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Learning Objective 1: 1. The participant will define the phenomena and describe statistically significant indicators of subjective will being for the "repeated visitor" to the school health clinic.
Learning Objective 2: 2. The participant will define the School Well-being Model and understand application of the Model for evidence-based practice in the school clinic.
Purpose: Children with vague complaints, no chronic illness, and who repeatedly visit the school health nurse may be at risk for limited academic success. This study aims to compare student reports of subjective well-being between children who do and do not repeatedly visit the school nurse, with vague complaints.
Methods: Children grades four through six completed the School Well-being Profile-American English (SWBP-AE), a questionnaire with four well-being sub-scales: health status, school environment, social relationships, and school as a means of self-fulfillment. School nurses extracted data on clinic visits from clinic records. Logistic regression explored associations between well-being subscales and repeated visits to the school health nurse.
Results: Three hundred and twenty students agreed to participate in the study, 33 (12.04%) students made repeated visits to the school health nurse. Perception of health status (OR =2.072; [CI] = 1.037, 4.163) was the only significant (p< .05) predictor of repeated visits to SHC.
Conclusion: Children with poor perception of their health status are more likely to repeatedly visit the school health nurse. A child’s perception of their school environment, social relationships, or school as a means of self-fulfillment, is not a statistically significant predictor of repeated visits to the school health nurse.
Keywords: School Health; Repeated Visitors; Frequent Visitors; Well-Being; Health Assessment
Implications and Contribution
This research highlights value in assessment of subjective well-being for children who repeatedly visits the school health nurse. Comprehensive assessment and intervention by qualified school health nurses is required for repeated visits to the school health nurse. Therefore, there is a need for research aimed at exploring school nurse assessment and management of student vague complaints of health status. Reliable assessment strategies improve outcomes of school health nursing by providing predictors of repeated visits to the school health nurse, potentially mitigating risk for limited academic success.
See more of: Oral Paper & Poster: Evidence-Based Practice Sessions