An Evidence-Based Framework for Implementation of a School–Community Partnership

McCabe, Ellen; Kaskoun, Jeannine R.; Murphy, Eleanor L.; Polkinghorn, Madeline; Elkind, Jaclynn A.

doi:10.1177/1942602x20964765

Cited by 7 publications

(4 citation statements)

References 17 publications

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“…With 74.6% of schools in the United States employing either a full-time or part-time nurse (Willgerodt et al, 2018), school nurses are widely available and maybe the only access to health care for some students. Therefore, school nurses are well-positioned as essential partners within communities, caring for students' physical and mental health needs (McCabe et al, 2021).…”

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confidence: 99%

Perceptions of School Nurses in Addressing Student Mental Health Concerns: An Integrative Review

Kaskoun

McCabe

2021

The Journal of School Nursing

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Mental health disorders in school-aged children are on the rise. The need for mental health care is well recognized, and the provision of this care in schools is recommended. An integrative review explored how school nurses view their role in addressing students’ mental health. Fourteen articles were identified, eleven using a qualitative design and three using a quantitative design. Findings suggest that school nurses see their role as trusted members of the school community. They perceive upholding standards of practice as an integral part of their position and recognize competence in mental health care to be highly important. Practice recommendations include providing school nurses with evidence-based training on managing the mental health needs of students, as well as ensuring access to school nurses who can provide mental health supervision in the community.

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Perceptions of School Nurses in Addressing Student Mental Health Concerns: An Integrative Review

Kaskoun

McCabe

2021

The Journal of School Nursing

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“…They can also provide a personalised asthma action plan to be shared with the school 5 45. Involving the wider community, for example, parent and teacher association, healthcare providers and social services may support delivery and sustainability of school asthma programmes 19 51 52…”

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Stakeholders’ views of supporting asthma management in schools with a school-based asthma programme for primary school children: a qualitative study in Malaysia

et al. 2022

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ObjectiveThe WHO Global School Health Initiative aimed to improve child and community health through health promotion programmes in schools, though most focus on preventing communicable disease. Despite WHO recommendations, no asthma programme is included in the Malaysian national school health service guideline. Therefore, we aimed to explore the views of school staff, healthcare professionals and policy-makers about the challenges of managing asthma in schools and the potential of a school asthma programme for primary school children.DesignA focus group and individual interview qualitative study using purposive sampling of participants to obtain diverse views. Data collection was guided by piloted semistructured topic guides. The focus groups and interviews were audiorecorded, transcribed verbatim and analysed using inductive thematic analysis. We completed data collection once data saturation was reached.SettingStakeholders in education and health sectors in Malaysia.ParticipantsFifty-two participants (40 school staff, 9 healthcare professionals and 3 policy-makers) contributed to nine focus groups and eleven individual interviews.ResultsSchool staff had limited awareness of asthma and what to do in emergencies. There was no guidance on asthma management in government schools, and teachers were unclear about their role in school children’s health. These uncertainties led to delays in the treatment of asthma symptoms/attacks, and suggestions that an asthma education programme and a school plan would improve asthma care. Perceived challenges in conducting school health programmes included a busy school schedule and poor parental participation. A tailored asthma programme in partnerships with schools could facilitate the programme’s adoption and implementation.ConclusionsIdentifying and addressing issues and challenges specific to the school and wider community could facilitate the delivery of a school asthma programme in line with the WHO School Health Initiative. Clarity over national policy on the roles and responsibilities of school staff could support implementation and guide appropriate and prompt response to asthma emergencies in schools.

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“…Research supports this directing of community healthcare resources because children with higher rates of CHCs are more likely to live in poverty and underserved communities (Jones et al, 2022;McCabe et al, 2020;Noonan et al, 2020;Olson et al, 2021). Therefore, it is essential to understand the role and types of services SBHCs provide for children with CHCs in the communities where they are located.…”

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Chronic Health Condition Management and School-Based Health Centers in New York: Findings From the 2020 School Health Profiles Survey

McCabe,

Jameson,

Grunin

et al. 2023

Policy, Politics, & Nursing Practice

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School-based health centers (SBHCs) are associated with numerous positive aspects of student health services. Many schools in the United States (US) do not have transparent policies on chronic health condition (CHC) management. Of particular concern is the underreporting of the delivery of health services in U.S. schools concerning CHC management and its relationship with the presence or absence of a SBHC. Data from the 2020 School Health Profiles (SHP) Survey were examined in New York public secondary schools. Specific health services were reviewed, together with the presence or absence of a SBHC, including daily medication administration, stock rescue medication, case management services, community partners, chronic disease-specific education, and assurance that students with CHCs were enrolled in an insurance program. A significantly greater proportion of schools with a SBHC compared with schools without a SBHC provided: (1) daily medication administration (92.9% vs. 86.5%; p < .001), (2) stock or rescue medication (84.9% vs. 77.4%; p < .001), (3) case management services (83.1% vs. 67.2%; p < .001), (4) disease-specific education for families (63.1% vs. 57.2%; p = .022), (5) student and family connection to community health services (84.2% vs. 76.5%; p < .001), and (6) ensured that a protocol existed whereby students with a CHC were enrolled in an insurance plan if eligible (79.6% vs. 66.8%; p < .001). Findings suggest that data on a national scale include essential facts for states to consider concerning school health policies and practices. Additional research should examine the intricacy of elements connected with school-based health care to understand better the care provided to children with CHCs.

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An Evidence-Based Framework for Implementation of a School–Community Partnership

Cited by 7 publications

References 17 publications

Perceptions of School Nurses in Addressing Student Mental Health Concerns: An Integrative Review

Perceptions of School Nurses in Addressing Student Mental Health Concerns: An Integrative Review

Stakeholders’ views of supporting asthma management in schools with a school-based asthma programme for primary school children: a qualitative study in Malaysia

Chronic Health Condition Management and School-Based Health Centers in New York: Findings From the 2020 School Health Profiles Survey

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