Date Approved

8-16-2022

Embargo Period

8-17-2024

Document Type

Dissertation

Degree Name

Ed.D. Doctor of Education

Department

Educational Services and Leadership

College

College of Education

Advisor

Carol C. Thompson, Ph.D.

Committee Member 1

JoAnn Manning, Ph.D.

Committee Member 2

Cecile Sam, Ph.D.

Subject(s)

Food allergy in children--New Jersey; School nursing--New Jersey

Disciplines

Educational Leadership | Health and Physical Education

Abstract

The number of children affected by food allergies in the United States is large and increasing. The potential for life-threatening food-induced allergic reactions presents significant risks for students and schools. In the state of New Jersey, nurses are responsible for managing the risks associated with food allergies in elementary and secondary schools. The purpose of this mixed methods study was to explore and understand the knowledge, perceptions, policies, and practices of New Jersey public school nurses towards food allergies in schools. The participants were certified school nurses who currently work in public and public charter elementary and secondary schools in New Jersey. Interviews with eight school nurses, survey responses from 152 respondents, and school-level formal documents related to food allergies served as the data sources. Numerous themes emerged from the findings. Nurses believe that food allergies are an important issue in schools and annual training is valued. Nurses are called upon to assume numerous leadership roles when manage life-threatening food allergies. While formal food allergy policies in New Jersey schools may be similar, policy and practice variations across the state contribute to confusion and a lack of confidence in staff members' abilities to manage food allergies. School nurses encounter challenges when aiming to implement changes that address students' evolving medical needs in a safe and socially just manner. Finally, this study included recommendations for how to improve upon food allergy management within schools in the state of New Jersey.

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