Brown School, 7548Washington University, St. Louis, MO, USA.
4142Missouri Department of Health & Senior Services, Jefferson City, MO, USA.
J Sch Nurs. 2022 Feb;38(1):61-73. doi: 10.1177/10598405211026328. Epub 2021 Jun 29.
Diabetes management at school demands close collaboration of multiple stakeholders, including students with diabetes and parents, school nurses, teachers/staff, and local health care providers. This scoping review identified and synthesized evidence concerning factors that contributed to the quality and effectiveness of diabetes care implementation in U.S. K-12 schools. Forty-six studies met the eligibility criteria and were included. Five common factors emerged surrounding training and experiences, communications, parent engagement, resource allocations, and school environment. Complex interactions between multiple stakeholders jointly determined the quality of school diabetes care. A conceptual model was established to elucidate the complex interactions between multiple stakeholders and the relevant facilitators and barriers. Future research should improve sample representativeness, contrast school diabetes care practices to the national guidelines, and assess the impact of the social, economic, and political environment at federal, state, local/district levels on school diabetes care implementation.
学校的糖尿病管理需要多个利益相关者的密切合作，包括糖尿病学生和家长、学校护士、教师/工作人员以及当地的医疗保健提供者。本范围综述确定并综合了有关美国 K-12 学校实施糖尿病护理质量和效果的因素的证据。有 46 项研究符合资格标准并被纳入。有五个常见因素围绕培训和经验、沟通、家长参与、资源分配和学校环境展开。多个利益相关者之间的复杂相互作用共同决定了学校糖尿病护理的质量。建立了一个概念模型来阐明多个利益相关者之间的复杂相互作用以及相关的促进因素和障碍。未来的研究应提高样本的代表性，将学校糖尿病护理实践与国家指南进行对比，并评估联邦、州、地方/地区各级的社会、经济和政治环境对学校糖尿病护理实施的影响。
