A Baseline Assessment of the District of Columbia School Health Nursing Program

by Anita Chandra, Shannah Tharp-Gilliam, Amber Price, Priya Sharma, Teague Ruder, Debra Lotstein, Carole Roan Gresenz, Nicole Lurie

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This working paper describes findings from a baseline assessment of the District of Columbia (D.C.) School Health Nurse Program (SHNP). As part of the D.C. SHNP, school nurses provide health services that include assessment and care for acute illness or injury, health education and counseling, medication administration, and treatment for students with medical conditions; hearing, vision, and scoliosis screenings and referrals; immunization surveillance; promotion of a healthy school environment; and liaison services between school staff, parents, and community health providers. The assessment examines stakeholder perspectives on gaps in student health care and how the D.C. SHNP should contribute, the linkages between school nurses and community health services, and the essential features of a comprehensive school health program including the roles and responsibilities of school nurses.

Table of Contents

  • Chapter One


  • Chapter Two

    Study Overview

  • Chapter Three

    Student Service Needs & D.C. SHNP Service Provision

  • Chapter Four

    Perspectives on the School Health Nursing Program

  • Chapter Five

    Facilitators, Barriers, and Challenges to Care

  • Chapter Six

    Recommendations for the School Health Nursing Program

  • Chapter Seven

    An Evaluation Plan for the School Health Nursing Program

  • Appendix A

    Survey Methodology

  • Appendix B

    Interview Methodology

The research in this report was submitted to the Washington, D.C. Department of Health and conducted by RAND Health.

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