Vol. 1, Issue 1, Part A (2024)
Role of nurses in reducing hospital readmission rates in children with bronchial asthma
Kazi Reza
Bronchial asthma remains one of the leading chronic diseases among children worldwide, contributing to significant morbidity, healthcare utilization, and hospital readmissions. Recurrent asthma exacerbations and preventable admissions place a considerable burden on healthcare systems and families. Among the key stakeholders in asthma management, nurses play a pivotal role in bridging the gap between acute care and long-term disease control. This paper explores how pediatric nurses contribute to reducing hospital readmission rates in children with bronchial asthma through comprehensive care strategies including patient education, adherence monitoring, discharge planning, home visits, and telephonic follow-up. Nurses, as frontline care providers, are uniquely positioned to assess environmental triggers, reinforce medication adherence, educate parents and children on inhaler techniques, and provide psychosocial support. Effective asthma education delivered by nurses has been shown to improve self-management behaviors and reduce emergency department visits. Nurse-led asthma clinics, school-based asthma care programs, and home-based nursing interventions have all demonstrated a significant impact in decreasing readmission rates. This paper also discusses key barriers such as socio-economic constraints, caregiver health literacy, and fragmented continuity of care that influence readmission risk. Evidence-based interventions such as Asthma Action Plans (AAPs), multidisciplinary collaboration, and integration of technology-driven tools such as mobile apps and telehealth platforms are highlighted as effective nursing-led strategies. Drawing from empirical studies, randomized controlled trials, and clinical guidelines, the paper underscores the importance of nurse education and capacity-building to ensure high-quality, community-integrated asthma management. The findings affirm that empowering nurses with asthma-specific training and care coordination skills significantly contributes to reducing repeat hospitalizations, ultimately improving the quality of life of children with asthma.
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