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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":" ","pages":"491-503"},"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":" ","pages":"574-583"},"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":" ","pages":"584-585"},"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":" ","pages":"514-522"},"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":" ","pages":"468-481"},"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
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":" ","pages":"523-535"},"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
Utah Young Adults Describe What They Wished They Had Learned in Sex Education: A Qualitative Study. 犹他州年轻人描述他们希望在性教育中学到的知识：定性研究。
IF 1.5 4区 医学
Journal of School Nursing Pub Date : 2024-09-30 DOI: 10.1177/10598405241286080
Claire Wever, Julie Gast, Cristian Meier, Lily Ward
{"title":"Utah Young Adults Describe What They Wished They Had Learned in Sex Education: A Qualitative Study.","authors":"Claire Wever, Julie Gast, Cristian Meier, Lily Ward","doi":"10.1177/10598405241286080","DOIUrl":"https://doi.org/10.1177/10598405241286080","url":null,"abstract":"<p><p>Utah implements an abstinence-based approach to sex education. However, research has found that abstinence-based sex education is associated with higher risk-taking behaviors, and youth would like more from their school-based sex education. This study examined what sex education information or programs young adults in Utah would have liked to receive during high school. Participants provided responses to a single open-ended question included in the Utah College Sexual Behavior Survey. The results of a thematic analysis show the emergence of four salient themes, including fundamental knowledge, contraception and sexually transmitted infection prevention, personal safety, consent, and abuse. Findings suggest that participants wanted sex education beyond just abstinence and stressed the importance of inclusive education. Recommendations for school nurses and the important role they play in delivering sex education include receiving education needed to teach sex education and working with school health educators to act as a resource.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"10598405241286080"},"PeriodicalIF":1.5,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331373","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: Supervision and Evaluation of the School Nurse. 全国学校护士协会立场声明：校医的监督和评估。
IF 1.5 4区 医学
Journal of School Nursing Pub Date : 2024-09-30 DOI: 10.1177/10598405241285005
{"title":"National Association of School Nurses Position Statement: Supervision and Evaluation of the School Nurse.","authors":"","doi":"10.1177/10598405241285005","DOIUrl":"https://doi.org/10.1177/10598405241285005","url":null,"abstract":"","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"10598405241285005"},"PeriodicalIF":1.5,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331372","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
Exploring Innovative U.S. School Health Delivery Models: A Narrative Review. 探索美国学校健康服务的创新模式：A Narrative Review.
IF 1.5 4区 医学
Journal of School Nursing Pub Date : 2024-09-26 DOI: 10.1177/10598405241279875
Sheryl Bennett, Erin D Maughan, Sarah DeCato, Emily Poland, Beth E Jameson
{"title":"Exploring Innovative U.S. School Health Delivery Models: A Narrative Review.","authors":"Sheryl Bennett, Erin D Maughan, Sarah DeCato, Emily Poland, Beth E Jameson","doi":"10.1177/10598405241279875","DOIUrl":"https://doi.org/10.1177/10598405241279875","url":null,"abstract":"<p><p>School health services have been described as the \"hidden healthcare\" system because of their isolation within schools and from other healthcare providers. This isolation may inhibit innovations in school healthcare delivery. Hence, there is a need to identify and characterize various delivery models. This review examines models to identify innovative approaches and formulate suggestions for public health departments, local and state educational agencies, and policymakers. Toward this goal, published and gray literature were studied and synthesized, identifying three delivery models: the traditional model of school-based nursing and two alternative models: school-based health centers and community partnerships. Mechanisms of delivery included telehealth, mobile clinics, and system-level care. Although no innovative, comprehensive approaches to school health services models were found, innovation generally focused on improving equitable delivery to vulnerable populations. Policies must be formulated and funded to integrate such innovations into a comprehensive, preventative approach, including improved care coordination and data sharing.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"10598405241279875"},"PeriodicalIF":1.5,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331368","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
Impact of the COVID-19 Pandemic on Pennsylvania School Nurse Management of Student Immunization Requirements. 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。
IF 1.5 4区 医学
Journal of School Nursing Pub Date : 2024-09-26 DOI: 10.1177/10598405241280413
Alicia M Hoke, Erika VanDyke, Elle Mellott, Janine Strick, Deepa L Sekhar
{"title":"Impact of the COVID-19 Pandemic on Pennsylvania School Nurse Management of Student Immunization Requirements.","authors":"Alicia M Hoke, Erika VanDyke, Elle Mellott, Janine Strick, Deepa L Sekhar","doi":"10.1177/10598405241280413","DOIUrl":"https://doi.org/10.1177/10598405241280413","url":null,"abstract":"<p><p>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 <i>n</i> = 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 (<i>n</i> = 52) and reduced school-level enforcement of immunization compliance (<i>n</i> = 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.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"10598405241280413"},"PeriodicalIF":1.5,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331369","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
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