Doctor of Nursing Practice (DNP)
Doctor of Nursing Practice (DNP) Program
School of Nursing
epinephrine auto injectors, food allergies, anaphylaxis, school nursing, adolescents, and fear
Background and Significance: More than 40% of children with food allergies have experienced anaphylaxis, a life-threatening condition (Food Allergy Research & Education [FARE], 2021). Anaphylactic reactions require immediate treatment with an intramuscular injection of epinephrine by a health care professional or by a self-injectable epinephrine auto-injector device. If anaphylactic symptoms are not promptly recognized and treated, fatal consequences may occur (FARE, 2021). Repeated education, training, and a supportive social environment, specifically with adolescents, have been found to facilitate self-management with food-induced anaphylaxis (Comberiati et al., 2019). Purpose: In this quality improvement project, virtual education interventions to increase food allergy and anaphylaxis knowledge and confidence levels among 8th-grade students and parents/guardians were presented using the Food Allergy Research & Education (FARE) website. Intervention and Implementation Plan: The development and implementation of a two-week virtual classroom focused on education derived from the FARE organization targeting 8th-grade students and parents/guardians. A pre-and post-education questionnaire was administered to participants assessing both knowledge and confidence relative to food allergies and anaphylaxis. In addition, a focus group was conducted assessing student perception of the virtual classroom program benefits. Results and Implications: The means of the pre-and post-knowledge education scores showed meaningful improvement (t = 8.18, p < .001) with a large Cohen’s d effect size 1.13 (95% CI [0.781,1.48]. The means of the pre-and post-confidence scores also showed improvement (t =8.68, p < .001) with a large Cohen’s d effect size 1.20 (95% CI [0.843,1.56]. The results of the focus group revealed that students found the program beneficial. Implications for nursing practice include bringing evidence-based practice to the school community, enhancing interprofessional collaboration among educators, certified school nurses, students, and parents/guardians aligning with the Centers for Disease Control and Prevention (2020) Guidelines for Healthy Schools.
Keywords: Epinephrine, epinephrine auto-injector, food allergies, nut allergies, anaphylaxis, and fear
Licata, Jodi, "Engaging Middle School Students and Parents/Guardians via Structured Virtual Media on Food Allergy and Anaphylaxis Awareness: A Quality Improvement Project" (2021). Doctor of Nursing Practice (DNP) Manuscripts. 11.