The role of school nursing in the United States

Thurber, Frances W.; Berry, Barbara; Cameron, Mary

doi:10.1016/0891-5245(91)90023-j

Cited by 13 publications

(5 citation statements)

References 11 publications

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“…Most schools, particularly at the elementary level, do not have a full-time nurse (16). In only 11 states the measurement of students' height and weight is mandated (15,19). In this study, there were no school records available as to the weight and height of the children prior to enrollment.…”

Section: Discussionmentioning

confidence: 99%

“…In this study, there were no school records available as to the weight and height of the children prior to enrollment. Only 15 states entail a health history be recorded for each student, and only eight states require that nurses counsel students or parents about health findings, though not necessarily obesity (15,19). No state specifically requires that school nurses or other personnel conduct nutrition education or health promotion intervention for students (1 5).…”

Section: Discussionmentioning

confidence: 99%

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Feasibility of a Clinic‐Based Hypocaloric Dietary Intervention Implemented in a School Setting for Obese Children

et al. 1996

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Feasibility of a clinic-based hypocaloric dietary intervention implemented in a school setting for obese children. Obes Res. 1996;4:419-429. The objective of this study was to examine whether a protein-sparing modified fast diet and a hypocaloric balanced diet are effective in a clinic-based dietary intervention implemented in a school setting highrisk weight loss program for superobese (2 140% of their ideal body weight for height [IBW]) children. A group of children from two suburban public schools in New Orleans, Louisiana were randomized to either dietary-intervention group and control group. Children were followed for 6 months. In the dietary-intervention-group, 12 of 44 superobese children [ages 8.8 to 13.4 years, weight 144% to 212% of IBW] volunteered to participate. In the control group, 7 of 19 superobese children [ages 9.4 to 12.9 years, weight 140% to 195% of IBW] volunteered to participate. During the first 9 weeks, 12 superobese children were placed on a 2520 to 3360 J (600 to 800 Cal) protein-sparing modified fast diet. Subsequently, the diets of all children were increased in a 3-month period 420 J (100 Cal) every 2 weeks until a 5040 J (1200 Cal) per day balanced diet was attained. In both groups, height and weight were obtained at baseline, 10 weeks, and 6 months; and biochemical measurements were performed at baseline and 6 months.At 6 months the 12 superobese children on protein-sparing modified fast diet had a significant Six children were not superobese at 6 months. At 6 months eight of 12 children were active participants and 11 of 12 children were followed. Decrease in blood pressure, as well as, downward trends in serum lipids were observed at 6 months. No clinical complications were observed. A t 6 months, the 7 control superobese children, when compared with baseline had gained weight (2.8 & 3.1 kg, ANOVA p c 0.008); but had no significant change in percentage IBW (-0.3 f 5.9%, ANOVA p = 0.61); and had no changes in growth velocity Z-score (0.1 k 1.3, ANOVA p = 0.83). These children did not have any change in blood pressure and an upward trend in serum lipids were observed at 6 months.Protein-sparing modified fast diet and a hypocaloric balanced diet appear to be effective in a group of superobese-school-age children in a medically supervised clinic-based program implemented in a school setting over a 6-month period. The efforts of committed clinic staffs, school officials, peers, and family involvement were crucial to the success of this intervention program in promoting and maintaining weight loss over a 6-month period. Further research with a specific comparison of the hypocaloric diets with longer follow-up periods in the school setting is necessary. In the meantime, these diets should be used only with close medical supervision.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Feasibility of a Clinic‐Based Hypocaloric Dietary Intervention Implemented in a School Setting for Obese Children

et al. 1996

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“…Newcomers include families who have immigrated from other countries as well as those who move from city to city for employment or family reasons. In some Massachusetts communities, as many as 40% of the students may fall into this category. The increase of “social morbidities,” such as suicide, adjustment disturbances, and interpersonal violence, have placed additional responsibilities for early identification and referral on school health service programs (Thurber, Berry, & Cameron, 1991). The rapid restructuring of the health care delivery system has shifted many responsibilities for health care from the hospital and clinic to the school.…”

Section: Background and Rationalementioning

confidence: 99%

“…The increase of “social morbidities,” such as suicide, adjustment disturbances, and interpersonal violence, have placed additional responsibilities for early identification and referral on school health service programs (Thurber, Berry, & Cameron, 1991).…”

Section: Background and Rationalementioning

confidence: 99%

Developing School Health Services In Massachusetts: A Public Health Model

Sheetz

2003

The Journal of School Nursing

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In 1993 the Massachusetts Department of Public Health (MDPH) began defining essential components of school health service programs, consistent with the public health model. The MDPH designed and funded the Enhanced School Health Service Programs to develop 4 core components of local school health services: (a) strengthening the administrative infrastructure; (b) promoting health education, including tobacco control activities; (c) linking school health services with health care providers; and (d) implementing management information systems. Funds were appropriated in 1992 from the tobacco excise tax. With additional funding appropriated in 1999 and 2000 from the Tobacco Settlement Fund, these school nurse-managed programs have increased in number. The goal is to develop a statewide system of high-quality school health service programs responsive to the specific needs of students in each community. To be effective, these programs must be recognized as essential components of the primary health care delivery system serving children.

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“…In some Massachusetts communities, as many as 40% of the students may fall into this category. • The increase of ''social morbidities,'' such as suicide, adjustment disturbances, and interpersonal violence, have placed additional responsibilities for early identification and referral on school health service programs (Thurber, Berry, & Cameron, 1991). • The rapid restructuring of the health care delivery system has shifted many responsibilities for health care from the hospital and clinic to the school.…”

Section: Background and Rationalementioning

confidence: 99%

Notice of Correction

2003

The Journal of School Nursing

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The role of school nursing in the United States

Cited by 13 publications

References 11 publications

Feasibility of a Clinic‐Based Hypocaloric Dietary Intervention Implemented in a School Setting for Obese Children

Feasibility of a Clinic‐Based Hypocaloric Dietary Intervention Implemented in a School Setting for Obese Children

Developing School Health Services In Massachusetts: A Public Health Model

Notice of Correction

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