In October 1997, 790 school nurses ill Maryland and the District of Columbi
a were surveyed to determine their attitudes, knowledge, and beliefs about
asthma. Results for 550 (70%) nurses indicated school nurses possess a gene
rally appropriate level of knowledge concerning asthma, and most asthma myt
hs have been,replaced with knowledge. However, school nurses also have vari
ed responsibilities that affect their ability to provide health education a
nd support services to children with asthma at school. Little time is avail
able for a proactive role. Concerns about the criteria and follow-up for de
legating medication administration within the school setting were reported
A lack of communication existed with parents about the child's asthma. Open
communication between school nurses and the family is recommended to estab
lish a partnership and improve asthma management outcomes. In addition, sch
ool policies and procedures should be updated to meet rile demands of child
ren,vith asthma.