Luehr Ruth Ellen, Krumwiede Kelly A, Neiman Tammy J, Visker Joseph D
Minnesota Department of Education, School Health Services Specialist Emeritus, Roseville, Minnesota, USA.
School of Nursing, College of Allied Health and Nursing, Minnesota State University, Mankato, Minnesota, USA.
J Adv Nurs. 2025 Apr 29. doi: 10.1111/jan.16990.
Explore state school nurse consultants' pivotal position during the COVID-19 pandemic to shape school policy and support frontline school nurses.
An inductive qualitative study.
Members of the National Association of State School Nurse Consultants in the United States participated in focus groups and a written survey from January to April 2023. Standard content analysis was used to identify patterns and themes. COREQ guidelines were followed.
Data from 14 participants revealed 5 themes and 29 subthemes: State School Nurse Consultants walk in two worlds, bridging health and education. They built collaboration and trust and functioned as interpreters and gatekeepers. State consultants were resources, advocates and supports for school nurses. They witnessed and experienced trauma. State consultants defined lessons learned and described how their national organisation supported them. Few sources describe state consultants' role from 2000 to 2022; therefore, this study fills a gap.
State consultants advocated for school nurses, students and school staff, whose needs were not well understood by public health or education leaders.
IMPLICATIONS FOR POLICY/PRACTICE: School nurses' workload increases exponentially in the absence of state consultants who provide resources to deliver effective and efficient school health services.
Policy leaders should recognise state school nurse consultants' intersectionality which strengthens the public health infrastructure, critical to meeting current and emerging public health challenges.
System-wide leadership at regional, state and national levels provides consistency in policy and programmes, reduces duplication of effort and potential error and ensures school nurses benefit from shared resources, problem-solving and support.
National Association of State School Nurse Consultants leaders instigated the study and approved the design and open-ended questions. Preliminary findings were shared with members at a national online meeting and feedback affirmed that the results resonated with their experiences.
探讨公立学校护士顾问在新冠疫情期间在制定学校政策和支持一线学校护士方面的关键作用。
一项归纳性定性研究。
美国公立学校护士顾问协会的成员于2023年1月至4月参加了焦点小组讨论和书面调查。采用标准内容分析法来识别模式和主题。遵循COREQ指南。
14名参与者的数据揭示了5个主题和29个子主题：公立学校护士顾问游走于两个领域，架起健康与教育的桥梁。他们建立协作与信任，并充当解释者和把关人。州顾问是学校护士的资源、倡导者和支持者。他们见证并经历了创伤。州顾问明确了经验教训，并描述了其国家组织如何为他们提供支持。很少有资料描述2000年至2022年期间州顾问的角色；因此，本研究填补了这一空白。
州顾问为学校护士、学生和学校工作人员发声，而他们的需求并未得到公共卫生或教育领导者的充分理解。
对政策/实践的启示：如果没有州顾问提供资源以提供高效的学校健康服务，学校护士的工作量将呈指数级增长。
政策制定者应认识到公立学校护士顾问的交叉性，这加强了公共卫生基础设施，对应对当前和新出现的公共卫生挑战至关重要。
区域、州和国家层面的全系统领导为政策和项目提供了一致性，减少了工作的重复和潜在错误，并确保学校护士受益于共享资源、问题解决和支持。
公立学校护士顾问协会的领导者发起了这项研究，并批准了设计和开放式问题。初步研究结果在一次全国在线会议上与成员分享，反馈表明结果与他们的经历产生了共鸣。
