Impact of School Nurse Ratios and Health Services on Selected Student Health and Education Outcomes: North Carolina, 2011-2016

被引：16
作者：
Best, Nakia C. [1 ]
Nichols, Ann O. [2 ]
Waller, Anna E. [3 ]
Zomorodi, Meg [4 ,5 ]
Pierre-Louis, Bosny [6 ]
Oppewal, Sonda [5 ]
Travers, Debbie [7 ]
机构：
[1] Univ Calif Irvine, Sue & Bill Gross Sch Nursing, 106B Berk Hall Mail Cede 3959, Irvine, CA 92697 USA
[2] NC Dept Hlth & Human Serv, Div Publ Hlth, 1928 Mail Serv Ctr, Raleigh, NC 27699 USA
[3] Univ N Carolina, Dept Emergency Med, Carolina Ctr Hlth Informat, 100 Market St, Chapel Hill, NC 27516 USA
[4] Univ N Carolina, Off Interprofess Educ & Practice, Chapel Hill, NC 27599 USA
[5] Univ N Carolina, Sch Nursing, Carrington Hall 137460, Chapel Hill, NC 27599 USA
[6] Novion Analyt, Durham, NE 27713 USA
[7] Duke Univ, Sch Nursing, 307 Trent Dr, Durham, NC 27710 USA
来源：
JOURNAL OF SCHOOL HEALTH | 2021年 / 91卷 / 06期
关键词：
school nurses; school health services; child and adolescent health; ratios; student outcomes; chronic diseases;
D O I：
10.1111/josh.13025
中图分类号：
G40 [教育学];
学科分类号：
040101 ; 120403 ;
摘要：
Background Determination of adequate school nurse staffing is a complex process. School nurse-to-student ratios and the health services school nurses provide to students should be considered. The purpose of this study was to examine the impact of North Carolina school nurse-to-student ratios and school nurse health services on the health and education outcomes (eg, absences, grades, self-management) of students receiving services for asthma and diabetes. Methods This study of all 115 school districts in North Carolina used the Annual School Health Services Report Survey from 2011 to 2016. Descriptive statistics for health services, programs and outcomes, and generalized linear modeling were used to estimate the association of ratios and health services with asthma and diabetes outcomes. Results By the 2015-2016 school year, the average ratio decreased to 1:1086 in North Carolina public schools. Annually, 100,187 students received services for asthma, 3832 students received services for type 1 diabetes, and 913 students received services for type 2 diabetes. Lower ratios and nurse health services were associated with improved student outcomes, including decreased absences (p = .05), improved grades (p = .05), and student self-management of their health condition (p = .05). Conclusions Lower school nurse-to-student ratios and services were associated with improvements in students' health and education outcomes.
引用
收藏
页码：473 / 481
页数：9
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