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The high school nurse practitioner.

P R Nader, J Conrad, M Williamson

The Journal of School Health

|January 1, 1978

Summary

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Implementing a pediatric nurse practitioner and health aide, along with new clinic forms, improved problem identification and healthcare access for urban high school students.

Area of Science:

Public Health
Pediatric Nursing
Adolescent Healthcare

Background:

Traditional urban high school health services often face challenges in problem identification and healthcare access.
There is a need for enhanced healthcare delivery models within school settings to address student health needs effectively.

Purpose of the Study:

To evaluate the impact of specific changes in a high school health service on problem identification and community healthcare access.
To assess the effectiveness of a pediatric nurse practitioner and health aide team in managing common student health complaints.

Main Methods:

Training the school nurse as a pediatric nurse practitioner and hiring a full-time health aide.
Developing and implementing clinic management forms for common student complaints like headaches, stomachaches, and upper respiratory symptoms.

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Main Results:

Out-of-school medical referrals for students doubled after the implementation of changes.
A higher percentage of referred students received necessary medical care.
Improved identification of student health problems and enhanced access to community health services.

Conclusions:

The integration of a pediatric nurse practitioner and health aide significantly improved the high school's health service.
Utilizing standardized clinic management forms contributed to better healthcare access and utilization for students.
The enhanced role of the nurse practitioner in counseling and coordinating resources positively impacted student health decision-making and psychosocial support.