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School nurses' competency in supporting students with type 1 diabetes: A mixed methods systematic review.
1Department of Nursing, Pukyong National University, Busan 48513, South Korea.
Nurse Education Today
|December 29, 2024
Summary
School nurses and families desire more training and cooperation for supporting students with Type 1 diabetes (T1D). Gaps exist in utilizing diabetes devices, despite confidence in basic care, highlighting needs for improved school nurse capacity development.
Area of Science:
- Pediatric Nursing
- Diabetes Management
- Healthcare Education
Background:
- Supporting students with Type 1 diabetes (T1D) in schools requires specific competencies from school nurses.
- Stakeholder perceptions, including those of school nurses and families, are crucial for understanding these competency needs.
- Existing literature may not fully capture the nuanced requirements for effective T1D care in educational settings.
Purpose of the Study:
- To evaluate school nurse and family-reported perceptions of school nurse competencies in supporting students with Type 1 diabetes.
- To identify key themes and specific competencies required for effective T1D management in schools.
- To inform future capacity development for school nurses caring for students with T1D.
Main Methods:
- A mixed methods systematic review was conducted following Joanna Briggs Institute methodology.
- Five academic databases were searched for studies published between 2014 and 2023.
- Study eligibility, quality, and data were assessed by two independent reviewers using a mixed methods assessment tool.
Main Results:
- A total of 35 studies (13 qualitative, 11 quantitative, 7 non-randomized, 4 mixed) met the inclusion criteria.
- Five core competencies and 11 sub-competencies were identified, grouped under "demand for training in school diabetes care" and "demand for more active cooperation."
- Challenges were noted in school nurses' use of diabetes devices, contrasting with moderate to high confidence in basic diabetes care.
Conclusions:
- This review provides valuable stakeholder perspectives on school nurse competencies for T1D care.
- Findings highlight specific training and cooperation needs for school nurses.
- Future interventions should focus on enhancing school nurse capacity, particularly in device utilization and collaborative care models.
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