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1 – 10 of over 27000The purpose of this paper is to investigate the evolution of school nursing in the USA in the early decades of the twentieth century, highlighting the linkages between schools and…
Abstract
Purpose
The purpose of this paper is to investigate the evolution of school nursing in the USA in the early decades of the twentieth century, highlighting the linkages between schools and public health and the challenges nurses faced.
Design/methodology/approach
This historical essay examines the discussions about school nursing and school nurses’ descriptions of their work.
Findings
In the Progressive period, though the responsibilities of school nurse were never clearly defined, nurses quickly became accepted, respected members of the school, with few objecting to their practices. Nonetheless, nurses consistently faced financial complications that limited, and continue to limit, their effectiveness in schools and communities.
Originality/value
Few histories of school health have documented the critical role nurses have played and their important, although contested, position today. This paper points to the obstacles restricting the development of dynamic school nurse programs today.
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Helle Merete Nordentoft and Karen Wistoft
The purpose of this paper is to investigate the process and learning outcomes of peer collaboration in a Danish health developmental project in school health nursing. The paper…
Abstract
Purpose
The purpose of this paper is to investigate the process and learning outcomes of peer collaboration in a Danish health developmental project in school health nursing. The paper explores how peer collaboration influences the school nurses' collaborative learning and competence development.
Design/methodology/approach
The article is based on data from a three‐year health educational development project at primary schools in Denmark. These data are observations from 12 reflective workshops with school nurses, two questionnaire surveys, and five focus group interviews with five of the six sub‐projects after the project was over. In the workshops, the questionnaire surveys and the focus group interviews the school nurses were asked to reflect on the developmental process, their collaboration, own and mutual pedagogical competence development.
Findings
Systematic peer collaboration between school nurses qualifies their learning and ability to reflect on practice, their communication with colleagues and children, and the development of new and innovative approaches to school health nursing. The introduction of peer collaboration, however, takes time and energy and it can be a challenge to introduce peer collaboration into a working culture in which school nurses traditionally work alone under prominent work and time pressures.
Research limitations/implications
The study is explorative. Further research could explore the connection between collaborative learning among school nurses and the development of their competences in school health nursing.
Practical implications
The paper outlines how and why collaboration among school nurses should be introduced in a more systematic way into school health nursing.
Originality/value
The paper investigates the connection between informal educational activities for SNs and possible learning outcomes for practice. Specifically, the paper looks into different ways in which SNs collaborate and the findings contribute to new understandings of how SNs' practice can be organised in order to stimulate school nurses' participation and collaborative learning and increase the quality of school health nursing.
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John Goodwin, Laura Behan, Mohamad M. Saab, Niamh O’Brien, Aine O’Donovan, Andrew Hawkins, Lloyd F. Philpott, Alicia Connolly, Ryan Goulding, Fiona Clark, Deirdre O’Reilly and Corina Naughton
Adolescent mental health is a global concern. There is an urgent need for creative, multimedia interventions reflecting adolescent culture to promote mental health literacy and…
Abstract
Purpose
Adolescent mental health is a global concern. There is an urgent need for creative, multimedia interventions reflecting adolescent culture to promote mental health literacy and well-being. This study aims to assess the impact of a film-based intervention on adolescent mental health literacy, well-being and resilience.
Design/methodology/approach
A pretest-posttest intervention with a multi-methods evaluation was used. A convenience sample of ten schools facilitated students aged 15–17 years to engage in an online intervention (film, post-film discussion, well-being Webinar). Participants completed surveys on well-being, resilience, stigma, mental health knowledge and help-seeking. Five teachers who facilitated the intervention participated in post-implementation interviews or provided a written submission. Analysis included paired-t-test and effect size calculation and thematic analysis.
Findings
Matched pretest-posttest data were available on 101 participants. There were significant increases in well-being, personal resilience and help-seeking attitudes for personal/emotional problems, and suicidal ideation. Participants’ free-text comments suggested the intervention was well-received, encouraging them to speak more openly about mental health. Teachers similarly endorsed the intervention, especially the focus on resilience.
Originality/value
Intinn shows promise in improving adolescents’ mental health literacy and well-being. Film-based interventions may encourage adolescents to seek professional help for their mental health, thus facilitating early intervention.
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David E Kalist and Stephen J Spurr
This paper analyzes the market for registered nurses in the U.S. during the period from 1978 to 1995, but is specifically concerned with how the prospect of treating patients with…
Abstract
This paper analyzes the market for registered nurses in the U.S. during the period from 1978 to 1995, but is specifically concerned with how the prospect of treating patients with HIV or AIDS may have affected the supply of entrants into nursing. Using cross-sectional time-series data, we find that concern about the risk of contracting AIDS reduced admissions to nursing schools by as much as 15%. In states with a higher incidence of AIDS, such as New York, we find a much larger effect. Since the deterrent effect of AIDS was not limited to those considering whether to enter nursing school, our estimates represent a lower bound on the reduction in supply. However, we also find that the deterrent effect declined over time, as it became clear that the disease could not be transmitted by casual contact.
Our findings suggest that substantial welfare costs are imposed by regulations that require all nurses to treat patients with HIV or AIDS.
Maureen Cluskey and Kelly Schwend
The role of the school nurse has evolved. It has expanded from administering first aid and promoting hand washing to key participation in program planning for health and…
Abstract
The role of the school nurse has evolved. It has expanded from administering first aid and promoting hand washing to key participation in program planning for health and educational outcomes for the school-aged child. Nurses provide leadership in promoting a healthy and safe school environment, case management of chronically ill children, collaboration between family and school, and referral to essential community resources. Additionally, the school nurse is a valuable resource on the multidisciplinary special education team. The school nurse is the health care expert in the school and is in a unique position to meet the actual and potential needs of all students – including those with special needs.
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Explains how school nurses in California have a much higher professionalstatus than that of their counterparts in the UK. They have a definedcareer structure within schools, which…
Abstract
Explains how school nurses in California have a much higher professional status than that of their counterparts in the UK. They have a defined career structure within schools, which also employ them, so that they have similar salaries, terms and conditions of employment to their schoolteacher colleagues. Describes how school nurses in the USA have developed their role over the past decade, so that they now play a significant role in health promotion and in voicing their professional opinion on issues that affect school‐age children. Emphasizes that school nurses in the UK would do well to follow a similar course of action.
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Reports on a detailed study of a school nursing service which has revealed the untapped value of the service and a generally poor understanding of what, precisely, school nurses…
Abstract
Reports on a detailed study of a school nursing service which has revealed the untapped value of the service and a generally poor understanding of what, precisely, school nurses do, and the nature of their skills and experience. Focuses on one aspect of this study: the changing nature of the school nursing role in health education and health promotion. Finds that school nurses have adjusted their practice to meet the changing nature of children’s health needs. They now increasingly work to health education and health promotion agendas and are acting in a health advisory role. Calls into question the need for universal health screening, particularly for older children, as the core activity of school nursing. Concludes that the service should in future be designated as being for “children of school age”, and that the range of sites where school nursing is delivered should be extended.
Guylaine Chabot, Marie‐Pierre Gagnon and Gaston Godin
This paper aims to identify organizational readiness for change towards adoption of a redefined role of the school nurse as a strategic option in the context of a health promoting…
Abstract
Purpose
This paper aims to identify organizational readiness for change towards adoption of a redefined role of the school nurse as a strategic option in the context of a health promoting school approach. This new role is consistent with planned change directed at life habits and life conditions.
Design/methodology/approach
A questionnaire based on a modified version of the organizational readiness for change (ORC) framework was e‐mailed to 122 top and middle managers (response rate of 74 percent) in 42 local health organizations in the Province of Quebec, Canada, during the fall of 2009.
Findings
In total, 90 percent of participants perceived the proposed role as a solution to fulfil their school health program needs, especially to plan and integrate health promotion projects. The lack of resources and nursing support emerged as factors hampering the capacity of school nurses to play such a role.
Research limitations/implications
Additional implications of the ORC framework are needed in order to better address organizational readiness for complex changes in specific health‐related settings.
Practical implications
Access to information technology and the development of computer skills would help enhance this encompassing role in health promotion.
Originality/value
Findings have the potential to better inform health authorities regarding the new role of the school nurse as a strategic option in health promotion. This study also provides an application of the theoretical framework showing the need for additional empirical tests.
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Peace Njideka Iheanacho, Chisom Joy Mbadugha, Chinenye Juliet Anetekhai, Chinenye Ifeoma Ubah, Adaobi Lilian Obiekwu and Nonye Anne Chukwujama
Human right is a phenomenon universal to all but greatly significant for disadvantaged groups like people with mental illness who due to the limitations of their illness cannot…
Abstract
Purpose
Human right is a phenomenon universal to all but greatly significant for disadvantaged groups like people with mental illness who due to the limitations of their illness cannot assert their rights. This study aims to assess the knowledge and attitude of nursing students regarding the human rights of people with mental illness.
Design/methodology/approach
A descriptive study was conducted among 72 nursing students purposively selected from two nursing schools in Enugu, Nigeria. Data were collected using a 38 item literature-based questionnaire developed by the researchers. The reliability of the instrument was established using Cronbach’s alpha model with 0.812 coefficients.
Findings
Participants 32 (44.4%) demonstrated moderate knowledge regarding the human rights of people with mental illness. The attitude of nursing students towards the right of people with mental illness was positive (2.81). There is no significant difference in knowledge between students of the two schools, p = 0.199 (>0.05). However, the study showed that students from basic nursing school had a more favourable attitude towards the rights of people with mental illness compared to the post-basic nursing students, p = 0.050 (<0.05).
Originality/value
The rising incidence of human right violation in mental health practice indicates the need to assess the knowledge and attitude of the future workforce who play a critical role in the care and management of people with mental illness. The nursing curriculum should provide nursing students in their various institutions of training, sufficient information on the human rights of people with mental illness. Also, a legal structure in Nigeria for people with mental illness is imperative to protect them from gross human rights violations.
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