A Cost-Benefit Analysis of School Nursing in One Large Urban School District.

This study is a cost-benefit analysis examining an urban district's partial school nurse coverage conversion to full-time coverage. Through a partnership with a health care system, the district received funding, resulting in the hiring of full-time nurses to cover all K-8 elementary schools. Researchers compared the cost of nursing services to the savings in teacher, secretary, principal, and parent productivity, reduced medical procedure costs, and grants nurses managed.

The Health Education Teacher Instructional Competency Framework: A Conceptual Guide for Quality Instruction in School Health.

Background: Teacher instructional competency, the set of essential knowledge and skills needed to guide teaching practice, is critical to the successful implementation of school health education. The purpose of this paper is to introduce the Health Education Teacher Instructional Competency (HETIC) framework, a new conceptualization describing teacher characteristics, essential knowledge, and essential skills, which can influence instructional practice and improve student learning outcomes in health education.

Methods: Data from 17 publicly available guidance documents, professional standards, published reports, and empirical studies relevant to the fields of public education, school health education, and sexual health education were abstracted and analyzed using qualitative thematic content analysis.

Parent Perceptions regarding High School Drug Testing.

Adolescent drug use remains a critical public health issue. Almost 38 percent of school districts currently implement student drug testing, and more schools may be considering implementation due to emerging recreational drug use laws. Parents are an essential key stakeholder and decision-maker in school policies.

A whole school approach: collaborative development of school health policies, processes, and practices.

Background: The Whole School, Whole Community, Whole Child (WSCC) model shows the interrelationship between health and learning and the potential for improving educational outcomes by improving health outcomes. However, current descriptions do not explain how to implement the model.

Methods: The existing literature, including scientific articles, programmatic guidance, and publications by national agencies and organizations, was reviewed and synthesized to describe an overview of interrelatedness of learning and health and the 10 components of the WSCC model.

A national assessment of colleges and university school health education methods courses.

Background: Across the United States, school health education programs provide a wide variety of knowledge and skills to their students. There are currently no guidelines for school health methods courses.

Methods: Using a 2-wave mailing followed by a third wave e-mail reminder, a final population of 226 university school health methods instructors at school health preparation programs were surveyed.

Providing assistance to the victims of adolescent dating violence: a national assessment of school nurses' practices.

Background: This study assessed the perceptions and practices of school nurses regarding adolescent dating violence (ADV).

Methods: The membership list of the National Association of School Nurses was used to identify a national random cross-sectional sample of high school nurses in the United States (N = 750). A valid and reliable survey instrument was developed and a 3-wave postal mailing procedure was used to maximize the return rate (57%).

High school health-education teachers' perceptions and practices related to teaching HIV prevention.

Background: HIV/AIDS is one of the leading causes of illness and death in the United States with individuals between the ages of 13 and 19 years being especially vulnerable for infection. The purpose of this study was to examine the attitudes, perceptions, and instructional practices of high school health teachers toward teaching HIV prevention.

Methods: A total of 800 surveys were sent to a national random sample of high school health teachers and 50% responded.

Adolescent dating violence: a national assessment of school counselors' perceptions and practices.

Background And Objectives: Adolescent dating violence (ADV) is a significant public health problem that, according to various estimates, affects 9% to 34% of adolescents in the United States. Schools can play an important role in preventing ADV. However, little is known about school personnel's practices and perceptions regarding ADV.

School superintendents' perceptions of schools assisting students in obtaining public health insurance.

Background: Superintendents' perceptions regarding the effect of health insurance status on academics, the role schools should play in the process of obtaining health insurance, and the benefits/barriers to assisting students in enrolling in health insurance were surveyed. Superintendents' basic knowledge of health insurance, the link between health and learning, and specific school system practices for assisting students were also examined.

Methods: A 4-page questionnaire was sent to a national random sample of public school superintendents using a 4-wave postal mailing.

African American parents'/guardians' health literacy and self-efficacy and their child's level of asthma control.

Nearly 1 of 10 American children has asthma. Asthma is addressed in Healthy People 2010 as a public health problem. This study examined the relationship between parents'/guardians' health literacy levels and their perceived self-efficacy to manage their child's asthma.

Clinical psychologists' firearm risk management perceptions and practices.

The purpose of this study was to investigate the current perceptions and practices of discussing firearm risk management with patients diagnosed with selected mental health problems. A three-wave survey was mailed to a national random sample of clinical psychologists and 339 responded (62%). The majority (78.

Adolescents' sleep behaviors and perceptions of sleep.

Background: Sleep duration affects the health of children and adolescents. Shorter sleep durations have been associated with poorer academic performance, unintentional injuries, and obesity in adolescents. This study extends our understanding of how adolescents perceive and deal with their sleep issues.

Elementary school nurses' perceptions and practices regarding body mass index measurement in school children.

This study examines elementary school nurses' perceived efficacy expectations, perceived barriers, and perceived benefits to measuring body mass index (BMI) in students in schools with mandated BMI policies versus schools without mandated policies. Of the 2,629 school nurses participating in the study, 67% believe nurses should measure BMI in schools, 62% believe BMI results should be sent home, and 81% believe nurses should be designing programs to help children address overweight issues. In schools with a BMI assessment mandate, the nurses' efficacy expectations are statistically significantly greater and nurses' perceptions of barriers to measuring BMI are significantly lower.

Elementary school parents'/guardians' perceptions of school health service personnel and the services they provide.

Background: The school nurse, the school social worker, and the school counselor play an important role in promoting the health of children. Health services in the school setting provide opportunities to appraise, protect, and promote student health. The purpose of this study was to identify parents' or caregivers' perceptions and beliefs regarding the importance of schools providing various health services to their elementary school-aged children.

Health education: results from the School Health Policies and Programs Study 2006.

Background: School health education can effectively help reduce the prevalence of health-risk behaviors among students and have a positive influence on students' academic performance. This article describes the characteristics of school health education policies and programs in the United States at the state, district, school, and classroom levels.

Methods: The Centers for Disease Control and Prevention conducts the School Health Policies and Programs Study every 6 years.

Primary grade teachers' perceptions and practices regarding pedestrian safety education.

Background: Pedestrian injury is the third leading cause of unintentional injury and death among children 1-14 years old. The purpose of this study was to examine primary grade teachers' perceived role in pedestrian safety education.

Methods: A total of 630 surveys were sent to a national random sample of primary school teachers and 54% responded.

Parents' perceptions of curricular issues affecting children's weight in elementary schools.

The purpose of this study was to examine Ohio parents' perceptions of the role of elementary schools in preventing childhood overweight. In the United States, overweight is the most widespread health threat facing children and adolescents. Schools may be a useful point of intervention in addressing the escalating prevalence of childhood overweight because children spend over half their day at school.

Parents' perceptions of the role of schools in tobacco use prevention and cessation for youth.

The purpose of this study was to examine Ohio parents' perceptions of the role of schools in smoking prevention, cessation, and anti-tobacco policy for their children. A 46-item questionnaire was based on the CDC Guidelines for School Health Programs to Prevent Tobacco Use and Addiction. Surveys (n = 800) were sent to a stratified random sample of parents of junior high and high school aged students and 57% responded.

Elementary school teachers' involvement in firearm safety education.

This national study assessed elementary school teachers' (n = 352) firearm safety education activities and perceptions using a 3-wave mailing survey. One percent of the teachers reported receiving undergraduate training regarding firearm safety. Yet, 12% claimed to be well prepared or very well prepared to teach firearm safety.

Availability of services for emergency contraceptive pills at high school-based health centers.

Context: School-based health centers have the potential to increase adolescents' awareness of, access to and use of emergency contraceptive pills, which can prevent unintended pregnancy following unprotected sex.

Methods: In 2001, 250 high school-based health centers responded to a nationwide mail survey that assessed the provision of education, referral and prescription services for emergency contraceptive pills, as well as the perceived benefits and barriers related to offering these services. Frequencies, cross-tabulations and logistic regression models were used to analyze the data.

Health department activities regarding nonmotorized small-wheel forms of recreation.

The Stages of Change Model and perceived benefits and barriers to providing injury prevention activities for nonmotorized small-wheel forms of recreation by local health departments were used to determine the status of injury prevention activity. A questionnaire mailed to a national random sample of 600 health departments resulted in a response rate of 67%. Approximately 10% of health departments were in the action and maintenance stages of the Stages of Change Model in relation to nonmotorized small-wheel forms of recreation, while the majority (70%) was in the precontemplation stage.

Effect of full-time versus part-time school nurses on attendance of elementary students with asthma.

Asthma, the most common chronic disease in children today, is the leading cause of absenteeism among students. It accounts for nearly 20 million lost school days annually. This study examined whether full-time (5 days per week) or part-time (2 days per week) school nurses would have a differential effect on the frequency of absences among elementary school students with asthma.

Perceptions of nursing faculty regarding ethical issues in nursing research.

A major premise of any research activity is that ethical conduct will be identified and observed during the research process. Yet a comprehensive review of the nursing literature failed to find any research assessing nurses' perceptions of ethical issues related to authorship, publication, reporting results, or funding. This study assessed nursing faculty members' perceptions of ethical scenarios related to the areas of authorship, publication, reporting results, and funding.

Principals' perceptions and practices of school bullying prevention activities.

The purpose of this study was to examine principals' perceptions and practices regarding bullying prevention. A survey instrument was developed to assess principals' stages of change and perceived barriers regarding selected bullying prevention activities as well as the effectiveness of bullying prevention activities. Of a national random sample of 700 principals to which the survey was mailed, 55% responded.

Access to school health services: differences between full-time and part-time school nurses.

This study examined differences in student access to health services between schools with nurses 2 days/week (n = 7) compared to schools with nurses 5 days/week (n = 7). The study found statistically significant differences in numbers of nurse visits per 100 students. Of the 30 health conditions/activities investigated, 28 were statistically significantly higher with full-time school nurses than with part-time school nurses.