Autonomy in practice: a qualitative study of school nurses' perceptions

Many who enter the specialty of school nursing find themselves faced with the challenge of practicing as the sole professional responsible for the health care of large numbers of students and school employees. In addition, the transition from the more familiar medical or nursing setting into the unknown territory of the educational environment can be daunting. This qualitative study examined the perceptions of 6 new and 6 experienced school nurses regarding the autonomy of their practices. Results identified sharp contrasts in the areas of role perception, comfort, and confidence between the two groups. It is imperative that the specialty initiate changes to nurture and support the novice during this transitional period.