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The purpose of this article is to illustrate the process of inspiring change for advancing diversity, equity, and inclusion by describing the efforts of a College of Nursing and Health Sciences at a 4-year, public institution in Louisiana. Motivated by recent campus conversations, the college has established a collective effort to establish new strategies to create a more inclusive academic environment for students, faculty, and staff. These efforts build upon recent successes and are in support of the university's campus-wide Strategic Plan for Inclusive Excellence. The lessons learned include: (a) the impact of intercultural engagement on inspiring culture change within an academic college; (b) the importance of getting broad buy-in and engagement from students, faculty, and staff for making process; and (c) successful strategies for advancing diversity, equity, and inclusion at the college level.

School nurses' experienced barriers and benefits with perceptions of self-efficacy are important factors to consider for program implementation in the school setting. Little research has been done in the area of automated external defibrillator (AED) program implementation by the school nurse for the treatment of sudden cardiac arrest. The purpose of this study was to identify benefits of and barriers to AED program implementation in public schools and measure school nurses' self-efficacy related to their role as a change agent in program implementation. Results revealed that school nurses are functioning with a high level of self-efficacy in their ability to influence major health-care decisions in the school setting, and despite barriers, AED program implementation is considered beneficial and a necessary component of emergency care.

The article discusses the challenges of diagnosing early-onset sepsis (EOS) in newborns due to nonspecific symptoms, leading to widespread empiric antibiotic use. Topics include the impact of outdated practices, the development and implementation of the NEOS calculator, and the aims and methods of the quality improvement project to decrease EOS evaluations and empiric antibiotic use.

In 2011, the Institute of Medicine recommended that 80% of the nurses possess a minimum of a bachelor of science in nursing by 2020 and double the number of doctorally prepared nurses. This has prompted a significant number of registered nurses to advance their educational level. School nurses in Louisiana are not required to have a bachelor's degree. In many states, the bachelor's degree is required for all school nurses, and many school nurses are prepared at the masters' and doctoral levels. The purpose of this study was to examine the intention of Louisiana school nurses to pursue higher education in nursing. A survey was distributed to all members of the Louisiana School Nurses Organization, and results indicated that 65% of the participants were motivated to return to school. Incentives and barriers to pursuing higher education were identified, and strategies for overcoming these barriers were proposed.

This qualitative descriptive study explored the experiences of school nurses in coastal Louisiana, who were affected by Hurricanes Gustav and Ike in 2008 and who had also been in the path of destruction caused by Hurricanes Katrina and Rita in 2005. The purpose of the study was to describe the experiences of school nurses affected by repeated natural disasters in relation to their professional practice. The researchers conducted interviews with five school nurses, using the constant comparative method of data analysis to analyze transcripts for recurrent themes. Findings revealed a common process of developing resilience among participants. As a result of their experiences, participants described the ability to recover and adapt in the face of adversity. Various factors affected this resilience, including preparedness, support from others, both personally and professionally, and commitment to the communities in which they live. (Contains 1 figure.)

In the fall of 2005, the coast of Louisiana was devastated by two hurricanes, Katrina and Rita. Not only did these natural disasters have detrimental effects for those directly in their path, the storms had an impact on the lives of everyone in Louisiana. The professional practice of many Louisiana school nurses was affected by several factors, including a sudden influx of students with no medical records. A qualitative descriptive study was conducted to gain an understanding of school nurses' feelings and experiences related to the hurricanes and their aftermath. Forty-one school nurses participated in the study, and findings revealed significant effects on their personal and professional lives. Themes within each area were identified: uncertainty, hopelessness and helplessness, thankfulness, practice challenges, and practice rewards. Implications for school nursing practice include the need for support during natural disasters and the importance of school nurse involvement in disaster preparedness. (Contains 1 figure.)

Professional empowerment is vital to nurses' productivity and job satisfaction. A grounded theory study was conducted to describe the basic social process experienced by school nurses in relation to professional empowerment. Interviews with 10 school nurses led to the development of a situation-specific theory of school nurse empowerment, "Making a Difference: The Role of the School Nurse in the Health of Children in Schools". This theory was derived from four theoretical constructs: (a) enlisting support, (b) getting through the day, (c) maintaining control over practice, and (d) adjusting to challenges. Interviews revealed that knowing at the end of each school day that they made a difference in the health of children resulted in feelings of empowerment. Participants cited various areas in which their sense of empowerment was limited, including salaries and workload. Despite these issues, they believed they had a positive impact on the health of children, leading to job satisfaction and feelings of value. (Contains 1 table and 5 figures.)

More school nurses are engaging in the generation of research, and their studies increasingly are using qualitative methods to describe various areas of practice. This article provides an overview of 4 major qualitative methods: ethnography, phenomenology, grounded theory, and historical research. Examples of school nursing research studies that have used these methods are included. Descriptions of other qualitative designs, ethical considerations, and issues of scientific rigor are also discussed. (Contains 1 table.)

An initiative to increase the immunization rate of children five and under may be successful if lack of access and cost are addressed. A 'Shots for Tots' program was developed in Louisiana to increase the immunization rate of 56% in 1992 to 90% by the year 2000. The program boosted the immunization rate to 64% in 1994. Saturday morning immunization clinics helped solve the lack of access problem, and costs were underwritten by the state health department.