Evidence map›Paper›PMID 32249474›Full record

ArticlePediatric diabetes2020

Modern diabetes devices in the school setting: Perspectives from school nurses.

Christine A March, Michelle Nanni, Traci M Kazmerski, Linda M Siminerio, Elizabeth Miller, Ingrid M Libman

Abstract read
In one paragraph

Article in Pediatric diabetes, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed.

  1. Barriers and Opportunities for Diabetes Medical Management Plan (DMMP) Implementation in Schools: A National Survey of School Nurses and Diabetes Providers.The Journal of school nursing : the official publication of the National Association of School Nurses · 2026
    Article
  2. Diabetes Technology in the School Setting for Preschool-Aged Children.Journal of diabetes science and technology · 2026
    Article
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  19. School Nurses' Comfort With Diabetes Management and Technology From 2012 to 2019.Diabetes spectrum : a publication of the American Diabetes Association · 2023
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Christine A MarchDivision of Pediatric Endocrinology and Diabetes, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania, USA.ORCID 0000-0002-5141-0427
Michelle NanniUniversity of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Traci M KazmerskiDivision of Adolescent and Young Adult Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Linda M SiminerioDepartment of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Elizabeth MillerDivision of Adolescent and Young Adult Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Ingrid M LibmanDivision of Pediatric Endocrinology and Diabetes, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania, USA.

Funding

RESEARCH TRAINING IN PEDIATRIC ENDOCRINOLOGY &DIABETEST32DK007729 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MUZUMDAR, RADHIKA HIREN · 1995 to 2020
$3.3M
Training in Renal, GI, Endocrine, and Epithelial BiologyT35DK065521 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DEFRANCO, DONALD B, JURCZAK, MICHAEL J. · 2004 to 2024
$811k
NIDDK NIH HHS T32 DK007729NIDDK NIH HHS T35 DK065521NIH HHS DK007729
6 · The paper itself

Abstract

objectiveTo explore the experiences, practices, and attitudes of school nurses related to modern diabetes devices (insulin pumps, continuous glucose monitors, and hybrid-closed loop systems). RESEARCH DESIGN AND

methodsSemistructured interviews were conducted with 40 public school nurses caring for children in elementary and middle schools. Developed with stakeholder input, the interview questions explored experiences working with devices and communicating with the health care system. Deidentified transcripts were analyzed through an iterative process of coding to identify major themes.

resultsSchool nurses reported a range of educational backgrounds (58% undergraduate, 42% graduate), geographic settings (20% urban, 55% suburban, 25% rural), and years of experience (20% <5 years, 38%, 5-15 years, 42% >15 years). Four major themes emerged: (a) As devices become more common, school nurses must quickly develop new knowledge and skills yet have inconsistent training opportunities; (b) Enthusiasm for devices is tempered by concerns about implementation due to poor planning prior to the school year and potential disruptions by remote monitors; (c) Barriers exist to integrating devices into schools, including school/classroom policies, liability/privacy concerns, and variable staff engagement; and (d) Collaboration between school nurses and providers is limited; better communication may benefit children with diabetes.

conclusionsDevices are increasingly used by school-aged children. School nurses appreciate device potential but share structural and individual-level challenges. Guiding policy is needed as the technology progressively becomes standard of care. Enhanced training and collaboration with diabetes providers may help to optimize school-based management for children in the modern era.

Indexed as

School Health ServicesAdolescentAttitude of Health PersonnelBlood Glucose Self-MonitoringChildChild, PreschoolDiabetes Mellitus, Type 1FemaleGlycemic ControlHealth Knowledge, Attitudes, PracticeHumansInsulin Infusion SystemsMaleNursesPerceptionSchoolsblood glucose self-monitoringdiabetes mellitus, type 1insulin infusion systemsschool health servicesschools

Identifiers

PMID32249474
PMCPMC7682111

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.