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Related Experiment Videos

School nursing: costs and potential benefits.

L Cotton1, J Brazier, D M Hall

  • 1University of Sheffield, Sheffield, England.

Journal of Advanced Nursing
|June 7, 2000
PubMed
Summary

School nursing resources vary widely, with deprivation explaining some, but not all, differences. Current time allocation for school nurses is misaligned with evidence of need and effectiveness.

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Area of Science:

  • Public Health
  • Health Services Research
  • Nursing Studies

Background:

  • Previous research indicated no link between UK school nursing resources and deprivation.
  • There is ongoing debate regarding the evolving role of school nursing services.

Purpose of the Study:

  • To quantify school nursing resource allocation.
  • To investigate the relationship between resource allocation and socioeconomic deprivation.
  • To evaluate if school nursing time aligns with current evidence and perceived needs.

Main Methods:

  • Employed a quantitative economic analysis and a qualitative descriptive study.
  • Conducted a detailed examination of four diverse English districts.
  • Utilized a questionnaire and telephone survey across 62 districts, collecting data on staffing, services, population, deprivation, and activity statistics.

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Main Results:

  • Significant variations in school nursing service costs were observed, with 24% of the variance explained by deprivation, contradicting prior reports.
  • Routine screening and surveillance received the most time, while health promotion, support for special needs, and adolescent clinics received less.
  • Expenditure on school nursing showed a weak correlation with deprivation.

Conclusions:

  • School nursing resource allocation is inequitable across districts.
  • The current utilization of school nursing time does not align with evidence-based needs or effectiveness.