"Prioritization Among School Nurses" by Melissa Calvillo

Graduation Term

Spring 2025

Degree Name

Doctor of Philosophy (PhD)

Department

Mennonite College of Nursing

Committee Chair

Susana Calderon

Committee Member

Cherill Stockmann

Committee Member

Maureen Rabbitte

Committee Member

Sheryl Henry

Abstract

This dissertation includes three journal-format articles that will be submitted for future publication. The articles demonstrate a comprehensive examination of the phenomenon of prioritization among school nurses. School nurses commonly face multiple competing demands necessitating prioritization of tasks to provide appropriate and timely care in the context of limited resources. Chapter I is an integrative literature review which reflects a synthesis of known evidence on the topic and also assisted the researcher to identify gaps in the body of knowledge. The existing research reflects three themes relevant to prioritization: knowledge, attitudes, and values; self-efficacy and intention to act; and the nursing process. Chapter II presents the results of an original qualitative study using grounded theory and semi-structured interviews with school nurses. Twenty-nine Midwestern school nurses participated in one-hour semi-structured interviews. Grounded theory, consistent with Corbin and Strauss’s methodology, was used to create an integrated theory of prioritization among school nurses. Chapter III provides clear actionable recommendations to strengthen school nursing through practice. Study participants frequently reported little training and orientation to the specialty role of school nursing. Therefore, a novel nurse fellowship program specific to school nursing could facilitate effective practice transitions, reduce turnover, and save costs.

Access Type

Dissertation-Open Access

Available for download on Saturday, June 26, 2027

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