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Overview of School-Based Telehealth Network Grant Program Services Delivered to Students in Rural Schools. 为农村学校学生提供的校本远程保健网络补助计划服务概述。
IF 1.5 4区 医学
Journal of School Nursing Pub Date : 2024-10-01 Epub Date: 2022-12-04 DOI: 10.1177/10598405221142498
Marcia M Ward, Divya Bhagianadh, Fred Ullrich, Kimberly A S Merchant, Carlos Mena
{"title":"Overview of School-Based Telehealth Network Grant Program Services Delivered to Students in Rural Schools.","authors":"Marcia M Ward, Divya Bhagianadh, Fred Ullrich, Kimberly A S Merchant, Carlos Mena","doi":"10.1177/10598405221142498","DOIUrl":"10.1177/10598405221142498","url":null,"abstract":"<p><p>Telehealth can expand and enhance access to school-based health care, but its use has been relatively limited. Recognizing that school-based health care is still not reaching many students, the Health Resources and Services Administration (HRSA) funded the School Based Telehealth Network Grant Program to expand telehealth in rural school-based settings to help to increase the availability and use of these services. The 19 grantees delivered telehealth to over 200 schools across 17 states, choosing which services they would deliver and how. Looking across the services, these fell into three categories - primary/urgent care, behavioral health, and other more specialized services. The majority of grantees offered multiple telehealth services with the combination of behavioral health and primary/urgent care the most common. The current study adds to the literature by elucidating that telehealth in schools can address multiple clinical conditions through separate services even though doing so involves using various combinations of clinicians providing different services.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40570511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
School Nurse Staffing in Texas Alternative High Schools: A Mixed Methods Exploration. 德克萨斯州替代高中的校医配备：混合方法探索。
IF 1.5 4区 医学
Journal of School Nursing Pub Date : 2024-10-01 Epub Date: 2022-10-13 DOI: 10.1177/10598405221126178
Karen E Johnson, Whitney Thurman, Ashwini Hoskote, Angela Preston, Lynn Rew, Erin D Maughan
{"title":"School Nurse Staffing in Texas Alternative High Schools: A Mixed Methods Exploration.","authors":"Karen E Johnson, Whitney Thurman, Ashwini Hoskote, Angela Preston, Lynn Rew, Erin D Maughan","doi":"10.1177/10598405221126178","DOIUrl":"10.1177/10598405221126178","url":null,"abstract":"<p><p>School nurses represent cost-effective investments in students' health and educational success. Alternative high schools (AHSs) serve an understudied population of youth who are at risk for school dropout and face numerous social inequities, heightening their risk for poor health outcomes. In this two-phase explanatory sequential mixed methods study, we examined school nurse staffing in Texas AHSs. Findings suggest Texas AHSs face understaffing for familiar reasons common across districts (e.g., lack of funding), but also reveal potential deeper inequities. Quantitative findings indicate 71% of Texas AHSs have some form of nursing support, most often an on-call or part-time nurse. Qualitative findings support and enrich this finding with insights into the negative consequences of not having a full-time nurse, indiscriminate approaches to staffing AHSs, and how AHSs can be the only school in the district without a full-time nurse. Altogether, our findings reveal opportunities to better support AHSs with adequate nursing support.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10097838/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9297489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Considerations in Building a School-Based Vision Program. 建立校本视觉计划的注意事项。
IF 1.5 4区 医学
Journal of School Nursing Pub Date : 2024-10-01 Epub Date: 2023-03-28 DOI: 10.1177/10598405231163753
Christina M Ambrosino, Jonathan Callan, Tresa M S Wiggins, Michael X Repka, Megan E Collins
{"title":"Considerations in Building a School-Based Vision Program.","authors":"Christina M Ambrosino, Jonathan Callan, Tresa M S Wiggins, Michael X Repka, Megan E Collins","doi":"10.1177/10598405231163753","DOIUrl":"10.1177/10598405231163753","url":null,"abstract":"<p><p>The burden of childhood visual impairment and disparities in access to pediatric vision care remain pressing issues in the United States. School-based vision programs (SBVPs) serve as one approach to advancing health equity. Operating at the intersection of schools and healthcare, SBVPs can increase access to pediatric vision services, improve academic performance, and facilitate referrals to community vision care providers. To maximize their impact, SBVPs must tailor their services to the individual needs and resources of local school communities. School nurses, who have strong ties to school health care services and the school community, are trusted partners in building SBVPs. This article aims to facilitate SBVP development, implementation, and sustainability processes by offering guidance for school nurses and other stakeholders who aim to build a SBVP, support local programs, or learn more about how SBVPs operate.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9199383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
National Association of School Nurses Position Statement: School-Sponsored Trips-Equitably Addressing Student Health Needs. 全国学校护士协会立场声明：学校赞助的旅行--公平地满足学生的健康需求。
IF 1.5 4区 医学
Journal of School Nursing Pub Date : 2024-10-01 Epub Date: 2024-05-23 DOI: 10.1177/10598405241244714
{"title":"National Association of School Nurses Position Statement: School-Sponsored Trips-Equitably Addressing Student Health Needs.","authors":"","doi":"10.1177/10598405241244714","DOIUrl":"10.1177/10598405241244714","url":null,"abstract":"","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141082210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Cost-Benefit Analysis of School Nursing in One Large Urban School District. 一个大型城市学区的学校护理成本效益分析。
IF 1.5 4区 医学
Journal of School Nursing Pub Date : 2024-10-01 Epub Date: 2023-09-03 DOI: 10.1177/10598405231197836
Mallory C Ohneck, Joseph A Dake, Erin D Maughan, Susan K Telljohann, Tavis Glassman
{"title":"A Cost-Benefit Analysis of School Nursing in One Large Urban School District.","authors":"Mallory C Ohneck, Joseph A Dake, Erin D Maughan, Susan K Telljohann, Tavis Glassman","doi":"10.1177/10598405231197836","DOIUrl":"10.1177/10598405231197836","url":null,"abstract":"<p><p>This study is a cost-benefit analysis examining an urban district's partial school nurse coverage conversion to full-time coverage. Through a partnership with a health care system, the district received funding, resulting in the hiring of full-time nurses to cover all K-8 elementary schools. Researchers compared the cost of nursing services to the savings in teacher, secretary, principal, and parent productivity, reduced medical procedure costs, and grants nurses managed. The year before implementing additional nurses, the return on investment (ROI) to the community for nursing services was calculated to be $1.59 for every dollar invested in schools with full-time coverage and $1.29 for schools with partial coverage. After implementing full-time nurses in each school, there was an ROI of $1.50 during the 2015-2016 school year, $1.64 for 2016-2017, and $1.67 for 2017-2018. The analysis provides evidence that full-time coverage could result in a positive ROI for schools and the community.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10143986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Public School Nurses in the United States: National School Nurse Workforce Study 2.0. 美国公立学校护士：全国学校护士队伍研究 2.0》。
IF 1.5 4区 医学
Journal of School Nursing Pub Date : 2024-10-01 Epub Date: 2024-05-16 DOI: 10.1177/10598405241253565
Mayumi A Willgerodt, Andrea Tanner, Ellen McCabe, Beth Jameson, Doug Brock
{"title":"Public School Nurses in the United States: National School Nurse Workforce Study 2.0.","authors":"Mayumi A Willgerodt, Andrea Tanner, Ellen McCabe, Beth Jameson, Doug Brock","doi":"10.1177/10598405241253565","DOIUrl":"10.1177/10598405241253565","url":null,"abstract":"<p><p>The National School Nurse Workforce Study 2.0 describes the demographic characteristics and distribution patterns, school nursing models and activities, and practice environment among self-reported public school nurses in the United States. A random sample of U.S. public schools was surveyed, stratified by region, school level, and urban/rural locale. A total of 2,827 schools responded, yielding a 38.1% response rate. Using these data, we estimate 78,869 full-time equivalents of school nurses, with 65,052 registered nurses (RN) and 13,817 licensed practical/vocational nurses (LPN/LVN). Findings indicate school nurse distribution differences by region, locale, and income. The predominant model of school nursing practice was the RN only, followed by the RN and LPN model. In general, school nurse respondents felt supported by school staff and parents. Less than half of survey respondents stated they were supervised by an RN. Research, policy, and school nursing practice implications are discussed.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140946336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
School Nurse Management of Behavioral Health, Violence, and Trauma-Related Emergencies: Findings from a Statewide Survey. 校医对行为健康、暴力和创伤相关紧急情况的管理：一项全州调查的结果。
IF 1.5 4区 医学
Journal of School Nursing Pub Date : 2024-10-01 Epub Date: 2022-08-17 DOI: 10.1177/10598405221120437
Daniel Shattuck, Rachel Sebastian, Kim Zamarin, Susan Acosta, Mary M Ramos
{"title":"School Nurse Management of Behavioral Health, Violence, and Trauma-Related Emergencies: Findings from a Statewide Survey.","authors":"Daniel Shattuck, Rachel Sebastian, Kim Zamarin, Susan Acosta, Mary M Ramos","doi":"10.1177/10598405221120437","DOIUrl":"10.1177/10598405221120437","url":null,"abstract":"<p><p>School nurses are critical components of school-based interdisciplinary teams supporting student behavioral health. The purpose of the present study is to understand the extent to which school nurses in New Mexico across grade levels manage emergencies related to behavioral health, violence, and trauma. The study also seeks to identify which topics the school nurses received continuing education (CE) for, and which topics they consider to be important to their practice. Analyses of 2019 statewide survey data show a considerable number of school nurses in New Mexico provide management for behavioral health, violence, and trauma-related emergencies, and nurses in secondary schools are significantly more likely than nurses in primary schools to report managing these emergencies and to have received CE on behavioral health topics. Our findings reaffirm the essential role of school nurses in addressing emergent student health issues and underscore the need for practice- and competency-based behavioral health CE opportunities.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40423163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
School Nursing Workforce Differences Between Urban and Non-Urban Areas: Implications for School Health Services and Equity. 城市与非城市地区学校护理人员队伍的差异：对学校卫生服务和公平的影响》。
IF 1.5 4区 医学
Journal of School Nursing Pub Date : 2024-10-01 Epub Date: 2022-08-08 DOI: 10.1177/10598405221119516
Mary M Ramos, Rachel Sebastian, Daniel Shattuck, Susan Acosta, Kim Zamarin
{"title":"School Nursing Workforce Differences Between Urban and Non-Urban Areas: Implications for School Health Services and Equity.","authors":"Mary M Ramos, Rachel Sebastian, Daniel Shattuck, Susan Acosta, Kim Zamarin","doi":"10.1177/10598405221119516","DOIUrl":"10.1177/10598405221119516","url":null,"abstract":"<p><p>The professional experiences of school nurses who work outside of urban areas are not often described. We used data from a 2019 statewide survey of school nurses to describe differences between the urban and non-urban (urban cluster and rural) school nurse workforce in New Mexico. Non-urban school nurses were twice as likely as urban nurses to provide clinical services to multiple school campuses (<i>P</i> <i><</i> .001) and more likely to serve both elementary and secondary school settings (<i>P</i> <i>=</i> .002). They were less likely than urban school nurses to be bachelor's prepared, or to have received recent continuing education on diabetes (<i>P</i> <i><</i> .001), reproductive health (<i>P</i> = 0.02), LGBQ+ and transgender student health (<i>P</i> <i><</i> .001, for each), and suicide risk assessment and screening (<i>P</i> <i>=</i> .012). Our findings underscore concerns about geographic differences in the school nursing workforce in terms of educational preparation and student access that could potentially limit the school nurse role in advancing child health equity.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40675217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
HPV Vaccination Rates of 7th Grade Students After a Strong Recommending Statement from the School Nurse. 校医发表强烈推荐声明后，七年级学生接种 HPV 疫苗的比率。
IF 1.5 4区 医学
Journal of School Nursing Pub Date : 2024-10-01 Epub Date: 2022-08-09 DOI: 10.1177/10598405221118824
Laura Santangelo White, Emily Maulucci, Melanie Kornides, Subhash Aryal, Catherine Alix, Diane Sneider, Jessica Gagnon, Elizabeth C Winfield, Holly B Fontenot
{"title":"HPV Vaccination Rates of 7<sup>th</sup> Grade Students After a Strong Recommending Statement from the School Nurse.","authors":"Laura Santangelo White, Emily Maulucci, Melanie Kornides, Subhash Aryal, Catherine Alix, Diane Sneider, Jessica Gagnon, Elizabeth C Winfield, Holly B Fontenot","doi":"10.1177/10598405221118824","DOIUrl":"10.1177/10598405221118824","url":null,"abstract":"<p><p>The Human Papillomavirus (HPV) vaccine can prevent 90% of cancers caused by HPV. Health care provider recommendations affect vaccine uptake, yet there are a lack of studies examining the impact of the school nurse (SN) in vaccine recommendations. The purpose of this study was to evaluate the impact of adding a SN HPV recommendation to the standard vaccination letter sent to parents/guardians. The rate of vaccination between the intervention and control schools was not statistically significant (Estimate (Std. Error) = -0.3066 (0.2151), <i>p</i> <i>=</i> 0.154). After controlling for age, sex, race, insurance type, and medical practice type, there was no significant difference in the likelihood to receive the HPV vaccine (OR = 1.53, 95% CI: 0.563-4.19 in 2018; OR = 1.34, 95% CI: 0.124-14.54 in 2019. Further work is needed to clarify how school nurses can better promote HPV vaccine, and which adolescent demographic groups (e.g., race, insurance type, provider type) face barriers to HPV vaccine uptake.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40704519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reported Impact of COVID-19 Workload and Stressors on School Nurses' Provision of Care During the 2021-2022 School Year: A Secondary Analysis of U.S. School Nurse Survey Data. COVID-19 工作量和压力因素对 2021-2022 学年校医提供护理服务的影响报告：美国校医调查数据二次分析》。
IF 1.5 4区 医学
Journal of School Nursing Pub Date : 2024-10-01 Epub Date: 2024-05-05 DOI: 10.1177/10598405241248429
Sarah L Merkle, Justin Ingels, Daniel Jung, Michael Welton, Andrea Tanner, Sharunda Buchanan, Sarah Lee
{"title":"Reported Impact of COVID-19 Workload and Stressors on School Nurses' Provision of Care During the 2021-2022 School Year: A Secondary Analysis of U.S. School Nurse Survey Data.","authors":"Sarah L Merkle, Justin Ingels, Daniel Jung, Michael Welton, Andrea Tanner, Sharunda Buchanan, Sarah Lee","doi":"10.1177/10598405241248429","DOIUrl":"10.1177/10598405241248429","url":null,"abstract":"<p><p>Many school nurses experienced increased work burden and stress during the COVID-19 pandemic. This analysis examined data from a Centers for Disease Control and Prevention cross-sectional, nationwide survey of school nurses in March 2022 to examine associations between school nurses' ability to conduct their core responsibilities and selected nurse and school factors among school nurses during the 2021-2022 school year and COVID-19 pandemic. Perceived adequate staffing and financial compensation reduced the odds of reported difficulties across all core school nursing tasks. Nurses without a registered nurse license and with higher caseloads were more likely to report difficulty in implementing specific tasks. The impact of these factors varied, with inadequate financial compensation having the largest association with school nurses' difficulty implementing all the core responsibilities. The study results improve our understanding of school nurses' challenges in implementing core school nursing responsibilities during the COVID-19 pandemic in the 2021-2022 school year.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11387128/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140854201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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