Sustaining secondary school nursing practice in Australia: a qualitative study

Area of Science:

• Nursing
• Healthcare Management
• Qualitative Research

Background:

• The role of secondary school nurses is crucial for student health and well-being.
• Understanding the challenges and support needs of these nurses is essential for effective practice.
• Previous research has not fully explored the nuanced perceptions of secondary school nurses in Victoria, Australia.

Purpose of the Study:

• To explore secondary school nurses' perceptions of factors impacting their role.
• To identify how the secondary school nurse role can be best supported.
• To inform strategies for enhancing the effectiveness and sustainability of school nursing services.

Main Methods:

• An interpretive descriptive, qualitative study design was employed.
• Semistructured, in-depth interviews were conducted with nine secondary school nurses.
• Thematic analysis was used to analyze interview data.

Main Results:

• The secondary school nurse role is perceived as complex and challenging.
• Key factors for supporting quality practice include a shared understanding of the role's purpose and professional obligations.
• Adequate knowledge and experience are vital for nurses to work effectively within their scope of practice.

Conclusions:

• A clear, shared understanding of the secondary school nurse role among all stakeholders is necessary.
• Professional development recognizing the breadth and depth of the role is required.
• A model of critical companionship is recommended to support nurses through facilitated reflection on practice.