FAYETTEVILLE, Ark. – An innovative community nursing program in Fayetteville is being called such a success that it may be expanded to other communities around the state.
Nursing students have been holding health fairs for two semesters at the city's homeless shelter, doing blood pressure and blood sugar checks, testing for HIV, and providing a lot of information about women's health care, affordable insurance and proper use of medications.
Susan Patton, assistant director of Undergraduate Programs for the University of Arkansas, says mostly the students do a lot of one-on-one consultations, talking to the patients to get a better understanding of their health care needs.
"Without understanding what kind of home environment they come from, it's easy to be judgmental: 'Well, you just need to eat better,' or 'You just need to get more rest,'” she states. “But understanding the circumstances that they live in helps them (nurses) to approach the patient from where they are and be more realistic."
Patton says the Community Nursing Program is modeled after similar programs in Boston and Los Angeles.
She says becoming a nurse takes more than classroom learning. It's also about understanding the unique needs of each patient.
"They go from this structured nature of an acute care hospital or long-term center to this much less structured, population-based health care, and it really stretches their clinical imagination because they get to see, you know, how people really live," Patton explains.
The students focus on issues that are prevalent with the homeless, including sunburn and insect bites, hydration, proper use of medication and taking care of their feet.
During this past semester, the students used social media to hold a shoe drive for their patients.
According to the U.S. Department of Housing and Urban Development, there were more than 2,500 homeless people in Arkansas last year, with more than 200 being veterans.
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From gubernatorial candidate Mark Robinson to Superintendent of Public Instruction hopeful Michele Morrow, some Republicans running for office have suggested North Carolina could reject federal funding for public schools.
The idea is raising red flags for parents and teachers alike. The North Carolina Justice Center estimates turning down federal funding could strip more than $1 billion from schools and result in thousands of job losses.
Justin Parmenter, a teacher in the Charlotte-Mecklenburg School District, thinks it would harm vulnerable student populations and strain already underfunded schools, especially in rural areas.
"Things like providing free and reduced (price) lunch for students who need that support," Parmenter outlined. "It would be serving students with special needs. It would be funding programs like substance abuse and mental health care."
Those who would turn down federal funding said it comes with "strings attached" or requirements they do not agree with. But Parmenter countered he has heard no clear plans on how to offset the nearly $1.7 billion shortfall it would create. He stressed a lack of a concrete strategy raises serious concerns about deeper cuts to public education.
Claire Kempner is a parent of three public school students voicing similar concerns, particularly about how cuts would affect rural areas and the quality of education. She worries about teacher retention in the face of low pay.
"We have a really hard time retaining teachers, especially in more rural areas of the state, like where I live," Kempner explained. "Teachers are not paid well enough, where they can live off of their salary. They're going to go to other areas or they may even leave the state completely."
The North Carolina Justice Center reported rejecting federal funds for North Carolina schools would lead to wider gaps in racial and economic opportunities.
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Colorado voters will decide whether to change the state's constitution to ensure families have school choice as a fundamental right.
Kallie Leyba, executive director of the American Federation of Teachers-Colorado, worries Amendment 80 on November's ballot would hurt the state's already underfunded public schools by diverting taxpayer dollars into a private school voucher program.
"Which would put Colorado's budget on the hook for paying for private education," Leyba pointed out. "It would drain the resources that the 95% of kids in Colorado who are attending public schools rely on."
Colorado students already have the right to attend any public school, including charter schools, regardless of where they live under the state's Public Schools and Choice Law. State law also allows families to home school or enroll in private school. Proponents of Amendment 80 said it will cement those rights into the state's constitution and protect parents' rights to educate their children the way they believe is best.
Josh Cowen, senior fellow at the Education Law Center, pointed to decades of evidence showing private school vouchers have led to some of the steepest declines in student achievement on record.
He added measures similar to Amendment 80 passed in Arizona, Florida and Ohio have led to serious budget cuts.
"Those states are spending a billion dollars each right now on vouchers, primarily for kids who are already in private school," Cowen explained. "When you're spending that kind of money on private religious education, you're not spending money on other things."
Leyba argued Amendment 80 could also harm Colorado students in rural parts of the state who depend on public schools.
"We have quite a few districts that are considered rural," Leyba noted. "Those kids don't have the options of private schools. Public schools are their option, and it's really important that we keep those public schools strong."
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Palm Beach County schools are working to curb chronic absenteeism, which has surged since the pandemic.
Nearly 39% of Palm Beach County students missed 11 or more days of school last year.
Keith Oswald, chief of equity and wellness for the Palm Beach County School District, said families often face a combination of challenges triggering absences, so the district uses a variety of strategies, including sending notifications to parents when students reach five, 10 or 20 missed school days.
"I would say the more common where we see the 10 to 20 day range, I think it's a bad habit that we picked up from COVID of not coming to school that's stuck," Oswald observed. "Thinking that I could just miss a day or two a month is not a big deal but really, we're trying to educate people that it is a big deal."
The 2024 Annie E. Casey Foundation Kids Count Data Book revealed chronic absenteeism nearly doubled nationwide after the pandemic, with 30% of students missing significant amounts of school. The report also emphasized the long-term economic risks of learning loss, with U.S. students potentially facing $900 billion in lost lifetime earnings due to decreased academic achievement.
According to the Florida Department of Education, the statewide average of kids missing 21 or more days of school has modestly improved from a record high of almost 21% in the 2021-22 school year to 19.4% last year.
Oswald said the district also organizes problem-solving meetings with families to address concerns like transportation and housing instability, which can be primary causes of absenteeism.
"Sometimes it comes with employment; there's sometimes mental health issues in the family," Oswald outlined. "Food insecurity can come up at times. In our most severe cases, I think it's a sense of despair that a family gets into and needs additional support."
When community outreach fails, Oswald noted Palm Beach County has more formal procedures like working with a local judge on truancy interventions to help families understand the law and find solutions. He added the district needs more support staff to help with this dedicated outreach.
According to the Kids Count data, students in poverty and children of color are disproportionately affected by chronic absences, further widening the achievement gap.
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