Deactivated Wendy Santos 1 Post Re: Topic 2 DQ 2 The Issues

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Addressing the integration of evidence-based nursing (EBN) in the school health setting presents unique challenges, primarily due to the isolated nature of school nurses from other healthcare professionals. This isolation often limits opportunities for collaboration and shared learning, which are vital for the dissemination and application of current evidence-based practices (Sortedahl, 2012). Additionally, school nurses frequently face time constraints that hinder their ability to engage in research activities or ongoing education, exacerbated by large student-to-nurse ratios that prioritize immediate clinical care over research or training efforts (Robert Wood Johnson Foundation [RWJF], 2016). This situation is compounded by a general lack of knowledge and training on how to effectively incorporate research evidence into daily practice, underscoring the need for targeted educational initiatives (Black et al., 2015).

Evidence indicates that the consistent application of EBN can significantly improve student health outcomes, reduce absenteeism, and enhance educational performance. Chronic health conditions among school-aged children are on the rise, making school nurses often the sole healthcare resource for many students (RWJF, 2016). Applying evidence-based interventions can reduce unnecessary school exclusions, which not only benefits student health but also lowers healthcare costs by minimizing unnecessary follow-ups and treatments that do not adhere to EBN guidelines (Sortedahl, 2012). Failure to bridge the gap between evidence and practice leads to suboptimal health and educational outcomes and increases the financial burden on the healthcare system (Sortedahl, 2012).

The initial step toward improving EBN implementation in the school setting involves enhancing nurses' knowledge and skills related to evidence application. Providing targeted training through simulation exercises that mimic common school health emergencies can equip nurses with practical experience in applying evidence-based interventions (Black et al., 2015). Such simulation training helps build confidence and competence necessary for real-world decision-making. Additionally, mentoring programs can serve as effective platforms for ongoing support and knowledge sharing among school nurses, fostering a culture of continuous learning and EBN adoption (Black et al., 2015).

Participation in professional development opportunities like conferences and workshops also plays a crucial role in promoting EBN. These environments facilitate networking, collaboration, and exposure to the latest research, which can influence clinical practices positively (Black et al., 2015). Furthermore, journal clubs—especially online formats—offer a practical method for integrating current research into routine practice. They provide a platform for nurses to discuss, analyze, and decide on evidence-based strategies applicable to school health issues. The virtual nature of online journal clubs enhances accessibility, allowing more nurses to participate, share insights, and support each other in applying research findings effectively (Sortedahl, 2012).

In conclusion, to overcome the challenges of implementing evidence-based practice in school health nursing, it is essential to focus on education, collaboration, and experiential learning. Encouraging continuous professional development, fostering mentorship, and leveraging technology such as online journal clubs can significantly facilitate the shift toward evidence-informed care. Ultimately, these improvements will lead to better health outcomes for students, reduced healthcare costs, and a stronger, more informed school nursing workforce capable of addressing the evolving health needs of children in educational settings.

References

  • Black, A. T., Balneaves, L. G., Garossino, C., Puyat, J. H., & Qian, H. (2015). Promoting Evidence-Based Practice through a Research Training Program for Point-of-Care Clinicians. The Journal of Nursing Administration, 45(1), 14–20.
  • Robert Wood Johnson Foundation (RWJF). (2016). Why School Nurses are the Ticket to Healthier Communities. Retrieved from https://www.rwjf.org
  • Sortedahl, C. (2012). Effect of Online Journal Club on Evidence-Based Practice Knowledge, Intent, and Utilization in School Nurses. Worldviews on Evidence-Based Nursing, 9(2). doi:10.1111/j. 2012.00249.x
  • Additional scholarly references would include peer-reviewed journal articles on school nursing, evidence-based practice implementation, and professional development strategies relevant to the topic.