Interventions with evidence for effectiveness addressed autism, depression, anxiety, obesity, dental caries, visual acuity, asthma, and sleep. All rights reserved. A PHR also empowers you to manage your health between visits. Cookies used to make website functionality more relevant to you. Maintaining Student Records One of your essential duties as a teacher is to maintain student records. Five of the included studies examined the same weekly sleep education program from the Australian Centre for Education in Sleep. The CCA is calculated using three variables: the number of index publications (r), the number of total publications (N), and the number of SRs within the overview (c). However, it was unclear whether these studies involved a health provider [22]. Any of these three school health assessments will be helpful in data-driven decision making and action planning. Copyright 2022 webdev. Fig 1 displays the PRISMA flowchart for the search. With no state or program requirement, how does a school decide which school health assessment to complete?It will depend on your needs. Geryk and colleagues found that education on correct use of an inhaler improved inhaler technique, regardless of deliverer, method, or duration of the intervention [31]. Duplication of effort should be avoided or minimized. It is an important aspect of (school) Administration. The grading system is available in Tables E and F in S6 Appendix. 80% (n = 16) of SRs included in this overview were given ratings of low or critically low confidence using the AMSTAR 2 checklist, although this is not unusual given the stringency of the checklist. Although the overall degree of overlap between all SRs within this overview was slight, the overlap between just these five SRs targeting mood disorders was high (CCA = 11). This SR did not discuss the quality or risk of bias of included studies [35]. School health services staff can help all students with preventive care such as flu shots and vision and hearing screening, as well as acute and emergency care. The final two items in the four-item checklist are (3) date of publication to ensure that results are up-to-date, and (4) matching of the scope to confirm that primary studies within SRs are relevant to the overview. Table B. These criteria likely exclude potentially relevant literature. Saving Lives, Protecting People, Research Brief: Addressing the Needs of Students with Chronic Health Conditions: Strategies for Schools, Research Brief: Chronic Health Conditions and Academic Achievement, Fact Sheet: Health Insurance for Children: How Schools Can Help, Fact Sheet: Managing Chronic Health Conditions in Schools: The Role of the School Nurse, National Center for Medical Home Implementation School Nurses Linking with the Medical Home, Youth Risk Behavior Surveillance System (YRBSS), National Center for Chronic Disease Prevention and Health Promotion, Physical Activity and Sedentary Behaviors and Academic Grades, Tobacco Product Use Behaviors and Academic Grades, Other Health Behaviors and Academic Grades, Characteristics of an Effective Curriculum, Tips for Promoting School Employee Wellness, Physical Education Curriculum Analysis Tool, Health Education Curriculum Analysis Tool (HECAT), Body Mass Index (BMI) Measurement in Schools, Inclusive School Physical Education and Physical Activity, Physical Activity Before and After School, What School Nutrition Professionals Need to Know About COVID-19, Modifying School Spaces During Mealtimes to Reduce Spread of COVID-19, Supporting Students with Chronic Health Conditions in School-Based OST Programs, Healthy and Supportive School Environments, Strategies to Create a Healthy and Supportive School Environment, Strategies to Help Parents and Families Create Healthy and Supportive School Environments, How Families Can Support Student Health and Emotional Well-being, Toolkit for Schools: Engaging Parents to Support Student Health and Emotional Well-being, School Health Policies and Practices Study (SHPPS), e-Learning Series: Training Tools for Healthy Schools, Comprehensive School Physical Activity Program, Guide to Evaluating Professional Development, Understanding the Training of Trainers Model, Professional Development Follow-Up Support, How to Build a Training Cadre: A Step-by-Step Process, Guide to Promoting Professional Development, Whole School, Whole Community, Whole Child (WSCC), Encourage healthy eating in school and at home, Dental Sealants Can Improve Students Oral Health, Give Your Kids a Healthy Body and Mind This Summer, Engaging Parents to Promote Healthy Schools, Funded Nongovernmental Organizations for Healthy Schools, BAM! The need for quality health care for519-year-olds is great, but globally the quality ofhealth services for them are variable and coverageis limited. broad scope, and wide readership a perfect fit for your research every time. Suggested citation: National Association of School Nurses. It can even provide reports, process results, students transcripts and . However, the SR suggested that the studies were ineffective in changing self-reported risky behaviors, although follow-up was either immediate or short-term (less than 6 months) [35]. For students with chronic health conditions, school nurses and other health care providers play a large role in the daily management of their conditions. Through a comprehensive literature search, the overview aimed to identify health areas and specific school health service interventions that have at least some evidence of effectiveness. 425 of these articles were ineligible. Can schools complete more than one school health assessment simultaneously?Yes, but this should only be done if you have state or program requirements that require multiple assessments to be completed. There was 92% agreement between reviewers for all items within the standard form, with discrepancies only in level of detail. This article theoretically debated the role school record to effective educational management, the importance of keeping records in school, types of school records, and characteristics of . WHO reports densities of less than one physician per 1000 population in 76 countries and less than three nurses or midwives per 1000 population in 87 countries [50]. However, it should be noted that these SRs found mixed evidence of maintenance of effects over time [28,32,34,39]. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. The authors found improvements in classroom behavior, symptoms of ODD, and symptoms of SAD [33]. Most schools rely upon grant funding and other financial aid to cover the implementation costs, but this often involves stringent requirements. Schools offer a unique opportunity toimplement effective health services at scale forchildren and adolescents. Schroeder and colleagues found that school nurses are well positioned to deliver nutritional counseling, design and coordinate physical activity interventions, and educate parents, students, and staff on health, nutrition, and fitness [26]. S3 Appendix. However, in the studies included in both Gold and colleagues and McDonald and Dreys SRs, the numbers of participants per intervention group were very small: 410 and 1225 per study, respectively, introducing possibility of bias [23,33]. Meta-analysis of the six studies showed statistically significant short-term benefits for weekday sleep time, weekend sleep time, and mood [20]. The information can then be used for policy development, planning, and school improvement efforts. These reasons for exclusion applied to 183 and 126 SRs, respectively. Although overviews offer a comprehensive method for synthesizing evidence, they also come with important methodological limitations. Staff from all three organizations can assist schools in meeting both their state requirements and their program requirements. Kavanagh and colleagues examined depression and anxiety group counseling programs based on cognitive behavioral therapy (CBT) and found statistically significant reductions of depressive symptoms at both four weeks and three months follow-up [24,39]. It is important to note that any health records that the school receives from outside providers will most likely be considered school health records. Additional systematic reviews are needed that analyze the effectiveness of comprehensive school health services, and specific services for under-researched health areas relevant for this population. The corrected covered area (CCA) was found to be 1, indicating only slight overlap between the 20 SRs. This decision was made because of the vast numbers of reviews available and the increased rigor associated with the term systematic. It is unclear if this finding indicates a lack of primary studies on comprehensive or multi-component school health services, or if primary studies do exist but no SR has been conducted. Risk of bias across SRs was determined using Ballard and Montgomerys four-item checklist for overviews of SRs [13]. Systematic reviews of intervention studies that evaluated school-based or school-linked health services delivered by a health provider were included. Excluded full text articles and reasons for exclusion. It's especially important to keep IEP and 504 plan records. In turn, good health is linked to reduceddrop-out rates and greater educational attainment,educational performance, employment andproductivity. Web Annex B. Thank you for taking the time to confirm your preferences. It is difficult to determine overall effectiveness of school health services from this overview because the included SRs do not sufficiently cover the health areas most relevant for children and adolescents. Figure 1 shows how school health services uses various methods to support students. Schools offer a unique platform for health care delivery. A universal educational intervention on oral hygiene and caries produced weaker evidence of effectiveness [27]. If school health services are to truly improve the health of children and adolescents, they must comprehensively address the most pressing problems of this population. Meta-analysis results indicated a statistically significant effect on the before-after change in caries prevalence [25]. Thus, responsibility for interventions may need to be redistributed in countries with limited access to health professionals. In 2015, the global means for the primary and secondary net school enrollment rates were 90% and 65%, respectively, thus the potential reach of school health services is wide [8]. Centers for Disease Control and Prevention. The digital versions of patients' paper charts promise extensive benefits for personalized, safe and reliable medical care and treatment. CCAs can be interpreted as indicating slight, moderate, high or very high overlap with scores of 05, 610, 1115, or >15, respectively [16]. SRs on oral health interventions focused on prevention [25,30], screening [18], and education [27,30] (Table 3E). This overview was conducted using the preferred reporting items for systematic reviews and meta-analyses (PRISMA) [11]. Data Availability: All relevant data are within the manuscript and its Supporting Information files. implementation guidance calls for the prioritization of school health programs as an important step towards universal health coverage and urges that Every school should be a health promoting school [10]. 1100 Wayne Ave, Suite #925 Silver Spring, MD 20910-5669, 2023 NASN | Terms Of Use | Privacy Policy | Accessibility Statement | LiveChat. About eight-in-ten U.S. murders in 2021 - 20,958 out of 26,031, or 81% - involved a firearm. Similarly, some states require portions of the Healthy School Report Card to be completed. Independent Oversight and Advisory Committee, WHO guideline on school health services: Web Annex A. Compendium, WHO guideline on Citation: Levinson J, Kohl K, Baltag V, Ross DA (2019) Investigating the effectiveness of school health services delivered by a health provider: A systematic review of systematic reviews. Here are the product of records till keepand why they're important. Although at least 102 countries have school health services, there is no rigorous, evidence-based guidance on which school health services are effective and should be implemented in schools. NASN2023 Early Rate Countdown Clock - Deadline Extended to May 15th! The primary objective of this overview was to explore the effectiveness of school-based or school-linked health services delivered by a health provider for improving the health of school-age children and adolescents. Although the CDC does not require the use of the School Health Index, some states and school districts have policies or program requirements to use the School Health Index. In addition to these criteria for included studies, the SRs themselves had to fulfill the following criteria: (a) included the words systematic review in the title or abstract; (b) outlined inclusion criteria within the methods section; (c) published in peer-reviewed journals and indexed before June 15, 2018; (d) published in the English language.
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