title: Managing type 1 diabetes at school: an integrative review.
abstract: This integrative literature review examines research studies that describe the care of the student with type 1 diabetes at school and interventions to improve care. Participants of the studies include school nurses, counselors, staff, administrators, parents, and students with diabetes. The studies reviewed use a descriptive approach in examining care delivered with one study adding a qualitative approach for validation of results. The findings identified needed improvement in the following areas: communication, after-school support, education of staff and peers, school nurse availability, and lunch choices. The school nurse must advocate for the student with type 1 diabetes in each area of concern, especially in ensuring education of school staff who often provide care to these students.
authors.affiliation: Rebecca Tolbert, BSN, RN, is a Health Occupations Instructor, Freedom High School, Morganton, North Carolina.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Tolbert
mesh_terms: D000293:Adolescent; D001786:Blood Glucose / Q000032:analysis; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000451:nursing / Q000628:therapy*; D006801:Humans; D007318:Inservice Training; D011787:Quality of Health Care; D012572:School Health Services / Q000458:organization & administration*; D012573:School Nursing
chemical_list: D001786:Blood Glucose