Date of Graduation
Summer 8-6-2025
Document Access
Project/Capstone - Global access
Degree Name
Master of Science in Nursing (MSN)
College/School
School of Nursing and Health Professions
Program
Kaiser cohort MSN capstone
First Advisor
Catherine Coleman
Second Advisor
Sarah Horton-Deutsch
Abstract
Problem: Pediatric asthma remains a leading cause of preventable hospitalizations, particularly in California’s Central Valley, where environmental and health disparities worsen symptoms. Many children are discharged without understanding their Asthma Action Plan (AAP) or feeling confident in symptom management.
Context: On a unit in a community hospital in this high-risk region, asthma-related admissions persisted. Gaps in discharge education highlighted the need for a structured intervention. The Institute for Healthcare Improvement (IHI) Model for Improvement (MFI) guided this effort.
Intervention: A nurse-led, developmentally appropriate asthma education bundle was implemented. Teaching began on admission and was reinforced using teach-back, color-coded AAPs, culturally responsive materials, and coordinated discharge planning.
Measures: Pre/post assessments evaluated knowledge of triggers, medication use, AAP familiarity, and confidence. Plan-Do-Study-Act cycles supported continuous improvement.
Results: Among six patients, AAP comprehension and confidence doubled. Daily controller use increased from 17% to 67%, with all post-assessed participants demonstrating appropriate response actions.
Conclusions: Nurse-led asthma education improved pediatric self-management and caregiver involvement. Visual tools and early, repeated teaching drove success.
Implications for Practice: This scalable, low-cost model may reduce pediatric asthma readmissions.
Recommended Citation
Moret, Kriste L., "Kid Power: Mastering Asthma Management to Keep Hospitals Away!" (2025). Master's Projects and Capstones. 1906.
https://repository.usfca.edu/capstone/1906
