Footnote 1: Enrolled nurses/health assistants practice under the direction of a registered nurse or midwife to implement nursing care for people who have stable and predictable health outcomes in situations that do not call for complex nursing judgement.9
Innovation and effectiveness: changing the scope of school nurses in New Zealand secondary schools
Article first published online: 11 APR 2008
© 2008 The Authors. Journal Compilation © 2008 Public Health Association of Australia
Australian and New Zealand Journal of Public Health
Volume 32, Issue 2, pages 177–180, April 2008
How to Cite
Kool, B., Thomas, D., Moore, D., Anderson, A., Bennetts, P., Earp, K., Dawson, D. and Treadwell, N. (2008), Innovation and effectiveness: changing the scope of school nurses in New Zealand secondary schools. Australian and New Zealand Journal of Public Health, 32: 177–180. doi: 10.1111/j.1753-6405.2008.00197.x
- Issue published online: 11 APR 2008
- Article first published online: 11 APR 2008
- Submitted: May 2007 Revision requested: September 2007 Accepted: September 2007
- Student health services;
- youth health;
- primary health care;
- evaluation studies;
- health assessment
Objective: To describe the changing role of school nurses in eight New Zealand (NZ) secondary schools from low socio-economic areas with high Pacific Island and Māori rolls.
Methods: An evaluation of a pilot addressing under-achievement in low-decile schools in Auckland, NZ (2002-05). Annual semi-structured school nurse interviews and analysis of routinely collected school health service data were undertaken.
Results: Two patterns of school nurse operation were identified: an embracing pattern, where nurses embraced the concept of providing school-based health services; and a Band-Aid pattern, where only the basics for student health care were provided by school nurses.
Conclusions and Implications: School nurses with an embracing pattern of practice provided more effective school-based health services. School health services are better served by nurses with structured postgraduate education that fosters the development of a nurse-practitioner role. Co-ordination of school nurses either at a regional or national level is required.