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Medication Administration Practices in United States' Schools: A Systematic Review and Meta-synthesis.

Schools often provide medication management to children at school, yet, most U.S. schools lack a full-time, licensed nurse. Schools rely heavily on unlicensed assistive personnel (UAP) to perform such tasks. This systematic review examined medication management among K-12 school nurses. Keyword sear...

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Published in:Journal of School Nursing Vol. 38; no. 1; pp. 21 - 35
Main Authors: Lowe, Ashley A., Gerald, Joe K., Clemens, Conrad, Gaither, Cherie, Gerald, Lynn B.
Format: research systematic review tables/charts meta synthesis Journal Article
Published: Sage Publications Inc. Feb2022
Online Access:View this record in EBSCOhost
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      dt: Feb2022
      vid: 38
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Medication Administration Practices in United States' Schools: A Systematic Review and Meta-synthesis.
      aug:
        au:
          Lowe, Ashley A.
          Gerald, Joe K.
          Clemens, Conrad
          Gaither, Cherie
          Gerald, Lynn B.
        affil: Asthma & Airway Disease Research Center, 22165University of Arizona, Tucson, AZ, USA
      sug:
        subj:
          Drug Administration Nursing
          School Nursing
          Health Personnel, Unlicensed Education
          Drug Administration Education
          Professional Development
          School Policies
          Schools, Secondary United States
          Human
          United States
          Systematic Review
          Meta Synthesis
          Emergency Care
          PubMed
          CINAHL Database
          ERIC Database
          Thematic Analysis
      ab: Schools often provide medication management to children at school, yet, most U.S. schools lack a full-time, licensed nurse. Schools rely heavily on unlicensed assistive personnel (UAP) to perform such tasks. This systematic review examined medication management among K-12 school nurses. Keyword searches in three databases were performed. We included studies that examined: (a) K-12 charter, private/parochial, or public schools, (b) UAPs and licensed nurses, (c) policies and practices for medication management, or (d) nurse delegation laws. Three concepts were synthesized: (a) level of training, (b) nurse delegation, and (c) emergency medications. One-hundred twelve articles were screened. Of these, 37.5% (42/112) were comprehensively reviewed. Eighty-one percent discussed level of training, 69% nurse delegation, and 57% emergency medications. Succinct and consistent policies within and across the United States aimed at increasing access to emergency medications in schools remain necessary.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        meta synthesis
        Journal Article
      ougenre: Article
    language: English
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