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Identification of Workload Measurement Indicators for School Nursing Practice
Beth E Jameson1, Lori S Anderson2, Patricia Endsley3
1College of Nursing, Seton Hall University, Interprofessional Health Sciences Campus, Nutley, NJ, USA.
Summary
School nurses need a better way to measure their workload beyond simple ratios. This study identified key activities, including patient acuity and social factors, for a new evidence-based workload instrument.
Area of Science:
- Nursing
- Healthcare Administration
- Public Health
Background:
- Current school nurse workload measures, such as caseload or student-to-nurse ratios, lack evidence-based support.
- A comprehensive instrument is needed to capture the complex role of school nurses, including patient acuity, care processes, and social determinants of health.
Purpose of the Study:
- To identify empirically measurable workload activities for a new school nurse workload instrument.
- To build upon findings from a previous Delphi study.
Main Methods:
- Qualitative study utilizing four focus groups with a nationally representative sample of 27 school nurses.
- Activities were identified and confirmed through participant descriptions of workload-influencing tasks.
Main Results:
- Focus groups successfully identified and confirmed specific workload activities crucial for measuring school nurse workload.
- The National Association of School Nurses' Framework for 21st Century School Nursing Practice™ guided the identification of essential workload components.
Conclusions:
- The study successfully identified key components for developing an evidence-based school nurse workload instrument.
- This instrument aims to provide a more accurate reflection of school nursing practice than current ratio-based systems.
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