When Every Alarm Matters: How Remote Diabetes Monitoring Is Transforming the Role of School Nurses Caring for Students With Type 1 Diabetes.

Abstract

Remote diabetes monitoring has transformed Type 1 Diabetes (T1D) management in schools, yet its impact on school nursing practice remains poorly understood. This study explored how remote diabetes monitoring is reshaping the role of school nurses caring for students with T1D in Indonesia. Using an Interpretive Description approach, semistructured interviews were conducted with 20 school nurses from 15 schools between November 2025 and February 2026. Data were analyzed inductively. Five themes emerged: living in a state of constant digital vigilance, negotiating responsibility in real-time care, managing parental expectations in an era of shared data, redefining professional boundaries and clinical decision-making, and transforming the school nurse role in the digital era. Findings indicate that remote diabetes monitoring extends school nursing beyond episodic care, fostering more proactive, data-driven, and continuously connected roles. Training, policy development, and clearer role expectations are needed as digital health technologies become increasingly integrated into school-based diabetes care.