An Imperfect Space: Logistical Considerations in School-Based Health Centers.
communication
physical space
privacy
school health clinics
students
Journal
The Journal of school health
ISSN: 1746-1561
Titre abrégé: J Sch Health
Pays: United States
ID NLM: 0376370
Informations de publication
Date de publication:
10 2023
10 2023
Historique:
revised:
23
05
2023
received:
20
06
2022
accepted:
29
05
2023
medline:
19
9
2023
pubmed:
26
6
2023
entrez:
25
6
2023
Statut:
ppublish
Résumé
From a range of perspectives, scholars have demonstrated the value of school-based health centers (SBHCs) in recent decades, but few studies have examined the logistics of establishing SBHCs. Semi-structured interviews were conducted with 9 hospital and 6 school employees involved in a network of SBHCs. After common themes were identified, cluster analysis was performed. Finally, quotes were identified within each thematic cluster for further qualitative analysis. The most prominent themes were (1) differences in physical space (between schools and clinical settings), (2) collaboration and communication, and (3) privacy and compliance. This study points to several high yield considerations for the practice of SBHCs. First, we identified three distinct needs: (1) clear funding streams for construction costs for health services on school grounds, (2) improved understanding of SBHC space needs, and (3) blueprints for collaborating within SBHCs. Second, this study points to a future in which new-build and renovated schools should include space for SBHCs. This qualitative thematic analysis provides a picture of health and educational professionals engaged in creative, collaborative, and adaptive work to meet children's health care needs within SBHCs, but also highlights the challenges of navigating physical space, compliance, and collaboration within SBHCs.
Sections du résumé
BACKGROUND
From a range of perspectives, scholars have demonstrated the value of school-based health centers (SBHCs) in recent decades, but few studies have examined the logistics of establishing SBHCs.
METHODS
Semi-structured interviews were conducted with 9 hospital and 6 school employees involved in a network of SBHCs. After common themes were identified, cluster analysis was performed. Finally, quotes were identified within each thematic cluster for further qualitative analysis.
RESULTS
The most prominent themes were (1) differences in physical space (between schools and clinical settings), (2) collaboration and communication, and (3) privacy and compliance.
IMPLICATIONS FOR SCHOOL HEALTH POLICY, PRACTICE, AND EQUITY
This study points to several high yield considerations for the practice of SBHCs. First, we identified three distinct needs: (1) clear funding streams for construction costs for health services on school grounds, (2) improved understanding of SBHC space needs, and (3) blueprints for collaborating within SBHCs. Second, this study points to a future in which new-build and renovated schools should include space for SBHCs.
CONCLUSIONS
This qualitative thematic analysis provides a picture of health and educational professionals engaged in creative, collaborative, and adaptive work to meet children's health care needs within SBHCs, but also highlights the challenges of navigating physical space, compliance, and collaboration within SBHCs.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
900-909Informations de copyright
© 2023 The Authors. Journal of School Health published by Wiley Periodicals LLC on behalf of American School Health Association.
Références
St Leger LH. The opportunities and effectiveness of the health promoting primary school in improving child health-a review of the claims and evidence. Health Educ Res. 1999;14(1):51-69.
International Conference on Primary Health Care. “Declaration of Alma-Ata,” 1978. Available at: https://cdn.who.int/media/docs/default-source/documents/almaata-declaration-en.pdf
Bradley BJ, Greene AC. A review of 25 years of evidence about the relationship of adolescents' academic achievement and health behaviors. J Adolesc Health. 2013;52(5):523-532.
Arenson M, Hudson PJ, Lee N, Lai B. The evidence on school-based health centers: a review. Glob Pediatr Health. 2019:6.
Walker SC, Kerns SEU, Lyon AR, Bruns EJ, Cosgrove TJ. Impact of school-based health center use on academic outcomes. J Adolesc Health. 2010;46(3):251-257.
Johnson V, Ellis RS, Hutcherson V. Evaluating a strategy for implementation and sustainability of school-based health centers in 3 disparate communities. J Sch Health. 2020;90(4):286-294.
Kjolhede C, Lee AC, De Pinto CD, et al. School-cased health centers and pediatric practice. Pediatrics. 2021;148(4):e2021053758.
Dunfee MN. School-based health centers in the United States: roots, reality, and potential. J Sch Health. 2020;90:665-670.
Love H, Soleimanpour S, Panchal N, Schlitt J, Behr C, Even M. 2016-17 National school-based health care census report. 2018. Available at: https://www.sbh4all.org/wp-content/uploads/2019/05/2016-17-Census-Report-Final.pdf.
Love HE, Schlitt J, Soleimanpour S, Panchal N, Behr C. Twenty years of school-based health care growth and expansion. Health Aff. 2019;38(5):755-764.
Keeton V, Soleimanpour S, Brindis CD. School-based health centers in an era of health care reform: building on history. Curr Probl Pediatr Adolesc Health Care. 2012;42(6):132-156.
Lai K, Guo S, Ijadi-Maghsoodi R, Puffer M, Kataoka SH. Bringing wellness to schools: opportunities for and challenges to mental health integration in school-based health center. Psychiatr Serv. 2016;67(12):1328-1333.
Fisher R, Danza P, McCarthy J, Tiezzi L. Provision of contraception in New York City school based health centers: impact on teenage pregnancy and avoided costs, 2008-2017. Perspect Sex Reprod Health. 2019;51(4):201-209.
Bersamin M, Garbers S, Gold MA, et al. Measuring success: evaluation designs and approaches to assessing the impact of school-based health centers. J Adolesc Health. 2016;58(1):3-10.
Devore CD. School-based health centers and pediatric practice. Pediatrics. 2012;129(5):993.
Ran T, Chattopadhyay SK, Hahn RA, Community Preventive Services Task Force. Economic evaluation of school-based health centers: a community guide systematic review. Am J Prev Med. 2016;51(1):129-138.
Bains RM, Diallo AF. Mental health services in school-based health centers: systematic review. J Sch Nurs. 2016;32(1):8-19.
Gustafson EM. History and overview of school-based health centers in the US. Nurs Clin. 2005;40(4):595-606.
Dedoose, Version 8.0.35, SocioCultural Research Consultants, LLC.
Peterson BL. Thematic analysis/interpretive thematic analysis. In: Matthes J, ed. The International Encyclopedia of Communication Research Methods. Hoboken, NJ: Wiley-Blackwell; 2017.
Cascio MA, Lee E, Vaudrin N, Freedman DA. A team-based approach to open coding: considerations for creating intercoder consensus. Field Methods. 2019;31(2):116-130.
Charmaz K. Constructionism and the grounded theory. In: Holstein AJ, Gubrium JF, eds. Handbook of constructionist research. New York, NY: The Guilford Press; 2008:397-412.
Simmons N. Axial coding. In: Allen M, ed. The Sage Encyclopedia of Communication Research Methods. Thousand Oaks, CA: SAGE Publications, Inc.; 2017:80-82.
Guest G, McLellan E. Distinguishing the trees from the forest: applying cluster analysis to thematic qualitative data. Field Methods. 2003;15(2):186-201.
Minero E. The architecture of ideal learning environments. 2018. Available at: https://www.edutopia.org/article/architecture-ideal-learning-environments
Lewenson SB, McAllister A. History of nursing education in the United States. In: Routledge International Handbook of Nurse Education. London, UK: Routledge; 2019:30-49.
Desmarais G. Hospital retrofit: first place: health care facilities, existing. ASHRAE J. 2011;53(3):32-36.
Mohammadpour A, Anumba CJ, Messner JI. Retrofitting of healthcare facilities: case study approach. J Archit Eng. 2017;23(3).
Chang X, Li J. Business performance prediction in location-based social commerce. Expert Syst Appl. 2019;126:112-123.
Lalani M, Marshall M. Co-location, an enabler for service integration? Lessons from an evaluation of integrated community care teams in East London. Health Soc Care Community. 2022;30:e388-e396.
Hoyle TB, Samek BB, Valois RF. Building capacity for the continuous improvement of health-promoting schools. J Sch Health. 2007;78(1):6-8.
Mays A. Advancing student health and achievement through Medicaid: lessons learned from state efforts to expand Medicaid-funded school health services. J Sch Health. 2020;90:920-922.
ASCE Report card for America's infrastructure. “Schools.” 2021. Available at: https://infrastructurereportcard.org/wp-content/uploads/2020/12/Schools-2021.pdf
Hacker K, Wessel GL. School-based health centers and school nurses: cementing the collaboration. J Sch Health. 1998;68:409-414.
English A, Ford CA. The HIPAA privacy rule and adolescents: legal questions and clinical challenges, commentary. Perspect Sex Reprod Health. 2004;36(2):80-86.