Page 19 - MMP-N-NJ CCN 21st Century School Nurse Leadership Book
P. 19

Student-centered care also includes providing the
                                                       individual  education  and support  that  students/
                         EDUCATION                     families need to be decision makers in their own care,
                                                       including  health  promotion  and  disease  prevention
                                                       behaviors.


                                                       Interdisciplinary  teams.  Interdisciplinary  teams  rely
                                                       on the overlapping knowledge, skills, and abilities of

              INTERDISCIPLINARY TEAMS                  each professional team member. The student health
                                                       outcomes are enhanced with interdisciplinary teams,
                                                       as compared with the individual efforts of the team
                                                       members (ANA & NASN, 2017).

                                                       School nurse counseling involves educating and
                                                       assisting  students  with  health  needs,  self-care,  and
                                                       coping. Counseling  often has an individual  student
                       MOTIVATIONAL                    focus, although it can be done with groups as well
                      INTERVIEWING/                    (Minnesota Department of Health, 2001). Motivational
                                                       interviewing is a specific,  well-researched form of
                        COUNSELING                     counseling that empowers the students to identify

                                                       their concerns and solutions, as opposed to the nurse
                                                       providing solutions (Bonde, Bentsen, & Hindhede,
                                                       2014).

                                                       The school nurses’ coordination of care may include
                                                       the delegation of nursing tasks. Nursing delegation is
                                                       a process used by the nurse to lead another person
                                                       to perform nursing tasks (ANA & National Council
                                                       of State Boards of Nursing, 2006). In the school
                                                       setting, nursing delegation requires the registered
                  NURSING DELEGATION                   professional school nurse to assign a specific nursing
                                                       task—in a specific situation for an individual student—
                                                       to unlicensed assistive personnel, while providing
                                                       ongoing supervision and evaluation of the unlicensed
                                                       assistive personnel and the student’s health outcomes
                                                       (Bobo, 2014). Delegation is further defined and
                                                       regulated by state nurse practice acts and state laws.

                                                       School nurses develop health care plans, including the
                                                       Individualized Health Care Plan (IHP) and Emergency
                                                       Care Plan, and contribute to the development of
                                                       student educational plans (e.g., 504 Plan, Individualized
                                                       Education      Program).     Student-centered       health
                  STUDENT CARE PLANS                   documents are developed by the school nurse, based
                                                       on his or her assessment and healthcare provider
                                                       orders, and they follow the nursing process to address
                                                       concerns and established goals and the interventions
                                                       to address those goals (National Association of School
                                                       Nurses, 2015)




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