| Learning Objective #1: This study determined the effectiveness of and satisfaction with the quality of primary health care delivered by advanced practice nurses at an elementary school-based health center (SBHC). |
Design: A descriptive design was used for this study.
Population, Sample, Setting: The population included teachers in an elementary school and the parents/guardians of students who participated in the SBHC. The sample consisted of all teachers and parents who completed the survey of their perceptions of the effectiveness of the SBHC and satisfaction with care that the student received.
Concepts: The concepts of interest for this study were parents' and teachers' perceptions of the effectiveness of a nurse-managed SBHC and the delivery of care by advanced practice nurses, and their satisfaction with the services that the student(s) received.
Methods: Data from the surveys were analyzed using descriptive statistics to obtain information on the impact of SBHC on parental work and student absenteeism, health care access for students, decreases in visits to other health care providers, and the use of emergency rooms.
Findings: The majority of parental respondents gave permission for participation in the SBHC. More than one-half indicated that health care services that their child received at the SBHC were effective in decreasing the hours/days parents missed at work. A similar percentage responded that the number of emergency room visits decreased. Parents indicated satisfaction with the SBHC as did the teachers in an overwhelming majority.
Conclusions: Findings indicated that both parents and teachers were very satisfied with the care that had been provided for students and believed that the SBHC was effective in the services provided.
Implications: Development and management of SBHC's by advanced practice nurses provide a quality, cost-effective, and caring method of delivering primary health care services for young children within a school setting.
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Back to 14th International Nursing Research Congress
Sigma Theta Tau International
10-12 July 2003