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The Journal of School Nursing
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Research Article

The Effects of Budget, Delegation, and Other Variables on the Future of School Nursing

Theresa M. Tetuan, RN, PhD, CSN, CHES

Theresa M. Tetuan, RN, PhD, CSN, CHES, is an assistant professor at Emporia State University, Emporia, KS

Cynthia G. Akagi, PhD, CHES

Cynthia G. Akagi, PhD, CHES, is an assistant professor at The University of Kansas, Lawrence, KS

The purpose of this exploratory research study was to survey Kansas school nurses to determine the impact of budget, delegation, and other variables on the future of school nursing. Issues of education and certification status, educational budget, delegation, school nurse-to-student ratio, number of school buildings assigned, Metropolitan Statistical Area, and years of school nursing experience were also investigated. The Budget Impact School Nurse Questionnaire online survey was used to gather data. Findings revealed that school nurses were well prepared academically, but that many school nurses lacked certification. The use of UAPs and the future of school nursing were significantly affected by budget constraints, delegation, number of buildings assigned, legislative contact, and Metropolitan Statistical Area (urban location). Education in delegation and years of experience as a school nurse significantly affected opportunities for health education. The findings depicted budget, school nurse staffing, delegation, and geographic areas as the main variables that have an impact on school nursing.

Key Words: budget • delegation • future • health education • school nurse • UAPs

The Journal of School Nursing, Vol. 20, No. 6, 352-358 (2004)
DOI: 10.1177/10598405040200061001
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