Knauer Heather, Baker Dian L, Hebbeler Kathleen, Davis-Alldritt Linda
School of Public Health, University of California, Berkeley, CA, USA.
School of Nursing, California State University, Sacramento, CA, USA Center for Excellence in Developmental Disabilities, Medical Investigation of Neurodevelopmental Disorders Institute at the University of California Davis, Sacramento, CA, USA
J Sch Nurs. 2015 Oct;31(5):326-33. doi: 10.1177/1059840515579083. Epub 2015 Apr 12.
There are increasing numbers of children with special health care needs (CSHCN) who require various levels of care each school day. The purpose of this study was to examine the role of public schools in supporting CSHCN through in-depth key informant interviews. For this qualitative study, the authors interviewed 17 key informants to identify key themes, provide recommendations, and generate hypotheses for further statewide survey of school nurse services. Key informants identified successful strategies and challenges that public schools face in meeting the needs of all CSHCN. Although schools are well intentioned, there is wide variation in the ability of schools to meet the needs of CSHCN. Increased funding, monitoring of school health services, integration of services, and interagency collaboration are strategies that could improve the delivery of health services to CSHCN in schools.
有特殊医疗保健需求的儿童（CSHCN）数量日益增加，他们在每个上学日都需要不同程度的护理。本研究的目的是通过深入的关键信息提供者访谈，探讨公立学校在支持有特殊医疗保健需求儿童方面的作用。在这项定性研究中，作者采访了17名关键信息提供者，以确定关键主题、提供建议，并为进一步的全州学校护士服务调查提出假设。关键信息提供者确定了公立学校在满足所有有特殊医疗保健需求儿童的需求方面所面临的成功策略和挑战。尽管学校本意良好，但在满足有特殊医疗保健需求儿童的需求方面，学校的能力存在很大差异。增加资金、对学校健康服务的监督、服务整合以及跨机构合作是可以改善学校向有特殊医疗保健需求儿童提供健康服务的策略。
