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Public Health Nursing (Boston, Mass.) May 2020To describe school nurse reported naloxone supply and administration in Pennsylvania, as well as nurse and school-level characteristics associated with naloxone...
OBJECTIVE
To describe school nurse reported naloxone supply and administration in Pennsylvania, as well as nurse and school-level characteristics associated with naloxone availability.
METHODS
Cross-sectional, online survey with school nurses in Pennsylvania. Data were collected (3/14/18-6/5/18) on school nurse demographic and professional characteristics, school characteristics, naloxone supply and administration, and when not available, reasons for not having a naloxone supply.
RESULTS
A total of 362 school nurses met inclusion criteria, representing schools in 56 of the 67 Pennsylvania counties. Over half of the school nurses reported a naloxone supply in their school building (53.6%, n = 194). Additionally, 5.2% of those who had a naloxone supply reported that it had been administered in their school or at a school sponsored activity. The most common reasons for not having naloxone available included lack of support and the belief that naloxone was not needed in their school.
CONCLUSION
Although many school nurses reported having a naloxone supply in their school, and a small percentage reported administration, particular barriers to access and use remain.
Topics: Adult; Cross-Sectional Studies; Humans; Middle Aged; Naloxone; Nurses; Pennsylvania; School Nursing; Schools; Surveys and Questionnaires; Young Adult
PubMed: 32090378
DOI: 10.1111/phn.12715 -
BMC Nursing Apr 2021School nurses perform vital student emergency services at school, and assessing their emergency nursing care competency is critical to the safety and quality of care...
BACKGROUND
School nurses perform vital student emergency services at school, and assessing their emergency nursing care competency is critical to the safety and quality of care students receive. The purpose of the study was to develop a scale for measuring school nurses' competency.
METHODS
This was an instrument development and validation study. It was conducted according to the revised DeVellis scale development process coupled with the application of the International Council of Nurses' Nursing Care Continuum Competencies Framework. Eight experts specializing in school health and emergency care evaluated the content validity, while 386 school nurses evaluated the scale. The validity evaluation comprised factor analysis, discriminative validity analysis according to differences in school nurse experience, and criterion validity analysis. Scale internal consistency was analyzed using Cronbach's α value.
RESULTS
The final scale comprises a self-reported 5-point Likert scale with 30 items based on three factors and three sub-factors. Both the convergent validity of the items by factor and the discriminative validity were both confirmed. The criterion validity was also found to be positively correlated with the Triage Competency Scale.
CONCLUSION
The scale may be used to identify factors influencing school nurses' competency in emergency nursing care and contribute to research in competency-based education programs.
PubMed: 33853595
DOI: 10.1186/s12912-021-00580-9 -
Inquiry : a Journal of Medical Care... 2022This study was conducted to develop a substantive theory on school nurses' experiences responding to infectious diseases by applying the grounded theory method to...
This study was conducted to develop a substantive theory on school nurses' experiences responding to infectious diseases by applying the grounded theory method to explore their experiences and derive related concepts. Study participants were 20 school nurses with experiences coping with infectious diseases while working in schools. The research question of this study was "What kind of experience did the school nurses have in response to infectious diseases?" The analysis included open, axis, and selective coding. We derived 164 concepts, 45 subcategories, and 17 categories. Further, paradigm, situation, and school infectious disease response control tower models were derived. The results of this study can serve as bottom-up policy data to understand the current situation surrounding school infectious disease management through the experiences of school nurses.
Topics: Adaptation, Psychological; Grounded Theory; Humans; Pandemics; Qualitative Research; School Nursing
PubMed: 35403477
DOI: 10.1177/00469580221090405 -
Frontiers in Public Health 2021School health and nutrition (SHN) interventions are among the most ubiquitous public health investments and comprise a key mechanism for reaching populations that are...
School health and nutrition (SHN) interventions are among the most ubiquitous public health investments and comprise a key mechanism for reaching populations that are otherwise difficult to reach through the health system. Despite the critical role of monitoring these multisectoral programs to enable data-informed adaptive programming, information to guide program implementers is scant. This manuscript provides an overview of how monitoring indicators can be selected across a SHN program's logical framework, with specific examples across five SHN implementation models. Adaptation of SHN programs in times of school closures, such as those currently being experienced globally due to the emergence of COVID-19, is also addressed. Key aspects of SHN program monitoring are explored, including: (1) why monitor; (2) what to measure; (3) how to measure; and (4) who measures. In situations of school closures, strategies to shift both program activities and corresponding monitoring mechanisms are critical to understanding the rapidly evolving situation and subsequently guiding policy actions to protect vulnerable populations.
Topics: COVID-19; Humans; Nutritional Status; SARS-CoV-2; School Nursing; Schools
PubMed: 34336757
DOI: 10.3389/fpubh.2021.645711 -
Pflege Apr 2012For many decades, nurses especially in Anglo-American and Scandinavian countries have operated as «School (Health) Nurses» and have supervised children and teenagers... (Comparative Study)
Comparative Study Review
For many decades, nurses especially in Anglo-American and Scandinavian countries have operated as «School (Health) Nurses» and have supervised children and teenagers in all health-related matters. This review applies to the question which specific tasks and roles School Nurses fulfil in these countries and which of the tasks in Germany also could be carried out by adequately qualified nurses. 34 articles were found by systematic literature search which focused on general descriptions of the roles and tasks of School Nurses. Overall, eleven central fields of duties could be identified. They included the treatment of injuries, acute and chronic illnesses, emergency care, preventive and health-promoting activities, information, education and counselling, the assessment of health-related problems and needs, the development and implementation of appropriate services as well as the fields: communication, cooperation and management of supply. With a view to the positive international experiences, the implementation of School Nurses in Germany seems to be a promising approach to promote both health and educational goals. Therefore, an additional university qualification «School Nursing» based on the existing international curricula is required.
Topics: Adolescent; Child; Cross-Cultural Comparison; Curriculum; Germany; Humans; Nurse's Role; School Nursing
PubMed: 22473734
DOI: 10.1024/1012-5302/a000186 -
BMC Health Services Research Jun 2022Although child health services are well established in Norway, the use of information technology for the systematic collection of evidence-based child- and... (Review)
Review
BACKGROUND
Although child health services are well established in Norway, the use of information technology for the systematic collection of evidence-based child- and proxy-reported health measures may be beneficial in the early identification of child development problems. The Norwegian "Starting Right™" health service innovation consists of parent- and child-reported online structured health assessments tools, including practical routines for child and school health assessments. The aim of this study was to explore the experiences of child and school health nurses with the Starting Right innovation.
METHODS
We used a qualitative design and conducted three focus group interviews with 18 child and school health nurses from three child health centres one year after the implementation of the innovation.
RESULTS
The experiences of professionals with the Starting Right innovation were captured by three themes: (1) the digital innovation could be used to obtain a good overview of a child's health and development; (2) interpreting the questionnaires was a challenge; and (3) implementing the new digital innovation was time-consuming.
CONCLUSIONS
Overall, the child and school health nurses experienced that the Starting Right innovation was useful for providing a comprehensive overview of child development and health. The challenges related to interpreting the parents' scores and follow-up of children, as well as providing the questionnaires in relevant foreign languages, should be addressed to allow all children and families to be reached.
Topics: Child; Child Health; Family; Humans; Language; Qualitative Research; School Nursing
PubMed: 35650581
DOI: 10.1186/s12913-022-08088-x -
Revista Da Escola de Enfermagem Da U S P 2021to analyze the offering of the first graduate certificate program in nursing in the state of Minas Gerais, called "Graduate Certificate Course in Obstetrics" (Curso de...
OBJECTIVE
to analyze the offering of the first graduate certificate program in nursing in the state of Minas Gerais, called "Graduate Certificate Course in Obstetrics" (Curso de Pós-Graduação em Obstetrícia), by the Nursing School Carlos Chagas, in 1966, and its contribution to the professionalization of obstetric nursing.
METHOD
this is a documentary, socio-historical study, based on the Sociology of Professions by Freidson.
RESULTS
the data collected allowed the following thematic composition: academic organization of the graduate certificate program and differentials and discontinuities of the first graduate certificate program at the Nursing School Carlos Chagas, with two categories delineated: "Construction of specific knowledge for obstetric nursing" and "Enhancement of specialized knowledge for scientific notoriety".
CONCLUSION
The first offering of a graduate certificate program in nursing by the Nursing School Carlos Chagas at the Universidade Federal de Minas Gerais was a milestone in the history of nursing in Minas Gerais and of the institution itself for being groundbreaking and having attracted students from other states, with repercussions in Brazil. This protagonism supported the professionalization course in the state and in the country, contributing to the scientific notoriety of the institution and of the professional category.
Topics: Brazil; Female; Humans; Obstetric Nursing; Pregnancy; Schools, Nursing
PubMed: 34190896
DOI: 10.1590/S1980-220X2020014703762 -
Diabetes Spectrum : a Publication of... 2023School nurses are integral to optimizing diabetes management for students with type 1 diabetes. The aim of this study was to describe the use of diabetes technology in...
OBJECTIVE
School nurses are integral to optimizing diabetes management for students with type 1 diabetes. The aim of this study was to describe the use of diabetes technology in schools over time and assess school nurses' comfort level performing diabetes management tasks.
STUDY DESIGN
From 2012 to 2019, school nurses who attended a diabetes education program completed a survey about their experience and comfort level with diabetes management.
RESULTS
A total of 1,796 school nurses completed the survey; 56% had at least 5 years of school nursing experience. Most (86%) had at least one student with type 1 diabetes. Among school nurses with at least one student with type 1 diabetes, 73% had at least one student using insulin pump therapy, and 48% had at least one student using continuous glucose monitoring (CGM). There was no change in pump use over time, but the percentage of nurses who had a student using CGM increased significantly from 24% in 2012 to 86% in 2019 ( <0.001). School nurses' comfort level using pumps remained stable over time. Overall, 47% reported being mostly/very comfortable giving boluses using a pump, and 17% reported being mostly/very comfortable troubleshooting problems with a pump. However, there was a significant increase in school nurses reporting feeling mostly/very comfortable working with CGM devices, increasing from 9% in 2012 to 44% in 2019 ( <0.001).
CONCLUSION
School nurses are an important part of diabetes management for school-aged youth with type 1 diabetes. There is a need for additional diabetes education and support to build their confidence with diabetes management and technology, especially with further technological advancements in management.
PubMed: 37583558
DOI: 10.2337/ds22-0056 -
Journal of Psychosocial Nursing and... Sep 2021
Topics: Humans; Nurses; School Nursing; Schools
PubMed: 34459672
DOI: 10.3928/02793695-20210806-01 -
Healthcare (Basel, Switzerland) Jul 2020This study develops a school nurse competency framework for continuing education based on focus group interviews and a literature review.
BACKGROUND
This study develops a school nurse competency framework for continuing education based on focus group interviews and a literature review.
METHODS
This study uses a qualitative content analysis with 12 school nurses. Six school nurses verify the content validity for the competency framework for continuing education using the content validity index.
RESULTS
School nurse competencies are defined as the knowledge, skills, and attitudes required of school nurses to provide safe school nursing. Six core competencies are identified. These include the ability to (1) provide patient-centered care; (2) communicate and collaborate with students, teaching staff, and community resources; (3) think critically for evidence-based practice; (4) implement school health services and programs; (5) integrate legal and ethical nursing practice, and (6) conduct health education.
CONCLUSION
It is necessary to develop and implement continuing education programs for school nurses based on the training needs and competency indicators identified in this study.
PubMed: 32751550
DOI: 10.3390/healthcare8030246