School Nurses ’ Management for Children and Adolescents with Diabetes

Purpose: The study purposes were to explore school nurses ’ experience, perceived barriers, and education needs in diabetes management at school. Methods: This study was a cross sectional study and the study participants were recruited conveniently at continuing education semi-nars for school nurses at Incheon Metropolitan City. Results: Data for 101 school nurses were analyzed. The nurses were all women and their mean age was 46.9±9.3 years. About 66 % of them had experience with children with diabetes at school. The school nurses reported that 74.6% of the students tested their blood glucose by themselves, the school clinic was the most common place for blood glucose tests (47.8%) and insu-lin injections (50.8%) and the nurses knew students ’ diagnosis through the student health survey (58.2%). About half of the nurses (53.7%) reported that glucagon should be available at school and 49.2 % were willing to inject glucagon when necessary. The most frequently reported barrier in diabetes management was role confusion (6.0±1.3) and the most common educational need was emergency responses (5.9±1.4). Conclusions: School health policy for diabetes management and diabetes resources are necessary to minimize role confusion of school nurses