma, there are six articles on asthma that will help formulate on the project. Each have their strengths and weaknesses.

Article #1 "Improving care of inner-city children with poorly controlled asthma: what mothers want you to know." Strength: The article highlights the perspectives of parents with children with asthma and the management ability. This is important as it can determine what is needed to help improve care and participation. Weakness: The study only targeted poor families and asthma is a broad area that can affect all incomes with exposure to different things and circumstances. It is good to look at other perspectives based on their lifestyles to compare.

Article #2 "Proximity to major roadways and asthma symptoms in the School Inner-City Asthma Study." Strength: The article focuses on the effects of high traffic and highway areas in relation to asthma. Rates are calculated comparing those who live in close proximity versus those who are further away. Weakness: The article measured those who live within 100 meters of the major roadway, but I believe asthma rates should be compared not only to those living within 100 meters but also those who live even closer. Then look at the severity of the symptoms based on location.

Article #3 "Asthma-related school absenteeism, morbidity, and modifiable factors." Strength: This article is a great reference as it gives insight on school absenteeism and its relation to asthma and its morbidity, while determining which areas can be modified to improve outcomes. Weakness: The study was conducted using a Behavioral Risk Factor Surveillance System Child Asthma Call-back Survey. This is a random-digit dial survey made to assess the health and experiences of children ages 0–17 years with asthma. Although this is a good approach, it can lead to inaccurate responses by the children or their parents.

Article #4 "A school nurse-led asthma program Reduces Absences: Evaluation of easy breathing for schools." Strength: The article helps to understand the importance of school nurses within the school setting and the use of asthma programs like Easy Breathing for Schools, which impact the reduction in asthma symptoms and improve management. Weakness: Based on the training of nurses in the easy program prior to the study, application, surveys, and collaboration with physicians, small but important factors for the impact of the study were a bit weak. From 51 nurses, only 28 participated, with one nurse per school where over 200 children were enrolled, possibly making it difficult to gather information in a short period of time. Not all children with asthma were enrolled in the program.

Article #5 "Building bridges for asthma care: Reducing school absence for inner-city children with health disparities." Strength: This article supports nurses in assessing the effect of the Building Bridges for Asthma Care Program on improving school attendance and measures of asthma control. The Inhaler Technique Assessment Tool was used to standardize the assessment of inhaler technique by school nurses, considering elementary schools from two different states, which shows diversity of location and outcomes. Weakness: Children were enrolled in the Building Bridges Program for two consecutive years, but only data from their first year of enrollment were included in the analysis of absenteeism. School absence data were challenging to analyze due to the variety of age/grade, race/ethnicity, and asthma status.

Article #6 "Solutions for asthma disparities." Strength: Disparities in asthma outcomes have been documented for many years and this is important to recognize as it can help find solutions to the issues. This article helps to address disparities in the health care sector, with evidence-based guidelines detailing essential elements that providers and health care organizations should deliver for high-quality asthma care. Weakness: One limitation of the article explains that wide-scale payment policies may not affect all systems equally, and care must be taken to avoid widening disparities if financial penalties are on the line. Payment systems should incentivize and reward the reduction of disparities instead of causing them.

Paper For Above Instructions

Asthma is a chronic condition that significantly impacts the quality of life of those affected, particularly among vulnerable populations, such as inner-city children. The six articles discussed provide an extensive overview of different dimensions related to asthma care, revealing strengths and weaknesses that highlight opportunities for improvement in asthma management.

The first article emphasizes the value of parental insights in managing asthma among inner-city children. It is essential for healthcare providers to understand the realities that families face in managing asthma. However, the narrow focus on low-income families limits the findings, as asthma affects individuals across various socioeconomic backgrounds. Future studies should include a more diverse range of income levels to draw more generalizable conclusions (Bellin et al., 2018).

In the second article, the relationship between proximity to major roadways and asthma symptoms is examined. The evidence suggests that environmental factors greatly influence asthma severity. However, by only measuring those within 100 meters of major roadways, the study may overlook additional critical environmental influences on asthma, suggesting a need for broader geographic criteria to capture a comprehensive understanding of environmental impacts (Hauptman et al., 2020).

The third article sheds light on the impact of asthma on school absenteeism, revealing that modifications in care can improve attendance. Yet, reliance on self-reported data can lead to inaccuracies, as parents or children may skew results due to various biases. This methodological concern indicates a need for longitudinal studies that employ direct observational techniques to validate findings (Hsu et al., 2016).

Article four illustrates how integrated asthma programs led by school nurses can help reduce school absenteeism. The participatory approach is promising, but the limited number of nurses participating raises questions about the study's effectiveness. It is crucial to expand nurse involvement to ensure a representative sample that adequately addresses the needs of all students enrolled in such programs (Simoneau et al., 2020).

The fifth article focuses on community engagement through the Building Bridges for Asthma Care Program, emphasizing its benefits on children's asthma management. However, limiting the analysis to the first-year data only may obscure long-term effects and benefits of sustained engagement. Further research should assess longitudinal outcomes to better inform future program iterations (Szefler et al., 2019).

The final article discusses systemic disparities in asthma care, emphasizing the need for payment systems that incentivize equitable care provision. While the article's strengths lie in documenting these disparities, it cautions against policies that may inadvertently widen gaps in care access. It is vital for policymakers to consider the socio-economic context when designing healthcare reimbursement models (Volerman et al., 2017).

In conclusion, while each article provides valuable insights into various facets of asthma management, there lies a collective opportunity for improvement in asthma care through more inclusive research, comprehensive program implementations, and equitable healthcare policies. Addressing these weaknesses can lead to enhanced outcomes for children suffering from asthma across different environments and socioeconomic statuses.

References

• Bellin, M. H., Newsome, A., Lewis-Land, C., Kub, J., Mudd, S. S., Margolis, R., & Butz, A. M. (2018, July-August). Improving care of inner-city children with poorly controlled asthma: what mothers want you to know. Journal of Pediatric Health Care: Official Publication of National Association of Pediatric Nurse Associates & Practitioners, 32(4), 387–398.
• Hauptman, M., Gaffin, J. M., Petty, C. R., Sheehan, W. J., Lai, P. S., Coull, B., Gold, D. R., & Phipatanakul, W. (2020, January). Proximity to major roadways and asthma symptoms in the School Inner-City Asthma Study. The Journal of Allergy and Clinical Immunology, 145(1), 119–126.
• Hsu, J., Qin, X., Beavers, S. F., & Mirabelli, M. C. (2016, July). Asthma-related school absenteeism, morbidity, and modifiable factors. American Journal of Preventive Medicine, 51(1), 23–32.
• Simoneau, T., Langton, C. R., Kuo, C.-L., Marrero, J., Gherlone, N., Cloutier, M. M., & Hollenbach, J. P. (2020, January-February). A school nurse-led asthma program Reduces Absences: Evaluation of easy breathing for schools. Academic Pediatrics, 20(1), 73–80.
• Szefler, S. J., Cloutier, M. M., Villarreal, M., Hollenbach, J. P., Gleason, M., Haas-Howard, C., Vinick, C., Calatroni, A., Cicutto, L., White, M., Williams, S., McGinn, M., Langton, C., Shocks, D., Mitchell, H., & Stempel, D. A. (2019, February). Building bridges for asthma care: Reducing school absence for inner-city children with health disparities. The Journal of Allergy and Clinical Immunology, 143(2), 746.
• Volerman, A., Chin, M. H., & Press, V. G. (2017, March). Solutions for asthma disparities. Pediatrics. Official Journal of the American Academy of Pediatrics, 139(3).