Implementing a School-Based Health Center Virtual Care Program: A Qualitative Exploration of the School Nurse Perspective

IF 1.8 4区医学 Q2 EDUCATION & EDUCATIONAL RESEARCH Journal of School Health Pub Date : 2023-12-26 DOI:10.1111/josh.13415

Honora Quinn Burnett MD, MPP, Alyssa Boral MSW, MPH, Samantha Schaap, Christy Haas-Howard MPH, BSN, RN, NCSN, AE-C, Sonja O'Leary MD

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Abstract

BACKGROUND

School-based health centers (SBHCs) have the capability to overcome youth barriers to care. Virtual care programs (VCP) facilitate connection between school nurse and off-site SBHC providers and can increase the reach of SBHCs. This project aimed to examine Denver Public School nurses' perspectives of a pilot VCP.

METHODS

Thirteen semi-structured qualitative interviews were conducted and coded using an inductive approach to identify key themes.

RESULTS

Four major themes emerged: (1) obtaining consent, finding space, and capacity are challenges and nurses have suggestions; (2) nurses enjoy feeling like a valued member of a health care team, and providing additional resources to students; (3) nurses perceive benefits in providing free, efficient, higher level of care; (4) adopting novel technology is a facilitator and challenge; limitations included space and privacy.

CONCLUSIONS

Key findings can be utilized to further inform practice.

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实施校本保健中心虚拟护理计划：校医视角的定性探索。

背景：校本健康中心（SBHC）有能力克服青少年获得医疗服务的障碍。虚拟护理计划（VCP）促进了校医与校外 SBHC 提供者之间的联系，并能扩大 SBHC 的覆盖范围。本项目旨在研究丹佛公立学校护士对试点 VCP 的看法：方法：进行了 13 次半结构化定性访谈，并采用归纳法对访谈内容进行编码，以确定关键主题：出现了四大主题：（1）征得同意、寻找空间和能力是挑战，护士有建议；（2）护士喜欢感觉自己是医疗团队的重要成员，并为学生提供额外的资源；（3）护士认为提供免费、高效、更高水平的护理是有益的；（4）采用新技术是促进因素，也是挑战；限制因素包括空间和隐私：主要发现可用于进一步指导实践。

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来源期刊

Journal of School Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

3.70

自引率

9.10%

发文量

134

审稿时长

6-12 weeks

期刊介绍： Journal of School Health is published 12 times a year on behalf of the American School Health Association. It addresses practice, theory, and research related to the health and well-being of school-aged youth. The journal is a top-tiered resource for professionals who work toward providing students with the programs, services, and environment they need for good health and academic success.