There is little research in the school nurse work environment and no current measurement tool that provides evidence-based research to (a) support the role of the school nurse and (b) offer guidance to school nurse administrators and policy makers when making staffing decisions. This paper recognizes the need for a school nurse workload model based on more than the number of students in a caseload. The study used an extensive literature review spanning the period 1966 through 2016, a search of key databases such as PubMed, a hand search of pertinent articles, targeted e-mails sent to National Association of School Nurses (NASN) members and finally, an archival analysis of published abstracts of past breakout sessions from the NASN conference.
An expert workload taskforce assembled related factors into four areas: health conditions and needs of the student; social determinants of health; characteristics of the nursing staff; and characteristics of the school community. Recommendations were made for clinicians and researchers interested in developing instruments to measure school nurse workload.
Recognizing the need for a school nurse workload model based on more than the number of students in a caseload, the National Association of School Nurses issued recommendations related to measuring school nurse workload. Next, a workforce acuity task force (WATF) was charged with identifying the steps needed to further the recommendations. As a first step, the WATF focused on identifying existing literature and practices related to school nurse workload. The purpose of this article is to synthesize and categorize the factors that were identified, delineate sources for collecting and retrieving these factors, and make recommendations for clinicians and researchers interested in developing instruments to measure school nurse workload.
Factors Related to School Nurse Workload
Beth E. Jameson, Martha Keehner Engelke, Lori S. Anderson
DOI: 10.1177/1059840517718063First Published July 6, 2017
The Journal of School Nursing