Demonstrating the Relationship Between School Nurse Workload and Student Outcomes

2017 ◽  
Vol 34 (3) ◽  
pp. 174-181 ◽  
Author(s):  
Donna Daughtry ◽  
Martha Keehner Engelke
Keyword(s):  
School District ◽  
Student Success ◽  
Student Outcomes ◽  
School Nurse ◽  
School Nurses ◽  
Logic Model ◽  
Evaluation Plan ◽  
Nurse Workload ◽  
Nurse Assignment ◽  
The Relationship

This article describes how one very large, diverse school district developed a Student Acuity Tool for School Nurse Assignment and used a logic model to successfully advocate for additional school nurse positions. The logic model included three student outcomes that were evaluated: provide medications and procedures safely and accurately, increase the number of students with a medical home, and increase the number of students with chronic illness that receive case management. Pairing a staffing formula with an evaluation plan that focuses on student outcomes and the priorities of the school district provides a strong case that school nurses are essential and that they contribute to student success.

The Association of School Nurse Workload With Student Health and Academic Outcomes: A Cross-Sectional Study

2021 ◽  
pp. 105984052110129
Author(s):  
Krista Schroeder ◽  
Ally Young ◽  
Gail Adman ◽  
Ann Marie Ashmeade ◽  
Estherlyn Bonas ◽  
...  
Keyword(s):  
Academic Outcomes ◽  
Student Outcomes ◽  
School Nurse ◽  
School Nurses ◽  
Future Research ◽  
Student Health ◽  
Office Visits ◽  
School Students ◽  
Cross Sectional ◽  
Nurse Workload

This study assessed associations between school nurse workload and student health and academic outcomes. We hypothesized that lower school nurse workload would be associated with better student outcomes, with associations being greater for members of groups who experience health disparities. Our methods entailed secondary analysis of data for New York City school students in kindergarten through 12th grade during 2015–2016 ( N = 1,080,923), using multilevel multivariate regression as the analytic approach. Results demonstrated lower school nurse workload was associated with better outcomes for student participation in asthma education but not chronic absenteeism, early dismissals, health office visits, immunization compliance, academic achievement, or overweight/obesity. Our findings suggest school nurses may influence proximal outcomes, such as participation in disease-related education, more easily than downstream outcomes, such as absenteeism or obesity. While contrary to our hypotheses, results align with the fact that school nurses deliver community-based, population health–focused care that is inherently complex, multilevel, and directly impacted by social determinants of health. Future research should explore school nurses’ perspectives on what factors influence their workload and how they can best impact student outcomes.

Identification of Workload Measurement Indicators for School Nursing Practice

2020 ◽  
pp. 105984052094683
Author(s):  
Beth E. Jameson ◽  
Lori S. Anderson ◽  
Patricia Endsley
Keyword(s):  
School Districts ◽  
Delphi Study ◽  
Nursing Practice ◽  
School Nurse ◽  
School Nurses ◽  
School Nursing ◽  
Workload Measurement ◽  
Care Processes ◽  
Nurse Workload ◽  
Nationally Representative

Many school districts rely on caseload or student to school nurse ratios that are not grounded in evidence-based research. There is a need for a comprehensive workload instrument to describe the work of school nurses that incorporates the complexities of the role and includes acuity, care processes, and social determinants of health. The purpose of this qualitative study was to identify workload activities from a previous Delphi study that can be empirically measured as items for a workload instrument. A nationally representative sample of 27 school nurses participated in four focus groups, describing activities important to the measurement of workload. Focus group input resulted in identification and confirmation of workload activities that impact school nurse workload. Use of the National Association of School Nurses’ Framework for 21st Century School Nursing Practice™ was integral in capturing gaps and important workload activities for a potential workload instrument.

scholarly journals Collaboration Between a School Nurse Task Force and the Local Health Department in Illinois: Development of a COVID-19 Toolkit

2021 ◽  
pp. 1942602X2110152
Author(s):  
Donna J. Kunz ◽  
Martha S. Manno ◽  
Dawn M. Ruffatti ◽  
Suzanne L. Blohm ◽  
Amelia A. Wuerger ◽  
...  
Keyword(s):  
Student Outcomes ◽  
Best Practice ◽  
School Health ◽  
Task Force ◽  
Health Department ◽  
School Nurse ◽  
School Nurses ◽  
Local Health ◽  
Community Initiatives ◽  
Public Health Officials

Multidisciplinary collaboration for healthy student outcomes is not a new concept for school nurses nor is working with public health officials in promoting school–community initiatives. The SARS-CoV-2 (COVID-19; severe acute respiratory syndrome coronavirus 2, coronavirus disease 2019) virus further highlighted the need to work together to promote best practice strategies to arm the community with information and guidance to prevent illness. The McHenry County Health Department recognized the expertise school nurses have in school health and formed a voluntary School Nurse Task Force. This collaboration worked to implement requirements for operating a school during a pandemic. The task force adapted those concepts into a toolkit to assist schools to meet health requirements throughout the most significant pandemic in over 100 years.

For Shawnee: Keeping the Student (and Family) Front and Center

2017 ◽  
Vol 33 (1) ◽  
pp. 48-51
Author(s):  
Erin D. Maughan ◽  
Mayumi Willgerodt
Keyword(s):  
Health Care ◽  
Health Care Reform ◽  
School Nurse ◽  
Patient Centered Care ◽  
School Nurses ◽  
Patient Centered ◽  
Student Centered ◽  
Nurse Workload ◽  
Centered Care ◽  
Family Centered

Patient-centered care is a buzzword heard often as part of health care reform efforts. For school nurses patient-centered care means student- and family-centered care. Student-centered care can improve student compliance and actually decrease school nurse workload. This article explains what student-centered means and provides examples of how school nurses can provide student and families-centered care in their communities. Approaches that center on individual students, as well as community cafes will be included.

Exploring School Nurse Interventions and Health and Education Outcomes: An Integrative Review

2017 ◽  
Vol 34 (1) ◽  
pp. 14-27 ◽  
Author(s):  
Nakia C. Best ◽  
Sonda Oppewal ◽  
Debbie Travers
Keyword(s):  
Academic Success ◽  
Outcome Measures ◽  
Student Outcomes ◽  
School Nurse ◽  
School Nurses ◽  
School Nursing ◽  
Education Outcomes ◽  
Rigorous Research ◽  
Coordination Principle ◽  
The Impact

School nurses intervene with students, parents, and school staff to advance the health and academic success of students. We conducted an integrative literature review of published research to describe the types of school nurse interventions and health and education outcome measures and to examine how school nurse interventions were linked to student outcomes. Sixty-five studies met the inclusion criteria. We used the National Association of School Nurses’ Framework for 21st Century School Nursing Practice to categorize school nurse interventions and health and education outcome measures. The majority of interventions were categorized under the care coordination principle, most commonly, motivational interviewing and counseling. In 17 studies, school nurse interventions were linked to improved student outcomes. Most studies (80%) were descriptive. To advance school nursing science, researchers can build on this foundation with more rigorous research methods to evaluate the impact of school nurse interventions and activities on student health and education outcomes.

scholarly journals Corrigendum

2018 ◽  
Vol 33 (6) ◽  
pp. 385-385
Keyword(s):  
Student Success ◽  
School Success ◽  
School Nurse ◽  
School Nurses ◽  
Past President ◽  
The Past ◽  
The Future

Kiefner, J., Cogan, R., & Conway, S. M. (2018). Power of the past, celebrate the present, force of the future part 2. Our story–NASN’s second 25 years. NASN School Nurse. 33(5), 298-308. (Original DOI: 10.1177/1942602X18792287) NASN Past-president Carol Constante’s theme was incorrectly presented as “Supporting School Success: School Nurses Make a Difference” instead of “Supporting Student Success: School Nurses Make a Difference” both in the table presented on page 300 and in the text on page 302. Indeed, “Supporting Student Success” was a tag line used by NASN for many years after Carol’s presidency.

Comparing the Number of Ill or Injured Students Who Are Released Early From School by School Nursing and Nonnursing Personnel

2005 ◽  
Vol 21 (6) ◽  
pp. 350-355 ◽  
Author(s):  
Linda L. Wyman
Keyword(s):  
Student Outcomes ◽  
School Attendance ◽  
School Nurse ◽  
School Nurses ◽  
School Nursing ◽  
Public School District ◽  
Nursing Services ◽  
Learning School ◽  
Improved Learning ◽  
Urban Public School

There is a growing demand for research linking specific educational services with positive student outcomes. Little empirical evidence exists to show that school nursing services improve student success. School attendance is one of many factors that has been associated with improved learning; school nurses can affect that factor. This study compared the number of students in a Midwest urban public school district who were dismissed from school early for illness or injury with and without interaction with a school nurse. A student sign-out and sign-in log identified the number of students who left school prior to the official dismissal time, and a school nurse activity log indicated the students who were dismissed early from school after contact with a school nurse. Analysis of these data indicates that 57% fewer students left school early with school nurse contact compared with those who left school early without such contact. The results of this study indicate school nurses may positively influence student school success by reducing avoidable early release from school for ill or injured students.

Factors Related to School Nurse Workload

2017 ◽  
Vol 34 (3) ◽  
pp. 211-221 ◽  
Author(s):  
Beth E. Jameson ◽  
Martha Keehner Engelke ◽  
Lori S. Anderson ◽  
Patricia Endsley ◽  
Erin D. Maughan
Keyword(s):  
Task Force ◽  
School Nurse ◽  
School Nurses ◽  
National Association ◽  
Model Based ◽  
Nurse Workload

Recognizing the need for a school nurse workload model based on more than the number of students in a caseload, the National Association of School Nurses issued recommendations related to measuring school nurse workload. Next, a workforce acuity task force (WATF) was charged with identifying the steps needed to further the recommendations. As a first step, the WATF focused on identifying existing literature and practices related to school nurse workload. The purpose of this article is to synthesize and categorize the factors that were identified, delineate sources for collecting and retrieving these factors, and make recommendations for clinicians and researchers interested in developing instruments to measure school nurse workload.

scholarly journals Policy Brief: Departmental Policies to Improve Mentorship for Graduate Students

2021 ◽  
Author(s):  
Aliya Hoff
Keyword(s):  
Graduate Students ◽  
Best Practices ◽  
Student Success ◽  
Graduate Student ◽  
Student Outcomes ◽  
Performance Evaluations ◽  
Departmental Leadership ◽  
Graduate Student Success ◽  
The Relationship

The relationship between an advisor and student is one of the most important factors in predicting graduate student outcomes, yet the vast majority of faculty never participate in formal mentorship training. Furthermore, few mechanisms of accountability exist to assess the quality of mentorship that graduate students receive. Departmental leadership must take responsibility for graduate student success by enacting policies and structures to ensure all students receive effective and equitable mentorship. I recommend that departments reward effective mentorship in performance evaluations and hiring, tenure, and promotion decisions. Providing incentives to develop mentorship competencies will catalyze faculty adoption of recommended best practices.

Enhancing School Nurse Visibility

2002 ◽  
Vol 18 (1) ◽  
pp. 5-10 ◽  
Author(s):  
Charlotte M. Brandt
Keyword(s):  
School District ◽  
School Districts ◽  
School Board ◽  
School Nurse ◽  
School Nurses ◽  
Community Based ◽  
Fine Tune ◽  
Health Experts

The school nurse is in a powerful position in the school district, but only by expanding visibility efforts can it be a viable one. School nurses are viewed as “health experts” in their school districts. They need to continually fine-tune and expand their visibility, as well as to widen their circle of influence in the school district and its community-based partnerships. Feeling comfortable in giving school board presentations and participating in other highly visible activities will highlight and enhance the valuable services school nurses provide. School nurses must be visible to be perceived as a powerful influence for health in the school district.

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