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Reshaping a school health nursing service.

Sallyann Sutton1, Jasmin Gill, Lorraine Millard

  • 1Walsall School Health, West Midlands. sallyann.sutton@walsall.nhs.uk

Nursing Standard (Royal College of Nursing (Great Britain) : 1987)
|July 1, 2004
PubMed
Summary

School nurses restructured services to target children with specific health needs due to staffing issues. This pilot program led to a new team-based model for school health nursing, improving targeted care.

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Area of Science:

  • Pediatric Nursing
  • Public Health
  • School Health Services

Background:

  • School health surveillance systems faced sustainability challenges due to staff shortages.
  • Existing systems struggled to meet the comprehensive needs of all students effectively.

Purpose of the Study:

  • To restructure the school health nursing service to address sustainability issues.
  • To implement a targeted health surveillance program for students with identified needs.
  • To develop a sustainable model for school health nursing services.

Main Methods:

  • A pilot program was completed in October 2002.
  • The school health nursing service was restructured into teams.
  • A corporate caseload management approach was adopted.
  • The new model incorporated targeted health surveillance, health promotion, and a referral system.

Main Results:

  • The restructured service now operates in teams managing a corporate caseload.
  • The core program is based on the successful pilot project.
  • The new model provides targeted surveillance and health promotion.

Conclusions:

  • Restructuring school health nursing services into teams can create a sustainable model.
  • Targeting surveillance to children with identified needs is an effective approach.
  • The implemented model successfully integrates health surveillance, promotion, and referrals.

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