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  • Title: Innovation and effectiveness: changing the scope of school nurses in New Zealand secondary schools.
    Author: Kool B, Thomas D, Moore D, Anderson A, Bennetts P, Earp K, Dawson D, Treadwell N.
    Journal: Aust N Z J Public Health; 2008 Apr; 32(2):177-80. PubMed ID: 18412691.
    Abstract:
    OBJECTIVE: To describe the changing role of school nurses in eight New Zealand (NZ) secondary schools from low socio-economic areas with high Pacific Island and Māori rolls. METHODS: An evaluation of a pilot addressing under-achievement in low-decile schools in Auckland, NZ (2002-05). Annual semi-structured school nurse interviews and analysis of routinely collected school health service data were undertaken. RESULTS: Two patterns of school nurse operation were identified: an embracing pattern, where nurses embraced the concept of providing school-based health services; and a Band-Aid pattern, where only the basics for student health care were provided by school nurses. CONCLUSIONS AND IMPLICATIONS: School nurses with an embracing pattern of practice provided more effective school-based health services. School health services are better served by nurses with structured postgraduate education that fosters the development of a nurse-practitioner role. Co-ordination of school nurses either at a regional or national level is required.
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