Virginia School Age Health Needs Assessment:
2013 Survey Responses
Janet Wright BSN, RN, NCSNJyoti Gupta MPH
Shahid Hafidh MPH
Survey Purpose:• Describe Virginia School Age Health Care Providers• Assess School Nurses’/ Unlicensed Assistive Personnel’s
Knowledge of Available Resources for Education, Training and Professional Development
• Identify Additional Training Needs• Identify Useful Information to Enhance School Health Practice
Survey Recipients: • Virginia School Nurses and Unlicensed Assistive Personnel (UAP)• Coverage across 132 Public School Divisions• Included Private Parochial School Nurses (PPSN)
Survey Respondents: 679
Most Helpful Orientation Topics
Clinic Practices/Nursing
Activities
School Health
Policies
School Health
Guidelines
First Day
Laws/ Regulations
Resources Other
Orientation Topics
Most Helpful Orientation Topics(2013 Data (N=115)
CLINIC PRACTICES / NURSING
ACTIVITIES:--Tasks & Responsibilities--Day-to-Day Clinic Flow--Medical Procedures--Documentation--Immunizations & Screenings
SCHOOL HEALTH POLICIES:
--State/County/School District Policies--Medication Policies--Training, certifications, licensure
VA SCHOOL HEALTH
GUIDELINES:--Overview of Guidelines--Immunization & Medication--Day-to-Day Guidelines--Emergency Protocols--Computer Systems
OTHER:--Health Conditions/Diseases--First Aid
Access/Support/Feasibility
Access to Webinars &
Teleconferences
Able to Travel to
Trainings / Conferences
Financial Support from
School/School Division
Source of Knowledge/Information
VDH School
Age Health
Newsletter
CDC Website
Private/Parochial
School Nurse List Serve
VASN Website
School Nurse
Coordinator List Serve
(DOE)
Note: DOE School Nurse Coordinator MeetingsNumber Held Annually: 3Perceived Need for 3 Annual Meetings: 99.1% (2013 Data, N=116)
Coordination Of CareMore than 60% Respondents (2013; N=642) knew how to:
Create/Use: Individualized Healthcare Plans (IHPs)
: Emergency Care Plans (ECPs)
Use Section 504 plans for Students with Disabilities
Work with Physicians Under “Standing Orders” in
the School Setting
Maintain Student Confidentiality & Legal Issues
More than 60% Respondents (2013; N=642) were aware of :
School Nurse Role in Special Education
School Nurse Role in Child Study Team (Special Education)
School Nurse Role in Individualized Education Program (IEP)
Team
59% were aware of HIPAA & FERPA
Note: HIPAA=Health Insurance Portability and Accountability Act of 1996; FERPA=Family Education Rights and Privacy Act
Understand HIPAA and FERPA
Note: HIPAA=Health Insurance Portability and Accountability Act of 1996; FERPA=Family Education Rights and Privacy Act
2013: 70-72%
2008: 80-81%
2013: 52-61%
2008: 76-81%
2013: 65%
2008: 82%
(Physical Assessment, Allergies, Asthma)
(Physical Assessment, HTN, Blood
Disorders)
(Physical Assessment)
Interest Seems Lower in 2013 than in 2008
Note: 2013 N=627; 2008 N=584
2013: 66-72%
2008: 84-87%
2013: 71%
2008: 88%
2013: 64%
2008: 85%
(Physical Assessment, Seizure
Disorders)
(Diabetes) (Physical Assessment)
Interest Seems Lower in 2013 than in 2008
Note: 2013 N=627; 2008 N=584
Manuals
Journals
Texts
Websites
Additional Resources
Note:
Greater Use of Websites and Journals in 2013 (N=627) compared to 2008 (N=573)
Slightly Lower Use of Manuals in 2013 compared to 2008
Manuals2008 (53-80%) 2013 (58-71%)
VDH Guidelines for Managing Asthma in Virginia Schools-A Team Approach
VDH Guidelines for Managing Asthma in Virginia Schools-A Team Approach
VDH Guidelines for Specialized Health Care Procedures
VDH Guidelines for Specialized Health Care Procedures
Virginia School Health Guidelines Virginia School Health Guidelines
Helping Student with Diabetes Succeed-A Guide for School Personnel (NDEP Guide)
Manual for Training of Public School Employees in Administration of Medication (DOE)
Manual for Training of Public School Employees in Administration of Insulin and Glucagon (DOE)
Homebound Instructional Services Guidelines (DOE) (17%)
Journals
2008 (35%) 2013 (39%)
NASN Journal of School Nursing (Research-based)
NASN Journal of School Nursing (Research-based)
NASN School Nurse (Clinical)
Texts
2013 (25-36%)
School Nursing Scope and Standards of Practice, 2nd Edition (NASN)
Managing Chronic Health Needs in Child Care and School, A Quick Reference Guide (AAP)
Managing Infectious Diseases in Child Care and Schools, A Quick Reference Guide, 2nd Edition (AAP)
Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents, 3rd Edition
School Nursing: A Comprehensive Text by Dr. Janice Selekman, Editor
AAP Red Book 2009 Report of the Committee on Infectious Diseases, 28th Edition
Websites
2008 (39-44%) 2013 (47-51%)NASN: National Association of School Nurses
NASN: National Association of School Nurses
Virginia Department of Education (VDOE) School Health Specialist
Virginia Department of Education (VDOE) School Health Specialist
VASN: Virginia Association of School of Nurses
VDH School Age Health Specialist VDH School Age Health Specialist
HEALTH CONDITIONS / DISEASES:--Asthma--Diabetes--Allergies--Health System Disorders (e.g. arrhythmias, seizures, rashes)--Health & Hygiene
MENTAL HEALTH:--ADD/ADHD--Anxiety/Panic/OCD Disorders--Autism Spectrum--Behavioral & Emotional Health--Bullying
HEALTH SCREENING / ASSESSMENT:--General Assessment Skills--Health Systems Assessments--Ear Examinations--Assessments of Autistic and other Special Needs Children
CLINIC PRACTICES / NURSING ACTIVITIES: --Medical Care at School, IEP--Continuing Education--Communication with Parents--Medical Alert Problems--Leadership
TRAINING & EDUCATION:--Professional School Nurse Evaluation Tools--Resources: Research, Finance--Grant & Policy Writing--Collaboration Skills--Nurse Management Issues
OTHER:-- Policies & Legal issues--Injuries--Nutrition/Weight--First Aid
School Health Professional Profile in Virginia: Most work in Public Schools, are RNs, have a Bachelor’s degree, have >5 years’ School Health Experience
Improvements from 2008-2013:– Almost All Nurses Have Internet Access
– Increased use of Websites (e.g. VASN/NASN) and other Resources (e.g. VDH First Aid Guide, Handwashing Poster) in clinical setting
– Increased interest in being more active in Community Partnerships
– Increased interest in Leadership Development Training
– Increased attendance at SISN (VDOE)
– Increase in awareness of HIPAA and FERPA (still <60%)
Low Engagement in Professional Development Activities:– Less than Half (42%) Attended SISN Conference
– 35% Attended VASN Conference and Participated in SHAB
– 27% are VASN/NASN Members
Low Access/Support for Capacity Building:– Not All (84%) Have Access to Webinars/Teleconference
– Less than Half (39%) Receive Financial Support from Schools
Not All Nurses Receive Annual Employee Evaluations (86%)
Gaps in Orientation:– Only 73% were oriented to the Nursing Role (N=164)
Gaps in School Health Practice:– Only 55% applied Research-Based Interventions in nursing practice
– Less than 40% understood Program Planning Process
– Less than half (48%) were comfortable to implement New School Health Programs
– Only 44% knew where to access help with Planning and Implementing new programs
– Less than half (46%) actively participated in Community Partnerships
– Less than 60% were aware of HIPAA and FERPA
– While 97% of UAPs Administered Medication, only 84% of UAPs’ Medication Administration Skills were tested annually
Perceived Orientation Needs:– Clinic Practices / Nursing Activities
– Job Issues (e.g. nursing roles, duties, protocols, time management, legal issues)
Perceived Training Needs: Health Conditions / Diseases Clinic Practices / Nursing Activities Mental Health Training & Education
Improve Access to & Awareness of:– Webinars / Teleconferences for professional development
– Resources for professional development: Improve financial support to school health professionals and time available to engage in professional development
– Resources for planning and implementing new school health programs
– Opportunities to participate in community partnerships
Enhance Training & Education in:– Applications of research-based interventions in nursing practice
– Planning & implementation processes in school health programs
– HIPAA and FERPA
– Clinic practices / nursing activities; ie., daily workflow expectations, collaboration skills, nurse management issues
– Health conditions / diseases, including mental health
Ensure Appropriate Orientation for School Health Professionals (RN/LPN/UAP)
Increase % of school health personnel who receive an annual employee evaluation using an evidenced-based school health professional self-evaluation tool (Example: School Nurse (RN) Self-Evaluation Form)
Increase Annual Medication Administration Competencies for Unlicensed Assistive Personnel (UAPs)
Thank you
Contact:Janet Wright, BSN, RN, NCSNSchool Age Health Specialist
Office of Family Health ServicesVirginia Department of [email protected]
www.vdh.virginia.gov