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Impact of School Nurse Ratios and Health Services on Selected Student Health and Education Outcomes: North Carolina, 2011-2016.
Best, Nakia C; Nichols, Ann O; Waller, Anna E; Zomorodi, Meg; Pierre-Louis, Bosny; Oppewal, Sonda; Travers, Debbie.
Afiliação
  • Best NC; Assistant Professor, (nbest@hs.uci.edu), Sue & Bill Gross School of Nursing, University of California, Irvine, 106B Berk Hall Mail Code 3959, Irvine, CA, 92697., USA.
  • Nichols AO; State School Health Nurse Consultant, (ann.nichols@dhhs.nc.gov), Division of Public Health, NC Department of Health and Human Services, 1928 Mail Service Center, Raleigh, NC, 27699., USA.
  • Waller AE; Executive Director & Research Professor, (anna_waller@med.unc.edu), Carolina Center for Health Informatics, Department of Emergency Medicine, The University of North Carolina at Chapel Hill, 100 Market Street, Chapel Hill, NC, 27516., USA.
  • Zomorodi M; Assistant Provost for Interprofessional Education and Practice & Professor, (meg_zomordoi@unc.edu), Office of Interprofessional Education and Practice & School of Nursing, The University of North Carolina at Chapel Hill, Carrington Hall CB 7460, Chapel Hill, NC, 27599., USA.
  • Pierre-Louis B; Biostatistician, (novion.biostat@gmail.com), Novion Analytics, Durham, NC, 27713., USA.
  • Oppewal S; Professor, (soppewal@email.unc.edu), School of Nursing, The University of North Carolina at Chapel Hill, Carrington Hall CB 7460, Chapel Hill, NC, 27599., USA.
  • Travers D; Associate Consulting Professor, (debbie.travers@duke.edu), School of Nursing, Duke University, 307 Trent Drive, Durham, NC, 27710, USA.
J Sch Health ; 91(6): 473-481, 2021 06.
Article em En | MEDLINE | ID: mdl-33843082
ABSTRACT

BACKGROUND:

Determination of adequate school nurse staffing is a complex process. School nurse-to-student ratios and the health services school nurses provide to students should be considered. The purpose of this study was to examine the impact of North Carolina school nurse-to-student ratios and school nurse health services on the health and education outcomes (eg, absences, grades, self-management) of students receiving services for asthma and diabetes.

METHODS:

This study of all 115 school districts in North Carolina used the Annual School Health Services Report Survey from 2011 to 2016. Descriptive statistics for health services, programs and outcomes, and generalized linear modeling were used to estimate the association of ratios and health services with asthma and diabetes outcomes.

RESULTS:

By the 2015-2016 school year, the average ratio decreased to 11086 in North Carolina public schools. Annually, 100,187 students received services for asthma, 3832 students received services for type 1 diabetes, and 913 students received services for type 2 diabetes. Lower ratios and nurse health services were associated with improved student outcomes, including decreased absences (p = .05), improved grades (p = .05), and student self-management of their health condition (p = .05).

CONCLUSIONS:

Lower school nurse-to-student ratios and services were associated with improvements in students' health and education outcomes.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Serviços de Enfermagem Escolar / Diabetes Mellitus Tipo 2 / Enfermeiras e Enfermeiros Limite: Humans País/Região como assunto: America do norte Idioma: En Revista: J Sch Health Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Estados Unidos
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Serviços de Enfermagem Escolar / Diabetes Mellitus Tipo 2 / Enfermeiras e Enfermeiros Limite: Humans País/Região como assunto: America do norte Idioma: En Revista: J Sch Health Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Estados Unidos