School Nurses Save Lives: Can We Provide the Data?
Vigilance has been central to nursing practice since Florence Nightingale. Often, the nurse's work of surveillance goes unnoticed and the public never recognizes the value of the nurse's work. The 1999 Institute of Medicine report on hospital deaths due to preventable errors has lifted the veil shrouding professional vigilance. But how to measure vigilance remained elusive, until the concept, failure to rescue (FTR), was proposed. FTR has taken a prominent role in health care since its adoption as a patient safety indicator by the Agency for Healthcare Research and Quality (AHRQ) and as a measure for nursing performance in acute care by the National Quality Forum (NQF). However, its applicability to school nursing has been unexplored. This article provides an initial review of the literature and an analysis of anecdotal stories and media accounts that illustrate professional vigilance in school nursing practice.
Available from: jsn.sagepub.com
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ABSTRACT: The purpose of this research is to use the reports of school nurses to facilitate the understanding of how schools experience and manage asthmatic, anaphylactic, and diabetic emergencies by quantitative and qualitative analysis of online surveys. E-mails with a link to SurveyMonkey® were sent to all U.S. members of the National Association of School Nurses (13,695). Subjects were asked to describe their self-reported knowledge, opinions, practices, and experiences with such emergencies and the devices used to manage them. Regarding the frequency of emergencies in a given school year, the medians were 8 for asthma, 0 for anaphylaxis, and 10 for hypoglycemia. Twenty-two, five, and one subjects, respectively, reported that events like these resulted in deaths during their careers as school nurses. These diseases create substantial potential for emergencies in schools, and the schools represented by these nurses appear to be somewhat, but not ideally, equipped to handle such crises.
Available from: Anna Deltsidou
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School nurses promote pupils’ health, and their balanced physical,
mental and social development. School nurses working in the Greek
public sector are only employed in special schools and are supervised
by the Ministry of Education and Religious Affairs, Culture and Sports.
A study was undertaken to explore public secondary school teachers’
beliefs about the role of school nurses and whether they thought they
would be useful in schools.
The majority of respondents believed that the role of the school nurse
is to provide first aid (63.9%). Teachers who said that they would feel
more secure by the presence of a school nurse in their school were 41
times more likely to believe a school nurse would be useful in the case
of school accidents (chi square=57.125, p<0.001,OR=41).
The researchers believe that public schools in Greece need to employ
school nurses and that the Greek government should consider taking
appropriate measures towards this end.
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