A survey of school nursing provision in the UK

Merrell, Joy; Carnwell, Ros; Williams, Anne; Allen, Davina; Griffiths, Lesley

doi:10.1111/j.1365-2648.2007.04310.x

Cited by 14 publications

(21 citation statements)

References 14 publications

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“…The number of schools under an elementary school nurse's responsibility ranged from 1 to 12, and the number of students per ESN was twice the recommended ratio in the United States [46]. Some researchers have suggested that a low percentage of school nurses under 30 years of age may reflect lack of a career pathway and understanding of school nursing [47]. …”

Section: Resultsmentioning

confidence: 99%

Determinants of the intention of elementary school nurses to adopt a redefined role in health promotion at school

2010

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BackgroundThe quest for greater efficiency in the provision of primary healthcare services and the implementation of a "health-promoting school" approach encourage the optimal redefinition of the role of school nurses. School nurses are viewed as professionals who might be significant actors in the promotion of youth health. The aim of this study was to identify the determinants of the intention of elementary school nurses to adopt a new health-promotion role as a strategic option for the health-promoting school.MethodsThis study was based on an extended version of the theory of planned behaviour (TPB). A total of 251 respondents (response rate of 70%) from 42 school health programs across the Province of Québec completed a mail survey regarding their intention to adopt the proposed health-promotion role. Multiple hierarchical linear regression analyses were performed to assess the relationship between key independent variables and intention. A discriminant analysis of the beliefs was performed to identify the main targets of action.ResultsA total of 73% of respondents expressed a positive intention to accept to play the proposed role. The main predictors were perceived behavioural control (β = 0.36), moral norm (β = 0.27), attitude (β = 0.24), and subjective norm (β = 0.21) (ps < .0001), explaining 83% of the variance. The underlying beliefs distinguishing nurses who had a high intention from those who had a low intention referred to their feelings of being valued, their capacity to overcome the nursing shortage, the approval of the school nurses' community and parents of the students, their leadership skills, and their gaining of a better understanding of school needs.ConclusionsResults suggest that leadership is a skill that should be addressed to increase the ability of school nurses to assume the proposed role. Findings also indicate that public health administrators need to ensure adequate nurse staffing in the schools in order to increase the proportion of nurses willing to play such a role and avoid burnout among these human resources.

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Section: Resultsmentioning

confidence: 99%

Determinants of the intention of elementary school nurses to adopt a redefined role in health promotion at school

2010

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“…At present, most of the primary schools in Hong Kong do not have the resources to employ a school nurse, and not many nurses in Hong Kong are prepared to work in school health. If school nurses are to meet the increasing demands to fulfil their public health role for primary school students, investment in recruiting and education is required to increase the number of qualified school nurses (Merrell et al. 2007).…”

Section: Relevance To Clinical Practicementioning

confidence: 99%

The lifestyle behaviours and psychosocial well‐being of primary school students in Hong Kong

Lee

Loke

et al. 2010

Journal of Clinical Nursing

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“…National surveys of school nurses’ work have been undertaken in Sweden, Scotland, and Wales, with staff responses emphasizing that involvement in mental health work forms a key part of their role (Merrell et al. 2007, Clausson et al.…”

Section: Introductionmentioning

confidence: 99%

School nurses’ involvement, attitudes and training needs for mental health work: a UK‐wide cross‐sectional study

Haddad

Butler

Tylee

2010

Journal of Advanced Nursing

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haddad m., butler g.s. & tylee a. (2010) School nurses’ involvement, attitudes and training needs for mental health work: a UK‐wide cross‐sectional study. Journal of Advanced Nursing 66(11), 2471–2480. Abstract Aim. The aim of this study was to identify school nurses’ views concerning the mental health aspects of their role, training requirements and attitudes towards depression in young people. Background. Mental health problems in children and young people have high prevalence worldwide; in the United Kingdom they affect nearly 12% of secondary school pupils. School nurses have a wide‐ranging role, and identifying and managing mental health problems is an important part of their work Methods. A cross‐sectional study was conducted using a postal questionnaire sent to a random sample of 700 school nurses throughout the United Kingdom in 2008. Questions concerned involvement in mental health work and training needs for this work. Attitudes were measured using the Depression Attitude Questionnaire Results. Questionnaires were returned by 258 (37%) nurses. Nearly half of respondents (46%) had not received any postregistration training in mental health, yet 93% agreed that this was an integral part of their job. Most (55%) noted that involvement with young people’s psychological problems occupied more than a quarter of their work time. Staff attitudes were broadly similar to those of other primary care professionals, and indicated a rejection of stigmatizing views of depression and strong acknowledgement of the role of the school nurse in providing support. Conclusion. Working with young people who self‐harm, and recognizing and being better equipped to assist in managing depression and anxiety are key topics for staff development programmes.

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A survey of school nursing provision in the UK

Cited by 14 publications

References 14 publications

Determinants of the intention of elementary school nurses to adopt a redefined role in health promotion at school

Determinants of the intention of elementary school nurses to adopt a redefined role in health promotion at school

The lifestyle behaviours and psychosocial well‐being of primary school students in Hong Kong

School nurses’ involvement, attitudes and training needs for mental health work: a UK‐wide cross‐sectional study

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