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Students requiring personal nursing care in school: nursing care models and a checklist for school nurses
Robin Adair Shannon1, Lindsey Minchella2
1Clinical Instructor, University of Illinois at Chicago, College of Nursing, Chicago, IL.
Insights
More children with complex health needs are attending school, requiring specialized care. This article outlines care models to support medically complex students and ensure their health and safety in educational settings.
Area of Science:
- Pediatrics
- Healthcare Administration
- Educational Policy
Background:
- Increasing survival rates for premature infants and those with congenital anomalies lead to a growing population of medically complex children.
- Advances in medical technology enable more children with significant health needs to survive and attend school.
- Schools face challenges in providing continuous nursing care for medically complex and health technology-dependent students.
Purpose of the Study:
- To describe successful care delivery models for students requiring continuous or personal nursing care in schools.
- To address the challenges faced by families, educators, and school nurses in integrating complex healthcare needs into the school environment.
- To enhance the health and safety of medically complex students within educational settings.
Main Methods:
- This article is a descriptive review of existing care delivery models.
- It synthesizes best practices for managing medically complex students in schools.
- The focus is on practical strategies for school nurses and administrators.
Main Results:
- Successful models emphasize collaboration between healthcare providers, families, and school staff.
- Key components include individualized health care plans and adequate staffing.
- Technology-assisted care and emergency preparedness are crucial for student safety.
Conclusions:
- Effective care models are essential for the successful inclusion of medically complex students in schools.
- Proactive planning and resource allocation can mitigate challenges in providing school-based health services.
- Implementing structured care delivery models ensures that the health and safety needs of all students are met.
Abstract:
Unprecedented numbers of children in the United States are now surviving extreme conditions and complications of prematurity, severe congenital anomalies, and significant birth trauma. Advances in medical science and technology have given rise to a marked increase in the population of children with special health care needs who require continuous nursing care, including at school. Students who are considered medically complex and/or are health technology-dependent present many rewards and challenges for families, educational staff, district administrators, and school nurses who may not feel prepared to integrate involved health care for students into the school setting. The purpose of this article is to describe care delivery models for success in providing for the health and safety needs of students who require continuous or personal nursing care at school.
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