Examining the consulting physician model to enhance the school nurse role for children with asthma

Kristin D. Wilson, Sheniz Moonie, David Sterling, Kathleen N. Gillespie, Richard S. Kurz

Research output: Contribution to journalArticleResearchpeer-review

11 Citations (Scopus)

Abstract

The Centers for Disease Control and Prevention's Strategies for Addressing Asthma Within a Coordinated School Health Program recommends a consulting physician for schools to help manage asthma. The literature examines the effects when a school nurse is present, but the addition of a consulting physician is not well understood. The purpose of this study is to assess the effect of having a consulting physician on school absenteeism and children sent home due to health reasons for children with asthma and all children pooled together. Methods A 2-year preimplementation group cohort and 1-year implementation group cohort of grades K-6 in an urban school district were used to determine the impact of a consulting physician on school absenteeism for children with asthma and all children pooled together. Results A consulting physician was significantly associated with reduced missed school days for children with asthma and all children as a group. All children pooled together were 44% more likely (OR = 1.44, 95% CI = 1.31-1.58) to be sent home without the consulting physician. There was a reduction from 13.8% to 12.6% of sent home events in children with asthma. Conclusions Having consulting physicians in school districts appears to be associated with fewer days of school absence. The results provide additional evidence and suggest that more research is required to determine if this association is valid and to better understand the cause of such an association.

Original languageEnglish
Pages (from-to)1-7
Number of pages7
JournalJournal of School Health
Volume79
Issue number1
DOIs
StatePublished - 1 Jan 2009

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Nurse's Role
management counsulting
nurse
Asthma
physician
Physicians
school
Absenteeism
absenteeism
district
School Health Services
Nurses
Consulting
Centers for Disease Control and Prevention (U.S.)
Group
varespladib methyl
health
Disease
cause
event

Keywords

  • Child and adolescent health
  • Chronic diseases
  • School health services

Cite this

Wilson, Kristin D. ; Moonie, Sheniz ; Sterling, David ; Gillespie, Kathleen N. ; Kurz, Richard S. / Examining the consulting physician model to enhance the school nurse role for children with asthma. In: Journal of School Health. 2009 ; Vol. 79, No. 1. pp. 1-7.
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Examining the consulting physician model to enhance the school nurse role for children with asthma. / Wilson, Kristin D.; Moonie, Sheniz; Sterling, David; Gillespie, Kathleen N.; Kurz, Richard S.

In: Journal of School Health, Vol. 79, No. 1, 01.01.2009, p. 1-7.

Research output: Contribution to journalArticleResearchpeer-review

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