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Enhancing Care Coordination for Students with Type 1 Diabetes.
Mayumi Willgerodt1, Kathleen H Johnson1, Cara Helmer2
1Department of Child, Family and Population Health Nursing, University of Washington, Health Sciences Box 357262, 1959 NE Pacific St., Seattle, WA, 98195.
The Journal of School Health
|June 20, 2020
Summary
Effective care coordination for Type 1 diabetes (T1D) in schools relies on family, school, and child contexts, plus team knowledge, communication, and relationships. Strategies should support these factors for better student health outcomes.
Area of Science:
- Pediatric Endocrinology
- School Health Services
- Chronic Disease Management
Background:
- Care coordination is vital for students with chronic conditions like Type 1 diabetes (T1D) to achieve academic success.
- Operational strategies for school-based T1D care coordination are underreported in scientific literature.
- T1D necessitates a collaborative, team-based approach to management within the school setting.
Purpose of the Study:
- To explore current care coordination practices for T1D in Washington State schools.
- To identify facilitators and barriers impacting T1D care coordination.
- To inform strategies for enhancing school-based T1D support.
Main Methods:
- Qualitative study utilizing focus groups across 9 Educational Service Districts in Washington State.
- Participants included school nurses, parents of children with T1D, and healthcare providers.
- Content analytic techniques were applied to analyze recorded focus group notes.
Main Results:
- Five overarching themes emerged, detailing the complexities of T1D care coordination.
- Key themes included the influence of family, school, and developmental contexts.
- Essential factors identified were T1D knowledge among stakeholders, team accessibility, communication, and interpersonal relationships.
Conclusions:
- Effective T1D care coordination in schools requires a contextualized and holistic approach.
- Facilitating supportive relationships and team-based strategies is crucial.
- These findings can inform improved, intersectional care coordination for all chronically ill students.
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