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Related Experiment Videos

Does the school nurse-to-student ratio make a difference?

Martha Guttu1, Martha Keehner Engelke, Melvin Swanson

  • 1North Carolina Dept. of Health and Human Services, Division of Public Health, 404 St. Andrews Drive, Greenville, NC 27834, USA. mbg1119@mail.ecu.edu

The Journal of School Health
|March 17, 2004
PubMed
Summary

Increased school nurse presence correlates with improved student health services and outcomes, particularly for chronic conditions like asthma and diabetes. Better nurse-to-student ratios enhance care for social issues and vision problems.

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Area of Science:

  • Public Health
  • Pediatric Nursing
  • Educational Administration

Background:

  • Public schools are mandated to educate students with complex health needs.
  • Chronic illnesses, social morbidities, and learning impairments affect many school-aged children.
  • School nurses are vital in delivering health services, but research on nurse-to-student ratios and outcomes is limited.

Purpose of the Study:

  • To examine the relationship between school nurse-to-student ratios and the level of health services provided.
  • To investigate the impact of these ratios on student health outcomes in a North Carolina region.
  • To provide evidence supporting the importance of adequate school nursing staffing.

Main Methods:

  • Analysis of data from 21 counties in eastern North Carolina (school years 2000-2002).

Related Experiment Videos

  • Examination of school nurse-to-student ratios, ranging from 1:451 to 1:7,440.
  • Correlation analysis to assess the relationship between nurse presence, services, and student outcomes.

    • Main Results:

    • Significant negative correlations found between increased school nurse presence and services for children with diabetes (r = -.52) and asthma (r = -.43).
    • Better nurse-to-student ratios were associated with increased counseling for social conditions (r = -.38) and follow-up for injuries (r = -.43).
    • A higher percentage of children with vision problems received follow-up care in schools with better ratios (r = -.37).

    Conclusions:

    • Adequate school nurse staffing is crucial for providing comprehensive health services to students.
    • Improved nurse-to-student ratios positively impact the management of chronic illnesses, social issues, and vision impairments.
    • School nurses play a significant role in improving student health outcomes and educational success.