A state association surveys school nurses to identify current issues and role characteristics

A state association of school nurses conducted a statewide survey, collaborating with university nursing faculty to secure necessary resources and research expertise. A questionnaire, including demographic, employment, and practice characteristics, was mailed to 340 school nurses in Michigan. The response rate was 49%. Findings demonstrated the complex, multiple roles and responsibilities of school nurses. Two strengths identified were memberships in professional organizations and employer support for continuing education. Issues identified included educational preparation below the recommended baccalaureate level, lack of differentiation in practice based on education, and certification through non-competency-based processes. Isolation and supervision/evaluation by non-nurses were pervasive themes. Findings are relevant for school nurses across the country. Results have been used both locally and at the state level in employer negotiations, with legislators for educational purposes, and in policy development. Strategies for addressing the identified issues are explored, including those facilitated through an association-university collaboration.