An Intervention to Increase High School students’ Compliance with Carrying Auto-injectable
Epinephrine: a MASNRN Study
Research Question:
Will an educational intervention and periodic checks for the availability of auto-injectable epinephrine increase the proportion of students in public high schools who have auto-injectable epinephrine available for emergency use compared to those students with an educational intervention alone?
Funding :
A NASN research grant
Research Team:
Jennifer L. Spina RN, NCSN, MSN; Principal Investigator:
Susan Aries, RN; Deborah L. Barnard RN, M.Ed; Joyce A Pulcini., PhD, APRN, BC, FAAN;
C. Lynne McIntyre RN, PhD; Co-Investigators
An Investigative Study: What are the Concerns of Massachusetts School Nurses in Managing Mental/Behavioral Health Issues in the School Setting?
Background:
It is the intent of this research project to investigate what the concerns of school nurses in Massachusetts in managing mental/behavioral health issues in the school setting. This survey will address three specific areas related to school nurse mental/ behavioral health encounters and interventions: current practice, knowledge and opinions related to her/his practice. The results of this study will serve to better address the role of the school nurse in preventing, identifying and treating mental/behavioral health issues in school-aged children.
Funding:
A NASN research grant
Research Team:
Mary Ann Gapinski, RN, MSN, NCSN, Principal Investigator:
Joyce Pulcini, PhD, RN, CS, PNP, FAAN, Co-Investigator
Pat Emmons, BSN, RN,
Building Resiliency in Youths with Disabilities
To Better Address Teasing and Bullying Situations

Abstract:
Students with disabilities are more likely to be chronically teased / bullied and suffer negative psychosocial squeal. Proactive interventions can be initiated to help these youths develop coping skills, becoming more resilient in handling such situations. The specific aim of this study were to:
1) identify children with disabilities at-risk for being
chronically teased/bullied and
2) intervene using a web-based program to build resiliency.
This study used a pretest-posttest design with participants serving as their own controls. The sample consisted of 65 students aged 8-14 years, 66.2 % male, 86.5 % white with a wide range of disabilities. Initially, consent/assent, demographic information, disability ratings and performance on measures to assess teasing ( Child-Adolescent Testing Scale [CATS]), self-concept, ( Piers-Harris Children’s Self-Concept Scale [PHCSCS] )and psychological functioning ( Pediatric Symptom checklist
[ PSC] ) were obtained. Using materials from the US HSRA’s web-based Stop Bullying Now campaign, 11 school nurses, members of MASNRN led participants in a 12 session, bi-weekly, support/discussion group intervention. Informational activities to improve the school milieu also were disseminated.
At the conclusion of the intervention, participants were re-evaluated with the CATS, PCHSCS and PSC. Paired t-test results demonstrated significant differences on the CATS and PHCSCS indicating that serial brief interventions using the above model can help at-risk students become more resilient in handling teasing and bullying.
Research Team:
Judi Vessey, PhD, MBA, FAAN, Principal Investigator
Kathy O’Neill, RN, BSN, MS, Research Associate
MASNRN Research Nurse Participants:
Carol Bradford, RN,BSN,NCSN .......... .........Sudbury Public Schools
Judy Bryne, RN .......................................... Dedham Public Schools
Jane Ferrara, RN,BSN,MA............................Wilmington Public Schools
Mary Jenkinson, RN,ADN,BS .......................Concord Public Schools
Mary J. O"Brien, RN,MSN,CPNP,NCSN..........Boston Public Schools
Niki M. Richards, RN,MS...............................Concord Public Schools
Nancy Smith, RN SN ...................................Wilmington Public Schools
Jennifer Spina, RN,MSN,NCSN.....................Lynn Public Schools
Terri Sweeney, RN,BSN,NCSN ....................Westwood Public Schools
Jane Thornton, RN, BSN,MEd,NCSN.............Canton Public Schools
June Warren, RN,BSN,MEd, NCSN ..............Canton Public School
Study Dates: September 2005- August 2006
Funding: Deborah Munroe Noonan Memorial Fund
Promoting Influenza Vaccination in Students with Chronic Conditions
Abstract :
Students with chronic health conditions often benefit from receiving additional immunizations such as influenza vaccination. These immunizations are often missed when school age children with chronic health conditions (SACCHCs) lack a primary care provider and/or only receive their care at specialty clinics which may fail to address immunization needs. Although the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention recommends influenza immunization for children with some chronic health conditions. However, the number of these SACCHCs who receive this immunization remains low (Fiore, et al., 2007; Daley, Barrow, Pearson, Crane, Gao, Stevenson, et al., 2004).
School health services are synonymous with school nurses (SNs) as the overwhelming majority of comprehensive school health programs in the United States are nurse-managed (Schainker, O’Brien, Fox & Bauchner, 2005). School-based interventions, promoted by school nurses (SNs), can be disseminated as efficient, low-cost, population-based approaches designed to address public health issues (Mauriello, Driskell, Sherman, Johnson, Prochaska & Prochaska, 2006).
The overall goal of this project was to use a simple, low-cost SN-initiated intervention to increase the rate of influenza vaccination among school age children with chronic health conditions (SACCHCs). Other objectives were to refine methodologies appropriate for school-based health studies conducted by practice-based research networks; educate SNs regarding immunization recommendations for specific SACCHCs; identify SACCHCs needing immunizations recommended for their health conditions; and collaborate with families to ensure that SACCHCs receive recommended immunizations.
Research Team:
Judi Vessey, PhD, MBA, FAAN, Principal Investigator
Judy Aubin, RN, BSN, MEd, NCSN, Principal Investigator
Mary Jane O'Brien, RN, BSN, MSN, CPNP, NCSN, Co-Investigator
MASNRN Research Nurse Participants:
Carol Bradford, RN,BSN ............................ . .................... Sudbury Public Schools
Catherine Caruso-Draghetti, RN,BA .......... ......................Southwick Public Schools
Anne Chabot, RN, BSN, MSN ............
...............................Sudbury
Public Schools
Sandra Crimlisk, RN,MS...............................
.....................Waltham
Public Schools
Doreen Crowe, RN, BSN, MEd
.....................
....................Wilmington Public Schools
Nancy Dorrance, RN,.....................
...................................North Attleboro Public
Schools
Deborah Moreschi-Sisco, RN, BSN, MEd, NCSN ...... Boston Public Schools
Anne Farrell, RN, BSN, MS, MEd .
............ .........................Nashoba Regional
School System
Susan B. Fencer, RN, FNP.................................................
Boston Public School
Jane Reilly Ferrara, RN, BSN, MA.......................................Wilmington
Public Schools
Jenny Gormley, RN, MSN...................................................Acton
Public Schools
Teresa Grimm, RN, BSN.....................................................Belmont
Public Schools
Sharon Harrison, RN, BSN, MEd........................................
Boston Public Schools
Barbara Hedstrom, RN, BSN, MSN
....................................North Andover Public
Schools
Patricia Hoban, RN, BSN, MEd, NCSN................................
Weston Public Schools
Elizabeth Johns, RN, NCSN................................................Acton
Public Schools
Mary Jane Kemper, RN, BSN, MSN, PNP.............................Boston
Public Schools
Patricia Kenney, RN, BSN, MEd..........................................Boston
Public Schools
Elizabeth Mazzone, RN, BSN.............................................Acton
Public Schools
Rozanne Milner, RN, BA, BSN............................................Newton
Public Schools
Donna Faro, RN, BSN.......................................................
Boston Public Schools
Sally Popoli, RN, BSN, MA..................................................Westfield
Public Schools
Nancy Schiemer, RN, BSN, MA...........................................Medfield
Public Schools
Maureen Shea, RN, BSN, MEd, NCSN................................Hanover
Public Schools
Jennifer Spina, RN, BSN, MSN, NCSN.................................Lynn
Public schools
Kathleen Thompson, RN, MSN, PNP..................................Medfield
Public Schools
Jane Thornton, RN, BSN..................................................
.Canton Public Schools
Janis Townsend, RN, MS...................................................Weston
Public Schools
June Warren, RN, BSN, MEd..............................................Canton
Public Schools
Patricia Wright, RN, BSN, MEd, NCSN................................Weston
Public Schools
Study Dates: September 2006-August 2007
Funding Source:
National Association of Pediatric Nurse Practitioners
and the National Association of School Nurses
School Based Peak Flow Education and Monitoring
Abstract:
School nurses in collaboration with primary care providers can work together more efficiently to manage asthma. The Asthma Action Plan (AAP) along with peak flow monitoring, can be used by school nurses to communicate more effectively with doctors regarding the school child’s disease management. The aim of this study was to determine if the provision of peak flow meter readings to the primary care provider (PCP) and a request by the school nurse for an Asthma Action Plan (AAP), or a request for an AAP alone will increase the number of AAPs received by the school nurse. The study found a significant increase in AAPs when school nurses provide primary care providers with accurate peak flow data and requested an AAP from the provider than students with asthma whose school nurses just requested an AAP via the students’ parents but did not provide peak flow meter data to the PCP.
Research Team:
Marie DeSisto, RN, BSN, MSN, Principal Investigator
Lynne McIntyre, RN, PhD
Anne Sheetz, RN, MPH
Joyce Pulcini, PhD, RN, CS, PNP, FAAN
Judi Vessey, PhD, MBA, FAAN
Study Dates: September 2005-March 2006
Funding Source:
National Association of School Nurses
|