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School nurses: policies, working practices, roles and value perceptions.

Emma Croghan1, Carol Johnson, Paul Aveyard

  • 1Department of Public Health and Epidemiology, University of Birmingham, UK. e.croghan@bham.ac.uk

Journal of Advanced Nursing
|July 24, 2004
PubMed
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UK school nurses largely meet employer expectations, but lack confidence in health needs assessments. Their diverse skills support child-centred public health roles, though some feel professionally undervalued.

Area of Science:

  • Public Health
  • Nursing Practice
  • Healthcare Policy

Background:

  • School nursing in the UK is central to child-centred public health policy.
  • Limited literature exists, particularly from practitioner viewpoints.

Purpose of the Study:

  • To survey UK school nurses' practices.
  • Compare practices with expectations of managers and policymakers.
  • Identify potential conflicts in school nursing roles.

Main Methods:

  • Theoretical framework applied to school nursing context.
  • Random survey of 46 school nurses in the West Midlands.
  • Interviews with 38 participating nurses.
  • Comparison of self-reported practices with official job expectations.

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Main Results:

  • Nurses met most employer criteria; two had not performed health needs assessments.
  • Nurses provided additional services like sexual health and parental support.
  • Nurses reported diverse skills and felt valued by clients and employers, but undervalued by peers.
  • Nurses felt positive about role changes and supported public policy for child-centred health.

Conclusions:

  • School nurses' practice aligns with employer and policy requirements, except for health needs assessment, where confidence is low.
  • The study's theoretical framework aids understanding of school nursing's evolution.