title: Addressing asthma management challenges in a multisite, urban Head Start program.
abstract: OBJECTIVE
  To develop an action plan based on asthma management challenges identified by Head Start teachers in a multisite program.
  
  
  METHODS
  Qualitative, participatory action research project. Three focus groups were conducted with Head Start teachers (n=14), and 1 with Center managers (n=15) in an urban Midwestern program.
  
  
  METHODS
  Brief background questionnaire and semistructured focus group interview guide. Content analytic techniques were used to identify and categorize asthma management issues in transcripts of teacher focus groups. Center managers verified the findings and recommended action plan strategies to address asthma management challenges.
  
  
  RESULTS
  Head Start staff identified 4 common challenges: (a) undiagnosed and unreported asthma, (b) coordinating asthma care with parents, (c) medication administration issues, and (d) variability among asthma action plans. The action plan focused on (a) early identification of asthma, (b) improving coordination of asthma care with parents, (c) developing more asthma education and resources for Head Start staff and parents, and (d) developing a standardized, comprehensive Head Start asthma action plan.
  
  
  CONCLUSIONS
  Public health nurses can play a major role in ensuring quality care in Head Start programs by periodically identifying staff needs and developing strategies to address asthma management challenges.
authors.affiliation: School of Nursing, University of Minnesota, Minneapolis, Minnesota 55455, USA. garwi001@umn.edu
authors.forename: Ann W
authors.initials: AW
authors.lastname: Garwick
authors.forename: Ann
authors.initials: A
authors.lastname: Seppelt
authors.forename: Michelle
authors.initials: M
authors.lastname: Riesgraf
mesh_terms: D001249:Asthma / Q000208:ethnology / Q000517:prevention & control*; D001294:Attitude to Health; D002675:Child, Preschool; D055812:Community-Based Participatory Research; D003266:Continuity of Patient Care; D018479:Early Intervention, Educational / Q000458:organization & administration; D005178:Faculty / Q000458:organization & administration; D017144:Focus Groups; D006287:Health Planning Guidelines; D006801:Humans; D008910:Minnesota; D020380:Needs Assessment / Q000458:organization & administration*; D024802:Nurse's Role; D010290:Parents / Q000193:education / Q000523:psychology; D010347:Patient Care Planning; D011368:Professional-Family Relations; D011637:Public Health Nursing / Q000458:organization & administration; D036301:Qualitative Research; D011795:Surveys and Questionnaires; D019037:Urban Health Services / Q000458:organization & administration*