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A differentiated practice model for school nursing.

Teresa Keller¹, Jacalyn Wickline Ryberg

¹New Mexico State University, Las Cruces, NM, USA.

The Journal of School Nursing : the Official Publication of the National Association of School Nurses

|October 8, 2004

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School nurses face challenges like changing environments and resource uncertainty. A differentiated practice model could address these by dividing roles among generalist, master's prepared, and policy analyst levels.

Area of Science:

Nursing Science
Healthcare Administration
Public Health

Background:

School nursing practice is characterized by autonomy and independent decision-making within a dynamic environment.
Key challenges include resource uncertainty, stakeholder influence, lack of standardized education, and expanding roles.
Current practice models struggle to address the complexities of the school health services environment.

Purpose of the Study:

To propose a differentiated practice model for school nursing services.
To offer an alternative to the current master's entry requirement for school nurses.
To provide a framework for addressing professional challenges in school nursing.

Main Methods:

Review of differentiated practice models in other healthcare settings.

Related Experiment Videos

Proposal of a three-level practitioner model: generalist, master's prepared, and policy analyst.

Discussion of implications for stakeholders, costs, and education.

Main Results:

A differentiated practice model divides school nurse responsibilities based on educational attainment and scope.
Each level (generalist, master's prepared, policy analyst) has a defined and increasing scope of responsibility.
Implementation requires stakeholder cooperation and consideration of educational impacts.

Conclusions:

Differentiated practice offers a potential solution to challenges in school nursing.
This model can provide a structured approach to role development and educational pathways.
Further consideration and research are needed for successful implementation in school health services.