mission to optimize student health and learning by advancing the practice of school nursing and its vision for all child
President/Executive Director’s Letter
Dear Friends, Throughout the fiscal year, April 1, 2016- March 31, 2017, the National Association of School Nurses (NASN) progressed in its mission to optimize student health and learning by advancing the practice of school nursing and its vision for all children to be healthy, safe, and ready to learn. This year, the NASN Board of Directors adopted a new strategic plan. Concepts infused in the strategic plan include partnerships, member engagement, and public narrative. Partnerships: • NASN joined with approximately 60 national organizations on the 2017 Save Medicaid in Schools Coalition (SMISC) which focused on proposed funding changes to Medicaid and the Children’s Health Insurance Program (CHIP) and their effect on students and schools. • In spring 2017, NASN teamed with the Network for Public Health Law to convene a symposium titled: School Nurses: Understanding Legal Strategies for Advancing a Culture of Health in Schools. Topics presented included: • The role of school nurses in promoting child and adolescent health; • The legal framework for school nursing (e.g., ratio laws, professional requirements, Medicaid reimbursement for school health services, FERPA); • Epidemiologic evidence of improved student health outcomes and decreased absenteeism; • Successful models of utilizing school nurses to improve access to care; and • The role of school nurses in addressing health equity. • NASN participates as a national organization on the U.S. Department of Education’s (with Healthy Schools Campaign and Trust for America’s Health) Healthy Students, Promising Futures Learning Collaborative. This Learning Collaborative provides 12 state teams with strategies for expanding access to school-based health services for children enrolled in Medicaid. Liz Clark, NASN Board Member from Colorado, is part of the Colorodo state team. Other school nurse leaders are represented on state teams. Member Engagement: NASN supports school nurses advancing their nursing practice. Several resources and tools available to support school nurses include: • Volunteer Manager Center deployed in early 2017. This software is built into the SchoolNurseNet community website and is used for recruiting and tracking volunteers. Volunteer opportunities can be opened to find individuals interested in serving on NASN committees, participating in new programs, authoring blogs, updating NASN resources, mentoring conference attendees, and much more. • The NASN redesigned association website was launched in spring 2017. This 21st century website provides modern, searchable, and mobile-friendly features. The website home page was designed in response to input from hundreds of website visitors. • NASN journals continue to deliver articles of interest to school nurses. Podcast interviews are posted for each issue. • The Journal of School Nursing published two special issues this year: February was devoted to literature reviews (Evidence for Practice) and April was devoted to sexual health issues. The impact of special issues is measured by an accounting of citations and online usage. • Members express satisfaction with the variety of articles in the NASN School Nurse journal. School Nurse Public Narrative: • NASN received preliminary data for the School Nurse Workforce Study. As we look at school nurse workforce across the nation a question comes to mind: What, as a profession, do we better need to understand (so we can articulate it to others)? • New publications arrived this year: School Nursing: Scope and Standards of Practice, 3rd Edition and Principles for Practice: The Role of IHPs in Care Coordination for Students with Chronic Health Conditions. These publications provide the methods and messaging school nurses need for their work. • A NASN cohort became Johnson & Johnson School Health Leadership Program Fellows and began work on a project that will result in development of message maps for school nurses. • National media outlets sought out NASN spokespersons to inform audiences through stories about student health and the work of school nurses. NASN is defining 21st century school health services by connecting school nurses with education and resources for providing health services that lead to Better Health. Better Learning. TM Sincerely and with best regards,
Beth Mattey, MSN, RN, NCSN NASN President (2015-2017)
Donna Mazyck, MS, RN, NCSN, CAE NASN Executive Director
Better Health. Better Learning.TM
• 1601 • In May 2016, the Centers for Disease Control and Prevention (CDC) awarded a five-year cooperative agreement to the National Association of School Nurses (NASN) to implement National Collaboration to Support Health, Wellness, and Academic Success of School-age Children. Funding for the first year is $375,000 to address the priority area of school health services (SHS) for managing chronic conditions (i.e., asthma, diabetes, food allergies, tooth decay, seizure disorders). • The overarching goal of the NASN project, Collaboration to Support Students with Chronic Health Conditions, is to improve chronic health condition management in schools across the nation by strengthening partnerships between local and state SHS leaders in education and health. • Years two through five will apply lessons learned to additional states and school districts, highlighting the role school nurses play in care coordination that strengthens the link between health and education to support the health and academic success of students with chronic health conditions.
• KFOS The NASN partnership with Families Fighting Flu and the National Foundations for Infectious Diseases, Keep Flu out of School project, was in Year 4 of the five-year Centers for Disease Control and Prevention funded initiative targeting elementary students, their families, and teachers. This NASN-led project used the reputable voice of the school nurse to disseminate positive messages about the importance of influenza vaccination and provided the strong recommendation to be vaccinated each year.
• Stats4Vax This Sanofi Pasteur - NASN partnership, Stats4Vax initiative, expanded its collaborative public health initiative beyond the meningococcal vaccine. With the Stats4Vax program, school nurses are provided with resources to promote all four recommended vaccines to high school students and families.
• Naloxone Toolkit The Naloxone Education for School Nurses Toolkit, created from an unrestricted grant from ADAPT Pharma, offers numerous resources to assist school nurses, and other school leaders, evaluate and respond to the opioid epidemic appropriately. It was developed by a workgroup that included school health services leaders in the National Association of School Nurses and the National Association of State School Nurse Consultants.
• ESSA NASN was out in front with the Every Student Succeeds Act (ESSA) to inform our school nurses what was happening with the implementation of the new federal education law including publication of a piece called, “What School Nurses Need to Know.” Additionally, NASN was involved in the regulatory process and submitted comments to the U.S. Department of Education.
• Hill Day 2017 In February 2017, NASN's Board of Directors participated in Hill Day when each of the 54 members met with their one Congressional Representative and two Senators as they advocated for NASN’s four legislative priorities. Additionally, they explained the role of the school nurse in keeping children safe, healthy, and ready to learn.
• Press Conference/Need to Maintain Medicaid President Beth Mattey and other Board Members had the opportunity to take part in a special Press Event with Ranking Member Bobby Scott of the Education and Workforce Committee to highlight the issue of children’s health and the need to maintain Medicaid as is instead of block granting Medicaid or imposing per capita caps. Democratic Leader Nancy Pelosi was in attendance as was Marian Wright Edelman, President of the Children’s Defense Fund.
• 2016 Membership Campaign - NASNPower This four week campaign kicked off the first week of October 2016 with #NASNPower. The campaign focused on Online Collaboration, Value of Membership, Sight for Students, and NASN Strong. Members were encouraged to share their experiences on Twitter using the NASNPower hashtag.
Click here for more about NASN Membership 100+ Mem b Resp er onses
• Proactive Messaging to NASN Members • How Are We Doing?
This message rolled out May 2016 and ended March 2017. It was sent to members as they entered their third month of membership. Members were asked to share their impressions of NASN in the discussion list, How Are We Doing thread.
• What Tops Your List?
This message rolled out July 2016 and ended May 2017. It was sent to members as they entered their eighth month of membership. Members were asked to answer two survey questions: What one thing does NASN do that you value most? What one thing can NASN assist you with now?
• Proactive Messaging to Non Members • We Miss You - Together We Are NASN Strong
This message rolled out November 2016. It is sent to members when they lapse and are removed from the All Member Forum. The message is updated seasonally and includes highlights of the most recent resources from NASN.
• Join NASN Today!
This message rolled out December 2016. It is sent to non-members with no membership history who are engaged at some level on SchoolNurseNet. This message invites individuals to join NASN.
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WEBSITE IS HERE! MODERN,Member SEARCHABLE, MOBILE-FRIENDLY
• New design NASN.org In Spring 2017, NASN launched a redesigned association website. This new 21st century website provides modern, searchable, and mobile-friendly features. We know that 21st century school nurses engage online from a variety of devices i.e., laptops, tablets, and smartphones. The redesigned NASN website enables connectedness among school nurse members, school nurses who are not members, and NASN volunteer leaders and staff.
• Micro websites • Since last year, we have three more affiliate online communities in SchoolNurseNet. 1. District of Columbia (DCSNA) 2. Illinois (IASN) 3. South Carolina (SCASN)
• Since last year, we have three more affiliate micro websites in addition to the community in SchoolNurseNet. 1. Florida (FASN) 2. Ohio (OASN) 3. Washington (SNOW)
• Volunteer Manager NASN loves volunteers. SchoolNurseNet is now home to NASN's Volunteer Center. This new online tool makes it easy to get involved and track volunteer activities.
• National School Nurse Day - May 11, 2016 NASN created a social media campaign to engage members, all school nurses, and school systems to promote the value of school nurses. View the Storify highlighting the tweets on School Nurse Day. Nearly 9,000 impressions just on May 11, 2016!
• Additional outreach resources/Metrics from the Day: • Beth Mattey’s Blog/Letter to School Nurses generated a reach of more than 43,000 with more than 2,000 comments, shares, reactions, and more than 1,500 clicks. • Videos that were posted from school nurses generated high numbers including the link to the NASN videos which generated more than 7,000 views and nearly 400 clicks. • The link to the School Nurse Day page received a reach of more than 20,000 with more than 700 clicks to the page.
School Nurse Public Narrative
• 2016 School Nurse Workforce Study Results School Nurses in the U.S. School nurses are licensed nurses who work in public and private schools and use evidence-based practice to promote individual and population-based student health, provide care coordination, advocate for quality student-centered care, and advance academic success. School nurses are leaders who bridge health care and education, and collaborate to help create healthy communities. NASN recommends students have daily access to, at a minimum, a full-time baccalaureate-prepared registered nurse (RN).
Percentage of Schools with School Nurse Coverage
Full-TIme Equivalent (FTE)
46.7% Full-time 44.8% Part-time 8.6% None 32.7% Full-time 38.0% Part-time 29.3% None 9.6% Full-time 54.4% Part-time 36.0% None
34.6% Full or part-time school nurse PUBLIC SCHOOL
% FTE BY SCHOOL TYPE
60.8% Full-time 14.5% Part-time 24.7% None
81.9% Full or part-time school nurse
How many school nurses are there in the United States? NASN now knows! The results from the Workforce Study are depicted on this infographic that provides data on school nursing coverage in schools by region, the percentage of public and private schools with school nurses; as well as the average salary, education, and age of school nurses.
$ • NASN Communication Channels • 35.3% of schools employ part-time school nurses (< 35 hours)
• 39.3% of schools employ full-time school nurses (> 35 hours)
The majority of school nurses are employed by education and funded from regular/special education funds. Other funding for school nurses include health department, local organizations, federal, and state organizations.
• Across the country 25.2% of schools did not employ a school nurse
18% < 30
Average Salary for RN School Nurses < $30,000
NASN continues to expand its reach through several communication channels • Media Interviews • SchoolNurseNet • Blogs: NASN, Conference, Partnership, and other • Partnership Campaigns • Social Media: Facebook, Twitter, LinkedIn • NASN Weekly Digest • NASN Radio 7.7%
$71,000 OR MORE
National Average RN salary ranges from $63,944* - $66,973**
*The U.S. nursing workforce: Trends in supply and education (2013). [Bethesda, Md.]: Health Resources and Services Administration. Bureau of Health Professions. **The Registered Nurse Population (2010), . [Bethesda, Md.]: Health Resources and Services
98.4% Female; 86.9% White; 4.8% Black/African American; 1.4% Asian; 4% Hispanic/Latina; 2.2% multiple;