Kimberly A Driscoll1, Lisa K Volkening2, Heidi Haro3, Gesnyr Ocean1, Yuxia Wang1, Crystal Crismond Jackson4, Marilyn Clougherty5, Daniel E Hale6, Georgeanna J Klingensmith3, Lori Laffel2, Larry C Deeb1, Linda M Siminerio7. 1. Department of Behavioral Sciences and Social Medicine, Florida State University College of Medicine, Tallahassee, FL, USA. 2. Genetics and Epidemiology Section, Joslin Diabetes Center, Boston, MA, USA. 3. Barbara Davis Center, Department of Pediatrics, University of Colorado School of Medicine, Aurora, CL, USA. 4. American Diabetes Association, Government Affairs and Advocacy, Alexandria, VA, USA. 5. Children's Hospital of Pittsburgh, Pediatric Endocrinology, Pittsburgh, PA, USA. 6. Department of Pediatrics, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA. 7. Department of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Abstract
OBJECTIVE: To describe parent perceptions of children's diabetes care at school including: availability of licensed health professionals; staff training; logistics of provision of care; and occurrence and treatment of hypo- and hyperglycemia; and to examine parents' perceptions of their children's safety and satisfaction in the school environment. RESEARCH DESIGN AND METHODS: A survey was completed by parents of children with type 1 diabetes from permissive (trained, non-medical school personnel permitted to provide diabetes care; N = 237) and non-permissive (only licensed health care professionals permitted to provide diabetes care; N = 198) states. RESULTS: Most parents reported that schools had nurses available for the school day; teachers and coaches should be trained; nurses, children, and parents frequently provided diabetes care; and hypo- and hyperglycemia occurred often. Parents in permissive states perceived children to be as safe and were as satisfied with care as parents in non-permissive states. CONCLUSIONS: Training non-medical staff will probably maximize safety of children with diabetes when a school nurse is not available.
OBJECTIVE: To describe parent perceptions of children's diabetes care at school including: availability of licensed health professionals; staff training; logistics of provision of care; and occurrence and treatment of hypo- and hyperglycemia; and to examine parents' perceptions of their children's safety and satisfaction in the school environment. RESEARCH DESIGN AND METHODS: A survey was completed by parents of children with type 1 diabetes from permissive (trained, non-medical school personnel permitted to provide diabetes care; N = 237) and non-permissive (only licensed health care professionals permitted to provide diabetes care; N = 198) states. RESULTS: Most parents reported that schools had nurses available for the school day; teachers and coaches should be trained; nurses, children, and parents frequently provided diabetes care; and hypo- and hyperglycemia occurred often. Parents in permissive states perceived children to be as safe and were as satisfied with care as parents in non-permissive states. CONCLUSIONS: Training non-medical staff will probably maximize safety of children with diabetes when a school nurse is not available.
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