A Cost-Benefit Analysis of School Nursing in One Large Urban School District

This study is a cost-benefit analysis examining an urban district's partial school nurse coverage conversion to full-time coverage. Through a partnership with a health care system, the district received funding, resulting in the hiring of full-time nurses to cover all K-8 elementary schools. Re...

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Bibliographic Details
Published in:The Journal of school nursing 2024-10, Vol.40 (5), p.514-522
Main Authors: Ohneck, Mallory C., Dake, Joseph A., Maughan, Erin D., Telljohann, Susan K., Glassman, Tavis
Format: Article
Language:English
Subjects:
Child
Cost-Benefit Analysis
Humans
School Health Services - economics
School Nursing - economics
Urban Population
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Summary:This study is a cost-benefit analysis examining an urban district's partial school nurse coverage conversion to full-time coverage. Through a partnership with a health care system, the district received funding, resulting in the hiring of full-time nurses to cover all K-8 elementary schools. Researchers compared the cost of nursing services to the savings in teacher, secretary, principal, and parent productivity, reduced medical procedure costs, and grants nurses managed. The year before implementing additional nurses, the return on investment (ROI) to the community for nursing services was calculated to be $1.59 for every dollar invested in schools with full-time coverage and $1.29 for schools with partial coverage. After implementing full-time nurses in each school, there was an ROI of $1.50 during the 2015–2016 school year, $1.64 for 2016–2017, and $1.67 for 2017–2018. The analysis provides evidence that full-time coverage could result in a positive ROI for schools and the community.
ISSN:1059-8405
1546-8364
1546-8364
DOI:10.1177/10598405231197836