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School Nursing Care of Children with Chronic Conditions

Background of the project

Lori Anderson, PhD, RN

Lori Anderson’s research is focused on children with special health care needs (CSHCN), care of CSHCN in the school setting, family adaptation, and care coordination between health care, home, and school settings. She is the developer and Program Director for eSchoolCare.

National Survey of School Nurses• Spread thin

– 45% > 1 building; 11% > 6 buildings)

• Isolated– Most work alone– >50% in rural, small communities

• Communication difficult

• Barriers to training/continuing education

• #1 place school nurses get information: Internet

(Anderson, L. (in preparation). Caring for children with chronic health conditions in school: A national survey of school nurses.)

Training and support comes to the school nurse

Chronic Conditions

Condition Mean

Mental Health Disorders 4.05

Diabetes, Type 1 3.79

Cancer 3.74

Asthma 3.52

Severe Allergy 3.40

Diabetes, Type 2 3.39

• Rate the following statement: “I need more information, training about the following conditions, procedures, and actions:”

• Scale of 1 - 5, with 1 being “Completely Disagree” and 5 being “Completely Agree”

Grant Funding: Health Resources and Services Administration (HRSA)

Division of Nursing

• Content: Partnership with experts at the American Family Children’s Hospital, Madison WI

• Review: Quality assessment panel of physicians from the WI Chapter of the American Academy of Pediatricians, advanced practice nurses, and special education experts

• Field testing: 100 school nurses• Advisory committee

Field Testing

Initial field testing has accomplished several goals:•Informed ongoing module development•Improved usability•Added features requested by nurses AND•Validated the need for a tool like eSchoolCare

Today

Goals for today:Navigating eSchoolCare& Practical applications

•Ideas for using eSchoolCare to teach your staff, students and parents about chronic conditions•Tips to easily find information•How to use features in each of the modules•Connecting with other school nurses

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