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School nurses' experiences with medication administration.

Michael W Kelly1, Ann Marie McCarthy, Matthew J Mordhorst

  • 1College of Pharmacy, The University of Iowa, Iowa City, IA, USA.

The Journal of School Nursing : the Official Publication of the National Association of School Nurses
|September 23, 2003
PubMed
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School nurses report significant concerns regarding medication administration, including delegation, errors, and policy. These findings highlight common challenges faced by nurses in managing medications within educational environments.

Area of Science:

  • Nursing
  • Public Health
  • Healthcare Administration

Background:

  • Medication administration in schools is a critical aspect of student health and safety.
  • Understanding school nurses' perspectives is essential for improving current practices.

Purpose of the Study:

  • To explore school nurses' experiences and concerns with medication administration.
  • To identify key areas of challenge in school-based medication management.

Main Methods:

  • Qualitative analysis of written survey comments from 470 school nurses.
  • Focus group discussions with local school nurses.
  • Constant comparative analysis combining data from surveys and focus groups.

Main Results:

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  • Six primary categories of concern emerged: delegation of medication administration, comfort with delegation, self-administration of medication, medication administration errors, storage of medication, and administration policies.
  • School nurses nationwide share similar concerns regarding medication administration.
  • Identified challenges in delegation and potential for medication errors.
  • Conclusions:

    • School nurses face multifaceted challenges in medication administration.
    • Standardized policies and improved delegation practices are needed.
    • Further research should address identified areas of concern to enhance student safety.