Isik, E., Fredland, N., Young, A., & Schultz, R. (2020). A School Nurse-Led Asthma Intervention for School-Age Children: A Randomized Control Trial to Improve Self-Management. The Journal of School Nursing
, 105984052090251. https://doi.org/ 10.1177/1059840520902511
Question | Answer | |
Identify the SPIDER and PICO components for this study. Write the PICO question. | S – English speaking school-age children between the ages of 7 – 12 years diagnosed with Asthma and were free from any disability or comorbid medical conditions. PI – The effectiveness of school nurse-led asthma intervention on symptom and self-management on the usage of a Peak flow meter (PFM), School absenteeism and interruption of daily activities D – Randomized controlled two-group quantitative data collection and analysis E – school nurse-led asthma intervention on symptom and self-management on the usage of a PFM in the management of asthma, reduction in school absenteeism and reduction in interruption of daily activities R – Randomized controlled two-group quantitative data collection and analysis P - The effectiveness of school nurse-led asthma intervention on symptom and self-management on the usage of a Peak flow meter (PFM), School absenteeism and interruption of daily activities I- The effectiveness of school nurse-led asthma intervention on symptom and self-management on the usage of a Peak flow meter (PFM), School absenteeism and interruption of daily activities C- Normal management of school-age children between the ages of 7 – 12 years diagnosed with Asthma O- school nurse-led asthma intervention on symptom and self-management on the usage of a PFM in the management of asthma, reduction in school absenteeism and reduction in interruption of daily activities | |
| Is the nurse researcher using phenomenology, grounded theory, ethnography or participatory action research to address this challenge? | The nurse researcher uses phenomenology to address the challenge. The phenomenology is revealed by the usage of a paradigm on the variation of management of asthma among school-age children to alter the management outcome. The research created two controlled groups. One group adopts the normal management of asthma for a period of 12 weeks. The study group adopts school nurse-led intervention for the same period. Both groups provide data at three instances that provides the basis of the phenomenology. | |
| Is this an appropriate approach for the question under investigation? | The approach is appropriate. | |
| Why? | The approach is appropriate because it allows the nurse researcher to carry out a study on a sample population with a specific characteristic that facilitates the approval or disapproval of the formulated hypothesis. The finding of the study enables the researcher to answer the research question that is keen on comparing the group under study and the control group. | |
| Give an example of a possible research question to address this problem based on the identified approach. | Are English speaking school-age children between the ages of 7 – 12 years diagnosed with Asthma and were free from any disability or comorbid medical conditions on school nurse-led asthma intervention on symptom and self-management present usage of a PFM in the management of asthma, reduction in school absenteeism and reduction in interruption of daily activities compared to normal management? |
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Question | Answer | |
| What is the Study Design: | The research design was a randomized controlled two-group repeated measures design with pretest, posttest, and follow-up. The three stages were carried out at intervals of six weeks. The baseline involves recording symptoms at the beginning of the study. The symptoms for the two groups were then recorded in the second stage after six weeks. The final stage of posttest was conducted by collecting data on symptoms on the 12 th week. | |
| What is the Level of Evidence (Based on Burns & Grove model): | The article has a level I evidence because it uses unfiltered information from a controlled randomized two-group trial. | |
| Based on the abstract, how might this paper help answer your EBP question? | Based on the abstract, the paper might help answer the EBP by presenting the findings on the statistical significance of the group under study and the control group pertaining to their usage of a PFM in the management of asthma, school absenteeism, and interruption of daily activities. | |
| When critiquing the full-text version of the paper, identify 3 factors that you would expect to see that would demonstrate rigor and trustworthiness of the study? | The three factors that I would expect to see that would demonstrate rigor and trustworthiness of the study are credibility, dependability, and transferability. Credibility aims at evaluating whether the paper measures the effectiveness of school nurse-led asthma intervention on symptom and self-management present usage of a PFM in the management of asthma and it is a true reflection of the social setting. As such the focus of the paper should be on the research question and provide results and discussion on the finding that accepts or rejects the formulated hypothesis. Dependability looks at whether the research process has been done in detail to the extent that it is easy to recreate the study. For instance, research under review has been detailed adequately. It focuses on accounting on all the recruited population and provides results, analysis and discussion on the results. Finally, transferability looks at how the sample has been defined so that when one uses a sample of the same characteristics will reproduce similar results. |
The Type of Sampling Used in the Study
The researcher used stratified sampling. The sample had specific demographics characteristics. As such, they were English speaking school-age children, between the ages of 7 – 12 years, diagnosed with Asthma and were free from any disability or comorbid medical conditions. For instance, the study enrolled a population of 76. Three were dropped because of failing to meet the inclusion criteria. The groups were then divided into two comprising of 37 participants in the treatment group and 36 in the control group. However the treatment group reduced to 36 after one participant transferred to a different school. Later one participant failed to turn up for the follow up leaving the control group with 35 participants.
A Blog Post on
a School Nurse-Led Asthma Intervention for School-Age Children: A Randomized Control Trial to Improve Self-Management
Asthma is one of the most common diseases among children. It is characterized by asthmatic attacks that vary in severity and affect children’s attendance in school and participation in activities. As such, researchers sought to investigate the effect of a school nurse-led asthma intervention for school-age children on the improvement of self-management. The research was conducted by selecting a sample of English speaking school-age children. They were randomly selected from eight different schools. Their age varied between 7 – 12 years and must have been diagnosed with Asthma but free from any disability or comorbid medical conditions. Thus, the purpose of the study was to find out whether school nurse-led asthma intervention on symptoms, asthma enhanced self-management. The three main areas of focus were comparison of the selected group against a control group on PFM usage, interruption of daily activities, and school absences.
The article provides adequate level I evidence on the subject. It stratified the sample by defining who is to participate in the research. As such the study is transferable. The research also provides an elaborate explanation of how the research was conducted. For instance, it details the number of participants. It can be observed from the article that all the recruited participants are accounted for during the three data collection stages. Finally, the data analysis reporting and discussion are appropriate for the king of study.
The article provides insight into the management of asthma. The disease presents symptoms that when poorly managed affects the normal learning, attendance, and participation of children of the school-going age. Therefore the research provides an avenue to advance on the normal asthma management methodology used in the control group to enhance the outcome of enhanced self-care in asthmatic children.
Key Findings and Recommendations
Tweet 1 (258 Characters)
A study on a school nurse-led asthma intervention found that school-age children manage their health better when aware and are involved. Also, PFM equipped school nurses are a better position in managing & intervening in school children’s health conditions.
A Personal Professional Opinion on
a School Nurse-Led Asthma Intervention for School-Age Children: A Randomized Control Trial to Improve Self-Management
Tweet 2 (279 Characters)
Management of asthma among school-age children is a major concern for parents and teachers because severity varies. However, a school-nurse equipped with a PFM led intervention is handy. The children get timely arrests of the asthmatic attack and intervention. @healthychildren
References
Isik, E., Fredland, N., Young, A., & Schultz, R. (2020). A School Nurse-Led Asthma Intervention for School-Age Children: A Randomized Control Trial to Improve Self-Management. The Journal Of School Nursing , 105984052090251. https://doi.org/ 10.1177/1059840520902511
