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Scholarly Commons > HCA Healthcare Journal > Vol. 7 > Iss. 2 (2026)

 

Keywords

school-based nurses; school nursing; continuing nursing education; graduate medical education; community-engaged medical education; health education

Disciplines

Family Medicine | Interprofessional Education | Medical Education | Nursing | Orthopedics | Other Nursing | Pediatric Nursing | Public Health and Community Nursing

Abstract

Background

School nurses play a critical role in student well-being, underscoring their growing importance in both education and health care systems. Research consistently demonstrates their contributions to individual student care and broader population health.

Methods

This resident-led project explored community-based partnerships to facilitate mutual learning between school nurses and graduate medical education (GME) physicians. Conducted during the 2023–2024 academic year, this quality initiative (QI) involved the Medical City Healthcare (HCA Healthcare) GME programs and North Texas school districts. Educational resources were delivered through in-person teaching sessions led by resident physicians and hands-on medical simulations. School nurses who attended the Continuing Nursing Education (CNE) event completed program evaluations including Net Promotor Score, Likert-style, and open-ended questions. The program evaluation follows Kirkpatrick’s levels of evaluation: Reaction, Learning, Behavior, and Results.

Results

A total of 1183 school nursing staff from 32 North Texas school districts received training on musculoskeletal (MSK) injuries and concussions at 22 events within 12 Medical City Healthcare locations. At the conclusion of the sessions, 85% (n = 914) of participants reported that they would implement changes in their clinical practice or apply the knowledge gained. Nurses rated the presentations highly, with an average score of 4.2 out of 5, and the program achieved a Net Promoter Score of 91%, equating to a "World Class" designation. A 1-year post-event follow-up yielded an overall positive outcome of 91.3%, exceeding the 85% goal.

Conclusion

These findings underscore the potential for GME programs to support community-based initiatives such as school nurse education, improving nursing application of recent evidence-based approaches to care, and strengthening interdisciplinary collaboration. Additionally, this model offers GME trainees valuable opportunities to apply evidence-based medicine in real-world settings, reinforcing their knowledge and professional development.

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