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South Carolina Battling With School Nurse Shortages

The issue of school nurse shortages is a pressing concern in South Carolina, a problem that has only worsened since the onset of the COVID-19 pandemic. A recent initiative, developed by the University of South Carolina (USC) and the State Department of Education, aims to tackle this problem head-on.

Rising Need for School Nurses Amid the Pandemic

The number of school nurses in South Carolina has been dwindling for years, a development worrying both health professionals and education providers. The issue came under a glaring spotlight with the onset of the COVID-19 pandemic, which drastically elevated the demand for healthcare staff, including school nurses. As schools serve as crucial points of community health, the absences left by unfilled nursing positions become even more detrimental.

Districts such as Horry County, Marlboro County, Darlington County, and Georgetown County are far from the recommended nurse-student ratio of 1:750 set by the National Association of School Nurses. These ratios range from 1:850 in Horry County to a stark 1:2,989 in Marlboro County.

Strategies to Address the Shortfall

The University of South Carolina, in collaboration with the State Department of Education, has launched a new program to mitigate the school nurse deficiencies across the state. Known as the Leaders for School-Community Health, the program aims to prepare nursing graduates for school-based roles and leadership.

The specialty program, funded by a federal grant of $1.3 million from the Health Resources and Services Administration, is a part of the nursing curriculum at USC. The students undertaking this program will be trained in the K-12 school environment. The training includes specialty coursework, immersion in school health services, and mentorship under school nurses and nurse practitioners.

Karen Worthy, nursing director for the State Department of Education, believes that the program will help in making a difference at a time when there is a pressing need. She acknowledged that while the task is huge, the potential for improvement is also enormous.

Targeting a Multi-Dimensional Role

The program hopes to address the multi-layered role of school nurses, which is more complex than many realize. School nurses are not just responsible for administering first aid and conducting vision or hearing tests. Their role also includes managing chronic illnesses, mental health, preventive services, and providing health education.

The goal is to instigate development of a system of care in schools that is coordinated, family-centered, and cognizant of the diverse needs of children. This would enable nurses to reach more children, manage conditions better, and ultimately result in improved school attendance and achievements.

Facing the Challenges

The nursing shortage is a multifaceted problem, and addressing it is no easy task. Low salaries and stringent qualification requirements are contributing to the current nursing shortage in South Carolina.

According to the South Carolina Department of Health and Environmental Control (SCDHEC), about 15% of school nurse positions remain vacant. It is also a stark reality that the majority of schools in South Carolina do not have a full-time nurse on campus.

As the state grapples with these challenges, innovative programs such as USC’s Leaders for School-Community Health are critical in developing a robust response to the ongoing health crisis. However, there is a need for broader policy changes for more sustainable solutions, including improving nurse salaries and recruitment incentives, and reconsidering qualification requirements.

In conclusion, amidst the school nurse shortage in South Carolina, the Leaders for School-Community Health program offers hope. By serving to increase the number of qualified school nurses and highlighting the multi-dimensional role they play in supporting youth health, the initiative represents a crucial step towards securing the future health of South Carolina’s children.


Original Article: https://fox28savannah.com/news/local/south-carolina-school-nurse-shortage-leadership-program-university-of-south-carolina-scdhec-state-department-edcation-aimed-at-mitigating-school-nurse-shortage-k-12-specialty-horry-county-marlboro-darlington-georgetown