Format

Send to

Choose Destination
J Sch Health. 2013 Dec;83(12):842-50. doi: 10.1111/josh.12102.

School nurses' role in asthma management, school absenteeism, and cost savings: a demonstration project.

Author information

1
Associate Professor (of Teaching), (er23@stanford.edu), Department of Pediatrics, Stanford University, 1215 Welch Road, Modular G, Stanford, CA 94305.

Abstract

BACKGROUND:

With increasing budget cuts to education and social services, rigorous evaluation needs to document school nurses' impact on student health, academic outcomes, and district funding.

METHODS:

Utilizing a quasi-experimental design, we evaluated outcomes in 4 schools with added full-time nurses and 5 matched schools with part-time nurses in the San Jose Unified School District. Student data and logistic regression models were used to examine predictors of illness-related absenteeism for 2006-2007 and 2008-2009. We calculated average daily attendance (ADA) funding and parent wages associated with an improvement in illness-related absenteeism. Utilizing parent surveys, we also estimated the cost of services for asthma-related visits to the emergency room (ER; N = 2489).

RESULTS:

Children with asthma were more likely to be absent due to illness; however, mean absenteeism due to illness decreased when full-time nurses were added to demonstration schools but increased in comparison schools during 2008-2009, resulting in a potential savings of $48,518.62 in ADA funding (N = 6081). Parents in demonstration schools reported fewer ER visits, and the estimated savings in ER services and parent wages were significant.

CONCLUSION:

Full-time school nurses play an important role in improving asthma management among students in underserved schools, which can impact school absenteeism and attendance-related economic costs.

KEYWORDS:

asthma; chronic disease; cost savings; school absenteeism; school nurse

PMID:
24261518
DOI:
10.1111/josh.12102
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Wiley
Loading ...
Support Center