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A Realist Evaluation of the Refocused School Nurse Role within Early Adopter Sites in Scotland: Main Report

Description
ISBN9781788511230
Official Print Publication Date
Website Publication DateJuly 27, 2017

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1Dr Lawrence Doi, 2Dr Deborah Wason, 1Stephen Malden & 1Dr Ruth Jepson
1 SCPHRP, University of Edinburgh; 2Evaluation Team, NHS Health Scotland

ISBN 978 1 78851 123 0 (Web only publication)
ISSN 2045 6964
PPDAS 274527

This document is also available in pdf format (585KB)

Contents

Acknowledgements

Executive summary

1. Background
Role of the wider school health team
Aims of the Evaluation
Structure of the report
Terminology and definitions used in the report

2. Methods
Evaluation design
Setting
Sampling, recruitment and data collection
Data analysis
Ethical approval

3. Findings
Overview of referrals from November 2015 to end of May 2016
Gender
Age/Year Group
SIMD
Children's Status on and after referral to School Nurse

4. Developing the programme theory in realist evaluation
Participants
Components
Programme implementation and the nine priority areas (pathways)
Role clarity and standardisation
Training and support
Overview of the initial programme theories

5. Testing out the programme theory
Component 1: Programme implementation and the nine priority areas (pathways)
Component 2: Role clarity and standardisation
Component 3: Engagement and accessibility
Component 4: Training and support

6. Refining the programme theory
Component 1: Programme implementation and the nine priority areas (pathways)
Component 2: Role clarity and standardisation
Component 3: Engagement and accessibility
Component 4: Training and support
Status of cases at end of the early adoption period

7. Conclusions
What worked well?
What did not work so well and may require further consideration?
Recommendations for school nurse training and further implementation
Training
Referral
Wider School Health Team
Recording and Record Keeping

References

Appendix 1: Topic guide for focus group - Managers

Appendix 2: Topic guide - School nurses and wider team

How to access background or source data

The views expressed in this report are those of the researcher and
do not necessarily represent those of the Department or Scottish Ministers.

This report is available on the Scottish Government Publications Website
(http://www.gov.scot/Publications/Recent).