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Abstract

Frequent visits to the health office can lead to considerable time spent out of the classroom along with affecting relationships and health office resources and staffing. This article features the practice component of continuous quality improvement in the principal of quality improvement in the Framework for the 21st Century School Nursing Practice™ and is the third in a series focusing on the Framework. The article discusses how using multi-tiered systems of support for behavior (MTSS-B) to create expectations for the health office environment, along with intense, individualized plans for specific students, were successful in decreasing health office visits across the school district, with the ultimate goal of increasing instructional time. Outcome data revealed reductions in health office visits with a district-wide decrease of 4.1% one-year postimplementation of the project. More importantly, school nurses are providing better trauma-informed care with intentionality while still meeting the needs of students.

Keywords

frequent visitors Framework for 21st Century School Nursing Practice™MTSS quality improvement data

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References

Charlton

C. T.

Sabey

C. V.

Dawson

M. R.

Pyle

Lund

E. M.

Ross

S. W.

(2018). Critical incidents in the scale-up of state multitiered systems of supports. Journal of Positive Behavior Interventions, 20(4), 191-202. https://doi.org/10.1177/1098300718770804

Donabedian

A. A.

(1988). The quality of care: How can it be assessed? JAMA Journal of the American Medical Association, 260(12), 1743-1748. https://doi.org/10.1001/jama.260.12.1743

Lincoln Public Schools. (n.d.). LPS multi-tiered system of supports. https://home.lps.org/mtss

National Association of School Nurses. (2016). Framework for 21st Century School Nursing Practice: National Association of School Nurses. NASN School Nurse, 31(1), 45-53. https://doi.org/10.1177/1942602X15618644

National Association of School Nurses. (2018). The school nurse’s role in behavioral/mental health of students (Position statement).

Pavletic

A. C.

(2011). Connecting with frequent adolescent visitors to the school nurse through the use of intentional interviewing. Journal of School Nursing, 27(4), 258-268. https://doi.org/10.1177/1059840511399289

Shannon

R. A.

Bergren

M. D.

Matthews

(2010). Frequent visitors: Somatization in school-age children and implications for school nurses. Journal of School Nursing, 26(3), 169-182. https://doi.org/10.1177/1059840509356777

Swenson

Horner

Bradley

Calkins

(2017). In recognition of Hill Walker’s contributions to multi-tiered system of supports (MTSS). Office of Special Education and Rehabilitative Services Blog. https://sites.ed.gov/osers/tag/multi-tiered-system-of-supports/

Wolfe

L. C.

Maughan

E. D.

Bergren

M. D.

(2019). Introducing the 3S (student-school nurse-school community) model. NASN School Nurse, 34(1), 30-34. https://doi.org/10.1177/1942602X18814233

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