Program

Nurse Educator M.S.

Year Approved

2020

First Advisor

Missal, Bernita

Abstract

Diabetes care is complex and requires consistent management of multiple factors (such as insulin, blood sugar and carbohydrate counting). School-aged children typically show poorer metabolic control, indicating a need for helping students to manage their diabetic needs. The purpose of this systematic review is to identify strategies within the care coordination role of the Licensed School Nurse that can be implemented by the school nurse, during the school day, to improve diabetic self-care among children and adolescents. Pender’s Health Promotion Model (Petiprin, 2016) was used as a framework for interventions for the school nurse and provided information about important factors that can affect an adolescent’s diabetes self-management, such as their social support, willingness and functional and cognitive abilities. A literature search was conducted to gather evidence about the effects of diabetes care management interventions in the school setting. Interventions that were or can be provided by the school nurse showed improvements that included: improved adherence to self-care, improved A1c, more frequent blood sugar monitoring and insulin administration, improved life satisfaction, better school attendance and a higher grade point average. The findings can be used to support the care coordination role of the school nurse in direct care and supervision, creating a supportive school environment and collaborative communication. However, there is a need for more randomized control trials specifically testing the effect of specific school nurse interventions on diabetic outcomes.

Degree Name

M.S. Nurse Educator

Document Type

Masterʼs thesis

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Nursing Commons

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