Department of Pediatrics, University of Pittsburgh School of Medicine, UPMC Children's Hospital of Pittsburgh, 3414 Fifth Avenue, Pittsburgh, PA, 15213.
Division of Adolescent and Young Adult Medicine, Department of Pediatrics, University of Pittsburgh School of Medicine, UPMC Children's Hospital of Pittsburgh, 120 Lytton Avenue, Pittsburgh, PA, 15213.
J Sch Health. 2023 Aug;93(8):717-725. doi: 10.1111/josh.13325. Epub 2023 Mar 14.
School nurses are rarely integrated into primary care teams to their full potential. We aimed to characterize school nurses' perceptions related to current and optimal collaboration with primary care providers (PCPs) and identify actionable solutions to improve efficiency, quality, and coordination of pediatric care.
We conducted and qualitatively analyzed interviews with school nurses to characterize structures, processes, and perceived benefits of optimized school nurse-PCP collaboration.
School nurse interviewees (n = 23) identified factors important to school nurse-PCP collaboration within 2 domains: information sharing and relationship building. Information sharing themes included health information sharing laws, data sharing systems, and technology-based communication systems. Relationship building themes included health care sector understanding of the school nurse role, PCP knowledge of school health requirements, shared professional development opportunities, and time and personnel. Perceived benefits of optimized PCP-school nurse collaboration were identified for children, PCPs, school nurses, and parents.
IMPLICATIONS FOR SCHOOL HEALTH POLICY, PRACTICE, AND EQUITY: Needs assessments and action plans guided by the domains of information sharing and relationship building can inform local improvements to optimize school nurse-PCP collaboration.
School nurses highlighted cross-sector solutions to enhance school nurse-PCP collaboration including integrated information sharing systems and intentional relationship building.
学校护士很少能充分融入基层医疗团队。我们旨在描述学校护士对当前和最佳合作的看法与基层医疗提供者（PCP），并确定提高儿科护理效率、质量和协调性的可行解决方案。
我们对学校护士进行了访谈并进行了定性分析，以描述优化学校护士-PCP 合作的结构、过程和感知益处。
学校护士受访者（n=23）在两个领域内确定了学校护士-PCP 合作的重要因素：信息共享和关系建立。信息共享主题包括健康信息共享法、数据共享系统和基于技术的沟通系统。关系建立主题包括医疗保健部门对学校护士角色的理解、PCP 对学校卫生要求的了解、共享的专业发展机会以及时间和人员。还确定了优化 PCP-学校护士合作对儿童、PCP、学校护士和家长的益处。
对学校健康政策、实践和公平的启示：以信息共享和关系建立为指导的需求评估和行动计划可以为优化学校护士-PCP 合作提供信息。
学校护士强调了增强学校护士-PCP 合作的跨部门解决方案，包括集成的信息共享系统和有意的关系建立。
