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RELEVANT
POTENTIAL
INDICATORS/ DATA SOURCE LITERATURE/
MEASUREMENT ITEMS RESEARCH IN
ACTION
Number of students with Parent/guardian call-in for school (DePriest & Butz,
asthma attendance history absence. School attendance register. 2017)
previous school year Use health room and attendance
compared to number of records to track students with (Engelke & Swanson,
students this school year. asthma. Focus particularly on 2014)
students with poorly managed
Number of students asthma as demonstrated by frequent (Rafa, 2017)
attendance history used school absences, school health
as baseline indicators to office visits, emergency room visits,
set goals (defined with or hospitalizations. Avoid mass
school/district/absenteeism screening and mass case detection
team) for improvement for as methods for routine identification
following school year. (CDC, 2017).
For more examples of Data: Indicators and Sources, visit Table 1 of Jameson, et al., 2017 at https://www.ncbi.nlm.nih.gov/
pubmed/28681685
What Else Do I Need to Do?
Will I need an Institutional Review Board (IRB)? See the U.S. Department of Health & Human Services,
Office for Human Research Protections below. You also need to check with your own district about
their guidelines. For example: Do I need permission from the school district to survey students and
parents/guardians? Do I need parental permission to use the services?
U.S. Department of Health & Human Services, Office for Human Research Protections. (2009). Code
of Federal Regulations, Title 45, Public Welfare Part 46 Protection of human subjects.
Retrieved from https://www.hhs.gov/ohrp/regulations-and-policy/regulations/45-cfr-46/index.
html#46.102
How does this impact Standards of Practice?
NASN Scope and Standards of Practice:
Competency in leadership skills demonstrated in the professional practice setting and the
profession. The school nurse collects comprehensive data pertinent to the situation. Assesses
the effect of interactions among individuals, school community and social systems. Partners with
public health partners and interdisciplinary teams. Identifies expected and appropriate outcomes
through the planned intervention(s) and strategies. Serves as lead in the implementation and
coordinates the plan. Actively employs strategies to promote health and a safe environment
through health teaching and health promotion. Seeks consultation and collaboration with other
healthcare professionals and stakeholders. Evaluates process towards attainment of the stated
measurement items/outcomes. Practices ethically to provide evidence-based quality and safe
care that recognizes the individual’s autonomy, dignity, rights, values and beliefs. Demonstrates
life-long learning through self-reflection and inquiry. Communicates effectively in a variety
of formats that promote understanding. Evaluates and maintains professional responsibility,
accountability and behavior (ANA & NASN, 2017).
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