Many children have diagnosed diabetes that must be safely managed at school. New laws have created the potential for school systems to rely more heavily on unlicensed assistive personnel (UAP) than on nurses to deliver health services, including administration of insulin injections. Using the theory of planned behavior as a framework, aims were to…

Passage of new laws, national standards regarding delegation, and the recommendation for at least one full-time nurse in every school have provided more visibility to the role of school nurses. Recent legislative amendments in Kentucky presented an opportunity to examine how the role of the school nurse is changing. Aims were to describe the (1)…

Ten years ago, MDC's report, "The State of the South 2007: Philanthropy as the South's 'Passing Gear,'" (ED519455) examined how philanthropy can accelerate progress toward a South that is both equitable for all its residents and competitive with other regions of the country. A decade later, our second iteration, commissioned by the…

Objectives: Describe the population, Medicaid, uninsured, and otolaryngology practice demographics for 7 representative rural Southeastern states, and propose academic-affiliated outreach clinics as a service to help meet the specialty care needs of an underserved rural population, based on the "medical mission" model employed in…

Partner violence affects a significant number of women and their children each year. Estimates of the economic costs of partner violence are substantial. However, most estimates of the costs of partner violence are made at the aggregate level rather than the individual level. Estimating costs at the individual level allows for a wider range of…

African-American clergy's ability to recognize late-life depression and their capacity to provide support with this illness have been neglected in the literature. Using a mental health literacy framework, the purpose of this research was to explore African-American clergy's knowledge of and treatments for late-life depression. In-depth interviews…

Current societal demands have increased the role of schools. The Family Resource and Youth Services Centers (FRYSC) seek to link students, families, and communities, using the school as the nexus for much needed services. The FRYSC offer a myriad of interventions aimed at removing non-academic barriers that hinder academic success for students…

Many schools across the United States do not have a full-time school nurse, resulting in care being provided by unlicensed school employees when children are sick or injured at school. The purpose of this study was to determine if there was a difference in the number of students sent home when ill or injured based on who assessed the student in…

Purpose: The number of children requiring dysphagia management in the schools is increasing. This article reports survey findings relative to speech-language pathologists' (SLPs') training and self-rated confidence to treat children with swallowing and feeding disorders in the schools. Method: Surveys were completed by 222 SLPs representing…

Health systems agencies are federally funded, health planning agencies responsible for regulatory activities concerning health issues in specific geographic locations. A case history discusses how health educators worked with a health systems agency to improve school health education. (JN)

A study found that Kentucky school health education programs are not resulting in great knowledge of health issues among high school seniors. Reasons for this lack of health knowledge include: (1) The majority of health education teachers remain poorly trained in health; and (2) Health education has not been properly emphasized or valued within…

In the early 1960's, the Appalachian Regional Commission (ARC) established a goal to make health care more accessible to the people of the mountains. Today, a primary health care facility is within a 30 minute drive of nearly all Appalachian counties. There has also been a substantial, but still inadequate increase in health care professionals in…

The Kentucky Nursing Manpower Requirements and Resources Study (1981 and 1985) is one segment of a nursing project designed to develop a coordinated statewide system of nursing education in Kentucky. The study determined the number and types of nurses needed and compared current and anticipated nursing manpower supply and demand. Calculations of…

Findings from a qualitative evaluation of the Coordinated Consumer Health Education Project in rural Eastern Kentucky are presented. The purpose of the project is to provide health education for pregnant and lactating women and their infants up to one year of age through a coordinated effort with other health care providers. The evaluation…

Largely descriptive, this final report of the Frontier Nursing Service (FNS) chronicles development and implementation of a Family Nurse Practitioner (PRIMEX) training program in a rural area from 1972-76. Centered in Leslie County, Kentucky, this project was one of seven PRIMEX programs in the nation; accomplishments in all of the projects far…