| Summary: | 碩士 === 國立嘉義大學 === 教育行政與政策發展研究所 === 104 === The purpose of this study is to explore the effects of elementary school nurses’ administrative support in Chiayi City through interview surveys, literature review and investigations of relevant laws and regulations. The study induced, integrated and analyzed the collected data from the interviews with five in-service and one newly retired elementary school nurses of Chiayi City, and obtained the following conclusions:
1.It was normal for school nurses to work as part of the administrative staff in early days and in schools with fewer classes. Among the six interviewees from six different schools, one had administrative job, another had just quitted the administrative job, and another chose to retire for the purpose of getting away from the administrative job, and still another had administrative job in the previous school. The ratio for working as part of the administrative staff was as high as 66%.
2.They all agreed that their limit of asking for leave was unfair in contrast to other administrative personnel. In their cases, they would feel easy to ask for leave during winter or summer vacations, or in Wednesday afternoons when there’re no students around. Other times, they went to work even if they were sick or too ill to work.
3.It is necessary to establish a deputy system and give sufficient training programs, so that the school nurses can ask for leave on a fair ground. They don’t have to worry about students in the school while they are on their official, personal or sick leave.
4.If there were major emergencies or severe injuries happening, and, if there was not a helping hand with necessary medical training, a school nurse alone could not really handle the first-aid treatment. Therefore, they agreed that a school should have at least two nurses.
5.They admitted that the major source of their working pressure came from the students’ parents.
6.The job stress and occupational risk of school nurses also came from the expectations that they should have better judgment and emergent nursing competencies than ER doctors and nurses.
7.Whether schools should equip with medical service is indeed a thought-provoking issue to be reviewed and discussed.
8.Their time and energy was largely taken by paper work tasks the superior asked them to complete---such as health promotion and assessments of all kinds, which had little help to students. They should stick only to their nursing expertise.
9.If a school has a second nurse, the nurse is often treated by the department of education as the school’s excessive dispatch manpower, and is often sent to somewhere else outside the school as a deputy. Thus, it might provoke issues of workplace ethics that the second nurse would ask for equal situations.
10.The Section Chief of Hygiene in a school is not the superior of the school nurse, but a partner.
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