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School Nurse Staffing in Texas Alternative High Schools: A Mixed Methods Exploration

Title: School Nurse Staffing in Texas Alternative High Schools: A Mixed Methods Exploration
Language: English
Authors: Karen E. Johnson (ORCID 0000-0002-3935-9067); Whitney Thurman; Ashwini Hoskote (ORCID 0000-0003-4806-4778); Angela Preston (ORCID 0000-0002-8575-4324); Lynn Rew; Erin D. Maughan (ORCID 0000-0002-0176-1499)
Source: Journal of School Nursing. 2024 40(5):491-503.
Availability: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
Peer Reviewed: Y
Page Count: 13
Publication Date: 2024
Sponsoring Agency: National Institute on Drug Abuse (NIDA) (DHHS/PHS)
Contract Number: 1R03DA04526801
Document Type: Journal Articles; Reports - Research
Education Level: High Schools; Secondary Education
Descriptors: School Nurses; Nontraditional Education; At Risk Students; Child Health; Financial Support; Educational Equity (Finance); Social Bias; High Schools; Charter Schools; Public Schools
Geographic Terms: Texas
DOI: 10.1177/10598405221126178
ISSN: 1059-8405; 1546-8364
Abstract: School nurses represent cost-effective investments in students' health and educational success. Alternative high schools (AHSs) serve an understudied population of youth who are at risk for school dropout and face numerous social inequities, heightening their risk for poor health outcomes. In this two-phase explanatory sequential mixed methods study, we examined school nurse staffing in Texas AHSs. Findings suggest Texas AHSs face understaffing for familiar reasons common across districts (e.g., lack of funding), but also reveal potential deeper inequities. Quantitative findings indicate 71% of Texas AHSs have some form of nursing support, most often an on-call or part-time nurse. Qualitative findings support and enrich this finding with insights into the negative consequences of not having a full-time nurse, indiscriminate approaches to staffing AHSs, and how AHSs can be the only school in the district without a full-time nurse. Altogether, our findings reveal opportunities to better support AHSs with adequate nursing support.
Abstractor: As Provided
Entry Date: 2024
Accession Number: EJ1439395
Database: ERIC