The Frontline Health Care Workers in Schools: Health Equity, the Distribution of School Nurses, and Student Access

2021 ◽  
pp. 105984052110242
Author(s):  
Trevor Gratz ◽  
Dan Goldhaber ◽  
Mayumi Willgerodt ◽  
Nate Brown

The extent to which observed disparities in access to primary pediatric care are mirrored in student access to school nursing services is unknown. Using school employment records, we linked 1,346 nurses to school districts serving 1,141,495 students in Washington state. The percentage of students who are Black is negatively associated with the student-to-nurse ratio, while the percentage of students eligible for free-or-reduced-price lunch is positively associated, and relative to urban districts, rural districts have higher student-to-nurse ratios. Disparities in access to school nursing services mirror access gaps for pediatric care along socioeconomic status and geography. The increased number of nurses working in districts with more racial/ethnic minority students may play a protective role and ameliorate access gaps observed in pediatric primary care. States can likely use existing employment and licensing data to understand where school nurses work and therefore guide resource allocation decisions.

2021 ◽  
Vol 2 (4) ◽  
pp. 205-206
Author(s):  
Sharon White

Sharon White discusses the recent changes to school nursing services to reflect the need for stronger risk management processes and an awareness of vulnerable groups of children and young people, as well as her admiration of school nurses as she shares personal anecdotes of the impact she has seen school nurses make to the lives of children, young people and their families


2019 ◽  
Vol 14 (9) ◽  
pp. 429-433
Author(s):  
Sally Star

It is estimated that 10-20% of children and young people worldwide experience mental and emotional health disorders. This article will outline how Welsh school nursing services can employ universal screening to increase awareness of the risk factors involved in children's mental and emotional health disorders and suggests methods to improve individual empowerment and resilience.


2020 ◽  
Vol 1 (2) ◽  
pp. 70-71
Author(s):  
Sharon White

As a result of the pandemic and the ensuing measures, including school closures and staff redeployment, school nurses have had to quickly respond and adapt their services to ensure that they could provide continuity of care. Sharon White explains


2003 ◽  
Vol 19 (1) ◽  
pp. 24-29 ◽  
Author(s):  
Connie Houghton

Until recent years, school nursing practice consisted mainly of screenings and first aid. However, the changing health, social, and emotional needs of children in the school setting have brought about an expansion of school nursing services. Now school nurses must not only perform routine first aid and screenings, but they must also carry out independent health assessments, monitor various medications, counsel students from troubled homes, collaborate with their educational partners, and complete numerous reports. Historically, school nurses began their careers with little specialized education or orientation. However, with the increased demands in school nursing, it is important to guide, advise, and mentor new school nurses so they can reach a level of competency and confidence more quickly. In this descriptive study, new school nurses were asked to indicate their level of satisfaction with the School Nurse-Mentoring Program. The findings of this study indicate that a mentoring program for new school nurses results in increased career satisfaction, a higher level of competency, and health benefits for the students being served.


2005 ◽  
Vol 21 (6) ◽  
pp. 350-355 ◽  
Author(s):  
Linda L. Wyman

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.


2021 ◽  
pp. 1942602X2199643
Author(s):  
Bill Marrapese ◽  
Jenny M. Gormley ◽  
Kristen Deschene

The COVID-19 pandemic has required thousands of public schools to quickly adapt to hybrid or fully remote models. These new models have presented unprecedented challenges for school nurses as they learn how to optimize their interactions with parents and students to provide ongoing support and monitoring of health. The growing reliance on virtual and hybrid public education is also placing new demands on school nurses to be versed in telehealth and school physicians to support their work. Greenfield Commonwealth Virtual School (GCVS) and other public virtual schools have been meeting these challenges for many years prior to the pandemic and have “lessons learned” to share with traditional “brick-and-mortar” nursing staff. GCVS students benefit from a climate that rewards collaboration between the health team, parents, teachers, and administrators, and this article will describe the role, job description, and other practices related to school nursing in a primarily virtual world.


2020 ◽  
Vol 1 (5) ◽  
pp. 249-250
Author(s):  
Sharon White

There have been great examples of school nursing practice so far during the pandemic, which in turn have led to increase in workforce commissions. However, to truly effect change we need to grow the body of school nursing research and evidence, Sharon White explains


2022 ◽  
pp. 105984052110681
Author(s):  
Ashwini R. Hoskote ◽  
Emily Croce ◽  
Karen E. Johnson

School nurses are crucial to addressing adolescent mental health, yet evidence concerning their evolving role has not been synthesized to understand interventions across levels of practice (i.e., individual, community, systems). We conducted an integrative review of school nurse roles in mental health in the U.S. related to depressive symptoms, anxiety, and stress. Only 18 articles were identified, published from 1970 to 2019, and primarily described school nurses practicing interventions at the individual level, yet it was unclear whether they were always evidence-based. Although mental health concerns have increased over the years, the dearth of rigorous studies made it difficult to determine the impact of school nurse interventions on student mental health outcomes and school nurses continue to feel unprepared and under supported in this area. More research is needed to establish best practices and systems to support school nursing practice in addressing mental health at all levels of practice.


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