Exploration of School Administrator Attitudes Regarding Do Not Resuscitate Policies in the School Setting

2007 ◽  
Vol 23 (2) ◽  
pp. 98-103 ◽  
Author(s):  
Martha Hone-Warren

Few school districts in the United States have policies relating to do not resuscitate (DNR) orders in the school setting. School administrators are the gatekeepers of policy development. Little is known about administrator attitudes related to DNR orders in the school setting. School nurses need to understand administrator attitudes in order to facilitate DNR policy development. This study explored the attitudes of 15 administrators about DNR orders in the school setting through structured interviews. Administrators were asked their attitudes about DNR orders in the school setting and about DNR policy implementation. The majority of administrators believed that DNR policies should not be developed for the school setting because of the emotions involved and lack of administrator knowledge related to DNR orders. The majority of administrators did agree that having a DNR policy would clarify how staff should respond to DNR orders at school.

Author(s):  
Artemida Kabashi

Policy development stands at the heart of running a successful library and having a positive impact on student literacy and overall achievement. This paper reports on the policy challenges that face librarians, teachers and school administrators in international schools, and provides the results of a case study from the Quality International School in Tirana, Albania. More over it provides a synthesis of the literature review on policy standards in international schools and the United States, and their impact on third world culture student achievement and success. Most of the achievements of students in international schools have more recently been studied under the scope of “third culture.” This paper, examines student access to policy and overall achievement within the context of “third culture” as a phenomenon. The paper also focuses on the importance of media selection, censorship, copyright and technology, as evidenced from interviews of school librarians, teachers and administrators at the Tirana International School. One of the central challenges in international schools remains the lack of centralized guidelines that support the institution’s library mission and vision. In order for libraries to thrive in an international school setting, communication at the onset of policy development between staff, teachers, librarian(s) and administrators is key.


1993 ◽  
Vol 8 (4) ◽  
pp. 317-322 ◽  
Author(s):  
James G. Adams

AbstractIntroduction:Many states in the United States ‘have developed policies that enable prehospital emergency medical services (EMS) providers to withhold cardiopulmonary resuscitation (CPR) in the terminally ill. Several states also have policies that enable the implementation of do-not-resuscitate (DNR) orders.Objectives:1) assess which states have statutes governing DNR orders for the prehospital setting; 2) determine which states authorize DNR orders in ways other than by specific state statue; and 3) define those states that had regional protocols which address prehospital DNR orders.Methods:Survey of the state EMS directors in each of the 50 U.S. states, the District of Columbia, and Puerto Rico.Results:As of 1992, specific legislation authorizing the implementation of DNR orders was in place in 11 states. In addition, six others have a legal opinion or policy allowing the implementation of DNR orders. Fourteen additional states have either working groups or legislation pending that address prehospital DNR orders. In only five were there no existing regional protocols for implementation of DNR orders in the prehospital setting.Conclusions:There exists great variation in legal authorization by states for implementation of DNR orders in the prehospital setting. Despite the existence of enabling legislation, many state, regional, or local EMS systems have implemented policies dealing with DNR orders.


Author(s):  
WILMA P. AZURIN

Conflict is a reality in everyone’s life and it must be considered as a natural process that occurs daily. The study perceives that the conflict management styles of secondary school administrators are greatly dependent on the source of conflicts and identities of people in the educational environment. The process of exploring these perspectives will be a review of research and literature related to conflict managementin all facets of life especially in the school setting. The main objective of the study is to determine the conflict management styles of school administrators in the public secondary institutions in the province of Cagayan. The descriptive research design was used in the study. Research from a number of fields emphasized that several factors conspire to create environment where conflict is more likely to occur. However, this study views that if school administrator manifests a positive work value he or she is likely to perform better in the job as least occurrence of problems that could pave the way for collaborative efforts towards the attainment of organizationalgoals. Moreover, the data reveal that solution-oriented style of conflict management is perceived to be employed by more dynamic and democratic school administrators. In this context, future research should consider an investigation on the comparison of conflict management styles between private and public secondaryinstitutions to prove the existence of differences on styles in resolving conflicts when grouped according to school type.Keywords: Education, conflict, conflict management styles, solution-oriented style, descriptivedesign, Philippines


Author(s):  
Judith Tanner ◽  
Lisa Quintis ◽  
Thomas Gamboa

School administrators are choosing or required to implement instructional coaching on their campuses to improve student-learning opportunities. The school community must be aware that effective instructional coaching is job embedded, encourages teachers to become reflective practitioners, and requires time to commit to the implementation. School administrators must support instructional coaches by ensuring there is significant time allotted to provide coaches time in the classroom to observe, provide feedback, and support classroom teachers in their practice and reflection. Instructional coaches build trust and rapport with the instructional staff by implementing best-practice protocols, providing feedback, and planning the next steps. The instructional staff must be disposed to take the feedback and be willing to implement best practices and reflect upon the process. This article reflects each author’s personal experiences in their roles as a school administrator, instructional coach, and classroom teacher with the distinct focus on instructional coaching from the practitioners’ diverse perspectives. Current research on instructional coaching is examined and discussed. Best practices for classroom implementation of instructional coaching are reviewed. The article concludes that implementing instructional coaching in a school setting requires the school administrator to engage all stakeholders to understand the diverse perspectives of the individuals involved in the process. Implementing instructional coaching in a school setting must include the instructional process and student achievement as priorities.


2019 ◽  
Vol 34 (5) ◽  
pp. 262-265
Author(s):  
Tanya Laudenslager ◽  
Sheila Q. Hartung

Lyme disease is the most common vector-borne disease in the United States with Lyme arthritis becoming one of the most common symptoms of Lyme disease. It is imperative that school nurses become familiar with vector-borne disease and promptly consider Lyme arthritis to be contemplated as a differential diagnosis of a child presenting to the office with a limp and joint pain and swelling with no history of acute injury. The following article will discuss the overview, implications and management of Lyme arthritis in the school setting and includes a relevant IHP for school nurses to utilize in practice.


Author(s):  
Tara Kirk Sell ◽  
Matthew P. Shearer ◽  
Diane Meyer ◽  
Mary Leinhos ◽  
Erin Thomas ◽  
...  

ABSTRACT Objective: This article describes implementation considerations for Ebola-related monitoring and movement restriction policies in the United States during the 2013–2016 West Africa Ebola epidemic. Methods: Semi-structured interviews were conducted between January and May 2017 with 30 individuals with direct knowledge of state-level Ebola policy development and implementation processes. Individuals represented 17 jurisdictions with variation in adherence to US Centers for Disease Control and Prevention (CDC) guidelines, census region, predominant state political affiliation, and public health governance structures, as well as the CDC. Results: Interviewees reported substantial resource commitments required to implement Ebola monitoring and movement restriction policies. Movement restriction policies, including for quarantine, varied from voluntary to mandatory programs, and, occasionally, quarantine enforcement procedures lacked clarity. Conclusions: Efforts to improve future monitoring and movement restriction policies may include addressing surge capacity to implement these programs, protocols for providing support to affected individuals, coordination with law enforcement, and guidance on varying approaches to movement restrictions.


SAGE Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. 215824401882175 ◽  
Author(s):  
Kenya Wolff ◽  
Alicia Stapp

Yoga for young children has become a growing area of interest in early childhood settings across the United States. Evidence suggests that yoga has the ability to improve young children’s physical development, executive functioning, self-regulation, and can aid in decreasing stress and anxiety. While the scope of research on yoga for young children has primarily focused on the experiences and outcomes of the children who participate, far less is known about the experiences and perceptions of teachers who have engaged in such programs with their students. This study utilized a qualitative case study to investigate teachers’ perceptions of yoga in a school setting. It took place at a laboratory preschool in North Mississippi over the course of 6 months from January to June 2017. A variety of qualitative research methods were employed to garner data including semi-structured interviews, classroom visits, and observations of weekly yoga classes. Findings from the study revealed teachers perceive the benefits of yoga to be increased physical development, self-regulation, and socioemotional skills, along with behavioral and cognitive benefits in the classroom. In addition, teacher buy-in was found to be critical to program success, as the teachers who perceived yoga positively were more willing to incorporate it into their classroom, thus extending its benefits. Of particular interest were reports by preschool teachers of students who continued to use yoga in their daily lives and retain many of the skills learned in yoga even months after they had taken yoga classes.


2020 ◽  
Vol 31 (10) ◽  
pp. 2393-2399 ◽  
Author(s):  
John Danziger ◽  
Miguel Ángel Armengol de la Hoz ◽  
Leo Anthony Celi ◽  
Robert A. Cohen ◽  
Kenneth J. Mukamal

BackgroundDespite having high comorbidity rates and shortened life expectancy, patients with ESKD may harbor unrealistically optimistic expectations about their prognoses. Whether this affects resuscitation orders is unknown.MethodsTo determine whether do-not-resuscitate (DNR) orders differ among patients with ESKD compared with other critically ill patients, including those with diseases of other major organs, we investigated DNR orders on admission to intensive care units (ICUs) among 106,873 patients in the United States.ResultsMajor organ disease uniformly associated with increased risk of hospital mortality, particularly for cirrhosis (adjusted odds ratio [aOR], 2.67; 95% confidence interval [95% CI], 2.30 to 3.08), and ESKD (aOR, 1.47; 95% CI, 1.31 to 1.65). Compared with critically ill patients without major organ disease, patients with stroke, cancer, heart failure, dementia, chronic obstructive pulmonary disease, and cirrhosis were statistically more likely to have a DNR order on ICU admission; those with ESKD were not. Findings were similar when comparing patients with a single organ disease with those without organ disease. The disconnect between prognosis and DNR use was most notable among Black patients, for whom ESKD (compared with no major organ disease) was associated with a 62% (aOR, 1.62; 95% CI, 1.27 to 2.04) higher odds of hospital mortality, but no appreciable difference in DNR utilization (aOR, 1.06; 95% CI, 0.66 to 1.62).ConclusionsUnlike patients with diseases of other major organs, critically ill patients with ESKD were not more likely to have a DNR order than patients without ESKD. Whether this reflects a greater lack of advance care planning in the nephrology community, as well as a missed opportunity to minimize potentially needless patient suffering, requires further study.


2021 ◽  
pp. 1942602X2199164
Author(s):  
Katherine Park ◽  
Rebecca Cartmill ◽  
Belinda Johnson-Gordon ◽  
Mary Landes ◽  
Karen Malik ◽  
...  

School-located vaccination events (SLVE) have a long history in the United States and have successfully contributed to lower morbidity and mortality due to vaccine-preventable diseases. The school is an ideal place to reach children from all cultures, socioeconomic groups, and age-groups and is conveniently situated in communities for ease of accessibility for students, parents, and staff alike. School nurses play an important role in planning for SLVE and are ideally positioned to initiate this process and provide accurate information, dispelling myths about vaccines. Because school nurses are considered a trusted source of health information by the school community, they can provide valuable education on the impact of vaccination on student and staff attendance. Conducting a successful SLVE requires research, planning, and partnerships, and these partnerships are needed both within the school setting and outside this setting, within the community at large. The proliferation of the current COVID-19 pandemic and the subsequent vaccine production has caused school nurses to take the lead in preparing for mass vaccination clinics in order to help mitigate this serious public health threat. This manuscript describes the process a group of school nurses used to develop SLVE plans in response to a pandemic.


2017 ◽  
Vol 33 (2) ◽  
pp. 110-114 ◽  
Author(s):  
Lauren Maziarz

School nurses are at the forefront of health resource decisions, education, and health advocacy in the school setting. When it comes to sex education and condom availability, navigating the politics and controversy surrounding student access and education is not an easy task. Moreover, recent research shows school administrators are not aware of sexual health issues in their district and are not typically supportive of condom availability, limiting evidence-based practice implementation in the school setting. At the district level, school nurses must recognize these challenges and develop plans to promote science-based interventions for students’ sexual health.


Sign in / Sign up

Export Citation Format

Share Document