MASNRN Research

.Newly funded .............Completed............ .....Published

 


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,

 

 

 

 

Completed Research

 


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 Attelboro Public Schools

Deborah Moreschi-Sisco, RN, BSN, MEd, NCSN 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

 


 

Published Studies

 


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

 

 

 

 

 

 

 

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