NURS FPX 6026 Assessment 3 Population Health Policy Advocacy

Name

Capella University

NURS-FPX 6026 Biopsychosocial Concepts for Advanced Nursing Practice 2

Prof. Name

Date

Letter to the Editor

Abstract

The assessment highlights significant challenges in pediatric asthma care in Maplewood, including high rates of hospitalizations and emergency department visits despite efforts to improve outcomes. Identified knowledge gaps emphasize the need for comprehensive research on long-term intervention effectiveness and barriers to care access. The proposed health policy advocates for a holistic approach integrating patient education, adherence to guidelines, and improved access to care, focusing on interprofessional collaboration across diverse care settings. This comprehensive strategy aims to enhance asthma management, reduce healthcare utilization, and improve health outcomes for children in Maplewood.

Keywords

Pediatric asthma, health policy, interprofessional collaboration, comprehensive approach.

Evaluation of the Current State of Asthma Care and Identification of Knowledge Gaps

The current state of pediatric asthma care in Maplewood reveals significant challenges, with nearly 10% of children affected and frequent emergency department (ED) visits and hospitalizations. Despite efforts, outcomes remain suboptimal, with asthma exacerbations causing ED visits and hospital admissions nationally each year (Hasegawa et al., 2020). Locally, school absenteeism due to asthma impacts academic performance and well-being. This highlights the urgent need for better asthma management in Maplewood. Substantial improvement in asthma care and outcomes is needed. High rates of ED visits and hospitalizations indicate insufficient management strategies. Persistent school absenteeism has broader impacts on children’s daily lives. Enhancing patient and caregiver education, adhering to evidence-based guidelines, and improving access to care are essential to address these deficiencies (Ali et al., 2022).

Current performance in Maplewood needs to meet national benchmarks like those from the National Asthma Education and Prevention Program (NAEPP), which emphasize personalized asthma action plans, stepwise therapy, and patient education. High local rates of ED visits and hospitalizations suggest these guidelines still need to be fully implemented. This indicates a need for a more comprehensive, integrated approach to asthma management (Rosenberg, 2023). The adverse impacts on the pediatric population are profound. Frequent exacerbations lead to increased healthcare use, disrupt daily lives, and result in school absenteeism and lower academic performance. The burden on families is significant, and poor asthma control can lead to long-term health issues (Nayak et al., 2022).

Several knowledge gaps and uncertainties must be addressed. Limited data exists on the long-term consequences of inclusive asthma interventions in residential settings like Maplewood. More research is required to evaluate the efficiency of school-based programs and environmental modifications in resource-constrained settings (Pijnenburg et al., 2024). Detailed data on medication adherence and barriers to specialized care are also needed to target interventions effectively.

Analysis of the Necessity for Health Policy Development

The current state of pediatric asthma care in Maplewood shows significant gaps that need policy development and advocacy. Despite efforts, outcomes remain suboptimal, with high national hospital admissions and emergency department (ED) highlighting the need for a comprehensive approach to improving care quality and outcomes. Policy development and advocacy are crucial to address these issues. Current care strategies do not align with National Asthma Education and Prevention Program (NAEPP) benchmarks, revealing gaps in access to specialty care and medication adherence (Rehman et al., 2020).

A health policy integrating patient and caregiver education, NAEPP guidelines adherence, and improved access to care can mitigate these gaps, enhancing asthma control and reducing healthcare utilization. Advocacy is essential to mobilize support and resources, addressing challenges like resource allocation, guideline adherence, and community engagement. Effective advocacy can highlight deficiencies and engage stakeholders, ensuring policy feasibility and sustainability. Advocacy can also drive comprehensive asthma management programs, like the “Healthy Homes” initiative, addressing medical and environmental determinants (Everhart et al., 2020).

Further information is needed to address areas of ambiguity and uncertainty. Detailed data on long-term outcomes of comprehensive asthma interventions in suburban settings like Maplewood are limited. Research is required to evaluate school-based programs and environmental modifications in resource-constrained settings. Understanding barriers to medication adherence and access to specialized care can inform targeted interventions, such as telehealth consultations’ effectiveness in addressing transportation barriers (Nanda et al., 2023). To improve pediatric asthma care in Maplewood, a complete health policy emphasizing education, adherence to guidelines, and improved access to care by interprofessional collaboration is crucial. Advocacy for resources and research to address knowledge gaps is essential.

Justification for the Developed Policy in Enhancing Asthma

The proposed policy for pediatric asthma management in Maplewood is crucial for improving care and outcomes. The policy’s comprehensive approach, including patient and caregiver education, adherence to NAEPP guidelines, and enhanced access to care, aims to improve asthma control and reduce healthcare utilization. The policy will drive improvements by standardizing care, promoting medication adherence, and ensuring consistent education for patients and caregivers. Evidence shows that modified asthma action plans, education programs and regular follow-up visits significantly improve asthma consequences (Hei et al., 2021). By implementing these best practices, the policy empowers families to manage asthma at home, recognize early exacerbation signs, and access timely care. Programs like the CDC’s “Asthma Control Program” have proven effective in reducing asthma triggers and improving inhaler techniques, which are essential policy components (Rehman et al., 2020).

Additionally, the policy enhances access to care through expanded asthma services at community health centres and telehealth consultations, addressing barriers such as transportation (Nanda et al., 2023). This ensures timely and appropriate care, reducing ED visits and hospitalizations. Environmental interventions like the “Healthy Homes” program and school-based asthma management initiatives further support this goal by addressing medical and environmental asthma determinants (Everhart et al., 2020). Critics might argue that intensive education programs have limited long-term impact or that prioritizing medical management over environmental interventions is more cost-effective in resource-limited settings.

However, asthma management requires a comprehensive approach that addresses all factors. The policy’s integration of medical, educational, and environmental strategies ensures a holistic approach to care, supported by evidence showing that collaborative, interprofessional interventions reduce asthma exacerbations, ED visits, and hospitalizations (Dailah, 2021). The proposed policy will enhance pediatric asthma care in Maplewood by integrating education, guideline adherence, and improved access, thereby improving health outcomes and academic success for affected children

Advocacy for Policy Implementation in Diverse Care Settings 

Advocating for development of policy in care settings away from the primary proposal for pediatric asthma management in Maplewood is crucial due to asthma’s widespread impact on children. Expanding policies to schools, daycare centres, and healthcare systems ensures a comprehensive approach to managing asthma, addressing all aspects of a child’s life. Implementing asthma management programs in schools and daycare centres is vital as children spend significant time in these environments. These settings can provide immediate intervention, education, and medication access, reducing asthma attack risks during school hours (Rehman et al., 2020). School-based programs can teach about asthma triggers and emergency responses, fostering a supportive environment.

Broader policy development in healthcare settings ensures consistent adherence to evidence-based guidelines, such as those from the National Asthma Education and Prevention Program (NAEPP), leading to better-managed asthma cases and fewer emergency visits (Kapri, 2021). Standardized care protocols improve coordination and effectiveness, enhancing outcomes for pediatric asthma patients. The ultimate goal is an integrated approach to asthma management across various settings, ensuring continuous and consistent care, improving quality of life, and reducing healthcare burdens (Martin et al., 2022). Challenges such as funding, stakeholder buy-in, and logistical barriers must be addressed through collaboration, advocacy, and policy adaptation. Policy development in various care settings is vital for comprehensive pediatric asthma management. It ensures better health outcomes and reduced healthcare utilization. Despite challenges, the benefits of consistent and integrated asthma management policies are significant.

Interprofessional Aspects of a Developed Policy

The policy’s interprofessional aspects involve pediatricians, asthma specialists, nurses, respiratory therapists, pharmacists, educators, and social workers (Rehman et al., 2020). Pediatricians and specialists focus on clinical care and treatment plans, while nurses and respiratory therapists educate and monitor patients. Pharmacists ensure proper medication management, and educators and social workers address psychosocial factors (Jaladanki et al., 2021). This collaboration optimizes care delivery, reduces task duplication, and ensures a comprehensive understanding of each patient’s needs. Interprofessional collaboration increases efficiency by utilizing each professional’s strengths, leading to a coordinated care approach (Kapri, 2021).

Nurses and therapists handle patient education and monitoring, freeing pediatricians for clinical assessments. Pharmacists’ medication management ensures adherence, improving therapeutic outcomes. This approach also enhances effectiveness by addressing medical, environmental, and social factors, leading to better interventions and outcomes (Martin et al., 2022). However, uncertainties exist regarding such collaboration’s long-term impact and scalability in suburban areas like Maplewood. Further research is needed to evaluate these aspects, ensuring informed decisions and sustained improvements in pediatric asthma management (Nanda et al., 2023). Overall, the interprofessional approach ensures efficient, comprehensive care, which is essential for improving outcomes in Maplewood’s pediatric asthma population.

Conclusion

The assessment underscores the pressing need for improved pediatric asthma care in Maplewood, citing high rates of emergency visits and hospitalizations despite current efforts. Knowledge gaps highlight the necessity for research on intervention effectiveness and access barriers. The proposed health policy advocates for a holistic approach, integrating patient education, guideline adherence, and improved access to care through interprofessional collaboration. This comprehensive strategy aims to enhance asthma management, reduce healthcare utilization, and improve long-term health outcomes for affected children in Maplewood.

References

Hasegawa K, Craig SS, Teach SJ, Camargo CA. Management of asthma exacerbations in the emergency department. The Journal of Allergy and Clinical Immunology: In Practice. 2020;9(7). https://doi.org/10.1016/j.jaip.2020.12.037

Ali AM, Gaglioti AH, Stone RH, Crawford ND, Dobbin KK, Guglani L, Young HN. Access and utilization of asthma medications among patients who receive care in federally qualified health centers. Journal of Primary Care & Community Health. 2022;13:215013192211012. https://doi.org/10.1177/21501319221101202

Rosenberg D. Approaches to management of asthma: Guidelines for stepped care and self-monitoring. advances in experimental medicine and biology. 2023:355–375. https://doi.org/10.1007/978-3-031-32259-4_15 

Nayak SS, Borkar R, Ghozy S, Agyeman K, Juboori MTA, Shah J, Ulrich MT. Social vulnerability, medical care access and asthma related emergency department visits and hospitalization: An observational study. Heart & Lung. 2022;55:140–145. https://doi.org/10.1016/j.hrtlng.2022.04.017

Pijnenburg MW, Rubak S, Skjerven HO, Verhulst S, Elenius V, Hugen C, Jauhola O, Kempeneers C, Melén E, Nilsen TR, Rutjes NW, Ruotsalainen M, Schaballie H, Zwitserloot AM, Proesmans M, Mäkelä MJ. Optimizing care for children with difficult-to-treat and severe asthma through specialist paediatric asthma centres: Expert practical experience and advice. BMC Pediatrics. 2024;24(1). https://doi.org/10.1186/s12887-024-04707-0

Rehman N, Almeida MM, Wu AC. Asthma Across Childhood: Improving Adherence to Asthma Management from Early Childhood to Adolescence. The Journal of Allergy and Clinical Immunology: In Practice. 2020;8(6):1802-1807.e1. https://doi.org/10.1016/j.jaip.2020.02.011

Everhart RS, Mazzeo SE, Corona R, Holder RL, Thacker LR, Schechter MS. A community-based asthma program: Study design and methods of RVA Breathes. Contemporary Clinical Trials. 2020;97:106121. https://doi.org/10.1016/j.cct.2020.106121

NURS FPX 6026 Assessment 3 Population Health Policy Advocacy

Nanda A, Siles R, Park H, Louisias M, Ariue B, Castillo M, Anand MP, Nguyen AP, Jean T, Lopez M, Altisheh R, Pappalardo AA. Ensuring equitable access to guideline-based asthma care across the lifespan: Tips and future directions to the successful implementation of the new NAEPP 2020 guidelines, a work group report of the AAAAI asthma, cough, diagnosis, and treatment committee. Journal of Allergy and Clinical Immunology. 2023;151(4):869–880. https://doi.org/10.1016/j.jaci.2023.01.017

Hei SJ van de, Dierick BJH, Aarts JEP, Kocks JWH, Boven JFM van. Personalized medication adherence management in asthma and COPD: A review of effective interventions and development of a practical adherence toolkit. The Journal of Allergy and Clinical Immunology: In Practice. 2021;9(11). https://doi.org/10.1016/j.jaip.2021.05.025

Dailah, H. G. Investigating the outcomes of an asthma educational program and useful influence in public policy. Front Public Health. 2021;9:736203. https://doi.org/10.3389/fpubh.2021.736203

Kapri SP. Providers’ adherence to evidence-based asthma guidelines in pediatric primary care. Journal of Pediatric Nursing. 2021;57:18–24. https://doi.org/10.1016/j.pedn.2020.09.020

Martin LJ, Hill V, Maples C, Baker T, Elshaer S, Kovacic MB. Shared purpose: Leveraging a community-academic partnership to increase local environmental health awareness via community science. Journal of Participatory Research Methods. 2022;3(3). https://doi.org/10.35844/001c.38475

Jaladanki S, Schechter SB, Genies MC, Cabana MD, Rehm RS, Howell E, Kaiser SV. Strategies for sustaining high‐quality pediatric asthma care in community hospitals. Health Services Research. 2021. https://doi.org/10.1111/1475-6773.13870

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NURS FPX 6026 Assessment 2 Biopsychosocial Population Health Policy Proposal

Name

Capella University

NURS-FPX 6026 Biopsychosocial Concepts for Advanced Nursing Practice 2

Prof. Name

Date

Biopsychosocial Population Health Policy Proposal

The policy proposed for pediatric asthma management in Maplewood adopts a multifaceted approach, integrating education, adherence to guidelines, and improved access to care. The policy aims to reduce asthma exacerbations and hospitalizations by fostering interprofessional collaboration among healthcare providers. Environmental interventions, such as the “Healthy Homes” program and school-based asthma management initiatives, complement clinical strategies, addressing both medical and environmental determinants of asthma outcomes. Advocacy efforts emphasize the importance of evidence-based interventions while acknowledging the need for comprehensive approaches to pediatric asthma care.

Policy Proposal and Guidelines

A comprehensive policy is proposed to address the pressing need for improved outcomes and quality of care for pediatric asthma patients in Maplewood, focusing on integrating asthma management programs within community health centers. This entails robust education for patients and caregivers, strict adherence to the National Asthma Education and Prevention Program (NAEPP) guidelines, and enhanced access to primary and specialty asthma care (Kapri, 2021). By fostering interprofessional collaboration among various healthcare providers, including pediatricians, asthma specialists, nurses, respiratory therapists, pharmacists, educators, and social workers, the policy aims to reduce asthma exacerbations significantly, emergency department visits, and hospitalizations.  The goal is to enhance the well-being and academic success of children under 18 in the Maplewood community (Kapri, 2021).

Guidelines have been proposed to facilitate the implementation of this policy. These include comprehensive education and training programs for patients, caregivers, and healthcare providers. Patient education will be conducted through initiatives like the CDC’s “Asthma Control Program,” focusing on asthma triggers, proper inhaler techniques, and medication adherence. Additionally, continuous training sessions will be provided to healthcare providers to ensure adherence to the latest NAEPP guidelines and best practices in asthma management (Rehman et al., 2020).

NURS FPX 6026 Assessment 2 Biopsychosocial Population Health Policy Proposal

In terms of clinical management, personalized asthma action plans will be developed and regularly updated for each pediatric patient based on individual symptom severity and medical history. Pharmacological treatments are tailored according to NAEPP recommendations, with adjustments made as necessary based on ongoing assessments and patient response. Access to care will be enhanced by expanding primary and specialty asthma care services at community health centers and implementing telehealth consultations to address potential barriers like transportation issues (Nanda et al., 2023).

Environmental interventions are also integral to the proposed policy. Initiatives like the “Healthy Homes” program will reduce indoor asthma triggers, while school-based asthma management programs will educate students and staff on asthma triggers and emergency response procedures (Everhart et al., 2020). Challenges such as resource allocation, guideline adherence, and community engagement are recognized and addressed through various strategies, including seeking grants, implementing regular audits, and leveraging local media and community leaders for advocacy and support (Martin et al., 2022). This policy and accompanying guidelines are designed to be accurate and influential within the Maplewood community, ensuring sustained improvements in pediatric asthma care and outcomes.

Advocacy for Policy Implementation

The current state of pediatric asthma management in Maplewood presents significant challenges, with a notable strain on the healthcare system due to frequent emergency department visits and hospitalizations. Despite efforts to enhance care, asthma exacerbations persist, leading to increased school absenteeism and adverse impacts on academic performance and overall well-being. There are also significant areas for improvement in the quality of care provided to children with asthma in Maplewood, such as poor medication adherence rates and restricted access to specialized treatment. These findings underline the need for comprehensive policy initiatives aimed at improving access to care and promoting medication adherence among affected children, as consistent adherence to evidence-based guidelines is crucial to optimizing clinical outcomes and minimizing healthcare utilization (González et al., 2022).

Improving outcomes and quality of care for pediatric asthma patients is imperative to alleviate the burden on families and the healthcare system and enhance affected children’s overall well-being and academic success. A comprehensive policy integrating education, adherence to guidelines, and enhanced access to care can significantly improve asthma control and reduce healthcare utilization. This policy will empower families to manage asthma effectively at home and access timely medical care when needed. Additionally, fostering interprofessional collaboration among healthcare providers and addressing environmental factors through initiatives like the “Healthy Homes” program will contribute to sustained improvements in pediatric asthma outcomes in the Maplewood community (Everhart et al., 2020).

Ethical consideration of contradictory evidence and opposing perspectives is essential when defending this policy. While some may question the effectiveness of intensive education programs or prioritize medical management over environmental interventions, it’s essential to recognize the multifaceted nature of asthma management and the need for a comprehensive approach. Support for the proposed policy can be gained by carefully considering opposing views and offering evidence-based arguments grounded in local data and context (Shipp et al., 2022). Addressing current shortcomings in outcomes and quality of care through targeted policy interventions can lead to significant improvements in pediatric asthma management in Maplewood.

Interprofessional Approach to Policy Implementation

In implementing the proposed policy for pediatric asthma management in Maplewood, leveraging interprofessional collaboration among pediatricians, nurses, asthma specialists, respiratory therapists, educators, pharmacists, and social workers is paramount for achieving high-quality outcomes efficiently and effectively. These professionals bring specific expertise, allowing for a comprehensive assessment of each pediatric asthma patient’s needs. Specialists provide insights into complex cases and treatment optimization, while pediatricians oversee primary care and asthma management plans.

In addition to monitoring asthma control and ensuring treatment plans are followed, nurses and respiratory therapists are essential in educating patients (Ruiz et al., 2022). Pharmacists manage medications, assess drug connections, and address adherence worries. Social workers and educators focus on addressing psychosocial factors that impact asthma outcomes. This collaborative approach ensures a tailored and holistic understanding of each patient’s unique challenges and needs (Dreisbach et al., 2022).

Interprofessional collaboration supports an increase in efficiency by optimizing care delivery processes. Tasks are delegated based on each professional’s strengths and expertise, minimizing duplication of efforts and ensuring a coordinated approach to patient care. A study by Jaladanki et al. (2021) shows that while pediatricians oversee overall asthma management plans, nurses and respiratory therapists can take the lead in patient education and monitoring, allowing pediatricians to focus on clinical assessments and treatment adjustments. Pharmacists provide valuable input on medication management, ensuring optimal therapeutic outcomes while addressing any concerns or barriers to adherence (Jaladanki et al.,2021). 

NURS FPX 6026 Assessment 2 Biopsychosocial Population Health Policy Proposal

In terms of effectiveness, interprofessional collaboration fosters a multidimensional approach to care. Asthma management involves various medical, environmental, and social determinants. The policy can comprehensively address these factors by engaging professionals from diverse disciplines, leading to more effective interventions and improved outcomes. For instance, educators and social workers can collaborate to implement school-based asthma education programs such as the CDC’s “Asthma Control Program,” addressing both environmental triggers and psychosocial factors impacting asthma outcomes among students and families (Rehman et al., 2020).

This integrated approach ensures that all aspects of asthma management are addressed, resulting in better outcomes for pediatric asthma patients in Maplewood. Despite the potential benefits of interprofessional collaboration, there are knowledge gaps and uncertainties regarding the long-term effectiveness and scalability of such involvements in suburban communities like Maplewood. Additional research is required to evaluate these aspects, ensure informed decision-making, and sustain improvements in pediatric asthma management.

Conclusion

The proposed policy offers a comprehensive solution to improve pediatric asthma management in Maplewood. Integrating education, adherence to guidelines, and enhanced access to care supported by interprofessional collaboration. It addresses both medical and environmental determinants of asthma outcomes. Advocacy for evidence-based interventions and recognition of the multifaceted nature of asthma management underscore the necessity for a holistic approach to achieve sustained improvements in pediatric asthma care.

References

Dreisbach, N., Wang, H., Campbell, S., Correa, H., Dickson, T., Dudley, L. B., Escoffery, D., Evtimova, T., Fonseca, A., Myers, C., Plasencia, S., & Manyindo, N. (2022). Improving childhood asthma outcomes in East Harlem: The East Harlem asthma center of excellence’s asthma counselor program. The Journal of Asthma: Official Journal of the Association for the Care of Asthma, 1–9. https://doi.org/10.1080/02770903.2022.2051543 

Everhart, R. S., Mazzeo, S. E., Corona, R., Holder, R. L., Thacker, L. R., & Schechter, M. S. (2020). A community-based asthma program: Study design and methods of RVA Breathes. Contemporary Clinical Trials, 97, 106121. https://doi.org/10.1016/j.cct.2020.106121 

González, S. P., Baños, M. del C. Z., Picado, Á. A., & Palomo, J. J. (2022). Psychological and sociocultural determinants in childhood asthma disease: Impact on quality of life. International Journal of Environmental Research and Public Health, 19(5), 2652. https://doi.org/10.3390/ijerph19052652 

Jaladanki, S., Schechter, S. B., Genies, M. C., Cabana, M. D., Rehm, R. S., Howell, E., & Kaiser, S. V. (2021). Strategies for sustaining high‐quality pediatric asthma care in community hospitals. Health Services Research. https://doi.org/10.1111/1475-6773.13870 

Kapri, S. P. (2021). Providers’ adherence to evidence-based asthma guidelines in pediatric primary care. Journal of Pediatric Nursing, 57, 18–24. https://doi.org/10.1016/j.pedn.2020.09.020 

Martin, L. J., Hill, V., Maples, C., Baker, T., Elshaer, S., & Kovacic, M. B. (2022). Shared purpose: Leveraging a community-academic partnership to increase local environmental health awareness via community science. Journal of Participatory Research Methods, 3(3). https://doi.org/10.35844/001c.38475 

NURS FPX 6026 Assessment 2 Biopsychosocial Population Health Policy Proposal

Nanda, A., Siles, R., Park, H., Louisias, M., Ariue, B., Castillo, M., Anand, M. P., Nguyen, A. P., Jean, T., Lopez, M., Altisheh, R., & Pappalardo, A. A. (2023). Ensuring equitable access to guideline-based asthma care across the lifespan: Tips and future directions to the successful implementation of the new NAEPP 2020 guidelines, a work group report of the AAAAI asthma, cough, diagnosis, and treatment committee. Journal of Allergy and Clinical Immunology, 151(4), 869–880. https://doi.org/10.1016/j.jaci.2023.01.017 

Rehman, N., Almeida, M. M., & Wu, A. C. (2020). Asthma across childhood: Improving adherence to asthma management from early childhood to adolescence. The Journal of Allergy and Clinical Immunology: In Practice, 8(6), 1802-1807.e1. https://doi.org/10.1016/j.jaip.2020.02.011 

Ruiz, E. B., Recio, R. S., Lorente, R. A., Iguacel, I., Corral, M. P., Vicente, C. L. M. de , Olmos, A. J., & Gallén, Á. G. (2022). The nurse’s role in educating pediatric patients on correct inhaler technique: An interventional study. International Journal of Environmental Research and Public Health, 19(7), 4405. https://doi.org/10.3390/ijerph19074405 

Shipp, C. L., Gergen, P. J., Gern, J. E., Matsui, E. C., & Guilbert, T. W. (2022). Asthma management in children. The Journal of Allergy and Clinical Immunology: In Practice. https://doi.org/10.1016/j.jaip.2022.10.031 

NURS FPX 6026 Assessment 1 Analysis of Position Papers for Vulnerable Populations

Name

Capella University

NURS-FPX 6026 Biopsychosocial Concepts for Advanced Nursing Practice 2

Prof. Name

Date

Analysis of Position Papers for Vulnerable Populations

The pediatric asthma management initiative in Maplewood addresses a pressing need. Nearly 10% of children are affected by asthma, leading to frequent emergency department visits and hospitalizations. The comprehensive approach integrates patient and caregiver education, leveraging programs and enhancing access to care through community health centers. Guided by evidence-based guidelines from the National Asthma Education and Prevention Program, the initiative aims to optimize asthma control, reduce healthcare utilization, and improve children’s overall well-being and academic success in the Maplewood community.

Team’s Position Related to the Issue and Assumptions

The interprofessional team is addressing the issue of asthma management within the pediatric population of Maplewood community under the age of 18. Asthma affects nearly 10% of children, making it a prevalent health concern. This population is particularly relevant as asthma exacerbations can significantly impact their daily lives. Despite efforts to improve asthma care, the pediatric population in Maplewood continues to experience suboptimal outcomes. At least 1.7 million emergency department (ED) visits and 200,000 hospital admissions were caused by asthma exacerbations in the United States alone. School absenteeism due to asthma exacerbations is a common issue, affecting academic performance and overall well-being (Hasegawa et al., 2020).

My position on improving asthma care and outcomes in this target population involves a comprehensive approach. Increasing patient and caregiver education is critical. Leveraging programs such as the CDC’s “Asthma Control Program” to provide tailored education on asthma triggers, proper inhaler technique, and the importance of adherence to medication regimens, we can empower families to manage asthma at home better and recognize early signs of exacerbations (Rehman et al., 2020). Community health centers funded by programs such as the Health Resources and Services Administration (HRSA) also provide essential primary care services, including asthma management, to underserved populations.

NURS FPX 6026 Assessment 1 Analysis of Position Papers for Vulnerable Populations

Enhancing access to care can facilitate early intervention and prevent asthma exacerbations from escalating to emergency situations (Ali et al., 2022). Implementing evidence-based guidelines for asthma management is crucial. Following the recommendations outlined by the National Asthma Education and Prevention Program (NAEPP), such as using appropriate stepwise pharmacological therapy based on symptom severity and developing personalized asthma action plans, optimizing asthma control, and minimizing emergency healthcare services (Rosenberg, 2023).

Acting in this position is imperative to improve the health outcomes and quality of life for children with asthma in Maplewood. Reducing the frequency of emergency department visits and hospitalizations can alleviate the burden on families and the healthcare system. Moreover, empowering children and caregivers to manage asthma effectively can enhance their overall well-being and academic success (Nayak et al., 2022). Assumptions underlying this plan include the belief that education and access to healthcare services are fundamental pillars of effective chronic disease management. Additionally, it assumes that adherence to evidence-based guidelines will lead to improved clinical outcomes and reduced healthcare utilization in the pediatric asthma population of Maplewood.

Interprofessional Team Approach and Challenges

The interprofessional team in Maplewood, consisting of pediatricians, asthma specialists, nurses, respiratory therapists, pharmacists, educators, and social workers, is pivotal in improving pediatric asthma management. In Maplewood, children have asthma, leading to frequent emergency department visits and hospitalizations. Each member of the team brings specific expertise to the table. Pediatricians provide primary care and oversee asthma management plans, while specialists offer insights into complex cases and treatment optimization (Pijnenburg et al., 2024). Nurses and respiratory therapists educate patients and monitor asthma control, ensuring adherence to treatment plans. Pharmacists ensure proper medication management, including assessing drug interactions and addressing concerns about medication adherence. Educators and social workers address psychosocial factors, such as access to care and environmental triggers, impacting asthma outcomes (Federico et al.,2020). 

The interprofessional approach in Maplewood facilitates improvements in pediatric asthma management by leveraging these diverse skill sets. Through collaboration, the team conducts comprehensive assessments and develops tailored interventions to address individual challenges. For example, the team may implement school-based asthma education programs to improve inhaler technique and asthma self-management skills among students (Arekapudi et al., 2020). The complexity of asthma management underscores the importance of an interprofessional team approach.

Asthma is influenced by medical, environmental, and social factors, requiring a multifaceted approach to care. By working together, the team ensures a holistic and patient-centered approach, improving outcomes for children with asthma. Research on interprofessional interventions in pediatric asthma management supports the effectiveness of this approach. Studies have shown collaborative care reduces asthma exacerbations, emergency department visits, and hospitalizations (Nayak et al., 2022). By harnessing the collective expertise of the interprofessional team, Maplewood can optimize asthma care delivery and ultimately improve health outcomes for its pediatric population.

Evaluating Supporting Evidence and Knowledge Gaps

Our interprofessional team addressing pediatric asthma management in Maplewood has reviewed various evidence and position papers to support their approach to improving care quality and outcomes. One essential study evaluated the effectiveness of different asthma management strategies, finding that personalized asthma action plans, regular follow-up visits, and patient education programs significantly improved asthma outcomes. This evidence supports the team’s approach of implementing personalized asthma action plans and prioritizing patient education.

By focusing on these interventions, our team can develop practical implementation plans. Furthermore, these findings emphasize the applicability of evidence-based interventions in improving asthma outcomes for children in Maplewood (Hei et al., 2021). Additionally, a study by Workman et al. (2021) highlights the need for comprehensive asthma management programs, “Healthy Homes” addressing both medical and environmental factors. The paper advocates for reducing exposure to indoor asthma triggers and improving indoor air quality, which aligns with the team’s comprehensive approach to pediatric asthma management. 

NURS FPX 6026 Assessment 1 Analysis of Position Papers for Vulnerable Populations

Our team has also drawn from a community needs assessment conducted by the local health department, identifying gaps in asthma care services, such as limited access to specialty care and suboptimal medication adherence. This data informs the team’s initiatives to improve access to care and promote medication adherence among pediatric asthma patients in Maplewood (Rehman et al., 2020). In evaluating the evidence and positions of others, our team has identified knowledge gaps and uncertainties. For instance, there needs to be more data on the long-term outcomes of these interventions in suburban communities like Maplewood. Further research is needed to explore the feasibility and effectiveness of implementing specific interventions in resource-constrained settings.

By critically evaluating existing evidence and positions, the interprofessional team can develop a well-informed, evidence-based approach to improving pediatric asthma care in Maplewood. Incorporating evidence-based interventions, addressing environmental factors, and conducting ongoing evaluations will be essential in optimizing asthma outcomes for children in the community (Pijnenburg et al., 2024).

Evaluating Contrary Sources of Evidence

In evidence and positions contrary to our team’s approach to improving pediatric asthma management in Maplewood, we have encountered specific viewpoints that challenge our strategies. Intensive asthma education programs have limited long-term impact on health outcomes, citing data showing only marginal improvements in asthma control and healthcare utilization following such interventions. This finding contrasts with our approach, emphasizing the importance of comprehensive asthma education to empower patients and families to manage the condition effectively (Dailah, 2021).

Additionally, a local health policy advocacy group suggests prioritizing medical management over environmental interventions may be more cost-effective in communities like Maplewood with limited resources. The paper argues that diverting resources towards intensive education programs and environmental interventions may yield little returns on investment, especially if underlying medical needs still need to be addressed. While this perspective challenges our emphasis on environmental interventions, it underscores the need for careful resource allocation and a pragmatic approach to pediatric asthma management (Chuang & Safaeinili, 2023).

NURS FPX 6026 Assessment 1 Analysis of Position Papers for Vulnerable Populations

In responding to these contrary viewpoints, we must contextualize our approach within the specific needs and realities of the Maplewood community. Our strategy integrates evidence-based interventions tailored to address the unique challenges pediatric asthma patients face in Maplewood. For instance, the local health department’s needs assessment data highlights critical gaps in asthma care services, including limited access to specialty care and suboptimal medication adherence rates. These findings underscore the necessity of our multifaceted approach, which aims to improve access to care and promote medication adherence through targeted interventions (Nayak et al., 2022).

Moreover, while the study questioning the effectiveness of asthma education programs raises valid concerns, it is essential to consider the broader impact of such interventions when implemented alongside complementary measures. Programs like the “Healthy Homes” initiative have successfully improved asthma outcomes through comprehensive management strategies (Workman et al.,2021). By leveraging these evidence-based programs and tailoring them to the specific needs of the Maplewood population, we can address the underlying causes of pediatric asthma exacerbations and improve overall health outcomes. Ultimately, by engaging with contrary viewpoints thoughtfully and providing evidence-based responses rooted in local data and context, we can build buy-in for our approach to pediatric asthma management in Maplewood. This approach ensures that our interventions are effective and sustainable in addressing the community’s diverse needs.

Conclusion

The pediatric asthma management initiative in Maplewood adopts a holistic approach encompassing education, access to care, and evidence-based guidelines. The initiative aims to reduce emergency healthcare utilization by leveraging interprofessional collaboration and evidence-based interventions, enhance asthma control, and improve overall well-being. Despite challenges and contrary viewpoints, the team’s strategy remains grounded in local data, ensuring tailored solutions to address Maplewood’s specific needs. Continuous evaluation and adaptation are essential for sustained improvements in pediatric asthma care and outcomes in the community.

References

Ali, A. M., Gaglioti, A. H., Stone, R. H., Crawford, N. D., Dobbin, K. K., Guglani, L., & Young, H. N. (2022). Access and utilization of asthma medications among patients who receive care in federally qualified health centers. Journal of Primary Care & Community Health, 13, 215013192211012. https://doi.org/10.1177/21501319221101202 

Arekapudi, K. L., Norris, C., & Updegrove, S. (2020). Improving self-efficacy of student asthma management in elementary and preschool staff. The Journal of School Nursing, 37(6), 105984052090476. https://doi.org/10.1177/1059840520904760 

Chuang, E., & Safaeinili, N. (2023). Addressing social needs in clinical settings: Implementation and impact on health care utilization, costs, and integration of care. Annual Review of Public Health, 45(1). https://doi.org/10.1146/annurev-publhealth-061022-050026 

Dailah, H. G. (2021). Investigating the outcomes of an asthma educational program and useful influence in public policy. Frontiers in Public Health, 9, 736203. https://doi.org/10.3389/fpubh.2021.736203 

Federico, M. J., McFarlane, A. E., Szefler, S. J., & Abrams, E. M. (2020). The impact of social determinants of health on children with asthma. The Journal of Allergy and Clinical Immunology: In Practice, 8(6), 1808–1814. https://doi.org/10.1016/j.jaip.2020.03.028 

Hasegawa, K., Craig, S. S., Teach, S. J., & Camargo, C. A. (2020). Management of asthma exacerbations in the emergency department. The Journal of Allergy and Clinical Immunology: In Practice, 9(7). https://doi.org/10.1016/j.jaip.2020.12.037 

NURS FPX 6026 Assessment 1 Analysis of Position Papers for Vulnerable Populations

Hei, S. J. van de , Dierick, B. J. H., Aarts, J. E. P., Kocks, J. W. H., & Boven, J. F. M. van. (2021). Personalized medication adherence management in asthma and COPD: A review of effective interventions and development of a practical adherence toolkit. The Journal of Allergy and Clinical Immunology: In Practice, 9(11). https://doi.org/10.1016/j.jaip.2021.05.025 

Nayak, S. S., Borkar, R., Ghozy, S., Agyeman, K., Juboori, M. T. A., Shah, J., & Ulrich, M. T. (2022). Social vulnerability, medical care access and asthma related emergency department visits and hospitalization: An observational study. Heart & Lung, 55, 140–145. https://doi.org/10.1016/j.hrtlng.2022.04.017 

Pijnenburg, M. W., Rubak, S., Skjerven, H. O., Verhulst, S., Elenius, V., Hugen, C., Jauhola, O., Kempeneers, C., Melén, E., Nilsen, T. R., Rutjes, N. W., Ruotsalainen, M., Schaballie, H., Zwitserloot, A. M., Proesmans, M., & Mäkelä, M. J. (2024). Optimizing care for children with difficult-to-treat and severe asthma through specialist paediatric asthma centres: Expert practical experience and advice. BMC Pediatrics, 24(1). https://doi.org/10.1186/s12887-024-04707-0 

Rehman, N., Almeida, M. M., & Wu, A. C. (2020). Asthma across childhood: Improving adherence to asthma management from early childhood to adolescence. The Journal of Allergy and Clinical Immunology: In Practice, 8(6), 1802-1807.e1. https://doi.org/10.1016/j.jaip.2020.02.011 

Rosenberg, D. (2023). Approaches to management of asthma: Guidelines for stepped care and self-monitoring. Advances in Experimental Medicine and Biology, 355–375. https://doi.org/10.1007/978-3-031-32259-4_15 

Workman, B., Beck, A. F., Newman, N. C., & Nabors, L. (2021). Evaluation of a program to reduce home environment risks for children with asthma residing in urban areas. International Journal of Environmental Research and Public Health, 19(1), 172. https://doi.org/10.3390/ijerph19010172