Stock Inhalers: A Qualitative Data Analysis of Illinois Health Policy Trials and Triumphs.
Background: Asthma reliever medication access is critical, especially in schools. Policies that "stock" reliever inhalers in schools provide failsafe medication access. This research aims to understand barriers and facilitators to Illinois stock inhaler policy implementation. Methods: We conducted 1...
| Publicado en: | Journal of School Health Vol. 94; no. 10; pp. 918 - 929 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Oct2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=180987023&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 180987023 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00224391 JOS jtl: Journal of School Health issn: 00224391 maglogo: Y pubinfo: dt: Oct2024 vid: 94 iid: 10 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 180987023 178803769 180987023 180987023 10.1111/josh.13500 180987023 ppf: 918 ppct: 11 formats: tig: atl: Stock Inhalers: A Qualitative Data Analysis of Illinois Health Policy Trials and Triumphs. aug: au: Wrona, Jessica Hardy, Paige Youssef, Caroline Adeleke, Semmy Martin, Molly A. Gerald, Lynn B. Pappalardo, Andrea A. affil: School of Public Health, University of Illinois Chicago, Chicago IL,, USA sug: subj: Nebulizers and Vaporizers Supply and Distribution Asthma Drug Therapy Health Policy Illinois School Health Services Health Services Accessibility Program Implementation Human Qualitative Studies Illinois Administrative Personnel Nursing Staff, Hospital Government Agencies School Nurses Labor Supply Prescriptions, Drug Implementation Science Action Research Communities Snowball Sample Semi-Structured Interview Videoconferencing Interview Guides Thematic Analysis Coding Fisher's Exact Test Data Analysis Software Male Female Child Adolescence Funding Source Child: 6-12 years Adolescent: 13-18 years Male Female ab: Background: Asthma reliever medication access is critical, especially in schools. Policies that "stock" reliever inhalers in schools provide failsafe medication access. This research aims to understand barriers and facilitators to Illinois stock inhaler policy implementation. Methods: We conducted 18 semi‐structured interviews in 2021‐2022 with key school‐based and non‐school‐based partners (school administrators, nurses, governmental agencies, and advocacy leaders). Through Atlas.ti, code frequencies compared (Fisher's exact test), and a thematic analysis performed. Results: Four themes emerged: facilitators, barriers, program rationale, and process considerations. The common facilitators were "Finding a provider," having a "Champion," and "Funding". Barriers included "Not enough school nurses," "Pharmacy refusal to fill prescriptions," and "Feeling overwhelmed." All were supportive of the rationale for stock inhalers. Non‐school‐based informants (p <.01) were more likely to mention medication donations, while school staff reported having enough nurses as a facilitator (p <.01). School staff reported concerns about children with asthma not having their medication significantly more than other partners (p =.02). Implications for School Health Policy, Practice, and Equity: Our analysis revealed that school partners recognize the value of stock inhalers. Barrier mitigation to support the funding, prescription access and processing, and training are essential to success of stock inhaler programming. Multilevel collaborative efforts through coalitions could be a potential solution. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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