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Nursing assignment 343

REPLY1 For the topic of asthma, there are six articles on asthma that will help formulate on the project. Each have their strengths and weakness. Article #1 “Improving care of inner-city children with poorly controlled asthma: what mothers want you to know.” Strength: The article highlights on 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, and 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 high traffic and highway areas in relation to asthma. Rates are calculated with those who live in close proximity versus those who are further away from them. Weakness: The article measured those who live within 100meters of major roadway, but I believe asthma rates should be compared not only to those living within 100meters 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: The articles is a great one to reference as it gives insight on school absenteeism and it’s relation to asthma and its morbidity, while determining which areas can be modified to improve outcome. Weakness: The study was conducted using a Behavioral Risk Factor Surveillance System Child Asthma Call-back Survey. This is a random-digit dial survey which is made to help assess the health and experiences of children ages 0–17 years with asthma. Although this is a good approach, it also 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 school setting and the use of asthma programs like Easy Breathing for Schools, in how they impact a reduction in asthma symptoms, more management. Weakness: Based on the training of nurses in easy program prior to study, application, surveys, and collaboration with physicians and the satisfaction scores, small but very important things for the impact of the study were a bit weak. From 51 nurses only 28 nurses participated, one nurse per school where over 200 children were enrolled, possibly making it difficult to gather information in short period of time. In addition, 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 is another article that supports nurses in using and 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, and elementary schools from 2 different states were considered, which shows diversity of location and outcomes. Weakness: Children were enrolled in the Building Bridges Program for 2 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 to find solutions to the issues. This article helps to address disparities in the health care sector, evidence-based guidelines detail essential elements that providers and health care organizations should deliver for high-quality asthma care. Weakness: One limitation of the article it 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. And payment systems should incentivize and reward the reduction of disparities not be the cause of. 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. https://doi-org.lopes.idm.oclc.org/10.1016/j.pedhc.2017.12.009 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. https://doi-org.lopes.idm.oclc.org/10.1016/j.jaci.2019.08.038 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. https://doi-org.lopes.idm.oclc.org/10.1016/j.amepre.2015.12.012 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. https://doi-org.lopes.idm.oclc.org/10.1016/j.acap.2019.07.007 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. https://doi-org.lopes.idm.oclc.org/10.1016/j.jaci.2018.05.041 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). DOI: https://doi.org/10.1542/peds.2016-2546 REPLY2 Six article summary on patient safety include: Heather V., Shin Hye, P., & Sandra, B.-B. (2018). Characteristics of the Nursing Practice Environment Associated with Lower Unit-Level RN Turnover. The Journal of NursingAdministration, 6(1), 31-86. This article shows the relationship between staff rate turnover and environment. The main advantage of the above article is that it expounded on the linkage between sufficient staffed unit and lower turnover rates. However, the authors failed to show methods of changing work environment to a conducive environment preferred with all nurses. Buljac-Samardži?, M., & van Woerkom, M. (2018). Severity and workload of nursing.Escola Anna Nery 22(1), 53-134. The authors of severity and workload of nursing tried to provide as much information on nursing workload and that served as their great strength. However, they failed to consider the wide aspects in the field of nursing and concentrated only on patient safety and its effects on healthcare professionals. Romig, C. (2016). Health Policy Issues: The nursing shortage demands action now—state and federal legislation passed. AORN Journal,74, 733–738. (06)61776-6 The authors of this article tried to show the need of addressing nursing shortage stating their effects on patient safety and general healthcare. Nonetheless, they did not give examples of the benefits the passed laws to salvage nursing shortage. Shekelle, P. G. (2015). Nurse-patient ratios as a patient safety strategy: A systematicreview.Annals of Internal Medicine, 15(8), 404–409. -158-5-201303051-00007 Nurse- patient ratios as a patient safety strategy journal was known for using comprehensive data to analyze and support evidence on lower nurse or patient ratios. However, the journal received a lot of criticism from other researchers because it failed to consider the importance of patient acuity in the process of assigning patients to nurses. Swiger, P. A., Vance, D. E., & Patrician, P. A. (2016). Nursing workload in the acute-caresetting: A concept analysis of nursing workload.Nursing Outlook, 64, 244–254. The journal of nursing workload in the acute- care setting gain its popularity since it used extensive numerical data supporting the effects of high workloads on both patients and nurses. Nevertheless, the journals main weakness is that it only obtained data from one healthcare facility thus was based on a narrow scope of the required comprehensive for any random sample study. Wolf, L. A., Perhats, C., Delao, A. M., Clark, P. R., & Moon, M. D. (2016). On the Threshold of Safety: A qualitative exploration of nurses’ perceptions of factors involved in safe staffing levels in emergency departments.Journal of Emergency Nursing 2(5),134-147. Lastly is the article of Threshhold of safety and it absolute strength is that it can be measured in its perceptive form. However, it has one weakness in that it only based on opinion and assumptions of nursing staff working in emergency rooms. Reference Heather V., Shin Hye, P., & Sandra, B.-B. (2018). Characteristics of the Nursing Practice Environment Associated with Lower Unit-Level RN Turnover. The Journal of NursingAdministration, 6(1), 31-86 Buljac-Samardži?, M., & van Woerkom, M. (2018). Severity and workload of nursing.Escola Anna Nery 22(1), 53-134. Romig, C. (2001). Health Policy Issues: The nursing shortage demands action now—state and federal legislation passed. AORN Journal, 74, 733–738. (06)61776-6

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