Quality Improvement in a School Health Program: Results of a Process Evaluation

A process evaluation of a school health program designed to improve students’ health and educational success is presented. The program included a pediatric nurse practitioner and two nurses placed in three high-risk, urban intervention schools. It is a part of a larger multidimensional pilot interve...

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Bibliographic Details
Published in:Evaluation & the health professions 2000-03, Vol.23 (1), p.91-106
Main Authors: Klostermann, Brenda K., Perry, Cynthia S., Britto, Maria T.
Format: Article
Language:English
Subjects:
Academic Achievement
Adolescent
Child
Cincinnati
Documentation
Health care
Health education
Health Plan Implementation
Health Programs
Health technology assessment
Humans
Mental Health Programs
Ohio
Outcomes of Education
Process Assessment (Health Care) - methods
Processes
Program Evaluation - methods
Public schools
Quality
Quality control
Referral and Consultation
School Health Services
School Nurses
Students
USA
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Summary:A process evaluation of a school health program designed to improve students’ health and educational success is presented. The program included a pediatric nurse practitioner and two nurses placed in three high-risk, urban intervention schools. It is a part of a larger multidimensional pilot intervention project (The Children First Plan). Implemented services and the implementation process are described. Key components for a successful implementation included obtaining buy-in, learning the school culture, defining roles, and keeping a sense of humor. Collaborative efforts among the nursing team, other children-first plan providers, and the school staff improved service delivery. Lack of communication was the primary barrier. In addition, differing philosophies among systems (education, social services, health), problems with referral and feedback, and lack of appropriate providers hampered service delivery. Recommendations for continued program improvement and replication projects are provided.
ISSN:0163-2787
1552-3918
DOI:10.1177/01632780022034507