A case study of asthma care in school age children using nurse-coordinated multidisciplinary collaborative practices

Article English OPEN
Procter, Susan ; Brooks, Fiona ; Wilson, Patricia ; Crouchman, Carolyn ; Kendall, Sally (2015)
  • Publisher: Dove Medical Press
  • Journal: Journal of Multidisciplinary Healthcare (issn: 1178-2390, vol: 8, pp: 181-188)
  • Related identifiers: doi: 10.2147/JMDH.S71030, pmc: PMC4399592
  • Subject: school nursing | RT | whole systems | Journal of Multidisciplinary Healthcare | leadership | multiagency | Original Research | RJ101 | public health | RA

Susan Procter,1 Fiona Brooks,2 Patricia Wilson,3 Carolyn Crouchman,1 Sally Kendall21Faculty of Society and Health, Buckinghamshire New University, High Wycombe, UK; 2Centre for Research in Primary and Community Care (CRIPACC), University of Hertfordshire, Hatfield, UK; 3Centre for Health Services Studies, University of Kent, Canterbury, UKAim: To describe the role of school nursing in leading and coordinating a multidisciplinary networked system of support for children with asthma, and to analyze the strengths and challenges of undertaking and supporting multiagency interprofessional practice.Background: The growth of networked and interprofessional collaborations arises from the recognition that a number of the most pressing public health problems cannot be addressed by single-discipline or -agency interventions. This paper identifies the potential of school nursing to provide the vision and multiagency leadership required to coordinate multidisciplinary collaboration.Method: A mixed-method single-case study design using Yin's approach, including focus groups, interviews, and analysis of policy documents and public health reports.Results: A model that explains the integrated population approach to managing school-age asthma is described; the role of the lead school nurse coordinator was seen as critical to the development and sustainability of the model.Conclusion: School nurses can provide strategic multidisciplinary leadership to address pressing public health issues. Health service managers and commissioners need to understand how to support clinicians working across multiagency boundaries and to identify how to develop leadership skills for collaborative interprofessional practice so that the capacity for nursing and other health care professionals to address public health issues does not rely on individual motivation. In England, this will be of particular importance to the commissioning of public health services by local authorities from 2015.Keywords: leadership, multiagency, public health, school nursing, whole systems
  • References (32)
    32 references, page 1 of 4

    1. Kendall S, Wilson P, Procter S, Brooks F, Bunn F, McNeilly E. The Nursing Contribution to Models of Chronic Disease Management. Report to NIHR Service Delivery and Organisation Programme. England: 2010. Available from: http://www.netscc.ac.uk/hsdr/files/ project/SDO_FR_08-1605-121_V01.pdf. Accessed August 4, 2014.

    2. Procter S, Wilson PM, Brooks F, Kendall S. Success and failure in integrated models of nursing for long term conditions: multiple case studies of whole systems. Int J Nurs Stud. 2013;50(5):632-643.

    3. World Health Organisation. Primary Health Care Now More than Ever. Geneva: WHO; 2008.

    4. Royal college of physicians (2014) Why asthma still kills. The National Review of Asthma Deaths, Royal college of Physicians, London.

    5. Julious SA, Osman LM, Jiwa M. Increases in asthma hospital admissions associated with the end of summer vacation for school-age children with asthma in two cities from England and Scotland. Public Health. 2007;121(6):482-484.

    6. Mangan JM, Gerald LB. Asthma agents: monitoring asthma in school. J Sch Health. 2006;76(6):300-302.

    7. McWhirter J, McCann D, Coleman H, Calvert M, Warner J. Can schools promote the health of children with asthma? Health Educ Res. 2008;23(6):917-930.

    8. Patterson EE, Brennan MP, Linskey KM, Webb DC, Shields MD, Patterson CC. A cluster randomised intervention trial of asthma clubs to improve quality of life in primary school children: the School Care and Asthma Management Project (SCAMP). Arch Dis Child. 2005;90:786-791.

    9. Petronella SA, Bricker SK, Perrotta D, Brown C, Brooks EG. Addressing asthma in Texas: development of a school-based asthma surveillance program for Texas elementary schools. J Sch Health. 2006;76(6):227-234.

    10. Davis A, Savage Brown A, Edelstein J, Tager IB. Identification and education of adolescents with asthma in an urban school district: results from a large-scale asthma intervention. J Urban Health. 2008;85(3):361-374.

  • Metrics
    No metrics available
Share - Bookmark