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The Relentless School Nurse: I Can't Be the Only Nurse at the Table

 

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The power of social media connected me to the work of AFFIRM Research and Dr. Megan Ranney. Through months of tweeting and sharing resources, a relationship was forged that somehow broke through the anonymity of the internet and created a professional and also a personal connection. In the spring of 2018, I was asked to contribute a guest blog to the AFFIRM Research site. Here is a link to the blog: No More Empty Desks

I am a school nurse being welcomed into a physician-driven organization.  It has been a career privilege to work side by side with some of the leaders of the movement to address gun violence as a public health crisis. In early February I attended an in-person meeting with AFFIRM and those organizations that support the urgency of funding firearm violence prevention.  I was the only nurse. This must change.

Through my advocacy work, I reached out to several national nursing organizations, expressing the importance of supporting the work of AFFIRM Research and asking for public support. My disappointment at the lack of response rivals my elation at being offered a seat at this table. But I do not want to be the lone nurse in this work. Where are the national nursing organizations? Where do they stand on the issue of gun violence as a public health crisis?

Nurses, we are in a unique time of transformation and inter-disciplinary collaboration to solve some of our biggest public health challenges. Let's not miss the opportunity to work with physicians, scientists, public health professionals, and researchers. This is our moment to join in collaborative efforts to face the most urgent needs of our community and proactively address the "wicked problems" that impact our world. We need to answer the call with a resounding YES!

I often think of Lillian Wald, who pioneered public health nursing, with the idea that the nurse’s “organic relationship with the neighborhood should constitute the starting point for a universal service to the region.” (retrieved  from https://socialwelfare.library....people/wald-lillian/) Our "collective neighborhood" is hurting and in need of healing.

We are in a public health crisis and who better than nurses, steeped in evidence-based practice, to help solve the epidemic of gun violence. School nurses are especially at the forefront of this work, where community violence meets school violence in classrooms, hallways, and on school grounds. The proverbial table is set, take your seat, please don't leave me sitting alone.

 

 

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Michael J Polacek posted:

Thank you for this post. 

I've found a nearly exact situation in my state and community.  Nurses are simply not as present as we should be considering our influence on wellness.  So I dug in and continue to learn how to become relevant.  I also encourage my peers to join the effort because there are many nurses much better at this than I am, but they remain uninvolved for whatever reason. 

Here is a link to a recent write up (p.2) on some of the community work I've been engaged in--although partnering is probably a better label than "Leads."   Nurse Leads Community Efforts

Nurses have a particular perspective and need to step up into the conversation as a full partner with all other disciplines and thought leaders. 

 

Hi Michael,

I just read about your wonderful community-based work. Congratulations! I think it would be terrific to connect you to the OR school nurses if you are interested. I also like to spotlight other nurses around the country doing innovative community work on my www.relentlessschoolnurse.com blog. Please reach out if you are interested!

Thank you for this post. 

I've found a nearly exact situation in my state and community.  Nurses are simply not as present as we should be considering our influence on wellness.  So I dug in and continue to learn how to become relevant.  I also encourage my peers to join the effort because there are many nurses much better at this than I am, but they remain uninvolved for whatever reason. 

Here is a link to a recent write up (p.2) on some of the community work I've been engaged in--although partnering is probably a better label than "Leads."   Nurse Leads Community Efforts

Nurses have a particular perspective and need to step up into the conversation as a full partner with all other disciplines and thought leaders. 

 

Mary Emerling posted:

Hi Robin. I am thrilled to hear of your participation with the AFFIRM Research. I have 17 years of experience in public health (13 of which was with the state DPH) and I am a school health supervisor in Middletown, CT which has 11 public schools. We are fortunate in that every school has at least one RN on site. I listen closely to the nurses who tell me how difficult it can be to get some of our local health care providers to fill out required forms appropriately or respond to follow up regarding treatment plans and questions about medications. I have been inviting all the local family and pediatric health care providers for three years with little to no participation on their end. And, my collaboration with the local health department is not as active as I believe it should be either (we do participate in their kids health fair). It is very frustrating that there does not seem to be a shared or understood value to the expertise and experiences that school nurses bring to caring for our youngest citizens.  

Like you, it is crystal clear to me that more collaboration could improve our students access to learning and health over a lifetime. Better and active communication regarding what the nurses are seeing in their offices and what is being done during the school day should be addressed and supported during well-child visits. There needs to be more consistency and emphasis in our messaging to parents regarding information and education surrounding health issues as vaping, sex education, screen time, asthma, anxiety reduction skills, mental health and more, too. 

Keep up the good work. I appreciate your voice being at the table. 

Hi Mary, Thank you for your message. Last night, we held our first every #SchoolHealthChat on Twitter. It was very well attended and there was a lot of discussion about the need to collaborate and understand our roles and how we intersect for better health outcomes for our students. My work with AFFIRM is about gun violence prevention research, which is paramount in keeping our students, staff and school communities safe. There are many opportunities to work together, our world needs it!

 

Hi Robin. I am thrilled to hear of your participation with the AFFIRM Research. I have 17 years of experience in public health (13 of which was with the state DPH) and I am a school health supervisor in Middletown, CT which has 11 public schools. We are fortunate in that every school has at least one RN on site. I listen closely to the nurses who tell me how difficult it can be to get some of our local health care providers to fill out required forms appropriately or respond to follow up regarding treatment plans and questions about medications. I have been inviting all the local family and pediatric health care providers for three years with little to no participation on their end. And, my collaboration with the local health department is not as active as I believe it should be either (we do participate in their kids health fair). It is very frustrating that there does not seem to be a shared or understood value to the expertise and experiences that school nurses bring to caring for our youngest citizens.  

Like you, it is crystal clear to me that more collaboration could improve our students access to learning and health over a lifetime. Better and active communication regarding what the nurses are seeing in their offices and what is being done during the school day should be addressed and supported during well-child visits. There needs to be more consistency and emphasis in our messaging to parents regarding information and education surrounding health issues as vaping, sex education, screen time, asthma, anxiety reduction skills, mental health and more, too. 

Keep up the good work. I appreciate your voice being at the table. 

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