The Association of School Nurse Workload With Student Health and Academic Outcomes: A Cross-Sectional Study.

This study assessed associations between school nurse workload and student health and academic outcomes. We hypothesized that lower school nurse workload would be associated with better student outcomes, with associations being greater for members of groups who experience health disparities. Our met...

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Published in:Journal of School Nursing Vol. 39; no. 4; pp. 305 - 313
Main Authors: Schroeder, Krista, Young, Ally, Adman, Gail, Ashmeade, Ann Marie, Bonas, Estherlyn, Day, Sophia E., Konty, Kevin
Format: research tables/charts Journal Article
Published: Sage Publications Inc. Aug2023
Online Access:View this record in EBSCOhost
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      dt: Aug2023
      vid: 39
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: The Association of School Nurse Workload With Student Health and Academic Outcomes: A Cross-Sectional Study.
      aug:
        au:
          Schroeder, Krista
          Young, Ally
          Adman, Gail
          Ashmeade, Ann Marie
          Bonas, Estherlyn
          Day, Sophia E.
          Konty, Kevin
        affil: Department of Nursing, 16043Temple University College of Public Health, Philadelphia, PA, USA
      sug:
        subj:
          School Nurses Organizations
          Workload
          Students Psychosocial Factors
          Academic Performance Evaluation
          Health Status Evaluation
          Outcome Assessment Evaluation
          Human
          United States
          Cross Sectional Studies
          Multivariate Analysis
          School Health Services
          Student Attitudes
          Absenteeism
          Immunization
          Asthma Education
          Funding Source
      ab: This study assessed associations between school nurse workload and student health and academic outcomes. We hypothesized that lower school nurse workload would be associated with better student outcomes, with associations being greater for members of groups who experience health disparities. Our methods entailed secondary analysis of data for New York City school students in kindergarten through 12th grade during 2015–2016 (N = 1,080,923), using multilevel multivariate regression as the analytic approach. Results demonstrated lower school nurse workload was associated with better outcomes for student participation in asthma education but not chronic absenteeism, early dismissals, health office visits, immunization compliance, academic achievement, or overweight/obesity. Our findings suggest school nurses may influence proximal outcomes, such as participation in disease-related education, more easily than downstream outcomes, such as absenteeism or obesity. While contrary to our hypotheses, results align with the fact that school nurses deliver community-based, population health–focused care that is inherently complex, multilevel, and directly impacted by social determinants of health. Future research should explore school nurses' perspectives on what factors influence their workload and how they can best impact student outcomes.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
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      ougenre: Article
    language: English
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