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School Nursing Emergency Response Study: A National Convergent Parallel Mixed Methods Cross-sectional Survey.
Sharon A White-Lewis1, Patricia Endsley2, Steven Chesnut1
1School of Nursing, https://ror.org/01w0d5g70University of Missouri-Kansas City, Missouri, USA.
School nurses need updated disaster training to effectively manage emergencies. Current training gaps, particularly in areas like floods and earthquakes, highlight the need for comprehensive, mandatory programs to ensure child safety.
Area of Science:
- Emergency Medicine
- Public Health
- Pediatric Nursing
Background:
- Increasing frequency of disasters necessitates improved emergency preparedness.
- Current school nurse disaster education is outdated, with limited focus beyond triage.
- Prioritization of emergency care training for school nurses is insufficient.
Purpose of the Study:
- To assess current disaster training and preparedness levels of school nurses nationwide.
- To understand school nurses' perceived roles in disaster management.
- To identify specific training needs and gaps in school nursing disaster preparedness.
Main Methods:
- A convergent parallel mixed-methods national survey was employed.
- Online distribution included both closed- and open-ended questions.
- Participants included elementary, middle, and high school nurses.
Main Results:
- Cardiopulmonary resuscitation, active shooter, and fire training were most common; flood and earthquake training were lacking.
- Thematic analysis revealed insights into disaster experience, prior nursing roles, and first aid.
- Nurses expressed a desire for inclusion in safety committees and mandatory, scheduled disaster training, emphasizing the value of debriefing.
Conclusions:
- Effective school nurse disaster management is crucial for child protection.
- School administrators must recognize school nurses as vital resources for disaster response.
- Comprehensive, up-to-date, and mandatory disaster training for school nurses is essential.
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