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School Nurse Case Management for Children With Chronic Illness: Health, Academic, and Quality of Life OutcomesMartha Keehner Engelke, RN, PhD, is Associate Dean for Research and Scholarship at East Carolina University College of Nursing, Greenville, NC
Martha Guttu, RN, MSN, BC, is a regional school nurse consultant in the North Carolina Department of Health and Human Services, Children and Youth Branch, School Health Unit
Michelle B. Warren, RN, MAEd, NCSN, is a nursing educator instructor at East Carolina University College of Nursing, Greenville, NC
Melvin Swanson, PhD, is a professor and statistician at East Carolina University College of Nursing, Greenville, NC More children with chronic illnesses are attending school, and some of them struggle academically because of issues related to their health. School-based case management has been suggested as one strategy to improve the academic success of these children. This study tracked the academic, health, and quality of life outcomes for 114 children with asthma, diabetes, severe allergies, seizures, or sickle-cell anemia in 5 different school districts who were provided case management by school nurses. The children ranged in age from 5 to 19 years. At the end of the school year, children experienced an improvement in quality of life and gained skills and knowledge to manage their illness more effectively. Classroom participation, grades, and participation in extracurricular activities also increased for many children. The study provides evidence of the positive impact school nurses have on children with chronic illness and suggests ways they can measure the outcomes of their interventions.
Key Words: school nurse • case management • chronic illness • quality of life • academic success
The Journal of School Nursing, Vol. 24, No. 4,
205-214 (2008) |
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