Page 39 - MMP-N-NJ CCN 21st Century School Nurse Leadership Book

Traditional funding depends on school district budgets to pay
for school nursing services. Innovative methods of funding
are emerging, including support from health care systems,
public health, community care organizations, community
FUNDING AND clinics, and/or reimbursement for services. Reimbursement
REIMBURSEMENT can come from Medicaid or private insurance. As budgets
tighten and health reform looks to more community-based
care models, school nurses can step up, lead, and define
how the role of the school nurse will look in new models of
practice.

As leaders, change agents and full partners shaping the
future health and academic success of young people, school
nurses need to be aware and involved with healthcare and
education reform (Duncan, 2013, August 25,; Institute of
Medicine, 2011; Needleman & Hassmiller, 2009; Robert Wood
HEALTHCARE REFORM Johnson Foundation, 2010). Understanding current reforms
(e.g. Affordable Care Act of 2010), affords opportunities
for school nurses to advocate for changes that best serve
students, articulate how school nursing fits into the reform,
and validate their role wo that it is not lost (American Public
Health Association, 2013).

The school nurse shows commitment to lifelong learning when
engaging in advanced academic education, certification, and
LIFELONG LEARNER activities that supports competent professional practice,
knowledge development, and skills acquisition (ANA, 2015;
ANA & NASN,2017).

Models of practice means the various ways the delivery of
school health services occurs in the U.S. For example, some
school nurses oversee the students in one building; some
have responsibility for students in several buildings; some
have health aides or others to whom they can delegate
specific tasks. Often the model of practice is influenced
MODELS OF PRACTICE by the perspective of the employer (e.g., school district,
health department, hospital, health care system, community
groups), although school nurses can use the framework to
articulate the breadth and scope of school nursing practice
and influence changes in models, as needed. Nurse Practice
Acts and state laws regulating nursing practice also influence
models of practice.

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