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National Association of School Nurses (NASN) Position Statement: School Nurse Salary Compensation and Insurance Reimbursement. 全国学校护士协会（NASN）立场声明：学校护士工资补偿和保险报销。
IF 2.1 4区 医学
Journal of School Nursing Pub Date : 2026-10-01 Epub Date: 2026-07-30 DOI: 10.1177/10598405261473660
{"title":"National Association of School Nurses (NASN) Position Statement: School Nurse Salary Compensation and Insurance Reimbursement.","authors":"","doi":"10.1177/10598405261473660","DOIUrl":"10.1177/10598405261473660","url":null,"abstract":"","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"536-538"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622428","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}
引用次数: 0
School Nurses Dealing With Moral Distress During the COVID-19 Pandemic: What Can We Learn Going Forward? 应对COVID-19大流行期间道德困境的学校护士：我们能学到什么？
IF 2.1 4区 医学
Journal of School Nursing Pub Date : 2026-10-01 Epub Date: 2025-08-03 DOI: 10.1177/10598405251363264
Christina Baker, Kathleen Sneed, Scott B Harpin
{"title":"School Nurses Dealing With Moral Distress During the COVID-19 Pandemic: What Can We Learn Going Forward?","authors":"Christina Baker, Kathleen Sneed, Scott B Harpin","doi":"10.1177/10598405251363264","DOIUrl":"10.1177/10598405251363264","url":null,"abstract":"<p><p>School nurses experienced increased workloads and changes to practice during the COVID-19 pandemic, leading to emotional stressors. A national survey was distributed through the National Association of School Nurses from December 2021 to February 2022. Participants' (<i>n</i> = 1,479) levels of moral distress were measured and analyzed for possible associations with demographics and moral dilemmas. Results showed that higher moral distress was significantly associated with full-time equivalent workload and school nurse certification. All 12 moral dilemmas were significantly associated with higher moral distress, the largest percentages for not having enough time to provide chronic disease and preventative care, workloads, and pressure from the administration. Moral distress levels were higher when compared to pre-pandemic and earlier-pandemic levels. These results highlight the importance of clear guidelines for the scope of school nursing practice and to inform future policies supporting school nurses, especially during public health emergencies like pandemics.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"490-501"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776691","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}
引用次数: 0
Comparison of the Effects of Plastic-Free Diet, Plastic-Free Diet Education and Exposure Feedback on Urinary Bisphenol: A Levels in Adolescents. 无塑料饮食、无塑料饮食教育和接触反馈对青少年尿双酚A水平影响的比较
IF 2.1 4区 医学
Journal of School Nursing Pub Date : 2026-10-01 Epub Date: 2025-05-30 DOI: 10.1177/10598405251340397
Fatma Ulusoy, Sebahat Gözüm, Mesut Parlak
{"title":"Comparison of the Effects of Plastic-Free Diet, Plastic-Free Diet Education and Exposure Feedback on Urinary Bisphenol: A Levels in Adolescents.","authors":"Fatma Ulusoy, Sebahat Gözüm, Mesut Parlak","doi":"10.1177/10598405251340397","DOIUrl":"10.1177/10598405251340397","url":null,"abstract":"<p><p>This study compared the effects of a plastic-free diet program, a plastic-free diet education program, and BPA exposure feedback on Bisphenol A levels in adolescents with high use of packaged products. As a result of the questionnaires, adolescents with \"high\" usage of plastic-packaged products and \"low\" attitudes toward healthy eating were assigned to intervention groups simple random sampling method (<i>n</i> = 108) and urinary samples were collected. Post-tests were conducted after the plastic-free diet was applied to intervention 1, the plastic-free diet education program and BPA exposure feedback to both Intervention 1 and Intervention 2, and BPA exposure feedback to Intervention 3. All interventions were effective in reducing urinary BPA levels, decreasing the use of plastic-packaged products, and improving attitudes toward healthy eating. Implementation implications: (a) training for school nurses and stakeholders, (b) education for adolescents and families, (c) collaboration with stakeholders, and (d) enhancing guidance and counseling in school health services.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"452-465"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13583072/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192439","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}
引用次数: 0
Burnout Among US School Nurses: Association With Education, Experience, and Staffing Level. 美国学校护士的职业倦怠：与教育、经验和人员配备水平的关系
IF 2.1 4区 医学
Journal of School Nursing Pub Date : 2026-09-30 DOI: 10.1177/10598405261492715
Debora Goetz Goldberg, Ali Weinstein, Zill Shah, Ru Chen, Erin D Maughan
{"title":"Burnout Among US School Nurses: Association With Education, Experience, and Staffing Level.","authors":"Debora Goetz Goldberg, Ali Weinstein, Zill Shah, Ru Chen, Erin D Maughan","doi":"10.1177/10598405261492715","DOIUrl":"https://doi.org/10.1177/10598405261492715","url":null,"abstract":"<p><p>Burnout among school nurses has become a critical concern. Workplace conditions, such as adequate staffing and individual factors such as professional tenure and role, may shape how burnout is experienced and reported, yet their influence remains understudied in school settings. The goal of this study was to examine the association between burnout and key socio-demographic and workforce factors, including education, professional role, years of experience, and perceived staffing adequacy among 1,960 U.S. school nurses responding to a nationwide survey conducted in 2022. Descriptive statistics, cross-tabulations, and Chi-squared tests were used to explore relationships between variables. Burnout prevalence increased sharply, from 17% pre-pandemic to 70% in 2022. Higher burnout was significantly associated with years of experience, population served, and perceived adequacy of staffing. These findings highlight the urgent need for workforce interventions and staffing policy changes to reduce burnout and support retention of school health professionals.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"10598405261492715"},"PeriodicalIF":2.1,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082688","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}
引用次数: 0
Assessing School Nurses' Mental Health Competence Training Needs. 学校护士心理健康能力培训需求评估
IF 2.1 4区 医学
Journal of School Nursing Pub Date : 2026-09-28 DOI: 10.1177/10598405261490433
Sunny Chieh Cheng, Jasmine Kaneshiro, Amanda Hapenny, Elaine Walsh, Mayumi Willgerodt, Susan Ramos, Lucas McIntyre
{"title":"Assessing School Nurses' Mental Health Competence Training Needs.","authors":"Sunny Chieh Cheng, Jasmine Kaneshiro, Amanda Hapenny, Elaine Walsh, Mayumi Willgerodt, Susan Ramos, Lucas McIntyre","doi":"10.1177/10598405261490433","DOIUrl":"https://doi.org/10.1177/10598405261490433","url":null,"abstract":"<p><p>BackgroundSchool nurses play a critical role in addressing K-12 students' mental and behavioral health (MH) needs, yet many report limited preparation to manage these concerns. Existing MH training often excludes school nurses or focuses narrowly on literacy, leaving gaps in communication, referral processes, and evidence-based interventions. This study evaluated school nurses' experiences and preferences for ongoing professional development.MethodsA descriptive survey was conducted with 15 school nurses from diverse educational settings assessed priority training areas and preferred formats. Quantitative data were analyzed descriptively. Open-ended responses were analyzed to complement the quantitative findings.ResultsNurses prioritized training in internalizing behaviors, communication with students and caregivers, care coordination across healthcare, and community MH systems. Participants preferred ongoing, web-based learning that incorporated expert consultation and peer discussion.ConclusionsWeb-based training platforms offer a flexible, scalable approach to addressing MH training needs. Sustained online collaboration may enhance competence, reduce isolation, and improve coordination.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"10598405261490433"},"PeriodicalIF":2.1,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076466","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}
引用次数: 0
The Scope of School Nursing Practice Tool-Revised (SSNPT-R©): Aligning With the School Nursing Practice Framework™. 学校护理实践工具修订的范围（SSNPT-R©）：与学校护理实践框架™保持一致。
IF 2.1 4区 医学
Journal of School Nursing Pub Date : 2026-09-26 DOI: 10.1177/10598405261492331
Diane Davis, Krista A White, Erin D Maughan
{"title":"The Scope of School Nursing Practice Tool-Revised (SSNPT-R<sup>©</sup>): Aligning With the School Nursing Practice Framework™.","authors":"Diane Davis, Krista A White, Erin D Maughan","doi":"10.1177/10598405261492331","DOIUrl":"https://doi.org/10.1177/10598405261492331","url":null,"abstract":"<p><p>This study aimed to revisit the validated Scope of School Nursing Practice Tool (SSNPT<sup>©</sup>) and modify it as needed for relevance to the updated School Nursing Practice Framework, and to determine potential uses. A cross-sectional, descriptive design employing quantitative and qualitative methods was used to appraise the ongoing fidelity of the SSNPT<sup>©</sup> with the updated framework. Items on the SSNPT<sup>©</sup> achieved a scale content validity index of 99.6%. Modifications were made to the current version of the tool to address recommended language updates; no items were added or removed, thereby preserving the psychometric properties. Experts identified five potential uses for the tool: self-assessment, performance evaluation, professional development and goal setting, advocacy and stakeholder education, and program and quality improvement (benchmarking). The resulting SSNPT-R<sup>©</sup> is a validated tool that aligns with the updated framework and can be used to advance school nursing practice.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"10598405261492331"},"PeriodicalIF":2.1,"publicationDate":"2026-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065618","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}
引用次数: 0
Lost in Translation: A Qualitative Study Into U.S. School Nurses' Perspectives on Language Barriers and Student Health. 迷失在翻译中：美国学校护士对语言障碍和学生健康的看法的定性研究。
IF 2.1 4区 医学
Journal of School Nursing Pub Date : 2026-09-07 DOI: 10.1177/10598405261484953
Jeannine R Kaskoun, Ellen M McCabe, Sheryl Bennett, Laura Grunin, Allison Squires
{"title":"Lost in Translation: A Qualitative Study Into U.S. School Nurses' Perspectives on Language Barriers and Student Health.","authors":"Jeannine R Kaskoun, Ellen M McCabe, Sheryl Bennett, Laura Grunin, Allison Squires","doi":"10.1177/10598405261484953","DOIUrl":"https://doi.org/10.1177/10598405261484953","url":null,"abstract":"<p><p>Language barriers present challenges in the school health office, particularly for students and families with limited English proficiency (LEP). This study examines how these barriers affect school nurses' ability to deliver effective healthcare and their perceptions of how language may affect student health. This qualitative descriptive study includes semistructured interviews with 16 school nurses. The data were analyzed through qualitative content analysis. The analysis revealed one overarching theme, <i>Communication Inconsistencies Require Adapting in the Moment,</i> with three subthemes: <i>Accessing, Implementing, and Trusting Interpretation and Translation; Navigating Role Strain; and Missing or Delayed Care as a Result of Miscommunication</i>. When language barriers exist, school nurses must navigate added complexities to provide student care. Applying Leininger's Transcultural Nursing Theory to the <i>School Nursing Practice Framework<sup>TM</sup></i> aims to enhance culturally congruent school nursing practices, including advocating for policies and procedures that assist school nurses in meeting the needs of LEP students and families.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"10598405261484953"},"PeriodicalIF":2.1,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907868","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}
引用次数: 0
From Policy to Practice: Post-implementation Perspectives on Illinois School Stock Inhaler Programming. 从政策到实践：伊利诺伊州学校库存吸入器规划的实施后观点。
IF 2.1 4区 医学
Journal of School Nursing Pub Date : 2026-09-07 DOI: 10.1177/10598405261484156
Caroline Youssef, Paige Hardy, Rebecca Boston, Pam Camposeo, Molly A Martin, Gaby De La Rosa, Andrea A Pappalardo
{"title":"From Policy to Practice: Post-implementation Perspectives on Illinois School Stock Inhaler Programming.","authors":"Caroline Youssef, Paige Hardy, Rebecca Boston, Pam Camposeo, Molly A Martin, Gaby De La Rosa, Andrea A Pappalardo","doi":"10.1177/10598405261484156","DOIUrl":"10.1177/10598405261484156","url":null,"abstract":"<p><p>School-based stock inhaler programs de-escalate asthma symptoms, yet postprogram implementation experiences of end-users remain limited. The purpose of this study was to examine school nurse and administrator perspectives on benefits, barriers, and sustainability following an Illinois pilot stock inhaler program. Twenty participants from 14 Illinois pilot schools (urban, suburban, and rural) completed semistructured postimplementation interviews. Transcripts were analyzed using thematic analysis and compared with preimplementation interviews. Participants reported reduced emergency services activation, improved school attendance, enhanced asthma identification, and reduced staff stress. Operational challenges including documentation burden, storage logistics, and caregiver communication were described as modifiable. Compared with preimplementation, participants demonstrated greater clinical confidence and normalized stock inhaler use within routine practice. Eleven repeat interviewees emphasized expanded nonhealth staff training as a priority. Stock inhaler programs are feasible and address health equity concerns in schools. Programmatic infrastructure support, training, and clear communication protocols may enhance sustainability and scalability.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"10598405261484156"},"PeriodicalIF":2.1,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148901451","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}
引用次数: 0
School Nursing Practice Framework™: The Origin Story and the Data Behind It. 学校护理实践框架™：起源故事及其背后的数据。
IF 2.1 4区 医学
Journal of School Nursing Pub Date : 2026-09-07 DOI: 10.1177/10598405261484956
Andrea L Tanner, Alexandria Albers, Kimberly Stanislo, Deborah D'Souza-Vazirani, Terri Hinkley
{"title":"<i>School Nursing Practice Framework</i>™: The Origin Story and the Data Behind It.","authors":"Andrea L Tanner, Alexandria Albers, Kimberly Stanislo, Deborah D'Souza-Vazirani, Terri Hinkley","doi":"10.1177/10598405261484956","DOIUrl":"https://doi.org/10.1177/10598405261484956","url":null,"abstract":"<p><p>In response to evolving school nurse roles, the National Association of School Nurses (NASN) evaluated and updated its <i>Framework for 21st Century School Nursing Practice</i>™ using a three-phase process that included surveys, qualitative feedback, and interest-holder engagement. Among 878 survey respondents, most (80%) were familiar with the <i>Framework</i> and found it useful for guiding practice. Strong evidence of associations was observed between <i>Framework</i> familiarity and school nurse demographics, including licensure (χ<sup>2</sup>(3) = 21.51, p< 0.001), years of experience (χ<sup>2</sup>(4) = 58.03, p<0.001), and certification (χ<sup>2</sup>(1) = 35.22, p<0.001). Qualitative responses (n = 469) identified areas perceived as underemphasized (e.g., mental health) and sources of misconceptions or confusion. Iterative revisions informed by focus group input addressed these findings, resulting in an updated <i>School Nursing Practice Framework</i>™, which clarifies conceptual relationships and better reflects contemporary practice. This structured, participatory process provides a model for updating professional practice frameworks and highlights the importance of aligning conceptual tools with real-world practice.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"10598405261484956"},"PeriodicalIF":2.1,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907856","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}
引用次数: 0
When Every Alarm Matters: How Remote Diabetes Monitoring Is Transforming the Role of School Nurses Caring for Students With Type 1 Diabetes. 当每一个警报都很重要：远程糖尿病监测如何改变学校护士照顾1型糖尿病学生的角色。
IF 2.1 4区 医学
Journal of School Nursing Pub Date : 2026-09-03 DOI: 10.1177/10598405261483764
Debby Syahru Romadlon, Diana Barsasella, Rudy Kurniawan, Renny Wulan Apriliyasari, Safiruddin Al Baqi, Andi Safutra Suraya, Muh Gunawan
{"title":"When Every Alarm Matters: How Remote Diabetes Monitoring Is Transforming the Role of School Nurses Caring for Students With Type 1 Diabetes.","authors":"Debby Syahru Romadlon, Diana Barsasella, Rudy Kurniawan, Renny Wulan Apriliyasari, Safiruddin Al Baqi, Andi Safutra Suraya, Muh Gunawan","doi":"10.1177/10598405261483764","DOIUrl":"https://doi.org/10.1177/10598405261483764","url":null,"abstract":"<p><p>Remote diabetes monitoring has transformed Type 1 Diabetes (T1D) management in schools, yet its impact on school nursing practice remains poorly understood. This study explored how remote diabetes monitoring is reshaping the role of school nurses caring for students with T1D in Indonesia. Using an Interpretive Description approach, semistructured interviews were conducted with 20 school nurses from 15 schools between November 2025 and February 2026. Data were analyzed inductively. Five themes emerged: living in a state of constant digital vigilance, negotiating responsibility in real-time care, managing parental expectations in an era of shared data, redefining professional boundaries and clinical decision-making, and transforming the school nurse role in the digital era. Findings indicate that remote diabetes monitoring extends school nursing beyond episodic care, fostering more proactive, data-driven, and continuously connected roles. Training, policy development, and clearer role expectations are needed as digital health technologies become increasingly integrated into school-based diabetes care.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"10598405261483764"},"PeriodicalIF":2.1,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148889072","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}
引用次数: 0
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