School Nurses' Management and Collaborative Practices for Student-Athletes Following Sport-Related Concussion

J Sch Nurs. 2019 Oct;35(5):378-387. doi: 10.1177/1059840518774391. Epub 2018 May 17.

Abstract

The purpose of this study was to examine school nurses' management and collaboration with health-care providers (HCPs) for student-athletes following a concussion. Secondary school nurses accessed an online survey titled the Beliefs, Attitudes, and Knowledge of Pediatric Athletes with Concussions (access rate = 15.6%; n = 1,246/8,000). Approximately 40% of schools where nurses were employed administered baseline and postinjury concussion assessments. No significant differences were found between employment model (single vs. multiple sites) in regard to conducting baseline (p = .908) administration at their site; however, those employed at a single school more frequently offered postinjury assessments at their site than those at multiple sites (p = .019). School nurses most frequently reported relationships with an athletic trainer (38.8%, n = 483/1,246) compared to other HCPs. A concussion management team, including school nurses, and other recommended members should develop comprehensive concussion management plans. Plans should comprise of multiple concussion assessments to aid in the return-to-learn/play processes.

Keywords: concussion management practices; concussion management team; secondary school; sport-related concussion.

MeSH terms

  • Adolescent
  • Athletes / statistics & numerical data
  • Athletic Injuries / nursing*
  • Athletic Injuries / prevention & control
  • Brain Concussion / nursing*
  • Brain Concussion / prevention & control
  • Female
  • Humans
  • Male
  • School Nursing / methods*
  • Schools / organization & administration
  • Students / statistics & numerical data