IMPROVING SCHOOL NURSES KNOWLEDGE AND COMFORT LEVELS IN ADDRESSING BULLYING IN SCHOOL THROUGH EDUCATION AND A RESOURCE TOOLKIT

Date
2024
Authors
Lieu, Suzanna Kiki
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Fontenot, Holly B.
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Nursing Practice
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Background/significance: The World Health Organization identified bullying in childhood asmajor health problem; studies document its profound impact on physical, mental, and social well-being. To prevent these impacts, interventions need to be implemented. Bullying peaks in middle school; therefore, it is important to prepare school nurses to screen for and help address bullying. Purpose/Aim: The purpose of this project was to develop a bullying toolkit to foster nurses’ abilities to care for middle school students and address bullying. The objectives of this project include: 1) developing a toolkit that provides (a) educational materials on bullying, and (b) evidence-based screening tool to help identify youth in need; and 2) improve nurses’ knowledge, comfort, and confidence level in addressing, screening, and educating about bullying. Methods: This project was guided by the Iowa Model and used a pre-posttest design to evaluate outcomes of the project specific evidenced-based intervention delivered to public middle school nurses across Hawaii (N=7). The pre and posttest measured knowledge, behavior and self- efficacy related to assessing and providing care related to bullying. The intervention included an online presentation about bullying (definition, different types, impact of bulling on health, role of school nurses, screening tools and resources), additionally a toolkit (including screening tools and resources) was provided and reviewed in detail. Results: Participants knowledge about bullying improved with educational intervention; with an average score of 44.86% correct responses at baseline to an average score of 71.43% correct post intervention. A similar increase in self-efficacy was also seen post education intervention. With a baseline of 53.6% and 72.56% immediately after intervention. However, 1-month post intervention the average self-efficacy score decreased to 57.72%. Discussion: The results of the quality improvement projected demonstrated that education intervention does increase knowledge and self-efficacy of HK nurses in regards to bullying. However, the extent of its efficacy is limited and more research need to be done to learn ways to improve the educational intervention and barriers school nurses face.
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Nursing, bullying, middle school, school nurses, screening
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43 pages
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