The Promotion of Early School Nurses in Virginia: Learning From Our History (1900 to Present) to Build a New Future

Abstract

Despite tremendous challenges, in the early 20th century school nurses provided the first, and often only, medical care for thousands of schoolchildren and their families. However, multiple barriers impeded the developing role. Influences of historical events, financial support, lack of knowledge regarding benefits of the school nurse role, limited access to training, and issues of poor pay affected the Commonwealth of Virginia’s attempts to develop and provide school nursing throughout the diverse rural counties across the state. School nurses continue to face these challenges today. The purpose of this social historical research is to identify, describe, and analyze the origins and evolving role of the school nurse in the rural counties of Virginia, 1900–1925; investigate how this history influences school nursing today; and offer several suggestions rooted in findings for moving the profession forward as outlined by Cowell’s response to recommendations made by the Institute of Medicine.

Keywords

school nurse promotion school health school nursing policy activism school nursing funding school nurse education

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References

Ambrose

(2002). Founding fathers and slaveholders. Smithsonian Magazine. Retrieved from https://www.smithsonianmag.com/history/founding-fathers-and-slaveholders-72262393/

Baisch

Lundeen

Murphy

(2011). Evidence-based research on the value of school nurses in an urban school system. Journal of School Health, 81, 74–80. doi:10.1111/j.1746-1561.2010.00563.x

Bowers-Lanier

(2018). VASN 2018 policy priorities: HB 791 (Pogge), HB 1046 (Torian) and SB 226 (Stuart). Retrieved from https://vasn.us/dev/wp-content/uploads/2018/01/VASN-2018-Policy-Priorities.pdf

Bruce

P. A

. (1929). Virginia: Rebirth of the old dominion. Chicago, IL: Lewis. Retrieved from http://archive.org/stream/virginiarebirtho04bruc/virginiarebirtho04bruc_djvu.txt

Brydon

(1925). Report of the Director of Bureau of Child Welfare. In Report of the State Board of Health and the State Health Commissioner to the Governor of Virginia for the Biennium ending June 30, 1925 (p. 238). Richmond, VA: Williams Print.

Carnagor

Eaton

Bowers Lanier

Deveneau

(2018). From practical to powerful: How a nursing student health policy fellowship transformed my personal, professional and patient advocacy. Journal of Practical and Professional Nursing, 2, 4. doi:10.24966/PPN-5681/100004

Centers for Disease Control and Prevention. (2017). Managing chronic health conditions in schools: The role of the school nurse fact sheet. Retrieved from https://www.cdc.gov/healthyschools/2017_02_15-FactSheet-RoleOfSchoolNurses

County of Spotsylvania, Virginia. (2018). FY 2018 Recommended budget—Budget Question 13: List and cost of unfunded school mandates. Retrieved from http://www.spotsylvania.va.us/filestorage/21027/21029/23134/27346/34633/35668/%2313_-Schools_Unfunded_Mandates.pdf

Cowell

J. M.

(2012). The future of nursing and school nursing. Journal of School Nursing, 28, 88–89.

10.

Eaton

(2012). Professional advocacy: Linking Virginia’s story to public policy-making theory, learning from the past and applying it to our future. Policy, Politics, & Nursing Practice, 13, 105–112. doi:10.1177/1527154412449746

11.

Eaton

de Valpine

Sanford

Lee

Trull

Smith

(2017). Be the Change: An interprofessional team-based health advocacy summit. Nurse Educator, 42, 226–230.

12.

Flannagan

(1914). A sanitary study of the schools of Orange County, VA. U.S. Bureau of Education. Washington, DC: Government Printing Office.

13.

Green

(2005). Gendering the city, gendering the welfare state: The Nurses’ Settlement of Richmond, 1900–1930. The Virginia Magazine of History and Biography, 113, 291.

14.

Henry Street Settlement. (2018). Henry Street Settlement—Our impact and history. Retrieved from https://www.henrystreet.org/about/our-history/

15.

Hibbs

(1918). A history of the Richmond Professional Institute, Library of Congress Catalogue Card Number 73-88735 Copyright 1973, RPI Foundation, Richmond, VI (Distributed by Virginia Commonwealth University Alumni Activities Office), 13.

16.

Houlahan

(2018). Origins of school nursing. Journal of School Nursing, 34, 203–210.

17.

Institute of Medicine (IOM). (2011). The Future of Nursing: Leading Change, Advancing Health. Washington, DC: National Academies Press.

18.

Lewenson

Herrmann

(2008). Capturing nursing history: A guide to historical methods in research. New York, NY: Springer.

19.

Link

(1988). Privies, progressivism and public schools: Health reform and education in the Rural South. Journal of Southern History, 54, 641.

20.

Minnigerode

(1924). A survey of Public Health Nursing in the State Department of Health. Public Health Reports, 39, 3131.

21.

Minor

(1921). Funding for school nurses. Virginia Teacher, 3, 207–208.

22.

Minor

(1924). Status of the colored public health nurse in Virginia. The Public Health Nurse, 16, 243.

23.

Minor

(1925). Division of Public Health Nursing—School nursing. In Report of the State Board of Health and the State Health Commissioner to the Governor of Virginia for the Biennium ending June, 30, 1925 (288). Richmond, VA: Williams Print.

24.

Morse

(1919). Appendix VIII: Report of Acting State Supervisor of Public Health Nursing. In Report of the State Commissioner of Health to the Governor of Virginia (p. 47) . Richmond, VA: Williams Print.

25.

Pannucci

Wilkins

(2011). Identifying and avoiding bias in research. Plastic and Reconstructive Surgery, 126, 619–625. doi:10.1097/PRS.0b013e3181de24bc

26.

Ranson

(1917). Appendix VI Public Health Nursing, Annual Report of the Commissioner of Health to the Governor of Virginia year ending September 30, 1916 (p. 138). Richmond, VA: Williams Print.

27.

The Greene County School Health Papers, The Eleanor Crowder Bjoring Center for Nursing Historical Inquiry. (1996). University of Virginia History Center.

28.

The Instructive Visiting Nurse Association (IVNA) archival papers, Tompkins McCaw Library, Virginia Commonwealth University (VCU) (IVNA papers, VCU Library).

29.

U.S. Department of Labor Bureau of Labor Statistics. (2018). Occupational outlook handbook-registered nurses. Retrieved from https://www.bls.gov/ooh/healthcare/registered-nurses.htm

30.

Vance

(1925). State School Nurse for Health Education Division of Public Health Nursing—School nursing. In Report of the State Board of Health and the State Health Commissioner to the Governor of Virginia for the Biennium ending June, 30, 1925 (p. 264). Richmond, VA: Williams Press.

31.

Virginia Legislative Information System of Virginia Law. Virginia Code 22.1-274. (2013) School health services. Retrieved from https://law.lis.virginia.gov/vacode/title22.1/chapter14/section22.1-274/

32.

Virginia Nurses Association. (2018). Nursing’s public policy platform. Retrieved from http://www.virginianurses.com/Main-Menu-Category/Policy-Advocacy/2018-Legislative-Action-Center/HB

33.

Wang

L. Y.

Vernon-Smiley

Gapinski

M. A.

(2014, May). Cost-benefit study of school nursing services. JAMA Pediatrics, e1–e7. doi:10.1001/jamapediatrics.2013.5441

34.

Williams

(1910). Annual Report of the Commissioner of Health to the Governor of Virginia year ending December 31, 1909. Richmond, VA: Williams Print.

35.

Williams

(1911). Report of Rural Sanitation, Annual Report of the Commissioner of Health to the Governor of Virginia year ending December 31, 1910. Richmond, VA: Williams Print.

36.

Williams

(1914). Annual Report of the Commissioner of Health to the Governor of Virginia year ending September 30, 1913. Richmond, VA: Williams Print.

37.

Williams

(1915). Annual Report of the Commissioner of Health to the Governor of Virginia year ending September 30, 1914. Richmond, VA: Williams Print.

38.

Williams

(1917). Annual Report of the Commissioner of Health to the Governor of Virginia year ending September 30, 1916. Richmond, VA: Williams Print.

39.

Williams

(1921). Public health and the school. Richmond, VA: Williams Print.

40.

Williams

(1922). Report of the State Board of Health and the State Health Commissioner to the Governor of Virginia for the Biennium ending June 30, 1921. Richmond, VA: Williams Print.

41.

Williams

(1925). Report of the State Board of Health and the State Health Commissioner to the Governor of Virginia for the Biennium ending June 30, 1925. Richmond, VA: Williams Print.

42.

World Health Organization. (2017). Health is a fundamental human right. Retrieved from https://www.who.int/mediacentre/news/statements/fundamental-human-right/en/

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