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Caring for students with type 1 diabetes: school nurses' experiences.

Yueh-Ling Wang1, Deborah L Volker

  • 1Department of Nursing, Mackay Medical College, New Taipei City, Taiwan. yuehling1215@gmail.com

The Journal of School Nursing : the Official Publication of the National Association of School Nurses
|May 5, 2012
PubMed
Summary

Taiwanese school nurses face significant challenges caring for students with type 1 diabetes mellitus (T1DM). Enhancing nurse competence and fostering teamwork are crucial for effective T1DM management in schools.

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Area of Science:

  • Pediatric Nursing
  • Endocrinology
  • Qualitative Research

Background:

  • Type 1 diabetes mellitus (T1DM) requires ongoing management in school settings.
  • School nurses play a vital role in supporting students with chronic conditions like T1DM.
  • Understanding the lived experiences of school nurses is essential for improving care.

Purpose of the Study:

  • To explore the lived experiences of experienced Taiwanese school nurses caring for students with T1DM.
  • To identify the challenges and complexities faced by school nurses in T1DM management.
  • To gain insights into the essential aspects of providing care for students with T1DM in schools.

Main Methods:

  • Qualitative study utilizing a Husserlian phenomenological approach.
  • In-depth, semi-structured interviews with five experienced Taiwanese school nurses.
  • Data analysis using a modified Colaizzi method.

Main Results:

  • Four intertwined themes emerged: empathy, perceived lack of expertise, necessity of teamwork, and practical limitations.
  • School nurses encounter numerous challenges in fulfilling their responsibilities for students with T1DM.
  • Caring for students with T1DM involves a struggle against practical constraints.

Conclusions:

  • Findings highlight the difficulties school nurses face in managing T1DM in students.
  • Recommendations include enhancing school nurses' T1DM competence and developing strategies to overcome challenges.
  • Multidisciplinary teamwork is essential for effective diabetes management in school environments.