Date of Award

Fall 11-25-2024

Embargo Period

11-27-2024

Document Type

Dissertation

Degree Name

Doctor of Philosophy (PhD) in Nursing Science

Department

Nursing

College

College of Nursing

First Advisor

Teresa Kelechi

Second Advisor

Shannon Phillips

Third Advisor

James McElligott

Abstract

Asthma is the most prevalent chronic disease of childhood. Understanding what factors impact access to asthma health care is important. The focus of this dissertation study was to understand the facilitators and barriers to asthma health care as viewed by pediatric primary care providers and caregivers of school-aged children with asthma. This dissertation consists of 3 manuscripts, the first is an integrative review based on the socioecological model that identified the facilitators and barriers to using telehealth for the management of asthma. The second is a quantitative study using electronic surveys to understand caregivers’ and pediatric primary care providers’ perception of facilitators and barriers to accessing asthma health care, including school-based health clinics (SBHCs) and telehealth. The third is a qualitative study that further expounds upon these facilitators and barriers of the pediatric primary care provider. The findings of these studies uncovered new perceived barriers to the provision of asthma care by providers and revealed that there is a misunderstanding of the functions of SBHCs in the provision of primary care services within the school setting. Additionally, opportunities exist to enhance pediatric asthma health care access through the development of a collaborative relationship between community providers, SBHC providers, and caregivers within the SBHC setting.

Rights

Copyright is held by the author. All rights reserved.

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