School Nursing: Not Just Band‐Aids Any More!

Broussard, Lisa

doi:10.1111/j.1547-5069.2004.00077.x

Cited by 24 publications

(32 citation statements)

References 23 publications

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“…Respondents who perceived they could overcome barriers, such as the nursing shortage, had a stronger intention to agree to play the health-promotion role, and our findings show that perceived control was highly correlated to moral norm and attitude. Thus, considering that health promotion is a major reason motivating nurses to work in school health [2,3,51] and that health-promotion roles correspond to the values and principles of public health nurses [52], it is plausible that values towards health promotion and perceived advantages led high intenders to believe that they could overcome the nursing shortage. Moreover, Pearcey [53] found that role shifting needs to fit with values and principles espoused by nurses to avoid role confusion.…”

Section: Discussionmentioning

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: Discussionmentioning

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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“…School nurses provide accessible and continuous care, as over 95% of children and adolescents attend school and thus have access to the school health system each year; 8 they have the skills and credibility to offer health-related assistance to adolescents, 9 and they can be accessed by students without parental participation, transportation or cost. For these reasons school nurse-delivered interventions have tremendous potential for dissemination.…”

Section: Introductionmentioning

confidence: 99%

Exploratory Research to Design a School Nurse-Delivered Intervention to Treat Adolescent Overweight and Obesity

Gellar

Druker

Osganian³

et al. 2012

Journal of Nutrition Education and Behavior

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“…6 Therefore, effective and accessible treatment approaches are needed. School nurses are uniquely positioned to deliver such treatment because they have the skills and credibility to offer health-related assistance, 7 can provide ongoing support within the school setting, and are easily accessed by students without parental involvement, transportation, or cost given that more than 95% of adolescents attend school. 8 Although there is great variability across school districts and states regarding the number of school nurses and the number of schools to which 1 school nurse is assigned, according to the National Association of School Nurses, about half (49%) of high schools across the country have at least 1 full-time registered nurse and another third have a part-time nurse.…”

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confidence: 99%

Effectiveness of a School Nurse–Delivered Smoking-Cessation Intervention for Adolescents

et al. 2011

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WHAT'S KNOWN ON THIS SUBJECT:Most adolescent smokers want to quit and make serious attempts to quit. However, few seek medical assistance, and most are unsuccessful in their efforts to stop. Therefore, accessible, effective treatment approaches are needed for adolescents who want to quit smoking. WHAT THIS STUDY ADDS:Results demonstrate that a brief smoking-cessation intervention delivered by school nurses in the school health setting is feasible and moderately effective in helping adolescents to stop smoking. abstract OBJECTIVE: To evaluate the effectiveness of a school nurse-delivered smoking-cessation intervention in increasing abstinence among adolescent smokers. METHODS:Thirty-five high schools were pair-matched and randomly assigned to 1 of 2 conditions, each of which consisted of 4 visits with the school nurse: (1) counseling intervention using the 5 A's model and cognitive-behavioral techniques; or (2) an information-attention control condition. Adolescents (n ϭ 1068) who reported past 30-day smoking and interest in quitting completed surveys at baseline and at 3 and 12 months and provided saliva samples for biochemical validation of reported smoking abstinence. RESULTS:Intervention condition participants were almost twice as likely to be abstinent per self-report at 3 months (odds ratio: 1.90 [95% confidence interval: 1.12-3.24]; P ϭ .017) compared with control participants; at 12 months there were no differences. The difference at 3 months was driven by quit rates in male students (15.0% [intervention] vs 4.9% [control]; odds ratio: 3.23 [95% confidence interval: 1.63-6.43]; P ϭ .001); there was no intervention effect in female students at either time point (6.6% vs 7.0% at 3 months and 16.6% vs 15.5% at 12 months) and no intervention effect in male students at 12 months (13.9% vs 13.2%). Smoking amount and frequency decreased significantly in intervention compared with control schools at 3 but not at 12 months. CONCLUSIONS:A school nurse-delivered smoking-cessation intervention proved feasible and effective in improving short-term abstinence among adolescent boys and short-term reductions in smoking amount and frequency in both genders. Additional research is needed to enhance both cessation and maintained abstinence. Pediatrics 2011;128: 926-936

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School Nursing: Not Just Band‐Aids Any More!

Cited by 24 publications

References 23 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

Exploratory Research to Design a School Nurse-Delivered Intervention to Treat Adolescent Overweight and Obesity

Effectiveness of a School Nurse–Delivered Smoking-Cessation Intervention for Adolescents

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