Improving Care of Inner-City Children with Poorly Controlled Asthma: What Mothers Want You to Know.
Melissa H Bellin, Angelica Newsome, Cassie Lewis-Land and 4 others
PMID 29540280WHAT IT FOUND
Mothers said asthma care for inner-city children was shaped by mold, rats, unsafe neighborhoods, school nurses, teachers, and provider sensitivity to stress.
They asked for visits that include the child and recognize poverty.
Key findings
01Mothers linked asthma control to mold and rodent infestation in housing and to landlords who did not fix problems.
02Mothers valued school nurses for handling inhalers and reporting treatments, but said teachers often dismissed asthma symptoms as joking or interruption.
03Mothers wanted asthma visits to include the child, repeat education, and address financial and mental health stress.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only 12 caregivers with distress and 3 caregivers with low distress were interviewed, so the themes reflect a small purposive sample. Only three of the twelve distressed caregivers were reachable for member checking. The sample was primarily low-income, inner-city mothers, and it may not represent higher-income, rural, suburban, or father caregivers. The study did not test whether any provider or school approach improves asthma outcomes.
Declared interests
The supplied metadata lists NIH extramural research support. The article text does not state author conflicts.
The easy way to misread this
Do not read these themes as proof that school nurses, provider education, or environmental help improves asthma control. This was a qualitative interview study of caregivers, and it did not test patient outcomes.