Date of Graduation

Spring 2016

Document Type

Honors Research Project

Degree Name

Bachelor of Science in Nursing



Research Sponsor

Ann Marie Brown PhD, CPNP-AC/PC, CCRN, FCCM

First Reader

Michele Wilmoth MSN, RN

Second Reader

Heather Schober MSN, RN, CPNP, PC/AC


Background: School nursing staff deal with acute, chronic, screening, and education issues in the school based clinic. It is the school nursing staff’s role to provide care and treatment to children during school hours.

Purpose: Conduct a systematic review of the literature comparing disposition outcomes of children seen by school nursing staff to answer the PICO question: How does implementation of school based nursing affect health related outcomes in children within and outside the school environment?

Methods: Integrative literature review

Description of Evidence: Twenty research articles chosen from the database CINAHL, articles published within past nine years

Critical Appraisal: The articles cited present limitations of small sample sizes, narrow populations, all being found using one database, and not specifying the level of expertise for the school nurse. However, the methods used by the evidence collected were reliable and valid. These methods included surveys and descriptive methods such as journals and interviews from the school nurse.

Synthesis: The articles support the provision of school based nursing positively impact the health outcomes for children in school. The limitations create an opportunity for future studies.

Recommendations: Future studies should examine whether levels of education and licensure of the school nurse affect health outcomes.