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Nursing Children and Young People May 2018Reflection is integral to professional revalidation and enhancing nursing practice; it is an art and a science to be learned. Learning the art of reflection begins as a...
Reflection is integral to professional revalidation and enhancing nursing practice; it is an art and a science to be learned. Learning the art of reflection begins as a student in clinical placement settings. Drawing on a reflective model, this article presents an account of one second-year children's nursing student's experiences in a community-based placement with a school nursing team. A school nurse appointment was reflected on where advice was offered to a 13-year-old student with sleep difficulties, low affect and lethargy, which included avoiding caffeinated drinks, reducing use of a laptop and mobile phone before going to sleep, and establishing a regular bedtime routine. Providing nursing care to this young person enabled the nursing student to improve their decision-making skills, become more self-aware, increase their confidence when communicating with a patient and reinforce the importance of applying theory to practice.
Topics: Decision Making; Education, Nursing, Baccalaureate; Humans; School Nursing; Students, Nursing
PubMed: 29722952
DOI: 10.7748/ncyp.2018.e1012 -
Journal of Advanced Nursing May 2000Previous reports that variations in school nursing resources across the UK had no relationship to deprivation; controversy about the changing role of the school nursing...
BACKGROUND
Previous reports that variations in school nursing resources across the UK had no relationship to deprivation; controversy about the changing role of the school nursing service.
OBJECTIVES
To measure the resources allocated to school nursing, determine whether the variations can be explained by deprivation, and assess whether the allocation of school nursing time to a range of tasks is in line with current evidence and perceptions of changing needs.
STUDY DESIGN
Quantitative economic analysis; qualitative descriptive study.
SETTING
Detailed study of four English districts with diverse characteristics; staffing and service questionnaire and telephone survey of 62 districts.
MAIN MEASURES
Staff resources and their salaries; measures of population and deprivation; activity statistics.
RESULTS
There were wide variations in the cost of the school nursing service, but in contrast to previous reports 24% of the variance was explained by deprivation. There were no clear associations with any other social or educational variables. The greatest allocation of time was in routine screening and surveillance tasks. Relatively little time was allocated to other activities such as health promotion, support of special needs or unwell children, or teenage clinics. The expenditure on school nursing is only loosely related to deprivation and the results of this study offer guidance on what districts should spend to achieve equity of provision.
CONCLUSIONS
The current allocation of resources to school nursing in between districts comparisons is not equitable and the use of school nursing time is out of step with current evidence of need and effectiveness.
Topics: Adolescent; Child; Costs and Cost Analysis; England; Health Care Rationing; Health Expenditures; Health Policy; Health Promotion; Health Services Needs and Demand; Humans; Personnel Staffing and Scheduling; Psychosocial Deprivation; School Nursing
PubMed: 10840239
DOI: 10.1046/j.1365-2648.2000.01389.x -
The Journal of School Nursing : the... Aug 2010A significant number of children in the United States have developmental disabilities. Historically, many children with developmental disabilities were institutionalized... (Review)
Review
A significant number of children in the United States have developmental disabilities. Historically, many children with developmental disabilities were institutionalized and rarely seen in public. Currently, children with developmental disabilities are entitled to education and health-related support services that permit them access to public education and community services. To understand current laws related to children with developmental disabilities, it is important to consider past legislation and landmark court cases that have significantly affected the lives of children with disabilities and school nursing practice. This article presents an overview of historical legislation and court cases as they pertain to children and individuals with developmental disabilities and of current issues that require further attention and inquiry.
Topics: Child; Child Welfare; Developmental Disabilities; Government Regulation; History, 20th Century; Humans; School Nursing; Social Support; United States
PubMed: 20348216
DOI: 10.1177/1059840510368162 -
NASN School Nurse (Print) Mar 2017School health is a specialty practice of nursing positioned at the intersection of public health and population health. This article discusses the redesign of a...
School health is a specialty practice of nursing positioned at the intersection of public health and population health. This article discusses the redesign of a program's curriculum with the hope of advancing and elevating the practice of school nursing. The redesign is based on NASN's Framework for 21st Century School Nursing Practice and is the result of a New Jersey Nursing Initiative grant awarded to a trio of adjunct faculty from Rutgers University Camden in July 2016.
Topics: Curriculum; Education, Nursing; Humans; Organizational Innovation; School Nursing
PubMed: 28225662
DOI: 10.1177/1942602X16686139 -
NASN School Nurse (Print) Mar 2017School nursing practice establishes itself in the midst of both education and nursing philosophies, ethics, standards, laws, and regulations. Treading these two worlds...
School nursing practice establishes itself in the midst of both education and nursing philosophies, ethics, standards, laws, and regulations. Treading these two worlds is difficult at times and requires that a school nurse possess a strong foundational knowledge base, seek professional collaboration, and navigate conflicting professional demands in order to promote student and public safety. This article is Part 2 of a four-part series that recounts the inspiring story of a school nurse, Ellen Johnsen, who did just that back in the 1980s in Broken Arrow, Oklahoma. Part 2 describes how Ellen's actions led the Broken Arrow Public Schools to revise its unsafe and illegal medication administration policy, which brought the policy into partial compliance with the nurse practice act but culminated in Ellen losing her job. The purpose of this series is to enhance understanding of the legal parameters governing school nurse practice, provide examples of ethical decision making, and review the challenges associated with serving as a leader.
Topics: History, 20th Century; Humans; Leadership; Medication Systems; Nurse's Role; Oklahoma; Practice Patterns, Nurses'; School Nursing
PubMed: 28225664
DOI: 10.1177/1942602X16688322 -
NASN School Nurse (Print) Jan 2016The National Association of School Nurses (NASN) developed the Framework for 21st Century School Nursing Practice to reflect current school nurse practice. The Framework...
The National Association of School Nurses (NASN) developed the Framework for 21st Century School Nursing Practice to reflect current school nurse practice. The Framework of practice was introduced in June 2015, and feedback was requested and obtained from practicing school nurses in a variety of ways. The final version of the Framework is introduced in this article. This article updates (and replaces) the articles in the July 2015 NASN School Nurse related to the Framework. Central to the Framework is student-centered nursing care that occurs within the context of the students' family and school community. Surrounding the student, family, and school community are the nonhierarchical, overlapping key principles of Care Coordination, Leadership, Quality Improvement, and Community/Public Health.These principles are surrounded by the fifth principle, Standards of Practice, which is foundational for evidence-based and clinically competent quality care. Each of these principles is further defined by practice components. Suggestions are provided regarding how the Framework can be used in a variety of settings to articulate and prioritize school nursing practice. The ultimate goal is to provide a resource to guide school nurses in their practice to help students be healthy, safe, and ready to learn.
Topics: Humans; Leadership; Public Health; Quality Improvement; School Nursing; Societies, Nursing; United States
PubMed: 26739934
DOI: 10.1177/1942602X15618644 -
The Journal of School Nursing : the... Dec 2010
Topics: American Nurses' Association; Clinical Competence; Humans; Leadership; Quality of Health Care; School Nursing; United States
PubMed: 21063033
DOI: 10.1177/1059840510388472 -
The Journal of School Nursing : the... Aug 2000This is the first in a series of three articles devoted to school nursing practice past, present, and future. This article highlights development of school health...
This is the first in a series of three articles devoted to school nursing practice past, present, and future. This article highlights development of school health programs in the late 1800s to 1950. Since its inception, school nursing service has paralleled events and developments in society. Nursing services were introduced to treat minor illnesses or injuries of children at school, to provide health education to children in school, and to provide follow-up care and teaching in the home setting in order keep the children healthy enough to attend school. As health care moved away from the home into physician-directed hospitals, nursing services in schools shifted from a focus on the public health nurse to the notion of a nurse-teacher with emphasis on health education. By exploring the practice of the early visionaries in school nursing, one realizes that today's nurses have similar challenges and opportunities in providing quality health care to the school community.
Topics: Europe; History, 19th Century; History, 20th Century; School Health Services; School Nursing; United States
PubMed: 11885084
DOI: 10.1177/105984050001600302 -
NASN School Nurse (Print) Mar 2020The Future of Nursing (FON) 2020-2030 will be an important roadmap for advancing the profession of nursing. The final FON document is meant to address nursing as a...
The Future of Nursing (FON) 2020-2030 will be an important roadmap for advancing the profession of nursing. The final FON document is meant to address nursing as a whole-not specific specialties-as well as address changes needed in the entire healthcare system that would facilitate patient safety and care. To ensure inclusion of the needs of school-age children and nurses employed outside the traditional hospital setting in the proceedings, the NASN offered comments at the first public meeting of the Committee on the Future of Nursing in March 2019 (Figure 1) and followed the other town hall meetings carefully. NASN submitted the following observations and suggestions in the form of a memo to the FON 2020-2030 Committee for consideration in the final report.
Topics: Education, Nursing, Baccalaureate; Humans; Leadership; Professional Competence; Quality Improvement; School Nursing; Societies, Nursing
PubMed: 32008425
DOI: 10.1177/1942602X19901302 -
Public Health Nursing (Boston, Mass.) 2010Frontier nursing in the public health model might invoke images of school nurses on horseback in rural Kentucky or the wilds of the western prairies. Northern Minnesota...
Frontier nursing in the public health model might invoke images of school nurses on horseback in rural Kentucky or the wilds of the western prairies. Northern Minnesota was a frontier in the last decade of the 19th century, due to the discovery of one of the richest seams of iron ore on the North American continent. Immigrants from Europe responded to the opportunities this discovery created. Among the many Finns arriving on the Iron Range of Minnesota, as it came to be named, were the parents of Lillian Augusta Wilhelmena Beck, John and Hulda Beck. Over her more than nine decades of life, their daughter became one of the most well known school nurses on the Iron Range. Her story evokes memories of the creation of school nursing in the public health model by nurses at the Henry Street Settlement in New York City.
Topics: Camping; Chicago; Emigrants and Immigrants; History, 19th Century; History, 20th Century; Humans; Minnesota; Models, Nursing; Nurse's Role; Public Health Nursing; School Nursing; United States
PubMed: 21087311
DOI: 10.1111/j.1525-1446.2010.00897.x