Impact of the COVID-19 Pandemic on Pennsylvania School Nurse Management of Student Immunization Requirements.

IF 1.5 4区 医学 Q3 NURSING
Alicia M Hoke, Erika VanDyke, Elle Mellott, Janine Strick, Deepa L Sekhar
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引用次数: 0

Abstract

School nurses play a significant role in the coordination of school-entry immunization requirements across the United States. The COVID-19 pandemic changed the school landscape and introduced additional responsibilities to a school nurse's workload. We conducted a cross-sectional survey with n = 110 Pennsylvania school nurses to explore the impact of the COVID-19 pandemic on school-entry immunization compliance management. Qualitative and quantitative data indicated increased difficulty obtaining school-entry immunization data (n = 52) and reduced school-level enforcement of immunization compliance (n = 30). We also observed increases in the percentage of students enrolled with an immunization exemption in Kindergarten, 7th, and 12th grades between the 2019-2020 and 2020-2021 school years. However, few respondents (15%) offered school-located immunization clinics (SLIC) for school-entry-required immunizations. While the benefits of SLICs are documented, the capacity required to execute recommended actions may be limited among school nurses-particularly post-COVID-19 pandemic. School nurses may need additional support to address these gaps.

COVID-19 大流行对宾夕法尼亚州校医管理学生免疫接种要求的影响。
在美国,校医在协调入学免疫要求方面发挥着重要作用。COVID-19 大流行改变了学校的面貌,并给校医的工作量带来了额外的责任。我们对宾夕法尼亚州的 n = 110 名校医进行了横向调查,以探讨 COVID-19 大流行对入学免疫接种合规管理的影响。定性和定量数据显示,获取入学免疫接种数据的难度增加(n = 52),校级免疫接种达标执行力度降低(n = 30)。我们还观察到,在 2019-2020 学年和 2020-2021 学年之间,幼儿园、七年级和十二年级获得免疫豁免的学生比例有所上升。然而,很少有受访者(15%)为入学所需的免疫接种提供学校所在地免疫诊所(SLIC)。虽然校地免疫诊所的益处有据可查,但学校护士执行建议行动所需的能力可能有限,尤其是在第 19 次世界艾滋病病毒(COVID)大流行之后。学校护士可能需要额外的支持来弥补这些不足。
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来源期刊
CiteScore
4.60
自引率
17.60%
发文量
57
审稿时长
>12 weeks
期刊介绍: The Journal of School Nursing (JOSN) is a bi-monthly peer-reviewed forum for improving the health of school children and the school community. The JOSN includes original research, research reviews, evidenced-based innovations in clinical practice or policy, and more. In addition to nursing, experts from medicine, public health, epidemiology, health services research, policy analysis, and education administration, also contribute.
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