School nurse practice: a decade of change.
Good practice requires an evidence base and criteria for assessment, which was the subject of a scope review of school nurse practice across the four countries of the UK. The findings demonstrate a rich base of research into service practice, particularly in the last decade. School nursing practice has experienced a paradigm shift from a medical to a social model of care. The service now works from a public health ethos and has a preventive agenda. The focus is on the child rather than a service for schools and school nurses work in teams rather than alone. Under-resourcing continues to beleaguer school nurse practice and there are areas that need further study, particularly large-scale research into the costs and benefits of school nursing.
DeBell
Diane
D
Centre for Research in Health and Social Care, Anglia Ruskin University, Cambridge & Chelmsford.
D000293:Adolescent; D019985:Benchmarking; D002648:Child; D002669:Child Welfare; D019317:Evidence-Based Medicine; D006293:Health Promotion / Q000458:organization & administration; D006301:Health Services Needs and Demand; D006801:Humans; D008134:Long-Term Care / Q000458:organization & administration; D008603:Mental Health; D016294:Models, Nursing; D024802:Nurse's Role; D015403:Nursing Evaluation Research; D009936:Organizational Innovation; D010348:Patient Care Team / Q000458:organization & administration; D012573:School Nursing / Q000458:organization & administration*; D013222:State Medicine / Q000458:organization & administration; D006113:United Kingdom; D035862:Vulnerable Populations