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Breathing Easy in Maricopa County, Arizona: Empowering K-12 Schools with a Novel Nurse Coaching Model to Facilitate Implementation of a County-Wide School-Based Stock Albuterol Inhaler Program

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Title: Breathing Easy in Maricopa County, Arizona: Empowering K-12 Schools with a Novel Nurse Coaching Model to Facilitate Implementation of a County-Wide School-Based Stock Albuterol Inhaler Program
Language: English
Authors: A. A. Lowe (ORCID 0000-0001-6252-0368), N. Mottern, O. DiGioia, D. Dobbins, K. Ivich, R. Jovich, S. Lindstrom Johnson, K. Park, J. Peters, M. Peterson, P. Ravi (ORCID 0000-0002-3432-3436), N. Rocha, N. Staab, R. Sunenshine, E. Waldron, J. Ward, L. B. Gerald
Source: Journal of School Nursing. 2026 42(3):260-270.
Availability: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
Peer Reviewed: Y
Page Count: 11
Publication Date: 2026
Document Type: Journal Articles
Reports - Research
Education Level: Elementary Secondary Education
Descriptors: School Nurses, Role, Coaching (Performance), Program Implementation, Drug Therapy, Elementary Secondary Education, Emergency Programs, Access to Health Care, School Health Services
Geographic Terms: Arizona
DOI: 10.1177/10598405241312129
ISSN: 1059-8405
1546-8364
Abstract: To reduce chronic school absenteeism and morbidity and mortality among school-aged children, the prompt administration of albuterol sulfate in schools remains vital. School-based stock inhaler programs are a practical approach to ensure equitable access to life-saving rescue medication for students. School and community partnerships can potentially strengthen program implementation and fidelity by integrating evidence-based practices into routine care. We report the findings of a novel practice facilitation model developed by the Maricopa County Department of Public Health to facilitate the implementation of the "Stock Inhaler for Schools Program" in K-12 Schools. Three-hundred twenty-four schools participated in the program, with 153 schools reporting a stock inhaler event for a total of 1,310 events across four school years. Most events (78%) were compliant with the protocol for administering the stock inhaler to a student. These findings suggest that implementing a practice facilitation model is feasible and important for enhancing fidelity to program requirements.
Abstractor: As Provided
Entry Date: 2026
Accession Number: EJ1505828
Database: ERIC
FullText Text:
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  Data: Breathing Easy in Maricopa County, Arizona: Empowering K-12 Schools with a Novel Nurse Coaching Model to Facilitate Implementation of a County-Wide School-Based Stock Albuterol Inhaler Program
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  Data: <searchLink fieldCode="AR" term="%22A%2E+A%2E+Lowe%22">A. A. Lowe</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0001-6252-0368">0000-0001-6252-0368</externalLink>)<br /><searchLink fieldCode="AR" term="%22N%2E+Mottern%22">N. Mottern</searchLink><br /><searchLink fieldCode="AR" term="%22O%2E+DiGioia%22">O. DiGioia</searchLink><br /><searchLink fieldCode="AR" term="%22D%2E+Dobbins%22">D. Dobbins</searchLink><br /><searchLink fieldCode="AR" term="%22K%2E+Ivich%22">K. Ivich</searchLink><br /><searchLink fieldCode="AR" term="%22R%2E+Jovich%22">R. Jovich</searchLink><br /><searchLink fieldCode="AR" term="%22S%2E+Lindstrom+Johnson%22">S. Lindstrom Johnson</searchLink><br /><searchLink fieldCode="AR" term="%22K%2E+Park%22">K. Park</searchLink><br /><searchLink fieldCode="AR" term="%22J%2E+Peters%22">J. Peters</searchLink><br /><searchLink fieldCode="AR" term="%22M%2E+Peterson%22">M. Peterson</searchLink><br /><searchLink fieldCode="AR" term="%22P%2E+Ravi%22">P. Ravi</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-3432-3436">0000-0002-3432-3436</externalLink>)<br /><searchLink fieldCode="AR" term="%22N%2E+Rocha%22">N. Rocha</searchLink><br /><searchLink fieldCode="AR" term="%22N%2E+Staab%22">N. Staab</searchLink><br /><searchLink fieldCode="AR" term="%22R%2E+Sunenshine%22">R. Sunenshine</searchLink><br /><searchLink fieldCode="AR" term="%22E%2E+Waldron%22">E. Waldron</searchLink><br /><searchLink fieldCode="AR" term="%22J%2E+Ward%22">J. Ward</searchLink><br /><searchLink fieldCode="AR" term="%22L%2E+B%2E+Gerald%22">L. B. Gerald</searchLink>
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  Data: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
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  Data: <searchLink fieldCode="EL" term="%22Elementary+Secondary+Education%22">Elementary Secondary Education</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22School+Nurses%22">School Nurses</searchLink><br /><searchLink fieldCode="DE" term="%22Role%22">Role</searchLink><br /><searchLink fieldCode="DE" term="%22Coaching+%28Performance%29%22">Coaching (Performance)</searchLink><br /><searchLink fieldCode="DE" term="%22Program+Implementation%22">Program Implementation</searchLink><br /><searchLink fieldCode="DE" term="%22Drug+Therapy%22">Drug Therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Elementary+Secondary+Education%22">Elementary Secondary Education</searchLink><br /><searchLink fieldCode="DE" term="%22Emergency+Programs%22">Emergency Programs</searchLink><br /><searchLink fieldCode="DE" term="%22Access+to+Health+Care%22">Access to Health Care</searchLink><br /><searchLink fieldCode="DE" term="%22School+Health+Services%22">School Health Services</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Arizona%22">Arizona</searchLink>
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  Data: 10.1177/10598405241312129
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  Data: 1059-8405<br />1546-8364
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  Label: Abstract
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  Data: To reduce chronic school absenteeism and morbidity and mortality among school-aged children, the prompt administration of albuterol sulfate in schools remains vital. School-based stock inhaler programs are a practical approach to ensure equitable access to life-saving rescue medication for students. School and community partnerships can potentially strengthen program implementation and fidelity by integrating evidence-based practices into routine care. We report the findings of a novel practice facilitation model developed by the Maricopa County Department of Public Health to facilitate the implementation of the "Stock Inhaler for Schools Program" in K-12 Schools. Three-hundred twenty-four schools participated in the program, with 153 schools reporting a stock inhaler event for a total of 1,310 events across four school years. Most events (78%) were compliant with the protocol for administering the stock inhaler to a student. These findings suggest that implementing a practice facilitation model is feasible and important for enhancing fidelity to program requirements.
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  Data: 2026
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  Label: Accession Number
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  Data: EJ1505828
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      – SubjectFull: Arizona
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      – TitleFull: Breathing Easy in Maricopa County, Arizona: Empowering K-12 Schools with a Novel Nurse Coaching Model to Facilitate Implementation of a County-Wide School-Based Stock Albuterol Inhaler Program
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