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This review explored nursing workload literature to inform school nursing research. Key themes include patient classification, staffing, and environmental factors impacting school nurse practice.

Keywords:
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Area of Science:

  • Nursing
  • Public Health
  • Healthcare Management

Background:

  • Nursing workload is a critical factor in patient care quality and nurse retention.
  • Existing research on nursing workload spans acute care, community health, and mental health settings.
  • School nursing, a specialized public health area, requires tailored workload assessment.

Purpose of the Study:

  • To conduct a scoping review of recent nursing workload literature (last 5 years).
  • To identify themes and research gaps applicable to school nursing workload.
  • To inform future research directions in school nurse workload.

Main Methods:

  • Searched academic databases (Google Scholar, PubMed, CINAHL, Medline) for empirical and nonempirical literature.
  • Included literature published within the last 5 years.
  • Selected 29 empirical studies and 9 nonempirical articles for analysis.

Main Results:

  • Identified key themes relevant to school nursing: patient classification systems, environmental factors, assistive personnel, missed nursing care, and nurse satisfaction.
  • Highlighted the need for consistent population assessment methods in school nursing.
  • Emphasized the importance of evaluating assistive personnel and school environment factors.

Conclusions:

  • School nursing workload research can benefit from themes identified in broader nursing literature.
  • Further investigation is needed into clinical-level workload variables for school nurses.
  • A comprehensive approach to school nurse workload must include non-student care tasks and professional development.