Sarah I Leonard, Eleanor R Turi, Amarilis Céspedes, Jianfang Liu, Jennifer S Powell, Jean-Marie Bruzzese
{"title":"Asthma Knowledge, Self-Efficacy, and Self-Management Among Rural Adolescents with Poorly Controlled Asthma.","authors":"Sarah I Leonard, Eleanor R Turi, Amarilis Céspedes, Jianfang Liu, Jennifer S Powell, Jean-Marie Bruzzese","doi":"10.1177/10598405221116017","DOIUrl":"10.1177/10598405221116017","url":null,"abstract":"<p><p>Rural adolescents with asthma are a disparate group. Self-management is essential to asthma control. We describe asthma knowledge, self-efficacy, and self-management behaviors among 198 rural adolescents with poorly controlled asthma, exploring demographic differences; we also test the application of Social Cognitive Theory to asthma self-management examining if self-efficacy mediates associations between knowledge and self-management. Asthma knowledge and self-management were relatively poor in our sample, particularly among male and White adolescents; greater knowledge was significantly associated with better symptom prevention and management. Self-efficacy partially mediated the association between knowledge and symptom prevention, but not acute symptom management, suggesting that knowledge may not improve symptom prevention behaviors without confidence to implement such behaviors and that factors beyond knowledge and self-efficacy likely play a role in asthma self-management in this population. Addressing asthma knowledge and self-efficacy could improve self-management and, ultimately, enhance asthma control among rural adolescents with poorly controlled asthma.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"608-617"},"PeriodicalIF":1.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9873834/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9184723","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}
Jessica L Peck, Katherine Hettenhaus, Kelcey King, Kelley Rigby
{"title":"Empowering School Nurses: Enhancing Child Trafficking Awareness and Preparedness in American Public Schools.","authors":"Jessica L Peck, Katherine Hettenhaus, Kelcey King, Kelley Rigby","doi":"10.1177/10598405241245955","DOIUrl":"10.1177/10598405241245955","url":null,"abstract":"<p><p>Child trafficking poses a momentous public health threat to students in public schools. Although school nurses are exceptionally positioned to identify and respond to trafficking, most lack training and resources in this critical area. This project aimed to evaluate the impact of a multifaceted intervention on school nurse preparedness and practices related to child trafficking in an Oklahoma public school district. The project involved Unbound Now's nationally accredited training program for school nurses, implementation of the Fuentes et al.'s <i>Toolkit for Building a Human Trafficking School Safety Protocol (HTSSP</i>) funded by the U.S. Department of Health and Human Services<i>,</i> and facilitation of a roundtable discussion to initiate community collaboration. The results of the pretraining Fraley and Aronowitz School Nurses' Awareness and Perceptions Survey (SNAPS) illuminated variations in school nurses' knowledge and awareness of child trafficking, demonstrating the need for continued training. Post-training evaluations exhibited highly positive feedback, suggesting its effectiveness in meeting the training's objectives. Following the community stakeholder roundtable, the lead school nurse employed the HTSSP toolkit and directed efforts in successfully constructing and implementing a district-wide policy of procedures to respond to suspected cases of human trafficking. However, the project's limitations include a small sample and a single-school district focus. Despite these limitations, this project delivers valuable insights into the challenges and opportunities for enhancing school nurse preparedness in addressing trafficking. This project serves as a foundation for future initiatives to improve students' safety and wellbeing in public schools.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"703-723"},"PeriodicalIF":1.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141082166","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}
{"title":"National Association of School Nurses Position Statement: Emergency Preparedness for Schools.","authors":"","doi":"10.1177/10598405241277101","DOIUrl":"10.1177/10598405241277101","url":null,"abstract":"","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"726-727"},"PeriodicalIF":1.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299762","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}
Kate Wachutka, Mercedes Echevarria, Jennifer Walsh
{"title":"Youth Mental Health First Aid (YMHFA): A Change Initiative in an Underresourced School.","authors":"Kate Wachutka, Mercedes Echevarria, Jennifer Walsh","doi":"10.1177/10598405241293746","DOIUrl":"10.1177/10598405241293746","url":null,"abstract":"<p><p><b>Background:</b> School-aged children with unidentified mental illnesses experience poor health outcomes; managing this issue requires a collaborative community approach. <b>Objectives:</b> The objective was to implement an evidence-based mental health education and sustainment program within an underresourced school setting for staff and parents/guardians supervising children to optimize adult mental health literacy (MHL). <b>Methods:</b> The intervention included Youth Mental Health First Aid (YMHFA) training; measurements of pre- and post-MHL were completed with the Mental Health Literacy Scale (MHLS). Sustainment was achieved by developing a school-centered mental health toolkit and integrating a school champion. <b>Results:</b> There was a significant MHL score change from pretest to posttest. The toolkit bolstered sustainability by increasing the utilization of community resources. <b>Conclusions:</b> This mental health awareness initiative proved effective and can be expanded across similar underresourced schools to fill voids.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"10598405241293746"},"PeriodicalIF":1.5,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711544","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}
{"title":"School Nurse-Led Health Assessment for Students Experiencing Homelessness: A Quality Improvement Project.","authors":"Samantha Starkey, Kari Stampfli","doi":"10.1177/10598405241289243","DOIUrl":"https://doi.org/10.1177/10598405241289243","url":null,"abstract":"<p><p>Childhood homelessness is increasing and is associated with negative health and academic outcomes. The goal of this quality improvement project was to improve access to healthcare and health outcomes for students experiencing homelessness through a school nurse-led comprehensive health assessment. The multilevel intervention included identifying students experiencing homelessness, conducting a standardized health assessment, and making referrals to care. This 8-month project was conducted in an urban school district. Feasibility and acceptability data were collected to guide sustainability. Student health and referral data were analyzed using descriptive statistics. At the project start, 688 students were identified as experiencing homelessness. More than half (67%) had a partial or fully completed health assessment during the project. Of the students assessed, most had a primary care provider, some had a health condition, and half had a dental home. Students experiencing homelessness would benefit from systematic school-based health assessments to identify unmet health needs.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"10598405241289243"},"PeriodicalIF":1.5,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479336","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}
{"title":"National Association of School Nurses Position Statement: Equitable Reimbursement for School Nursing Services.","authors":"National Association Of School Nurses","doi":"10.1177/10598405241282345","DOIUrl":"https://doi.org/10.1177/10598405241282345","url":null,"abstract":"","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"10598405241282345"},"PeriodicalIF":1.5,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479334","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}
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}
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}
{"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}
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}