Asthma Knowledge and Skills Tests

dPAS II Component Five Elizabeth L. Thomas

MEd, RN, NCSN, FNASN DSNA, November, 2012

`

What are we doing?

• Selecting the condition of asthma as a focus for health promotion

• Measuring knowledge and skills with the notion that healthy students are better learners

• Using a written test with skills demonstration followed by health education to improve student knowledge and skills

WHY? A GOAL of improved health (and a higher score on the post test)

`

Four Pre Tests and Four Post Tests

• K-2• 3-5• 6-8• High school• School Nurse may choose to administer a different

level test to students based on developmental age

• Total of 100 possible points//10 MC for 3 points and 10 skills for 7 points

`

Choosing a cohort

• Maybe all students in a grade with HCP documented asthma?

• Maybe all students in a grade who have RX meds in school for asthma?

• Maybe all students in whole school with above?• Maybe only students who have multiple visits for

asthma symptoms in previous month?• School Nurse Decision-But must be cohort of 10-

150 students

`

Giving the Pre Test

1. Schedule the pretest with the teacher2. CONSISTENCY is key3. Assure appropriate level for student3. Ten multiple choice questions may be

administered by another staff member prn.4. Questions may be read to student. 5. Item Tag and codes will be useful for research6. Demo of skills should closely follow MC

`

Skills Demonstration

Must be assessed by School Nurse using rubric provided

7 possible points for each skill

Must be done 1:1 as soon as possible after the written test

Remember to be consistent!!!

`

Knowing the codes

Item tag found after each test item: Example is 0001.AS.3-5.Pre.MC-LV2-TPLV1, LV2, LV3 indicate depth of knowledgeLast letter indicates area of knowledge and skill setD=definition or descriptionP=pathophysiology M=MedicationsS=Symptoms TP=Treatment PlanQ=Equipment HS=Health Status

`

Health Education Intervention

• Suggest that parents be notified of student learning opportunity around chronic condition

• Must last at least four weeks• Must be consistent for whole cohort• May include parent information packets• Use your skills, ingenuity and creativity

• SN: Scope and Standards (2011) Standard 5b

`

Resources for educational plan

• www.aaaai.org• www.kidshealth.org• www.lunginfo.org• www.nlm.nih.gov/medlineplus/asthma.html • www.cdc.gov• www.epa.gov/asthma/pdfs/

asthma_fact_sheet_en.pdf• http://niaid.nih.gov/topics/asthma • http://nhlbi.nih.gov

`

Post Test

• MC may be given as a group if convenient

• MC may be monitored by another staff member

• Skills development must be assessed by SN

• Expectations appropriate to age/developmental age

`

Scoring the Tests

• Ten MC worth three points each= 30 points• Ten Skills Demos worth seven points each=70

points• Potential score = 100 points

`

Calculating the Score

# Students showing improvement________________________________ = Total # of Students in Cohort

% of cohort growth (improvement)

`

Acceptable Growth

50% is acceptable student growth-Need ½ of cohort to improve

Example: 8 students show improved score = 80% 10 students in cohort

Remember—if pre test and post test are 100%, maintaining 100% is considered improvement!

`

Evaluating the Test Results

Compare the pre and post tests using the codes

Determine if knowledge questions or skills demos are problematicRevise education plan as appropriateTry again!

`

Looking Forward

Research possibilitiescompare cohort to control group

compare absences due to asthma pre/post intervention

compare GPA pre/post etc

Bank of Learning OpportunitiesTest bank

`

Thank You

Libbythomas@msn.com302-764-3759