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Measuring Outcomes of School Nursing Services

Jacqueline L. Stock, RN, MPH, Center for Children With Special Needs, Children’s Hospital and Regional Medical Center, Seattle, WA

Nanci Larter, RN, MSN

Nanci Larter, RN, MSN, is co-director of the Center for Children With Special Needs, Children’s Hospital and Regional Medical Center, Seattle, WA

Gail M. Kieckehefer, ARNP, PhD

Gail M. Kieckehefer, RN, PhD, is an associate professor of Family and Child Nursing at the University of Washington School of Nursing, Seattle, WA

Gayle Thronson, RN, MEd

Gayle Thronson, RN, Med, is the program supervisor of health services, Washington State Office of Superintendent of Public Instruction, Olympia, WA

Judy Maire, RN, MN

Judy Maire, RN, MN, has recently retired from her position as manager of health services, Washington State Office of Superintendant of Public Instruction, Shelton, WA

Considerable information exists about the impact of school health services on student health and academic achievement. Much less information exists about the specific impact of school nursing services. This article reports on a Washington State project that studied documentation of outcomes of school nurse interventions, the scope of the school nurse role, and the infrastructure necessary to report outcomes of school nursing. A literature review about outcomes of school nursing was conducted. Twenty-two leaders in school nurse issues were interviewed. The literature review yielded 15 articles documenting positive outcomes of school nursing. Interview analysis revealed leader ideas about important outcomes of school nurse services and the infrastructure needed to document the impact of school nursing. The existing literature on positive outcomes addresses a limited portion of the school nurse role. Components of infrastructure necessary to document outcomes are delineated. Resources for infrastructure development are discussed.

Key Words: data systems • evaluation • outcomes • quality assurance • quality improvement • school nurse

The Journal of School Nursing, Vol. 18, No. 6, 353-359 (2002)
DOI: 10.1177/10598405020180060801


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