Rural‐Urban Disparities in School Nursing: Implications for Continuing Education and Rural School Health

Ramos, Mary M.; Fullerton, Lynne; Sapién, Robert; Greenberg, Cynthia; Bauer-Creegan, Judith

doi:10.1111/jrh.12058

Cited by 16 publications

(31 citation statements)

References 58 publications

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“…However, rural nurses were significantly less likely to have had access to post-nursing school asthma training, a finding consistent with previous research on disparities in rural-urban school nursing continuing education (Ramos, Fullerton, Sapien, Greenberg, & Bauer-Creegan, 2014). Tailored asthma training using telehealth or online course technologies could address access barriers experienced by rurally-located school nurses, such as distance or time constraints.…”

Section: Discussionsupporting

confidence: 87%

Urban-Rural Differences in School Nurses' Asthma Training Needs and Access to Asthma Resources

Carpenter

Dawson

Roberts

et al. 2017

Journal of Pediatric Nursing

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Purpose Few studies have examined school nurses preferences’ for asthma training. Our purpose was to: 1) assess school nurses’ perceived asthma training needs, 2) describe nurses’ access to asthma educational resources, and 3) identify urban-rural differences in training needs and access to resources in southern states. Design and Methods A convenience sample of school nurses (n = 162) from seven counties (two urban and five rural) in North Carolina and South Carolina completed an online, anonymous survey. Chi-square tests were used to examine urban-rural differences. Results Although most nurses (64%) had received asthma training within the last five years, urban nurses were more likely to have had asthma training than rural nurses (χ2 = 10.84, p = 0.001). A majority of nurses (87%) indicated they would like to receive additional asthma training. Approximately half (45%) of nurses reported access to age-appropriate asthma education materials, but only 16% reported that their schools implemented asthma education programs. Urban nurses were more likely than rural nurses to have access to asthma education programs (χ2 = 4.10, p = 0.04) and age-appropriate asthma education materials (χ2 = 8.86, p = 0.003). Conclusions Few schools are implementing asthma education programs. Rural nurses may be disadvantaged in terms of receiving asthma training and having access to asthma education programs and materials. Practice Implications Schools are an ideal setting for delivering age-appropriate asthma education. By providing school nurses with access to age-appropriate asthma education resources and additional asthma training, we can help them overcome several of the barriers that impede their ability to deliver asthma care to their students.

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Section: Discussionsupporting

confidence: 87%

Urban-Rural Differences in School Nurses' Asthma Training Needs and Access to Asthma Resources

Carpenter

Dawson

Roberts

et al. 2017

Journal of Pediatric Nursing

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show abstract

“…School nurses were only moderately comfortable counseling students and lacked confidence when delegating administration to other staff members, reflected in the high demand for training on the use of opioids and naloxone. The strong preference for online training modules may be due to the ability to overcome barriers including cost, time constraints, work and family commitments, 26 and could minimize urban–rural training disparities. 26 Additionally, local workshops may provide an effective method of training.…”

Section: Discussionmentioning

confidence: 99%

“…The strong preference for online training modules may be due to the ability to overcome barriers including cost, time constraints, work and family commitments, 26 and could minimize urban–rural training disparities. 26 Additionally, local workshops may provide an effective method of training.…”

Section: Discussionmentioning

confidence: 99%

School nurse experiences with prescription opioids in urban and rural schools: A cross-sectional survey

Pattison-Sharp

Estrada

Elio

et al. 2017

Journal of Addictive Diseases

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Few studies have examined the use of prescription opioids in schools. The current study aimed to: (1) describe the context within which school nurses encounter student opioid prescriptions; (2) assess school nurses' preferences for training and student education; and (3) explore urban-rural differences in school nurses' experiences and training preferences. A convenience sample of school nurses (n = 633) from North Carolina and South Carolina participated in a brief, anonymous, online survey. Qualitative data were analyzed thematically and statistical tests (t-tests and Chi-square tests) were performed to investigate urban-rural differences. Many school nurses (40.3%) had encountered a student with an opioid prescription, but only 3.6% had naloxone available in case of an overdose. Most school nurses (69.9%), especially rural school nurses, believed students would benefit from opioid education (74.9 versus 66.6%, p = 0.03). The majority of school nurses (83.9%) were interested in opioid-related training. Many school nurses encounter students with prescription opioids and would like additional opioid-related training. The potential benefits of providing naloxone access to prevent opioid-related deaths at schools should be explored.

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“…A recent study noted disparities between rural and urban school nurses, with rural nurses being less likely to receive continuing education on an array of topics, including diabetes [26]. As guidelines are updated, rural public health nurses must also update their knowledge to stay clinically competent.…”

Section: Continuing Education For Rural Health Nursesmentioning

confidence: 96%

“…Research has concluded that rural nurses often receive less continuing education which is a barrier in staying up to date [26]. Given the importance of prompt prediabetes identification, this study sought to assess rural public health nurses' prediabetes knowledge base, and evaluate the usefulness of a onetime education intervention.…”

Section: Continuing Education For Rural Health Nursesmentioning

confidence: 98%

Improving Prediabetes Screenings at Rural Missouri County Health Departments

2015

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With prediabetes criteria expanding in recent years, nurses offering prediabetes screenings require updates to stay abreast of current clinical guidelines. This study looked to improve rural Missouri health department nurses' understanding of prediabetes, improve the identification of prediabetes at participating health departments, and educate the nurses on existing prediabetes guidelines. A convenience sample of twenty-two nurses from seven rural Missouri health departments participated. Nurses completed a demographic questionnaire and a prediabetes knowledge pre-test prior to the intervention. Seven to eight weeks post-intervention, the health department nurses completed the prediabetes post-tests. A single live education session was conducted at each health department. Data from the pre- and post-tests was reviewed within three result categories. The overall, laboratory nursing knowledge, and general nursing knowledge divisions each showed statistically significant improvement with a p < 0.05. This study's post-test improvement in prediabetes knowledge replicates the usefulness of a simple, low cost educational update. Nurses improved the identification of prediabetes laboratory values on post-test data and showed an increase in overall prediabetes knowledge. A single and simple continuing education program is a useful tool for rural health nurses.

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Rural‐Urban Disparities in School Nursing: Implications for Continuing Education and Rural School Health

Abstract: Our findings support the provision of online courses and telehealth content to address urban-rural disparities in school nursing education and support rural school health.

Cited by 16 publications

References 58 publications

Urban-Rural Differences in School Nurses' Asthma Training Needs and Access to Asthma Resources

Urban-Rural Differences in School Nurses' Asthma Training Needs and Access to Asthma Resources

School nurse experiences with prescription opioids in urban and rural schools: A cross-sectional survey

Improving Prediabetes Screenings at Rural Missouri County Health Departments

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