office, with Muckle's permission, to negotiate a plea. The lawyer testified that he had given Muckle the option of accepting the state's plea offer, which was available only for a limited time, or going to trial. According to the lawyer, Muckle "had unreasonable expectations for what a good outcome in the case was going to be," but he nonetheless had decided to accept the state's offer.
The lawyer stated that he had known about Muckle's motion for replacement counsel, that he had discussed the motion with his client, and that Muckle had decided not to pursue it. The lawyer conceded that, at the time of the plea hearing, he had not been prepared to try the case. He explained, however, that if Muckle had rejected the plea deal, thenSchool Nursing for the 21st Century: Assessing Scope of Practice in the Current Workforce.
A gap analysis was used to examine the scope of school nursing practice in the United States. An investigator-developed 39-item self-assessment survey of scope of school nursing practice was modified from an existing validated tool, organized around the five principles of the National Association of School Nurses' Framework: Standards of Practice, Quality Improvement, Care Coordination, Community/Public Health, and Leadership and also explored barriers to practice. The survey was sent to a national convenience sample of practicing school nurses. The survey was completed by 3,108 practicing school nurses. Gaps were identified for all principles and were greatest for Quality Improvement and Community/Public Health practice. All practice items were rated more important than the ability to practice