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1.
Am J Nurs ; 121(2): 28-38, 2021 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-33470615

RESUMO

BACKGROUND: School nurses' knowledge about and confidence in managing concussions are important to ensure continuity of care between a student's school and home environments. This mixed-methods study explored concussion-related knowledge, confidence, and management experiences among urban and rural school nurses in Washington State. METHODS: Public school nurses, identified via state educational service district websites and recruited by e-mail, completed an online survey assessing their concussion knowledge and confidence levels. Following the survey, a subset of respondents participated in semistructured interviews aimed at exploring their confidence in managing concussions. RESULTS: Of the 945 school nurses to whom the survey was sent, 315 responded (33% response rate). Most survey respondents held an RN license (89.6%) and were from urban areas (90.8%). Overall, the respondents exhibited accurate concussion knowledge; only one significant difference was noted based on rural-urban status. Correct responses were given for most questions (67.4% to 98.7% correct responses). In interviews with a subset of six school nurses, emergent themes pertained to communication, assessment, and monitoring, and the nurse's role in postconcussion management. Barriers can include a lack of relevant school policies, low concussion awareness among teachers and parents, and limited resources. CONCLUSIONS: The study findings suggest that school nurses possess high levels of concussion knowledge and confidence in managing concussions. Continuing education remains important to ensure that current research and evidence inform practice regarding ongoing concussion management among school-age children.


Assuntos
Concussão Encefálica/enfermagem , Competência Clínica/normas , Serviços de Enfermagem Escolar/métodos , Concussão Encefálica/diagnóstico , Competência Clínica/estatística & dados numéricos , Estudos Transversais , Humanos , Incidência , Washington
2.
Curationis ; 43(1): e1-e10, 2020 Jul 23.
Artigo em Inglês | MEDLINE | ID: mdl-32787429

RESUMO

BACKGROUND: There is a marked inequality between children in public schools and their counterparts in private schools in terms of school healthcare in rural Nigeria. This is because of the ineffective dissemination and implementation of a policy on school health in public schools. Effective dissemination and implementation of such policy can reduce the prevalence of risky health behaviours amongst young people and have a positive effect on academic performance. OBJECTIVES: The purpose of this study was to develop a conceptual framework for the effective dissemination and implementation of a policy on school health in rural Nigeria. METHODS: This study consisted of four phases as follows: an empirical phase, concept classification, framework development and critical reflection on the conceptual framework. An exploratory, descriptive and contextual research design was used to develop the framework. The work of Dickoff et al. was used to classify concepts from the empirical phase. Chinn and Kramer's nursing theory on generative method was used for the development of the conceptual framework and for critical review. RESULTS: The framework consisted of six components, namely, departments of health and education (context); health or educational professionals in the ministries (agents); health or educational practitioners, pupils, parents and communities (recipients); ratification of a policy on school health, stakeholder engagement, training as well as monitoring and evaluation (process); communication, collaborative partnership, commitment and support (dynamics); and effective dissemination and implementation of a policy on school health. CONCLUSION: The framework would be a firm foundation and contribution to improve the health of children in public schools, and well-being and academic performance that would be a good feat towards the future endeavour. The findings of the study are pertinent to school health nursing practice, education and research.


Assuntos
Formação de Conceito , Política de Saúde/tendências , Disseminação de Informação/métodos , Humanos , Nigéria , População Rural/estatística & dados numéricos , Serviços de Saúde Escolar/organização & administração , Serviços de Saúde Escolar/estatística & dados numéricos , Serviços de Enfermagem Escolar/métodos , Serviços de Enfermagem Escolar/estatística & dados numéricos
3.
Nurs Adm Q ; 44(2): 136-141, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32134872

RESUMO

The school nurse role parallels the growing complexity of health care, education, and the social needs of youth in the United States. The complex and chaotic environment of the school setting requires leaders to be flexible and to have the ability to recognize and tackle the ever-changing needs of this environment. School nurses are in a prime position to enact change and drive the culture of the community, giving it purpose, while allowing its members to have a focus on their work. Nurses, as complexity leaders, are positioned to understand that change is a continual process that stems from collaboration, complex systems thinking, and innovation mindsets.


Assuntos
Liderança , Saúde da População , Serviços de Enfermagem Escolar/métodos , Humanos , Serviços de Enfermagem Escolar/normas , Serviços de Enfermagem Escolar/tendências , Estados Unidos
4.
Rev Bras Enferm ; 73(1): e20170910, 2020.
Artigo em Inglês, Português | MEDLINE | ID: mdl-32049220

RESUMO

OBJECTIVE: to assess the effects of an intervention based on the Theater of the Oppressed in reducing school bullying. METHOD: a quasi-experimental study with 232 first-year high school students from two public schools in the city of Cuiabá, Mato Grosso State, Brazil. An intervention was performed with the Theater of the Oppressed, a theatrical methodology created by Augusto Boal and inspired by Paulo Freire's "Pedagogy of the Oppressed", in which one school composed the intervention group, and another school, the comparison group. Both groups were assessed for involvement in bullying situations before and after intervention. For data analysis, Poisson Regression models with random effect were used. RESULTS: intervention group presented a significant decrease in direct victimization (physical and verbal aggression). CONCLUSION: the Theater of the Oppressed represents an important strategy in reducing bullying victimization among school adolescents.


Assuntos
Saúde do Adolescente/normas , Bullying/psicologia , Enfermagem/normas , Serviços de Enfermagem Escolar/normas , Adolescente , Saúde do Adolescente/estatística & dados numéricos , Brasil , Bullying/prevenção & controle , Bullying/estatística & dados numéricos , Criança , Vítimas de Crime/psicologia , Vítimas de Crime/estatística & dados numéricos , Feminino , Humanos , Masculino , Enfermagem/métodos , Enfermagem/estatística & dados numéricos , Serviços de Enfermagem Escolar/métodos , Serviços de Enfermagem Escolar/estatística & dados numéricos , Estudantes/psicologia , Estudantes/estatística & dados numéricos , Adulto Jovem
5.
Rev Bras Enferm ; 72(4): 964-972, 2019 Aug 19.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31432953

RESUMO

OBJECTIVE: To understand adolescents' perceptions on school health. METHOD: Qualitative and descriptive research grounded on Maurice Merleau-Ponty's phenomenology, which was developed with 90 adolescent students from a federal school of the state of Rio de Janeiro. Data were produced by gathering answers to the following question: what is your perception on school health? Those who chose to write their answer to the guiding question deposited the manuscripts in polls. RESULTS: School health is linked to hygienist practices and to the hegemonic assistentialist model. Nevertheless, we assigned senses and meanings to the practice of physical activity and health education by integrating and expanding behavioral strategies and healthy habits. FINAL CONSIDERATIONS: a healthy school environment implies the protagonism of adolescents in school health promotion actions.


Assuntos
Comportamento do Adolescente/psicologia , Percepção , Serviços de Enfermagem Escolar/normas , Adolescente , Brasil , Feminino , Educação em Saúde/métodos , Educação em Saúde/normas , Promoção da Saúde/métodos , Promoção da Saúde/tendências , Humanos , Masculino , Pesquisa Qualitativa , Serviços de Enfermagem Escolar/métodos , Serviços de Enfermagem Escolar/tendências , Instituições Acadêmicas/organização & administração , Instituições Acadêmicas/normas , Instituições Acadêmicas/estatística & dados numéricos , Estudantes/psicologia , Estudantes/estatística & dados numéricos
6.
Rev. bras. enferm ; 72(4): 964-972, Jul.-Aug. 2019.
Artigo em Inglês | LILACS, BDENF - Enfermagem | ID: biblio-1020516

RESUMO

ABSTRACT Objective: To understand adolescents' perceptions on school health. Method: Qualitative and descriptive research grounded on Maurice Merleau-Ponty's phenomenology, which was developed with 90 adolescent students from a federal school of the state of Rio de Janeiro. Data were produced by gathering answers to the following question: what is your perception on school health? Those who chose to write their answer to the guiding question deposited the manuscripts in polls. Results: School health is linked to hygienist practices and to the hegemonic assistentialist model. Nevertheless, we assigned senses and meanings to the practice of physical activity and health education by integrating and expanding behavioral strategies and healthy habits. Final considerations: a healthy school environment implies the protagonism of adolescents in school health promotion actions.


RESUMEN Objetivo: Comprender las percepciones del ser adolescente sobre la salud en la escuela. Método: Investigación cualitativa, descriptiva, basada en la fenomenología de Maurice Merleau-Ponty, desarrollada con 90 alumnos adolescentes de una escuela federal del estado de Río de Janeiro. Se recogieron los datos por medio del discurso hablado en respuesta al cuestionamiento: ¿cuál es su percepción sobre la salud en la escuela? Aquellos que optaron por escribir la respuesta a esta cuestión principal la depositaron en urnas. Resultados: La salud en la escuela se encuentra vinculada a las prácticas higienistas y al modelo hegemónico asistencialista. Sin embargo, sentidos y significados fueron asignados a la práctica de actividad física y educación en salud -estrategias integradoras y multiplicadoras de comportamientos y hábitos saludables. Consideraciones finales: El hacer salud en la escuela pasa por el protagonismo del ser adolescente sobre su salud en la reorganización de las acciones de promoción de la salud en la escuela.


RESUMO Objetivo: Compreender as percepções do ser adolescente acerca da saúde na escola. Método: Pesquisa qualitativa e descritiva apoiada na fenomenologia de Maurice Merleau-Ponty, desenvolvida com 90 alunos adolescentes de uma escola federal do estado do Rio de Janeiro. Os dados foram produzidos pelo discurso falado em resposta ao questionamento: conte para mim qual a sua percepção sobre a saúde na escola. Aqueles que optaram pela resposta escrita à questão norteadora depositaram os manuscritos nas urnas. Resultados: A saúde escolar encontra-se presa às práticas higienistas e ao modelo hegemônico assistencialista. No entanto, sentidos e significados foram atribuídos à prática da atividade física e de educação em saúde - estratégias integradoras e multiplicadoras de comportamentos e hábitos saudáveis. Considerações finais: O fazer saúde na escola passa pelo protagonismo do ser adolescente sobre sua saúde na reorganização das ações de promoção em saúde escolar.


Assuntos
Humanos , Masculino , Feminino , Adolescente , Percepção , Serviços de Enfermagem Escolar/normas , Comportamento do Adolescente/psicologia , Serviços de Enfermagem Escolar/métodos , Serviços de Enfermagem Escolar/tendências , Instituições Acadêmicas/normas , Instituições Acadêmicas/organização & administração , Instituições Acadêmicas/estatística & dados numéricos , Estudantes/psicologia , Estudantes/estatística & dados numéricos , Brasil , Educação em Saúde/métodos , Educação em Saúde/normas , Pesquisa Qualitativa , Promoção da Saúde/métodos , Promoção da Saúde/tendências
7.
J Clin Nurs ; 28(13-14): 2688-2695, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-30938909

RESUMO

AIMS AND OBJECTIVES: Public health nurses attended a 3-day course to learn the use of visual methods in health dialogue with adolescents. The aim of this study was to explore how to use visual methods to promote health among adolescents in a school nursing context. BACKGROUND: Photovoice is a visualising technique that enables adolescents to participate in health promotion projects in a school setting. Photovoice also enhances work of public health nurses and other health professionals. DESIGN: This was a qualitative action research study. We developed and conducted a course in visual methods and used data from focus group discussions in combination with participant observations involving public health nurses working in school health services. METHODS: We conducted focus group interviews (n = 40) using separate semi-structured discussion guides before and after a course in visual methods. The interviews were audio recorded and transcribed verbatim, and we documented the workshops (n = 8) through field notes. We collected the data from January-October 2016. Data were analysed and coded into themes and subthemes using systematic text condensation. We reported the study in accordance with the COREQ checklist. FINDINGS: Public health nurses found photovoice useful in school nursing. The use of images offered pupils an active role in dialogues and more control in defining the topics and presenting their stories. When nurses allowed adolescents to bring images into conversations, they discovered new insights into public health promotion. The public health nurses pointed out the benefits and challenges of using new methods in practice. CONCLUSION: Public health nurses considered photovoice to be useful in health promotion and other public health issues. Involving pupils in bringing images to conversations offered them an active role and voice in health promotion. RELEVANCE TO CLINICAL PRACTICE: We recommend the use of photovoice and visual technologies (e.g., smartphones) in health promotion activities for adolescents.


Assuntos
Enfermeiras de Saúde Pública , Fotografação , Serviços de Enfermagem Escolar/métodos , Adolescente , Saúde do Adolescente , Feminino , Grupos Focais , Promoção da Saúde , Humanos , Pesquisa Qualitativa , Adulto Jovem
8.
Public Health Nurs ; 36(4): 498-506, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-30968440

RESUMO

OBJECTIVE: The purpose of this integrative literature review is to document and synthesize the available evidence on school nurse asthma care coordination challenges and explain the components of asthma care coordination/case management at schools. DESIGN: The Whittemore and Knafl guidelines were followed for this integrative literature review. SAMPLE: Twelve diverse primary sources-one qualitative study, eight quantitative studies, and three mixed-method studies-were used for the review. MEASUREMENTS: Data were analyzed using the matrix method. RESULTS: A total of 12 papers met the inclusion criteria. The initial group categorization was based on variables, patterns, and conceptual classification. Results were divided into two categorizations of asthma care coordination program components and asthma care coordination challenges at schools; subthemes were identified under the categorizations. CONCLUSIONS: The results showed that care coordination was key for students with chronic diseases including asthma. Asthma care coordination has many challenges, but school nurses can drive effective asthma care by including the essential components of care coordination. Successful asthma care coordination may prevent health care fragmentation, emergency room visits, hospitalization, and school absenteeism, and can increase asthma knowledge and the quality of life for students and parents.


Assuntos
Asma/terapia , Serviços de Enfermagem Escolar/métodos , Absenteísmo , Criança , Doença Crônica/terapia , Hospitalização , Humanos , Pais , Qualidade de Vida/psicologia , Instituições Acadêmicas
9.
Public Health Nurs ; 36(3): 348-356, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-30883923

RESUMO

OBJECTIVES: Public health nurses (PHNs) have a significant role in engaging the voice and actions of school communities in promoting the health of children and youth. School nursing was one of the early 20th century public health nursing foci and specialties in Canada, however over several decades, there has been a gap in actualizing PHNs' full potential in schools. At the same time, intersectoral and interdisciplinary comprehensive school health (CSH) models have emerged as exemplars of partnerships between schools and communities to advance health promotion and ultimately chronic disease prevention with school populations (Pan-Canadian Joint Consortium for School Health, ; World Health Organization, ). DESIGN AND MEASUREMENT: Using a participatory action research methodology we explored the role of PHNs in CSH, drawing on the concept of engagement in intersectoral healthy school teams. RESULTS AND CONCLUSIONS: The three themes that emerged from the data analysis were: facilitators of public health nursing engagement, barriers to public health nursing engagement, and the influences of community context on engagement. Overall, findings indicate that the PHN role in CSH must be developed and supported so that PHNs remain a vital link between school health communities, programs, and policies in the promotion of health.


Assuntos
Educação em Saúde/métodos , Promoção da Saúde/métodos , Enfermeiras de Saúde Pública , Enfermagem em Saúde Pública/métodos , Serviços de Saúde Escolar , Serviços de Enfermagem Escolar/métodos , Adolescente , Canadá , Criança , Humanos , Instituições Acadêmicas
10.
Pediatr Ann ; 48(3): e128-e134, 2019 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-30874821

RESUMO

Pediatric asthma, the most common chronic disease of childhood, remains a significant burden to the health care system. Although there are guidelines for the management of pediatric asthma, there remain several controversies about how best to manage asthma in the primary care setting, and how to prevent asthma exacerbations and subsequent emergency department visits and hospitalizations. In this article, we address four of these controversies: use of written asthma treatment plans, the role of long-acting beta-agonists, spirometry and peak flow measurements in disease management, and engagement of school nurses in the health care team. We provide suggestions and guidance related to these topics for the pediatric primary care provider. [Pediatr Ann. 2019;48(3):e128-e134.].


Assuntos
Asma/terapia , Atenção Primária à Saúde/métodos , Antiasmáticos/uso terapêutico , Criança , Pré-Escolar , Gerenciamento Clínico , Humanos , Pediatria , Guias de Prática Clínica como Assunto , Serviços de Enfermagem Escolar/métodos , Espirometria/métodos
12.
J Sch Nurs ; 35(2): 88-95, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-28982283

RESUMO

Headache is considered one of the most common complaints affecting all ages: children, adolescents, and adults. A school-based, cross-sectional study was conducted to assess primary headache among high school students aged 16-18 in Grades 11-12, over a period of 3 weeks (May 2017). A questionnaire was designed, in accordance with the International Headache Society's criteria. The Pearson's χ2 test was computed to show the differences between the variables. Nearly two thirds of the students reported having headache (19.0% tension-type headache, 8.8% migraine, and 39.0% unknown type). Nearly a quarter sought help for headache, and the most frequently used analgesic was acetaminophen (82.2%) followed by aspirin (5.1%). The current study revealed that the prevalence of headache and migraine was initially high and increased with age. Moreover, headache is one of the major public health problems among high school students. An education program conducted by school nurses and other health-care providers regarding headache and migraine is needed.


Assuntos
Cefaleia/diagnóstico , Serviços de Enfermagem Escolar/métodos , Inquéritos e Questionários , Adolescente , Analgesia/métodos , Estudos Transversais , Feminino , Cefaleia/tratamento farmacológico , Humanos , Jordânia , Masculino
13.
J Sch Nurs ; 35(3): 203-209, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-29169289

RESUMO

The aim was to describe school nurses' experiences working with students with mental health problems. In this inductive qualitative study, interviews were conducted with 14 school nurses in Sweden. The content analysis revealed three themes: (1) sense of worriedness about working with students with mental health problems, (2) taking care of students with mental health issues was an opportunity for personal and professional development, and (3) the experience of making a difference for young people with mental health problems. The school nurses working with students who have mental health problems had to cope with their own emotions, worries, and feelings of insufficiency. However, the school nurses also found the work to be meaningful and rewarding because they appreciated the opportunity for personal and professional development while taking care of students with mental health problems. They felt grateful for having a profession that had a huge impact on children's/adolescents' lives.


Assuntos
Atitude do Pessoal de Saúde , Transtornos Mentais/enfermagem , Enfermeiras e Enfermeiros/psicologia , Serviços de Enfermagem Escolar/métodos , Adolescente , Adulto , Criança , Feminino , Humanos , Entrevistas como Assunto , Pessoa de Meia-Idade , Pesquisa Qualitativa , Serviços de Saúde Escolar , Estudantes/psicologia , Suécia
14.
J Sch Nurs ; 35(3): 163-168, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-29316831

RESUMO

Anxiety disorders are common in youth. Because somatic complaints are a hallmark feature of anxiety, these students frequently visit their school nurse, creating an ideal opportunity for nurses to identify and assist them. In an effort to better understand current practices, we surveyed a large sample ( N = 93) of school nurses. Results indicated that the majority of nurses perceived anxiety as the most prevalent mental health issue in their students. Moreover, the majority of nurses reported that they did not use any formal screening tool or intervention protocol and stated wanting to expand their training in anxiety intervention. These data suggest that school nurses identify anxiety as a top problem but do not receive adequate training to address it. Data from this survey may be used to plan how best to fill gaps in nurse training and practices that can enhance nurses' capacity to optimize outcomes for anxious students.


Assuntos
Transtornos de Ansiedade/diagnóstico , Atitude do Pessoal de Saúde , Competência Clínica/estatística & dados numéricos , Enfermeiras e Enfermeiros/psicologia , Serviços de Enfermagem Escolar/métodos , Adolescente , Transtornos de Ansiedade/psicologia , Criança , Humanos , New England , Enfermeiras e Enfermeiros/estatística & dados numéricos , Estudantes/psicologia , Estudantes/estatística & dados numéricos
15.
J Sch Nurs ; 35(2): 147-156, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-28847201

RESUMO

We examined information on pubertal changes provided by school nurses to adolescent girls, the methods, and media of communication. We also examined the challenges faced by the nurses in the course of communication. The study setting was five private high schools located in Ile-Ife, Nigeria. Participants were 10 school nurses and 420 school adolescent girls. Cross-sectional descriptive design was employed using quantitative and qualitative data collection methods. Results showed school nurses paid more attention to physical body changes, menarche, and menstrual hygiene as contents of pubertal communication rather than contraception, prevention of sexually transmitted infection, and teenage pregnancy prevention. Materials for communication were reportedly lacking in many of the schools while the school management censors pubertal information. Efforts should be tailored at equipping the school clinic with audiovisual aids and school nurses should be encouraged to give comprehensive pubertal education irrespective of their values and beliefs.


Assuntos
Comunicação em Saúde/métodos , Enfermeiras e Enfermeiros , Competência Profissional/estatística & dados numéricos , Puberdade , Serviços de Enfermagem Escolar/métodos , Adolescente , Anticoncepção , Estudos Transversais , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Menarca , Nigéria , Gravidez , Gravidez na Adolescência/prevenção & controle , Doenças Sexualmente Transmissíveis/prevenção & controle , Inquéritos e Questionários
16.
J Sch Nurs ; 35(3): 178-188, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-29202626

RESUMO

Adolescents with overweight and obesity are at risk for future health problems. The purpose of this study was to examine the feasibility and initial efficacy of a weight management intervention to help adolescents develop healthy nutrition and physical activity behaviors and improve their anthropometrics. This study used a single-group repeated measures design in a small school in Durham, North Carolina (NC). The intervention consisted of a nurse-led and teacher-assisted nutrition and physical activity education and exercise classes that met twice each week for 45-60 minutes for 7 weeks. Data were collected at Time 1 (baseline), Time 2 (after intervention completion), and Time 3 (after 3 months on their own). Interview feedback, low cost, and successful completion of all planned activities indicated that all stakeholders found the project beneficial and suitable for their school. This study suggests that a weight management intervention for adolescents was feasible in the school setting.


Assuntos
Comportamentos Relacionados com a Saúde , Promoção da Saúde/métodos , Obesidade Pediátrica/terapia , Avaliação de Programas e Projetos de Saúde/métodos , Serviços de Saúde Escolar , Adolescente , Adulto , Exercício Físico , Estudos de Viabilidade , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , North Carolina , Enfermeiras e Enfermeiros , Educação Física e Treinamento , Serviços de Enfermagem Escolar/métodos , Professores Escolares
17.
J Sch Nurs ; 35(5): 378-387, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-29772943

RESUMO

The purpose of this study was to examine school nurses' management and collaboration with health-care providers (HCPs) for student-athletes following a concussion. Secondary school nurses accessed an online survey titled the Beliefs, Attitudes, and Knowledge of Pediatric Athletes with Concussions (access rate = 15.6%; n = 1,246/8,000). Approximately 40% of schools where nurses were employed administered baseline and postinjury concussion assessments. No significant differences were found between employment model (single vs. multiple sites) in regard to conducting baseline (p = .908) administration at their site; however, those employed at a single school more frequently offered postinjury assessments at their site than those at multiple sites (p = .019). School nurses most frequently reported relationships with an athletic trainer (38.8%, n = 483/1,246) compared to other HCPs. A concussion management team, including school nurses, and other recommended members should develop comprehensive concussion management plans. Plans should comprise of multiple concussion assessments to aid in the return-to-learn/play processes.


Assuntos
Traumatismos em Atletas/enfermagem , Concussão Encefálica/enfermagem , Serviços de Enfermagem Escolar/métodos , Adolescente , Atletas/estatística & dados numéricos , Traumatismos em Atletas/prevenção & controle , Concussão Encefálica/prevenção & controle , Feminino , Humanos , Masculino , Instituições Acadêmicas/organização & administração , Estudantes/estatística & dados numéricos
18.
J Sch Nurs ; 35(5): 316-324, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-29788794

RESUMO

Food allergy (FA) impacts 8% of U.S. children, thus it is critical to document allergic reactions to assist schools in managing FAs. We implemented and evaluated an online tool to assist school health personnel in tracking the characteristics of allergic reactions occurring at schools. The Online School Allergic Reaction Registry (OScARR) was modified from the Epinephrine Administration Form developed by the Massachusetts Department of Public Health, adapted for integration into existing school health records, and implemented in three Chicago schools during the 2016-2017 school year. All allergic reactions occurring at participating schools were recorded by school nurses. Twenty-five percent of the 20 allergic reactions reported were characterized as anaphylaxis by school nurses. School nurses reported that they would recommend OScARR for use in other schools. Detailed data obtained from three Chicago schools underscore the importance of proper documentation to improve the understanding of the causative allergen and location and management of allergic reactions in schools.


Assuntos
Anafilaxia/prevenção & controle , Hipersensibilidade Alimentar/enfermagem , Serviços de Saúde Escolar/organização & administração , Serviços de Enfermagem Escolar/métodos , Chicago , Criança , Humanos , Masculino , Projetos Piloto
19.
J Sch Nurs ; 35(5): 359-366, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-29874965

RESUMO

The aim of this study was to assess the knowledge of school nurses and physical education teachers (SN and PE teachers) about the emergency management of traumatic dental injuries (TDIs) in schools and to measure the impact of education on their knowledge. A longitudinal prospective study based on a questionnaire survey completed by 68 SN and PE teachers at three time periods (prior to, immediately after, and 3 months-post-educational intervention). Pre- and post t-test and repeated measures (analysis of variance) were used to compare the three group means for the same participants (p < .05 was considered significant). Significant improvement in the knowledge score among participants was observed between the initial survey to immediately after the educational session and to 3 months after (p = .047). Significant improvement in the choice of immediately seeking attention after tooth avulsion was observed (p = .001). The initial knowledge deficiency about the emergency management of TDIs among SN and PE teachers was improved and sustained.


Assuntos
Primeiros Socorros/métodos , Conhecimentos, Atitudes e Prática em Saúde , Serviços de Enfermagem Escolar/métodos , Avulsão Dentária/enfermagem , Traumatismos Dentários/enfermagem , Atitude Frente a Saúde , Feminino , Humanos , Masculino , Estudos Prospectivos , Professores Escolares
20.
Public Health Nurs ; 36(1): 36-44, 2019 01.
Artigo em Inglês | MEDLINE | ID: mdl-30569556

RESUMO

OBJECTIVE/DESIGN: Well documented asthma disparities in Chicago pose a continual challenge for the Chicago Public Schools (CPS). Coordinated Healthcare for Complex Kids (CHECK) is a health care demonstration project funded by a Centers for Medicare and Medicaid Services Health Care Innovation Award. A collaborative partnership was formed between CHECK and CPS. With CHECK support, CPS administered a survey to 160 nurses to understand the asthma problems nurses perceived and interest in intervention. RESULTS: Seventy-five per cent (n = 120) completed the survey. While asthma was the top diagnosis managed by 95%, 72% reported gaps in asthma understanding. Appropriate communication between school nurses and providers occurred 33% of the time; 18% believed they received sufficient support to follow-up on deficient paperwork. The barriers mentioned were lack of medications (73%), time (67%), and communication with providers (61%). When asked their opinions on potential interventions, 78% of nurses supported web-based applications, 66% community health workers (CHW), and 66% stock albuterol in schools. CONCLUSIONS: The greatest barriers for CPS nurses with asthma management are time and communication. Potential interventions such as web-based communication applications and CHW in schools were well received.


Assuntos
Asma/terapia , Disparidades em Assistência à Saúde/estatística & dados numéricos , Serviços de Saúde Escolar/estatística & dados numéricos , Serviços de Enfermagem Escolar/métodos , Adulto , Chicago , Criança , Comunicação , Agentes Comunitários de Saúde , Assistência à Saúde , Feminino , Humanos , Pessoa de Meia-Idade , Instituições Acadêmicas , Inquéritos e Questionários , Adulto Jovem
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