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This study sought to understand school nurse and administrator perspectives on school-based asthma management and stock inhaler policy implementation. Twenty-three semistructured interviews were conducted with professionals from five high asthma burdened counties in varied geographic settings. Thematic analysis revealed three themes. \u201cSchool-Based Asthma Management\u201d revealed concerns about management methods of asthma and respiratory emergencies, and incident tracking. \u201cAccess to a Supportive Asthma School Environment\u201d emphasized growth opportunities for family education, staff training, and resource access. \u201cStock Inhaler Programming\u201d described how stock inhalers ensure consistent asthma medication access with easy integration into existing emergency protocols. With proper adoption and dissemination, stock inhaler programming has the capacity to enhance school-based asthma management and emergency responsiveness in schools across the country. This study highlights how health policy implementation and its integration into practice can transform school health.<\/jats:p>","DOI":"10.1177\/10598405241311137","type":"journal-article","created":{"date-parts":[[2025,1,22]],"date-time":"2025-01-22T04:32:52Z","timestamp":1737520372000},"page":"232-241","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Breathing Easy: A Qualitative Analysis of School Nurse and Administrator Perspectives on Stock Inhalers and School-Based Asthma Management"],"prefix":"10.1177","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-4978-9450","authenticated-orcid":false,"given":"Krista","family":"Edenfield","sequence":"first","affiliation":[{"name":"School of Public Health"},{"name":"University of Illinois Chicago"},{"name":"University of Illinois Chicago College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danita","family":"Hingston","sequence":"additional","affiliation":[{"name":"School of Public Health"},{"name":"University of Illinois Chicago"},{"name":"University of Illinois Chicago College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paige","family":"Hardy","sequence":"additional","affiliation":[{"name":"University of Illinois Chicago College of Medicine"},{"name":"University of Illinois Chicago College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Ongtengco","sequence":"additional","affiliation":[{"name":"University of Illinois Chicago College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Wilt","sequence":"additional","affiliation":[{"name":"University of Illinois Chicago College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aastha","family":"Saggar","sequence":"additional","affiliation":[{"name":"University of Illinois Chicago College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Molly A.","family":"Martin","sequence":"additional","affiliation":[{"name":"University of Illinois Chicago College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea A.","family":"Pappalardo","sequence":"additional","affiliation":[{"name":"University of Illinois Chicago College of Medicine"},{"name":"University of Illinois Chicago College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,1,22]]},"reference":[{"key":"e_1_3_4_2_1","volume-title":"Stock inhaler toolkit for schools","author":"American Academy of Allergy Asthma & Immunology (AAAAI)","year":"2023","unstructured":"American Academy of Allergy Asthma & Immunology (AAAAI). 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