Samira Soleimanpour, Erin D Maughan, Melissa Saphir, Katherine Cushing, Jacquelyn Christensen, Sara Geierstanger
{"title":"School-Based Health Centers and School Nurses: Co-Location and Collaboration.","authors":"Samira Soleimanpour, Erin D Maughan, Melissa Saphir, Katherine Cushing, Jacquelyn Christensen, Sara Geierstanger","doi":"10.1177/10598405261498827","DOIUrl":"https://doi.org/10.1177/10598405261498827","url":null,"abstract":"<p><p>School-based health centers (SBHCs) and school nurses are often the only healthcare providers available to youth; however, they typically operate within parallel, yet distinct, systems. This study examined how many SBHCs serve schools with school nurses and the association between their co-location and collaboration. We examined survey data from the 2021-2022 school year for 1,486 SBHCs. Multivariable logistic regression identified characteristics associated with school nurse presence and levels of collaboration with SBHC staff. Half of the SBHCs (53%) served schools with school nurses located outside the SBHC, 33% had school nurses located inside, and 14% served schools without school nurses. The odds of reporting high collaboration were nearly four times higher when school nurses were located inside the SBHC versus outside (AOR:3.83, CI:2.45-5.98, <i>p</i> < 0.001), after controlling for other SBHC characteristics. Co-locating school nurses within SBHCs may increase collaboration and maximize limited resources to meet students' health needs.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"10598405261498827"},"PeriodicalIF":2.1,"publicationDate":"2026-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Implementation of a School Nurse-Led Case-Finding and Targeted Anxiety Testing Protocol (SBIRT-Informed) in an Elementary School: A Quality Improvement Initiative.","authors":"Donna Ruth, Margaret Hammersla, Andrea Tanner","doi":"10.1177/10598405261455898","DOIUrl":"10.1177/10598405261455898","url":null,"abstract":"<p><p>Anxiety disorders are among the most common pediatric mental health concerns, affecting nearly one in ten U.S. children, and often present as unexplained somatic complaints in school health offices. In rural Montana, limited access to behavioral health care compounds these challenges. This quality improvement project tested a nurse-led case-finding protocol (≥3 unexplained somatic visits in 6 weeks) followed by targeted anxiety screening using the Screen for Child Anxiety Related Emotional Disorders (SCARED) administered in both child self-report (SCARED-c) and parent-report (SCARED-p) versions, within a Screening, Brief Intervention, and Referral to Treatment (SBIRT) framework. Of 430 students, eight met case-finding criteria, six completed screening, and five screened positive. All received a nurse-delivered brief intervention and counseling referral. Guided by Plan-Do-Study-Act cycles, the project demonstrated feasibility, sustainability, and the critical role of school nurses in early anxiety recognition within resource-limited settings.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"526-535"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13583067/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148254175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jacqueline McManemin, Margaret Pellizzari, Janet Rodriguez, Henry Rodriguez, Karen Harriman, Crystal Woodward, Christine A March
{"title":"Barriers and Opportunities for Diabetes Medical Management Plan (DMMP) Implementation in Schools: A National Survey of School Nurses and Diabetes Providers.","authors":"Jacqueline McManemin, Margaret Pellizzari, Janet Rodriguez, Henry Rodriguez, Karen Harriman, Crystal Woodward, Christine A March","doi":"10.1177/10598405251367019","DOIUrl":"10.1177/10598405251367019","url":null,"abstract":"<p><p>The American Diabetes Association (ADA) Diabetes Medical Management Plan (DMMP) was developed to serve as a gold standard. In preparation for planned revisions to address technology updates for school professionals, we surveyed diabetes health care providers (HCPs) and school nurses to understand barriers and facilitators to DMMP use. Respondents (<i>n</i> = 586) were predominantly school nurses (<i>n</i> = 509, 87%) and represented all US regions. Using a Likert-type response scale (1 = <i>strongly disagree</i> to 5 = <i>strongly agree</i>), school nurses and HCP generally indicated that the DMMP was comprehensive (school nurses 4.41 ± 0.81 vs HCP 4.61 ± 0.49, <i>p</i> = .16). HCP were less likely to feel the DMMP was customizable (school nurses 4.15 ± 0.94 vs HCP 3.67 ± 1.20, <i>p</i> = .009). We identified 10 usability issues from comments related to formatting, customization, parent-provider co-completion, and technology. School nurse and HCP perspectives from this survey were integrated into DMMP revisions to improve functionality and inform school nurses of current management strategies.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"502-511"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12746612/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Health-Related Quality of Life Among Siblings of Children with Special Needs and Typically Developing Children in Japan: A Cross-Sectional Study.","authors":"Hisashi Nakaguchi, Junko Honda, Satoshi Takatani, Qiting Lin, Mari Kitao, Takafumi Soejima, Noriyuki Nishimura","doi":"10.1177/10598405251333293","DOIUrl":"10.1177/10598405251333293","url":null,"abstract":"<p><p>With the global rise in children with disabilities, their siblings may experience various impacts on their daily lives. This study investigates health-related quality of life (QOL) and related factors among siblings of students attending special-needs schools in Japan. A cross-sectional study was conducted with two groups: 71 siblings of children with disabilities and a control group of 398 siblings of typically developing children, using the KINDL<sup>R</sup> QOL scale. Results showed a median QOL score for siblings of children with disabilities of 72.92 versus 71.88 for siblings of typically developing children (<i>p </i>= 0.711). This lack of significant difference may be attributed to existing social support systems and special-needs schools in Japan, which may reduce the burden on siblings of children with disabilities. These findings highlight the importance of maintaining and improving support systems for siblings of children with disabilities while continuously monitoring their well-being at home and in their communities.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"441-451"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Stewarding Trust in School Nursing Research.","authors":"Mayumi A Willgerodt","doi":"10.1177/10598405261482153","DOIUrl":"10.1177/10598405261482153","url":null,"abstract":"","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"439-440"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148841405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jeff R Temple, Elizabeth Baumler, Christian Paige Owen, Leila Wood
{"title":"Drills or Distress? Understanding the Psychological Effects of Active Shooter Drills on Adolescents.","authors":"Jeff R Temple, Elizabeth Baumler, Christian Paige Owen, Leila Wood","doi":"10.1177/10598405251369548","DOIUrl":"10.1177/10598405251369548","url":null,"abstract":"<p><p><b>Background:</b> We sought to better understand the impact of exposure to active shooter drills (ASDs) on students' perceived stress, including those with disabilities and prior experiences with trauma. <b>Methods:</b> We used data from a longitudinal study of ethnically diverse students (n = 2,033; 53.5% female) originally recruited in 2018 and followed annually thereafter. In addition to self-reporting on their perceived stress with ASDs, participants responded to questions about adverse childhood experiences, anxiety, suicidal ideation, and disability. <b>Results:</b> Female students and those with a disability, probable anxiety, and suicidal ideation were more likely to be anxious after an ASD. <b>Conclusion:</b> While necessary given the increasing reality of school shootings in the United States, our results indicate that active shooter drills should be implemented with concern for vulnerable groups, including distressed students and those with a history of traumatic experiences or who have a disability.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"521-525"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12892879/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
April J Ancheta, Alora N Del Duca, Dominique G Ruggieri, Catherine C McDonald, Dalmacio Dennis Flores, Nadia L Dowshen
{"title":"Multilevel Factors Impacting U.S. School Nurses' Support of LGBTQ+ Youth: A Qualitative Analysis.","authors":"April J Ancheta, Alora N Del Duca, Dominique G Ruggieri, Catherine C McDonald, Dalmacio Dennis Flores, Nadia L Dowshen","doi":"10.1177/10598405251351297","DOIUrl":"10.1177/10598405251351297","url":null,"abstract":"<p><p>School nurses (SNs) can play important roles in supporting LGBTQ+ youth. Prior research has emphasized individual and interpersonal factors influencing SNs' interactions with LGBTQ+ youth, showing mixed results regarding cultural competency, knowledge, and youth satisfaction. However, higher-level factors (e.g., structural and political) shaping these interactions remain underexplored in the United States at a national level. To address this gap, we analyzed open-ended responses from a survey distributed by the National Association of School Nurses in May 2023, receiving responses from 672 nurses (49 states and one U.S. territory). Analysis revealed five key themes: (1) personal stake and the SN role; (2) perspectives on school and community climate; (3) policies as supportive versus challenging; (4) LGBTQ+ resources and education; and (5) barriers and facilitators to learning. Findings illustrate the interconnectedness of policy, leadership, school culture, and education, highlighting areas for targeted improvements to enhance SNs' capacity to effectively support LGBTQ+ youth health.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"466-478"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13583085/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
India D Rose, Chris Smith, Alyssa Contreras, Caroline Mah, Natasha Ruiz-Villar
{"title":"Outcomes of a Needs Assessment: Informing the Development of an Infection Prevention and Control Toolkit for Missouri Schools.","authors":"India D Rose, Chris Smith, Alyssa Contreras, Caroline Mah, Natasha Ruiz-Villar","doi":"10.1177/10598405251376419","DOIUrl":"10.1177/10598405251376419","url":null,"abstract":"<p><p>Effective infection prevention and control (IPC) in schools is vital for student and staff health, yet current resources often fall short, exhibiting a narrow focus, overemphasis on COVID-19, and fragmented implementation, excluding school nurses. This manuscript details a comprehensive needs assessment conducted with Missouri school staff and subject matter experts. Through existing data review, listening sessions, and interviews, the assessment identified critical gaps in IPC training, preferred delivery methods (e.g., self-paced online modules and multimodal formats), and distinct resource needs for various school audiences (e.g., administrators, teachers, students, parents, facilities, food services, transportation, and athletics). Findings highlight the necessity of tailored, accessible, and consistently messaged IPC resources, emphasizing the crucial, yet often underutilized, central role of school nurses. This needs assessment informed the development of a responsive IPC Toolkit for Missouri Schools, aiming to bridge existing gaps and enhance school-based IPC.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"512-520"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Deborah E Tyndall, Jessica C Reich, Mitzi C Pestaner, Brandy M Mechling, Debra A Terrell
{"title":"The School Nurse Role in Youth Suicide Prevention: Results of a National Survey.","authors":"Deborah E Tyndall, Jessica C Reich, Mitzi C Pestaner, Brandy M Mechling, Debra A Terrell","doi":"10.1177/10598405251351588","DOIUrl":"10.1177/10598405251351588","url":null,"abstract":"<p><p>While school nurses are well-positioned to mitigate suicide risk in students, few studies have reported on their role in prevention. Using an online Qualtrics survey, school nurses (<i>N</i> = 1,283) from across the United States were surveyed to examine their role, practices, and interventions regarding youth suicide prevention. Findings reveal that varied and exclusive practices exist within K-12 schools. The majority of school nurses are not included in district suicide risk protocols or interdisciplinary mental health team meetings, and they also report a lack of communication and collaboration between them and other in-school clinicians. Despite this exclusivity, many school nurses identify students at risk and connect them to mental health services. District leaders are encouraged to leverage the skillset of school nurses as members of the mental health team by advocating for school nurse inclusivity in both district- and school-level suicide prevention and intervention policies and practices.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"479-489"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"National Association of School Nurses (NASN) Position Statement: School Nurse Education and Competency Standards for Entry into the Specialty of School Nursing.","authors":"","doi":"10.1177/10598405261473650","DOIUrl":"10.1177/10598405261473650","url":null,"abstract":"","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"539-541"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}