Impact of Nurse-Led Asthma Intervention on Child Health Outcomes: A Scoping Review.

The review included only seven studies with very different designs, interventions, ages, and outcome measures, so it maps evidence rather than proving that any particular program works. Many studies were small or short, with limited follow-up, making lasting effects hard to judge. No included study reported the qualification of the school nurses who led the interventions, so the nurse role itself cannot be separated from program content. Several outcomes were null or not significant, including school absence, symptoms, quality of life, and some medication or knowledge outcomes. The review searched English-language articles only, and the first title and abstract screening was done by one author, which may have missed relevant studies. Because programs often combined education, medication supervision, and clinic care, the contribution of any single nurse-delivered component cannot be separated.

The authors declared no potential conflicts of interest and received no financial support for the research, authorship, or publication.

Do not read this as proof that school nurse-led asthma programs reliably reduce symptoms, school absence, or ER visits. The review included only seven heterogeneous studies, and many outcome differences were not significant; the ER and hospital findings came from a study that also included inhaler and spacer training.