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School Nurses' Experiences of the School-Based HPV Vaccination Program - A Decade Later. 学校护士的经验，以学校为基础的HPV疫苗接种计划-十年后。
IF 1.5 4区 医学
Journal of School Nursing Pub Date : 2025-09-08 DOI: 10.1177/10598405251374726
Ida Enskär, Tryggve Nevéus, Karin Enskär, Carolina Källqvist, Maria Grandahl
{"title":"School Nurses' Experiences of the School-Based HPV Vaccination Program - A Decade Later.","authors":"Ida Enskär, Tryggve Nevéus, Karin Enskär, Carolina Källqvist, Maria Grandahl","doi":"10.1177/10598405251374726","DOIUrl":"https://doi.org/10.1177/10598405251374726","url":null,"abstract":"<p><p>This study investigated Swedish school nurses' experiences, self-perceived knowledge, and attitudes towards HPV vaccination. A cross-sectional repeated questionnaire study was conducted. The results were compared to a previous study conducted in 2016. Additionally, open-ended responses were thematically analysed. A total of 344 nurses participated. Overall, more participants reported good self-perceived knowledge and favourable attitudes towards HPV vaccination compared to 2016. Still, nearly half expressed a need for further education. The thematic analysis revealed barriers including lack of training, inconsistent guidelines for addressing vaccine hesitancy and ensuring children's participation in decision-making, limited access to diverse information materials, and time constraints related to vaccination tasks. Since school nurses in Sweden are responsible for all aspects of school-aged vaccinations within the national immunization program, it is essential that they receive support to feel motivated and confident in addressing vaccine hesitancy. Continued education and the implementation of uniform guidelines are therefore necessary.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"10598405251374726"},"PeriodicalIF":1.5,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016522","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
Prioritization Among School Nurses: An Integrative Review of the Literature. 学校护士的优先次序：文献的综合回顾。
IF 1.5 4区 医学
Journal of School Nursing Pub Date : 2025-09-03 DOI: 10.1177/10598405251371765
Melissa I Calvillo, Susana J Calderon, Maureen Rabbitte, Cherrill Stockmann, Sheryl Henry
{"title":"Prioritization Among School Nurses: An Integrative Review of the Literature.","authors":"Melissa I Calvillo, Susana J Calderon, Maureen Rabbitte, Cherrill Stockmann, Sheryl Henry","doi":"10.1177/10598405251371765","DOIUrl":"10.1177/10598405251371765","url":null,"abstract":"<p><p>With a median caseload of 750-1,000 clients, school nurses face setting-specific challenges involving multiple, competing demands. This necessitates effective prioritization to prevent missed opportunities to provide appropriate care. This integrative review synthesizes the current state of the literature related to prioritization among school nurses in the United States. Three themes were identified relating to prioritization among school nursing: knowledge, attitudes and values; self-efficacy and intention to act; and the nursing process. The prioritization behavior of school nurses can be facilitated by organizational and community collaboration and strong evidence-based practice recommendations. High workloads and inadequate resources among school nurses are the most consistently cited barriers to effective prioritization. Additional research on how to improve effective prioritization among school nurses for the improvement of population health outcomes is needed.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"10598405251371765"},"PeriodicalIF":1.5,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976572","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
Effectiveness of a School-Based Health Education Using Social Networking Media to Promote Health Behaviors in Elementary School Students: A Quasi-Experimental Study. 校本健康教育运用社交媒体促进小学生健康行为的有效性：一项准实验研究
IF 1.5 4区 医学
Journal of School Nursing Pub Date : 2025-09-01 DOI: 10.1177/10598405251371811
Miyeon Eom, Jina Choo
{"title":"Effectiveness of a School-Based Health Education Using Social Networking Media to Promote Health Behaviors in Elementary School Students: A Quasi-Experimental Study.","authors":"Miyeon Eom, Jina Choo","doi":"10.1177/10598405251371811","DOIUrl":"https://doi.org/10.1177/10598405251371811","url":null,"abstract":"<p><p>This study examined the effectiveness of an 8-week \"Health Education using Social Networking Service (HE-SNS)\" intervention, led by school health teachers, on perceived social support and health behaviors among elementary school students in South Korea. Using a quasi-experimental design with class-level random assignment, 90 students from six classes were assigned to the HE-SNS group, health education (HE) group, or control group. The HE-SNS intervention, led by a school nurse, integrated classroom health education with social networking activities involving students, teachers, and parents. Linear mixed model analysis revealed significant group-by-time interaction effects on social support (<i>F</i> = 20.13, <i>p</i> < .001) and health behavior scores (<i>F</i> = 24.69, <i>p</i> < .001). Post hoc Bonferroni tests showed that the HE-SNS group demonstrated greater improvements than the HE and control groups. These findings suggest that school nurse-facilitated SNS-based health education interventions may enhance social support and health behaviors among elementary school students.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"10598405251371811"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976592","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 Nurse Perceptions of Their Role, Burnout, and Mentorship Programs: A Qualitative Analysis. 学校护士对其角色、职业倦怠和指导计划的看法：一项定性分析。
IF 1.5 4区 医学
Journal of School Nursing Pub Date : 2025-08-26 DOI: 10.1177/10598405251371766
Meghan L Shah-Hartman, Katie E Greenawalt, Erika VanDyke, Alicia M Hoke, Deepa L Sekhar
{"title":"School Nurse Perceptions of Their Role, Burnout, and Mentorship Programs: A Qualitative Analysis.","authors":"Meghan L Shah-Hartman, Katie E Greenawalt, Erika VanDyke, Alicia M Hoke, Deepa L Sekhar","doi":"10.1177/10598405251371766","DOIUrl":"https://doi.org/10.1177/10598405251371766","url":null,"abstract":"<p><p>The COVID-19 pandemic exacerbated demanding workloads and poor working conditions for school nurses, both of which are strong predictors of burnout. This study explores Pennsylvania school nurses' perspectives on burnout and the value of peer mentorship programs in mitigating burnout. Fourteen (N = 14) school nurses who served as mentors or mentees in a one-year (2023-2024) mentorship program participated in one of two focus groups. Content analysis was performed by two coders using MAXQDA software (Cohen's kappa coefficient = 0.75). Results demonstrate that school nurses feel misunderstood in their role; they additionally experience frequent worry, low availability of substitutes, high student caseloads, stress over managing multiple buildings, and challenges navigating administrative and parental relationships; these factors were identified as sources of burnout. Nurses view peer mentorship positively, valuing the opportunity to share ideas and experiences and benefiting from a supportive organizational culture. Qualitative data supports that peer mentorship may reduce school nurse burnout.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"10598405251371766"},"PeriodicalIF":1.5,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976788","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
Barriers and Opportunities for Diabetes Medical Management Plan (DMMP) Implementation in Schools: A National Survey of School Nurses and Diabetes Providers. 糖尿病医疗管理计划（DMMP）在学校实施的障碍和机会：一项对学校护士和糖尿病提供者的全国调查。
IF 1.5 4区 医学
Journal of School Nursing Pub Date : 2025-08-14 DOI: 10.1177/10598405251367019
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":"10598405251367019"},"PeriodicalIF":1.5,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","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 1.5 4区 医学
Journal of School Nursing Pub 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":"https://doi.org/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":"10598405251363264"},"PeriodicalIF":1.5,"publicationDate":"2025-08-03","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
Evaluation of a Nature Prescription Program in Schools to Increase Nature-Based Physical Activity and Time Spent Outdoors: Implementation of the Kids in Parks TRACK Rx Program by the School Nurse. 评估学校的自然处方计划以增加基于自然的身体活动和户外活动时间：由学校护士实施的公园儿童TRACK Rx计划。
IF 1.5 4区 医学
Journal of School Nursing Pub Date : 2025-08-01 Epub Date: 2023-08-16 DOI: 10.1177/10598405231195566
Richard W Christiana, Jason Urroz, Heather W Venrick
{"title":"Evaluation of a Nature Prescription Program in Schools to Increase Nature-Based Physical Activity and Time Spent Outdoors: Implementation of the Kids in Parks TRACK Rx Program by the School Nurse.","authors":"Richard W Christiana, Jason Urroz, Heather W Venrick","doi":"10.1177/10598405231195566","DOIUrl":"10.1177/10598405231195566","url":null,"abstract":"<p><p>This study assessed the effectiveness of the TRACK Rx program. Track Rx is a program for healthcare professionals to counsel and prescribe outdoor physical activity (PA) to children. The program was implemented by a school nurse to increase children's time spent outdoors, increase a child's nature-based PA, and increase parents' intention for their child to spend time outdoors. Parents/guardians of children in 1<sup>st</sup>-3<sup>rd</sup> grade (intervention = 51; control = 27) completed a baseline and 3-month follow-up survey. Children's nature-based PA significantly increased on the weekend in the intervention group compared to the control group. There was no significant change in the other study variables. Parental trust in the school nurse was similar to parent trust in their child's primary health care provider. School nurses can implement TRACK Rx and other nature and nature-based PA prescription programs throughout the school (classroom, physical education, recess, and after-school programming).</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"470-477"},"PeriodicalIF":1.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10016729","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
Transitions. 转换。
IF 1.5 4区 医学
Journal of School Nursing Pub Date : 2025-08-01 Epub Date: 2025-07-11 DOI: 10.1177/10598405251342642
Mayumi A Willgerodt
{"title":"Transitions.","authors":"Mayumi A Willgerodt","doi":"10.1177/10598405251342642","DOIUrl":"https://doi.org/10.1177/10598405251342642","url":null,"abstract":"","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":"41 4","pages":"415"},"PeriodicalIF":1.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144612433","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-Based Hemorrhage Control Training. 校本出血控制培训。
IF 1.5 4区 医学
Journal of School Nursing Pub Date : 2025-08-01 Epub Date: 2023-07-10 DOI: 10.1177/10598405231187098
Christina A Penn
{"title":"School-Based Hemorrhage Control Training.","authors":"Christina A Penn","doi":"10.1177/10598405231187098","DOIUrl":"10.1177/10598405231187098","url":null,"abstract":"<p><p>The number one cause of preventable death in trauma is uncontrolled bleeding. Considering the burden of injury and fatality from motor vehicle collisions, accidental injury, and now increasing school shooting incidents, more should be done to prepare and protect students from this preventable cause of death. A school-based hemorrhage control training program is one approach to improve survivability, school preparedness, injury prevention strategies, and to increase access to this life-saving training. As advocates and health educators, school nurses can play an important role in developing strategies to coordinate and implement hemorrhage control training curricula giving our youth the greatest chance for survival. To maximize the impact of school-based hemorrhage control training this project aims to understand student and faculty perceptions to help direct and inform future implementation and dissemination of hemorrhage control training.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"431-436"},"PeriodicalIF":1.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10141026","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
A Mixed Methods Exploration of Texas School Nurses' Involvement in Addressing Substance Use and Sexual/Reproductive Health Among Students in Alternative High Schools. 德克萨斯州学校护士参与解决替代高中学生物质使用和性/生殖健康问题的混合方法探索。
IF 1.5 4区 医学
Journal of School Nursing Pub Date : 2025-08-01 Epub Date: 2023-08-30 DOI: 10.1177/10598405231195655
Karen E Johnson, Whitney A Thurman, Ashwini R Hoskote, Erin D Maughan
{"title":"A Mixed Methods Exploration of Texas School Nurses' Involvement in Addressing Substance Use and Sexual/Reproductive Health Among Students in Alternative High Schools.","authors":"Karen E Johnson, Whitney A Thurman, Ashwini R Hoskote, Erin D Maughan","doi":"10.1177/10598405231195655","DOIUrl":"10.1177/10598405231195655","url":null,"abstract":"<p><p>Students in alternative high schools (AHSs) have higher levels of substance use and risky sexual behaviors than students in traditional high schools. In this mixed methods study, we examine school nurses' efforts in Texas AHSs to address substance use and sexual/reproductive health. The nurses addressed substance use and sexual reproductive health mostly at the individual level, after students initiated risky behaviors. Nurses' efforts were influenced by district, school, and community factors (e.g., understaffing, outdated programs that weren't evidence-based or tailored to AHS students' behaviors, and family involvement). Usually, nurses were not practicing to their full scope as outlined by the National Association of School Nurses Framework. Substance use was a common reason for AHS placement and could contribute to the school-to-prison pipeline, and AHSs did not always have Narcan on campus to address drug overdoses. Our findings suggest implications for providing equitable health services to this underserved, understudied student population.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"478-495"},"PeriodicalIF":1.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10486378","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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