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The Journal of School Nursing
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Research Articles

Managing Type 1 Diabetes at School: An Integrative Review

Rebecca Tolbert, BSN, RN

Rebecca Tolbert, BSN, RN, is a Health Occupations Instructor, Freedom High School, Morganton, North Carolina

This integrative literature review examines research studies that describe the care of the student with type 1 diabetes at school and interventions to improve care. Participants of the studies include school nurses, counselors, staff, administrators, parents, and students with diabetes. The studies reviewed use a descriptive approach in examining care delivered with one study adding a qualitative approach for validation of results. The findings identified needed improvement in the following areas: communication, after-school support, education of staff and peers, school nurse availability, and lunch choices. The school nurse must advocate for the student with type 1 diabetes in each area of concern, especially in ensuring education of school staff who often provide care to these students.

Key Words: type 1 diabetes • school • diabetes management • school nurse • staff training

The Journal of School Nursing, Vol. 25, No. 1, 55-61 (2009)
DOI: 10.1177/1059840508329295


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