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Journal of Transcultural Nursing
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School-Based Asthma: A Study in an African American Elementary School

Joyceen S. Boyle, PhD, RN, FAAN

University of Arizona

R. Randall Baker, PhD, RRT

Medical College of Georgia

Virginia H. Kemp, PhD, RN, FNP

Athens Regional Health Systems

Issues and purpose: Chronic illnesses, such as asthma experienced by children, are difficult for families and school professionals to manage. This study explored beliefs about asthma and asthma management among schoolchildren, parents, and teachers in an African American school. Design and methods: Focus groups were conducted with schoolchildren, parents, and teachers. Data were analyzed by content analysis; segments of information were categorized into groups that were later abstracted into themes illustrating beliefs and behaviors about asthma. Results: The children reported fear of not being able to breathe and the limitations of living with asthma. The teachers were concerned that they did not have a sufficient understanding of asthma to manage children’s asthma during the school day. Parents described complex lifestyles and the challenges of asthma management.

Key Words: asthma • asthma management • breathing problems • fear • inhalers • asthma beliefs • focus groups

Journal of Transcultural Nursing, Vol. 15, No. 3, 195-206 (2004)
DOI: 10.1177/1043659604265112
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