Multiple Factors Affect Attendance Rate.
It is unclear from the intervention whether the effects were
related to any call by school personnel, the call by a nurse,
or a call by an FNP. The FNP intervention augmented the
existing absence policy and procedures, but the improvement
in program, school, and grade attendance rates from Year 1 to
Year 2 was influenced by multiple factors. In school, Year 1
H1N1 flu affected school absences. In Year 2, there was universally
accessible flu vaccine, which potentially prevented
absences. Both these factors could have contributed to the
improvement in attendance from Year 1 to Year 2.