“…A few studies combined perceived workload with the development of staffing tools (Balfe, Sharples, & Wilson, 2015; Bender, 2013). In many of the studies, the investigators were interested in examining relationships between nurse to patient ratios and nurse-sensitive outcomes such as patient falls, mortality, or urinary tract infections (Ball, Murrells, Rafferty, Morrow, & Griffiths, 2014; de Souza Urbanetto et al, 2014; Tubbs-Cooley, Pickler, Mark, & Carle, 2015). While these outcomes are relevant to workload in inpatient settings, nurse-sensitive outcomes related to school nursing have not been developed although they are important in evaluating the impact of different levels of workload.…”