Brown School, Washington University, St Louis, Missouri (Dr An and Ms Li); Missouri Department of Health and Senior Services, Jefferson City (Ms Cole); Pierremont Elementary School, Manchester, Missouri (Dr Park); Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle (Dr Lyon); and School of Medicine, Washington University, St Louis, Missouri (Dr White).
ANS Adv Nurs Sci. 2022;45(4):351-370. doi: 10.1097/ANS.0000000000000425. Epub 2022 Jun 1.
Schools play a critical role in students' diabetes management and ensure their safety and well-being. We conducted key informant interviews with 11 school nurses in Missouri to assess determinants for diabetes care implementation. Five themes and 29 subthemes were identified concerning school nurses, schools, external stakeholders, government, and the COVID-19 pandemic. A social-ecological model was developed to elucidate each level's barriers, facilitators, and resources, and their interplay. School nurses should lead diabetes management, emergency planning, and health education for students/staff. Multiple gray areas existed regarding school nurses' specific roles/responsibilities. Lacking funding, insurance, and communication with parents/physicians further challenged diabetes care.
学校在学生的糖尿病管理中起着至关重要的作用，并确保他们的安全和健康。我们对密苏里州的 11 名学校护士进行了关键知情人访谈，以评估实施糖尿病护理的决定因素。确定了五个主题和 29 个次主题，涉及学校护士、学校、外部利益相关者、政府和 COVID-19 大流行。制定了一个社会生态学模型，以阐明每个层面的障碍、促进因素和资源及其相互作用。学校护士应领导学生/工作人员的糖尿病管理、应急计划和健康教育。学校护士的具体角色/责任存在多个灰色地带。缺乏资金、保险以及与家长/医生的沟通进一步给糖尿病护理带来了挑战。
