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Abstract

This study evaluated a training program designed to prepare unlicensed assistive personnel (UAP) in high school settings to recognize and respond effectively to an anaphylactic emergency. Subjects included 53 adults employed by a high school district in the San Francisco Bay Area of California. A training model was developed based on Bandura's theory of sources of self-efficacy Knowledge and perceived self-efficacy of participants were measured before and after the training program to determine if a theory-based anaphylaxis recognition and epinephrine auto-injector training program would increase participants’ knowledge and self-efficacy in responding to an anaphylactic emergency. Paired t tests revealed significant improvement in scores for both knowledge and perceived self-efficacy following the intervention (p < .001). This theory-based training program offers a valuable model for other school nurses in providing knowledge and skill training for unlicensed assistive personnel in other health emergencies.

Keywords

anaphylaxis epinephrine school nursing self-efficacy training program unlicensed assistive personnel (UAP)

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References

American Academy of Allergy, Asthma, and Immunology Board of Directors (AAAAI). (1998). Anaphylaxis in schools and other childcare settings. The Journal of Allergy and Clinical Immunology, 102, 173–176.

Bandura

(1994). Self-efficacy. In Ramachaudran

V. S.

(Ed.) Encyclopedia of human behavior (Vol. 4, pp. 71–81). New York: Academic Press. Retrieved October 22, 2002, from http://www.emory.edu/EDUCATION/mfp/BanEncy.html

Bandura

(2000). Cultivate self-efficacy for personal and organizational effectiveness. In Locke

E. A.

(Ed.), Handbook of principles of organization behavior. Oxford, UK: Blackwell. Retrieved December 2, 2002, from http://www.emory.edu/EDUCATION/mfp/BanCultivate.doc

Bock

S. A.

, Munoz-Furlong

, & Sampson

H. A.

(2001). Fatalities due to anaphylactic reactions to foods. Journal of Allergy and Clinical Immunology, 107, 191–193.

California Education Code 49414. (n.d.). Retrieved September 17, 2002, from http://www.leginfo.ca.gov/cgi-bin/

California School Nurse Organization. (2002, July). Epinephrine auto injector pen administration for treatment of anaphylaxis at school. Position Statements. Retrieved September 17, 2002 from www.csno.org

Dey

L. P.

(2002). How to use the EpiPen® auto-injector [Videotape]. (Available from Dey, L.P., 2751 Napa Valley Corporate Drive, Napa, CA 94558)

Dibs

S. D.

, & Baker

M. D.

(1997). Anaphylaxis in children: A 5-year experience [Electronic version PDF]. Pediatrics 99, 1–5. Retrieved November 1, 2002, from http://www.pediatrics.org/cgi/content/full/99/1/e7

Food Allergy Network. (2000). The school food allergy program special edition. ISBN No. 1-882541-03-0. Fairfax, VA: Author.

10.

Gaudreau

J. M.

(2000). The challenge of making the school environment safe for children with food allergies. Journal of School Nursing, 16(2), 5–10.

11.

Kelly

M. W.

, McCarthy

A. M.

, & Mordhorst

M. J.

(2003). School nurses’ experience with medication administration. Journal of School Nursing, 19, 281–287.

12.

National Association of School Nurses (NASN). (2000, November). Epinephrine use in life-threatening emergencies [Position Statement]. Retrieved September 18, 2002, from http://www.nasn.org/positions/Epinephrine.htm

13.

Rhim

G. S.

, & McMorris

M. S.

(2001). School readiness for children with food allergies. Annals of Allergy, Asthma, and Immunology, 82, 172–176.

14.

Sampson

H. A.

, Mendelson

L. M.

, & Rosen

J. P.

(1992). Fatal and near-fatal anaphylactic reactions to food in children and adolescents. New England Journal of Medicine, 327, 380–384.

15.

Sicherer

S. H.

(2002). Clinical update on peanut allergy. Annals of Allergy, Asthma, and Immunology, 88, 350–363.

16.

Sicherer

S. H.

, Forman

J. A.

, & Noone

S. A.

(2000). Use assessment of self-administered epinephrine among food-allergic children and pediatricians. Pediatrics, 105, 359–362.

17.

Sicherer

S. H.

, Furlong

T. J.

, DeSimone

, & Sampson

H. A.

(2001). The US peanut and tree nut allergy registry: Characteristics of reactions in schools and day care. Journal of Pediatrics, 138, 560–565.

Evaluation of an Anaphylaxis Training Program for Unlicensed Assistive Personnel

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