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Delegation in School Nursing Practice: A Mixed-Methods Study.

Claire L McKinley Yoder1,2, Layla Garrigues2, Jamie Smith3

  • 1School of Nursing, Oregon Health & Science University, Portland, OR, USA.

The Journal of School Nursing : the Official Publication of the National Association of School Nurses
|March 26, 2025
PubMed
Summary
This summary is machine-generated.

School nurses face challenges delegating nursing tasks to support staff. This study identifies barriers like time and staffing, offering insights for improving care coordination for students with chronic conditions.

Keywords:
chronic diseasesdelegation/UAPdiabetesqualitative researchquantitative researchschool nursingspecial education/disabilities

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Area of Science:

  • Nursing
  • Public Health
  • Healthcare Administration

Background:

  • Delegation is crucial for school nurse care coordination.
  • Delegation to unregulated assistive personnel is a significant nursing responsibility.
  • Little research exists on delegation in school nursing.

Purpose of the Study:

  • To describe the types and quantity of nursing delegations in schools.
  • To identify factors influencing school nurse delegation.
  • To examine considerations for delegating nursing procedures in schools.

Main Methods:

  • Mixed-methods study conducted from 2018 to 2022.
  • Examined delegated procedures, student context, and assistive personnel.
  • Analyzed factors affecting delegation decisions.

Main Results:

  • Identified challenges in delegating nursing procedures in schools.
  • Key barriers include time constraints, staffing levels, and resource availability.
  • Understanding these factors is essential for effective delegation.

Conclusions:

  • Delegation in school nursing presents unique challenges.
  • Addressing barriers can improve care coordination for students.
  • Findings inform practicing nurses, supervisors, and policymakers.