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Implementation of Concussion Management Policies in High Schools: The Critical Role of School Nurses

Title: Implementation of Concussion Management Policies in High Schools: The Critical Role of School Nurses
Language: English
Authors: Courtney W. Hess (ORCID 0000-0001-5207-7411); Jonathan Howland; Holly Hackman; Julia K. Campbell (ORCID 0000-0002-2674-1830); Steven Vannoy; Laura Hayden
Source: Journal of School Nursing. 2024 40(6):675-687.
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
Document Type: Journal Articles; Reports - Research
Education Level: High Schools; Secondary Education
Descriptors: School Nurses; High Schools; Head Injuries; Brain; School Health Services; School Policy; Evidence Based Practice; Attitudes; Team Sports; Athletics; Public Schools; Charter Schools; Program Implementation
Geographic Terms: Massachusetts (Boston)
DOI: 10.1177/10598405231160249
ISSN: 1059-8405; 1546-8364
Abstract: Evidence-based practices in concussion management (CM) have been codified into legislation. However, legislation is varied, and implementation is narrowly evaluated. School nurses hold a unique position to assess the implementation of health policies. The implementation of concussion management policies across Massachusetts high schools was evaluated by the school nurse. A cross-sectional survey was sent to school nurses (N = 304), and responses (n = 201; 68.1% response rate) were tallied whereby higher scores indicated more practices being implemented. One open-text question was included to encourage nurses to provide context regarding implementation in their school. Descriptive statistics and thematic analysis were used to assess current implementation and nursing perspectives. Findings indicate that the degree of implementation varies, and some nurses reported difficulty with mobilizing clinical uptake of concussion management practices in their schools. Further implementation research is needed, and school nurses are an important stakeholder to include when assessing the clinical uptake of concussion management policies in schools.
Abstractor: As Provided
Entry Date: 2024
Accession Number: EJ1448846
Database: ERIC