Food allergy is increasing in school-age children. School nurses are a primary health care resource for children with food allergy and must be prepared to manage allergen avoidance and respond in the event of an allergic reaction. An anonymous survey was administered to school nurses attending their association meetings to determine their educational needs regarding children with food allergy. With 199 school nurses responding, their self-reported proficiency for critical areas of food allergy knowledge and management varied, with weaknesses identified particularly for emergency plan development, staff education, delegation, developing guidelines for banning foods and planning school trips. Nurses reported a high interest in obtaining educational materials in these areas and prefer video and Internet resources that could be promoted through professional organizations.
American Academy of Allergy Asthma & Immunology. (1998). Anaphylaxis in schools and other child-care settings. Journal of Allergy and Clinical Immunology, 102, 173–176.
2.
American Academy of Pediatrics. (2008). Role of the school nurse in providing school health services. Pediatrics, 121, 1052–1056.
3.
Boyano-MartinezT.Garcia-AraC.PedrosaM.Diaz-PenaJ. M.QuirceS. (2009). Accidental allergic reactions in children allergic to cow's milk proteins. J Allergy and Clinical Immunology, 123, 883–888.
4.
BranumA. M.LukacsS. L. (2008). Food allergy among U.S. children: Trends in prevalence and hospitalizations. Centers for Disease Control and Prevention, national Center for Health Statistics. (NCHS data brief, No. 10.).
5.
ConcepcionM.MurphyS.CanhamD. (2007). School nurses' perceptions of family-centered services: Commitment and challenges. Journal of School Nursing, 23, 315–321.
6.
GaudreauJ. M. (2000). The challenge of making the school environment safe for children with food allergies. Journal of School Nursing, 16, 5–10.
7.
GrundyJ.MatthewsS.BatemanB.DeanT.ArshadS. H. (2002). Rising prevalence of allergy to peanut in children: Data from 2 sequential cohorts. Journal of Allergy and Clinical Immunology, 110, 784–789.
8.
McIntyreC. L.SheetzA. H.CarrollC. R.YoungM. C. (2005). Administration of epinephrine for life-threatening allergic reactions in school settings. Pediatrics, 116, 1134–1140.
9.
Nowak-WegrzynA.Conover-WalkerM. K.WoodR. A. (2001). Food allergic reactions in school and preschools. Archives of Pediatric & Adolescent Medicine, 155, 790–795.
10.
PowersJ.BergrenM. D.FinneganL. (2007). Comparison of school food allergy emergency plans to the Food Allergy and Anaphylaxis Network’s standard plan. Journal of School Nursing, 23, 252–258.
11.
RonaR. J.KeilT.SummersC.GislasonD.ZuidmeerL.SodergrenE.MadsenC. (2007). The prevalence of food allergy: A meta analysis. Journal of Allergy and Clinical Immunology, 120, 638–646.
12.
SampsonH. A. 9. (2003). Food allergy. Journal of Allergy and Clinical Immunology, 111, S540–S547.
SichererS. H.FurlongT. J.DeSimoneJ.SampsonH. A. (2001). The US Peanut and Tree Nut Allergy Registry: Characteristics of reactions in schools and day care. Journal of Pediatrics, 138, 560–565.
18.
SichererS. H.Munoz-FurlongA.SampsonH. A. (2003). Prevalence of peanut and tree nut allergy in the United States determined by means of a random digit dial telephone survey: A 5-year follow-up study. Journal of Allergy and Clinical Immunology, 112, 1203–1207.
19.
SichererS. H.SampsonH. A. (2006). Food Allergy. Journal of Allergy and Clinical Immunology, 117, S470–S475.
20.
SkripakJ. M.MatsuiE. C.MuddK.WoodR. A. (2007). The natural history of IgE-mediated cow’s milk allergy. Journal of Allergy and Clinical Immunology, 120, 1172–1177.
21.
SPSS, Inc. (2007). SPSS Base 16.0 for Windows User's Guide. Chicago IL: SPSS Inc.
22.
WeissC.Munoz-FurlongA.FurlongT. J.ArbitJ. (2004). Impact of food allergies on school nursing practice. Journal of School Nursing, 20, 268–278.
