Use of the Worklife and Levels of Burnout Surveys to Assess the School Nurse Work Environment

2018 ◽  
Vol 36 (4) ◽  
pp. 272-282 ◽  
Author(s):  
Beth E. Jameson ◽  
Felesia Bowen
Keyword(s):  
School Leadership ◽  
Maslach Burnout Inventory ◽  
School Nurse ◽  
School Nurses ◽  
Work Environments ◽  
Cross Sectional ◽  
Web Based ◽  
Nurse Practice Environment ◽  
Healthy Work Environments ◽  
Areas Of Worklife

Previous research regarding burnout in acute care settings revealed that positive work environments increase job satisfaction, decrease staff turnover, and improve patient outcomes. However, few studies address burnout among school nurses. The purpose of this study was to describe the relationship between the school nurse practice environment, school nurses’ levels of burnout, and perceived sources of work stress. A cross-sectional sample of 100 registered nurses completed a web-based version of the Maslach Burnout Inventory and Areas of Worklife Survey. Identified stressors were entered into regression models to determine associations with levels of burnout. Burnout is significantly associated with all Areas of Worklife subscales. School nurses who reported satisfactory work environments experienced little to no burnout. This study provides insights into the domains of work that can cause burnout among school nurses and provides evidence that can inform school leadership and policy makers on ways to promote healthy work environments.

How do school nurses promote participation in health visits with children of foreign origin?

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E Wahlstrom ◽  
M Golsäter ◽  
M Granlund ◽  
I K Holmström ◽  
P Larm ◽  
...  
Keyword(s):  
Qualitative Content Analysis ◽  
School Nurse ◽  
Cross Sectional Study ◽  
School Nurses ◽  
Health Needs ◽  
Cross Sectional ◽  
Web Based ◽  
Cultural Aspects ◽  
Foreign Origin ◽  
Swedish School

Abstract Background All children in Sweden are invited to health visits to the school nurse to talk about their health. However, health visits with children of foreign origin might involve challenges when the child and school nurse do not share language and or culture. Such challenges might hinder the child's participation as e.g. sharing needs and experiences important for their health. Hence, school nurses' promotion of participation for these children need to be clarified to develop knowledge on how to promote health. The aim was to investigate school nurses' descriptions of promoting participation for children of foreign origin in health visits. Methods A cross-sectional study was conducted, using a web-based questionnaire distributed to all school nurses in Sweden. It contained eight open-ended questions regarding promotion of participation for children of foreign origin. Answers were provided by 673 Swedish school nurses and analyzed using qualitative content analysis. Results The preliminary result shows that school nurses use three approaches to promote participation: 1) adjusting according to the child's proficiency in Swedish and/or cultural or national background, 2) adjusting according to the child's individual needs, and 3) doing the same for all children regardless of their origin. These approaches are used throughout the health visit, although the most commonly was number 1. Such adjustments included the school nurse considering cultural aspects, simplifying their way of talking, or asking the child about their culture or background. Conclusions Adjustment according to the child's proficiency in Swedish and/or cultural or national background are warranted to promote participation in health visits with children of foreign origin. These will strengthen the opportunities for children to share their experiences as well as the encounter between school nurses and children. Key messages School nurses adjust promotion of participation when encountering children of foreign origin. Adjusting promotion of participation in health visits will enable children to share their health needs.

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.

scholarly journals Prevalence and Predictors of Burnout in Athletic Training Students: A Comparison of Undergraduate and Graduate Students

2021 ◽  
Vol 16 (2) ◽  
pp. 101-111
Author(s):  
Ashlyne Paige Vineyard ◽  
Andrew Gallucci ◽  
Kathleen Adair ◽  
Leslie Oglesby ◽  
Kristina White ◽  
...  
Keyword(s):  
Graduate Students ◽  
Athletic Training ◽  
Social Stress ◽  
Maslach Burnout Inventory ◽  
Cross Sectional Study ◽  
Personal Accomplishment ◽  
Athletic Training Students ◽  
Cross Sectional ◽  
Web Based ◽  
Survey Responses

Context Burnout is a psychological syndrome consisting of increased emotional exhaustion (EE), depersonalization (DP), and decreased personal accomplishment (PA). To date, examinations of burnout among athletic training students (ATS) is limited. Objective To determine prevalence and antecedents of burnout among ATS. Design Cross-sectional study. Setting Web-based survey. Patients or Other Participants Students enrolled in athletic training programs (ATP). Intervention(s) A survey assessed demographics, stressors, and burnout measured by the Maslach Burnout Inventory–Human Services Survey. Main Outcome Measure(s) Multiple regression analyses were used to determine relationships between variables. Results A total of 725 students participated. Most respondents were undergraduates (n = 582, 80%), female (n = 518, 71%), Caucasian (n = 564, 78%), and single (n = 422, 58%). Mean burnout scores for EE, DP, and PA were 33 ± 10, 17 ± 4.5, and 39 ± 5.8, respectively. Survey responses showed that 70.8% of undergraduate and 62.9% of graduate students reported high EE. All the students (100%) in both samples reported high DP. Undergraduates pursuing internships or residencies (b = −7.69, P < .001) and who were currently enrolled in non–Division I institutions (b = −2.90, P < .01) had decreased EE. Increased stress revealed increased EE (overall stress: b = 3.11, P < .001; social stress: b = 1.32, P < .05; class stress: b = 1.45, P < .05). Increases in clinical hours also related to increased EE (b = 1.49, P < .001). Those pursuing internships or residencies (b = −2.10, P < .05) and who were female (b = −2.10, P < .05) reported decreased DP. Being married (b = 2.87, P < .01), increased clinical hours (b = 0.77, P < .001), and social stress (b = 0.59, P < .05) resulted in increased DP. Increased PA was seen in students intending to pursue graduate education (b = 1.76, P < .05) and female students (b = 1.17, P < .05). Graduate students' stress levels revealed increased EE (b = 6.57, P < .01) and DP (b = 0.98, P < .05). Conclusions Differences exist between undergraduate and graduate burnout scores and associated predictors. Further research is needed to identify student responses to burnout.

School Nurse Perceptions of Nurse–Family Relationships in the Care of Elementary Students With Chronic Conditions

2017 ◽  
Vol 35 (2) ◽  
pp. 96-106 ◽  
Author(s):  
Camille Brown ◽  
Wendy S. Looman ◽  
Ann E. Garwick
Keyword(s):  
Elementary Students ◽  
Family Relationships ◽  
Chronic Conditions ◽  
Nursing Practice ◽  
Family Relationship ◽  
School Nurse ◽  
School Nurses ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Family Nursing

The purpose of this study was to explore school nurse perceptions of the nurse–family relationship in the care of elementary students with asthma and attention-deficit hyperactivity disorder (ADHD). A cross-sectional survey design was used to collect data from 97 school nurses in Minnesota. The Family Nursing Practice Scale measured nurses’ perceptions of their family nursing practice. Bivariate analyses were conducted to compare scores by factors at the community, school, nurse, and child levels. Results suggest that school nurses have positive appraisals of their family nursing practice, though scores were generally lower in the context of ADHD compared to asthma. Participants with a graduate degree reported greater skill in working with families, whereas novice nurses reported less confidence working with families and less comfort initiating family involvement in care. Results suggest that interventions at the nurse and school levels may support enhanced family nursing practice by nurses caring for students with chronic conditions.

The Impact of Distress, Personal Meaning & Training on the Delivery of Support to Grieving Students by School Nurses

2021 ◽  
pp. 105984052110412
Author(s):  
Thomas Demaria ◽  
Rich Gilman ◽  
Donna Mazyck ◽  
David Schonfeld
Keyword(s):  
School Leadership ◽  
Online Survey ◽  
School Nurse ◽  
Educational Background ◽  
School Nurses ◽  
Personal Meaning ◽  
Community Resources ◽  
Nurse Training ◽  
Personal Distress ◽  
The Impact

Supporting grieving students is part of a school nurse’s role which can provide meaning or special purpose in their career. This was verified by an online survey completed by 648 school nurse members of the National Association of School Nurses (NASN). A majority of respondents felt personal distress as a result of their work with grieving students which was predicted by a lack of access to work/community resources available and a lower level of educational background of the school nurse. Training to support grieving students and a higher level of educational background of the school nurse, however, appeared to predict a greater level of personal meaning found in school nurses’ support of grieving students. Level of support by school leadership provided to school nurses in their support of grieving students was also found to be related to both the personal distress experienced and the personal meaning derived by school nurses.

scholarly journals School Nurses’ Perceptions, Knowledge, and Related Factors Associated with Evidence-Based Practice in Taiwan

2018 ◽  
Vol 15 (9) ◽  
pp. 1845 ◽  
Author(s):  
Pei-Lin Hsieh ◽  
Sue-Hsien Chen ◽  
Li-Chun Chang
Keyword(s):  
Influencing Factors ◽  
Self Efficacy ◽  
Evidence Based Practice ◽  
Demographic Data ◽  
School Nurse ◽  
School Nurses ◽  
Evidence Based ◽  
Related Factors ◽  
Cross Sectional ◽  
Nurses Perceptions

The implementation of evidence-based practice (EBP) in health care has been focused mainly on hospital settings and there is little research on EBP adoption and implementation among school nurses in Taiwan. This study aimed to determine primary school nurses’ perceptions regarding EBP and to explore the factors that influence EBP in Taiwan. A cross-sectional design was used and the School Nurse Evidence-Based Practice Questionnaire was developed to collect data. A total of 2679 elementary school nurses in Taiwan were invited to participate in this study, and 1200 completed questionnaires were returned, with a 45% response rate. Participants’ mean age was 37.5 (range: 31–62) years and the mean duration of employment as a school nurse was 8.4 (range: 1–20) years. The majority of participants had a Bachelor’s degree (56%). The results revealed that participants had insufficient EBP knowledge and skills. However, they had a positive attitude toward and moderate self-efficacy in EBP. The demographic data positively correlated with knowledge, attitudes, skills, self-efficacy, and influencing factors. Certain influencing factors were highlighted. As school nurses play a crucial role in promoting children’s health, they ought to embrace EBP so as to provide more effective services. School organization should play a supportive role with regard to EBP implementation.

scholarly journals Adjusting and doing the same: school nurses’ descriptions of promoting participation in health visits with children of foreign origin

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Emmie Wahlström ◽  
Marie Golsäter ◽  
Mats Granlund ◽  
Inger K. Holmström ◽  
Peter Larm ◽  
...  
Keyword(s):  
School Health ◽  
School Nurses ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Web Based ◽  
Foreign Origin ◽  
Child Centered ◽  
Centered Care ◽  
Children’S Participation ◽  
Children's Participation

Abstract Background School nurses in the school health services are assigned to promote health and participation among children when conducting health visits. Still, for children of foreign origin this promotion of participation might be hampered by challenges related to cultural diversity and language barriers. Therefore, knowledge needs to be developed regarding how these children’s participation can be promoted, to support them in sharing and describing matters important for their health. The aim was to investigate school nurses’ descriptions of promoting participation for children of foreign origin in health visits. Methods A content analysis of 673 Swedish school nurses’ answers to eight open-ended questions regarding promotion of participation for children of foreign origin was conducted. The open-ended questions were part of a larger web-based cross-sectional survey distributed to school nurses in Sweden. Results The results show that school nurses use three main approaches during the health visit: adjusting according to the child’s proficiency in Swedish and/or cultural or national background, adjusting according to the child’s individual needs, and doing the same for all children regardless of their origin. Yet, adjustments according to the child’s proficiency in Swedish and/or cultural or national background were the most common. Conclusions By combining the approaches of adjusting, a child-centered care that contributes to children’s participation in health visits and equity in health could be provided.

U.S. School Nursing Job Analysis

2020 ◽  
pp. 105984052093007
Author(s):  
Brenna L. Morse ◽  
Lori Anderson ◽  
Laurie G. Combe ◽  
Sandi Delack ◽  
Lynnette Ondeck ◽  
...  
Keyword(s):  
Secondary Analysis ◽  
School Nurse ◽  
The United States ◽  
Great Depth ◽  
School Nurses ◽  
School Nursing ◽  
Cross Sectional ◽  
School Communities ◽  
Modern School ◽  
Nurse Role

The complexity and demands of the school nurse role have changed greatly over time. Our aims included determining tasks and knowledge relevant to modern school nursing in the United States, identifying continuing education needs of school nurses, and describing anticipated changes to the professional role. A secondary analysis of a cross-sectional web-based survey of 750 school nurses was performed. The study team evaluated calculations of mean importance and frequency for school nursing task and knowledge statements. Conventional content analysis was used to analyze open-ended responses. School nurses rated most tasks and knowledge as relevant to practice, underscoring the great depth and breadth of education and training school nurses need to meet the demands of students today. The results of this secondary analysis may be leveraged to accurately describe the school nurse role, advocate for nursing services, and support school nurses as they strive to better the health of school communities.

Awareness of the preventive measures against Covid -19 spread among small shop owners

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 1144-1150
Author(s):  
Muralidharan V A ◽  
Gheena S
Keyword(s):  
Infectious Disease ◽  
Data Analysis ◽  
Preventive Measures ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Positive Perception ◽  
Cross Sectional ◽  
Web Based ◽  
Small Shop ◽  
Structured Questionnaire

Covid -19 is an infectious disease caused by the newly discovered strain of coronavirus. As there is no vaccine discovered, the only way to prevent the spread is through following the practice of social isolation. But prolonged isolation may also lead to psychological stress and problems. The objective of the survey was to assess the knowledge and awareness of preventive measures against Covid 19 amongst small shop owners. A web-based cross-sectional study was conducted amongst the small shop owners.  A structured questionnaire comprising 15-17 questions had been put forth to assess the Covid 19 related knowledge and perception. The shopkeepers were contacted telephonically and responses recorded. The data analysis was performed using IBM SPSS statistics. Although the majority of the population had a positive perception about the preventive measures against the Covid spread, 36% of the shopkeepers were not aware of the preventive measures against the Covid spread. This study found optimal knowledge and perception of the preventive measures against Covid spread among the shopkeepers but misinformation and misunderstanding still prevailing. The shopkeepers are crucial in the prevention of the spread of Covid 19 and educating them might aid us in the fight against Covid- 19. 

HUBUNGAN ANTARA SELF EFFICACY DAN STRES KERJA DENGAN BURNOUT PADA PERAWAT DALAM MELAKUKAN ASUHAN KEPERAWATAN DI RUMAH SAKIT UMUM UNIVERSITAS MUHAMMADIYAH CIREBON

2020 ◽  
Vol 1 (1) ◽  
pp. 4
Author(s):  
Idah Faridah ◽  
Aria Pranatha ◽  
Aditiya Puspanegara
Keyword(s):  
Self Efficacy ◽  
Maslach Burnout Inventory ◽  
Cross Sectional ◽  
Spearman Rank

Profesi kesehatan pemberi pelayanan kesehatan di rumah sakit yang paling rentan mengalami burnout adalah perawat. Faktor individu dan faktor lingkungan dapat mempengaruhi terjadinya Burnout. Faktor individu salah satunya adalah self efficacy sedang faktor lingkungan disebabkan stres kerja Adapun tujuan dari penelitian ini adalah untuk mengetahui hubungan Self Efficacy dan stress kerja dengan Burnout pada perawat dalam melakukan asuhan keperawatan di Rumah Sakit Umum Universitas Muhammadiyah Cirebon. Penelitian ini merupakan penelitian kuantitatif dengan metode analitik korelasional dan rancangan cross sectional yang menggunakan 70 orang sampel perawat dan yang termasuk ke kriteria inklusi sebanyak 58 orang sampel dengan teknik Total Sampling. Pengumpulan data menggunakan kuesioner Maslach Burnout Inventory, Self Efficacy dan stres kerja. Hasil penelitian menunjukkan 55,2% responden memiliki self efficacy sedang, 70,7% responden mengalami stres kerja ringan, 81% responden mengalami burnout sedang. Berdasarkan hasil uji statistik dengan Spearman Rank diperoleh dengan p = 0,278 dan p=0,120 (p > 0,05), hal ini menunjukkan tidak ada hubungan yang kuat antara self-efficacy dan stres kerja dengan burnout. Dari hasil penelitian ini diharapkan para perawat mampu menghindari dan memanajemen stress agar tidak terjadi Burnout serta tetap menunjukkan profesionalitasnya dalam menjalankan tugas. Implikasi utuk peneliti selanjutnya dapat mengembangkan penelitian dengan mempertimbangkan faktor individu, faktor lingkungan, faktor organisasi yang dapat mempengaruhi burnout. Rumah sakit dapat melakukan kegiatan untuk meningkatkan self efficacy perawat melalui pelatihan kompetensi, menurunkan stres kerja dan burnout melalui kegiatan refreshing, dan rotasi kerja.

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