A A Lowe, N Mottern, O DiGioia, D Dobbins, K Ivich, R Jovich, S Lindstrom Johnson, K Park, J Peters, M Peterson, P Ravi, N Rocha, N Staab, R Sunenshine, E Waldron, J Ward, L B Gerald
{"title":"Breathing Easy in Maricopa County, Arizona: Empowering K-12 Schools With a Novel Nurse Coaching Model to Facilitate Implementation of a County-Wide School-Based Stock Albuterol Inhaler Program.","authors":"A A Lowe, N Mottern, O DiGioia, D Dobbins, K Ivich, R Jovich, S Lindstrom Johnson, K Park, J Peters, M Peterson, P Ravi, N Rocha, N Staab, R Sunenshine, E Waldron, J Ward, L B Gerald","doi":"10.1177/10598405241312129","DOIUrl":"https://doi.org/10.1177/10598405241312129","url":null,"abstract":"<p><p>To reduce chronic school absenteeism and morbidity and mortality among school-aged children, the prompt administration of albuterol sulfate in schools remains vital. School-based stock inhaler programs are a practical approach to ensure equitable access to life-saving rescue medication for students. School and community partnerships can potentially strengthen program implementation and fidelity by integrating evidence-based practices into routine care. We report the findings of a novel practice facilitation model developed by the Maricopa County Department of Public Health to facilitate the implementation of the <i>Stock Inhaler for Schools Program</i> in K-12 Schools. Three-hundred twenty-four schools participated in the program, with 153 schools reporting a stock inhaler event for a total of 1,310 events across four school years. Most events (78%) were compliant with the protocol for administering the stock inhaler to a student. These findings suggest that implementing a practice facilitation model is feasible and important for enhancing fidelity to program requirements.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"10598405241312129"},"PeriodicalIF":1.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030252","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":"Bridging Gaps: Creating a Digital Toolkit to Support Pregnant and Parenting Youth.","authors":"Tristan Banks, Mallory Bejster, Kathryn Ramirez-Mercado, Justine Britten, Thalia Chicojay, Esther Bier, Tarrah DeClemente, Heide Cygan","doi":"10.1177/10598405241311436","DOIUrl":"https://doi.org/10.1177/10598405241311436","url":null,"abstract":"<p><p>Despite declines in teen pregnancy, pregnant teens remain at risk for poor health and educational outcomes due to a lack of care coordination and access to resources. The purpose of this project was to develop and launch a care coordination toolkit to provide resources to pregnant and parenting youth (PPY) at a large urban school district. School personnel were trained on the use of the toolkit and completed pre- and posttraining surveys to evaluate changes in knowledge and confidence. Youth were given immediate access to resources via posters with a trackable, yet anonymous, Quick Response (QR) code piloted in 10 schools. Thirty-three staff participated. Knowledge increased by 66.1% posttraining. Confidence improved by 46.9%. In one month, the trackable QR code was scanned 37 times. This evidence-based practice project is in alignment with NASN's School Nursing Practice Framework and harnesses the expertise of nurses to protect the health of PPY.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"10598405241311436"},"PeriodicalIF":1.5,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015022","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}
Krista Edenfield, Danita Hingston, Paige Hardy, Ana Ongtengco, Emily Wilt, Aastha Saggar, Molly A Martin, Andrea A Pappalardo
{"title":"Breathing Easy: A Qualitative Analysis of School Nurse and Administrator Perspectives on Stock Inhalers and School-Based Asthma Management.","authors":"Krista Edenfield, Danita Hingston, Paige Hardy, Ana Ongtengco, Emily Wilt, Aastha Saggar, Molly A Martin, Andrea A Pappalardo","doi":"10.1177/10598405241311137","DOIUrl":"https://doi.org/10.1177/10598405241311137","url":null,"abstract":"<p><p>Stock inhalers are unassigned rescue inhalers available for students who experience asthma symptoms at school. This study sought to understand school nurse and administrator perspectives on school-based asthma management and stock inhaler policy implementation. Twenty-three semistructured interviews were conducted with professionals from five high asthma burdened counties in varied geographic settings. Thematic analysis revealed three themes. \"School-Based Asthma Management\" revealed concerns about management methods of asthma and respiratory emergencies, and incident tracking. \"Access to a Supportive Asthma School Environment\" emphasized growth opportunities for family education, staff training, and resource access. \"Stock Inhaler Programming\" described how stock inhalers ensure consistent asthma medication access with easy integration into existing emergency protocols. With proper adoption and dissemination, stock inhaler programming has the capacity to enhance school-based asthma management and emergency responsiveness in schools across the country. This study highlights how health policy implementation and its integration into practice can transform school health.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"10598405241311137"},"PeriodicalIF":1.5,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015018","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}
Ellen McCabe, Laura Grunin, Gary Yu, Shiela M Strauss
{"title":"The Relationship Between School Connectedness and Bullying in U.S. High School Students.","authors":"Ellen McCabe, Laura Grunin, Gary Yu, Shiela M Strauss","doi":"10.1177/10598405241311141","DOIUrl":"https://doi.org/10.1177/10598405241311141","url":null,"abstract":"<p><p>The relationship between school connectedness and bullying among a cohort of American high school students in the COVID and post-COVID eras has yet to be studied. Data from the 2021 Youth Risk Behavior Survey were analyzed to gain insight into this association. Weighted percentages were calculated, and multivariable logistic regression was conducted. More female, 9th and 10th grade and White participants reported being bullied at school (55.5%, 57.4%, 60.5%, respectively) and electronically (63.2%, 54.4%, 60.2%, respectively) compared to their counterparts. The regression model indicated that sex, grade, race/ethnicity, and school closeness were significantly associated with being bullied. Taking sex, grade, and race/ethnicity into account, the more strongly high schoolers agreed with feelings of school closeness, the less likely they were to report being bullied, both at school and electronically. Findings can be used to inform programs to improve school connectedness and address bullying, aiming to enhance the wellbeing of adolescents.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"10598405241311141"},"PeriodicalIF":1.5,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015071","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}
Jaime Barrio Cortes, Beatriz Benito-Sánchez, Anaís Núñez Mata, Cristina Lozano-Hernández, María Díaz-Quesada, Ángel Vicario-Merino, Jesús Ruiz Janeiro, Cayetana Ruiz-Zaldibar
{"title":"Prevalence of Chronic Diseases, Allergies and Food Intolerance in Schoolchildren in a Network of Educational Centers with School Nurses in Spain.","authors":"Jaime Barrio Cortes, Beatriz Benito-Sánchez, Anaís Núñez Mata, Cristina Lozano-Hernández, María Díaz-Quesada, Ángel Vicario-Merino, Jesús Ruiz Janeiro, Cayetana Ruiz-Zaldibar","doi":"10.1177/10598405241305278","DOIUrl":"https://doi.org/10.1177/10598405241305278","url":null,"abstract":"<p><p>The prevalence of chronic diseases, including allergies, is increasing in schoolchildren, making school nurses essential in managing students' health. This study aimed to determine the prevalence of chronic conditions in schoolchildren within a network of Spanish educational centers with school nurses. A descriptive cross-sectional study was conducted in May 2023, covering 25,951 students from these centers. Schoolchildren and educational center data were collected from the school health records to document health information and nursing activities. Mean age of students was 10.11 years (50.20% female). A total of 9.45% had chronic disorders, including disorders of the respiratory (4.14%), neurological (2.94%), digestive (2.28%), musculoskeletal (1.25%), and cardiovascular (1.14%) systems. A total of 12.5% had allergies (6.10% food allergies), and 2.81% had food intolerances. Identifying and recording these diseases are key responsibilities of the school nurse, supporting improved care quality and informing policies to ensure school nurse availability and enhanced health management protocols for students.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"10598405241305278"},"PeriodicalIF":1.5,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015032","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}
Alicia M Hoke, Katie Greenawalt, Erika VanDyke, Angela Zearfaus, Deepa L Sekhar
{"title":"Evaluation of the Inaugural Pennsylvania School Nurse Mentorship Program.","authors":"Alicia M Hoke, Katie Greenawalt, Erika VanDyke, Angela Zearfaus, Deepa L Sekhar","doi":"10.1177/10598405241301995","DOIUrl":"https://doi.org/10.1177/10598405241301995","url":null,"abstract":"<p><p>The role of a school nurse has evolved due, in part, to complex health conditions and the COVID-19 pandemic. In turn, nurse burnout and early retirement are contributing to school nurse shortages across the United States. Interprofessional support, training, and mentorship are needed to support school nurses new to the field. Thirty early-career Pennsylvania school nurses (15 mentors, 15 mentees) participated in a one-year mentorship and professional development program that included one-to-one mentorship and a five-part professional learning seminar series. Mentored pairs created mentorship action plans guided by the 21st Century School Nursing Practice<sup>TM</sup> Framework. Participants completed mentored meetings with high fidelity (93% completion). Mentees and mentors reported high levels of satisfaction with their experience. Mentees' confidence in performing action plan items improved after participating in the program. This study suggests mentorship among school nurses is a valuable strategy to increase confidence in practice and develop professional relationships.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"10598405241301995"},"PeriodicalIF":1.5,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883190","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}
Melissa Goulding, Claire Branley, Mary Jane O'Brien, Laura L Hayman, Stephenie C Lemon
{"title":"School Nurse Practices Related to Blood Pressure Screening, and Identification and Monitoring of High Blood Pressures in Youth.","authors":"Melissa Goulding, Claire Branley, Mary Jane O'Brien, Laura L Hayman, Stephenie C Lemon","doi":"10.1177/10598405241300466","DOIUrl":"https://doi.org/10.1177/10598405241300466","url":null,"abstract":"<p><p>Despite rising prevalence of high blood pressure among youth, literature on school nurses' practices related to youth blood pressure is limited. We aimed to describe school nurses' current practices related to blood pressure screening and identification and monitoring of high blood pressures. We conducted a web-based national survey of currently practicing school nurses and received 195 responses across 37 states. All participants reported having a blood pressure cuff, nearly all (98%) reported confidence measuring children's blood pressure, and 82% reported interest in doing more to support children's cardiovascular health. Blood pressure measurement by school nurses was common (73% reported \"sometimes\" or \"often\" and 25% reported \"seldomly\"). However, only 32% stated hypertension impacts their students and only 19% endorsed having enough time to complete all their necessary tasks. In describing school nurse's current practices related to youth blood pressure, we highlight opportunities for expanding this role and considerations for doing so.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"10598405241300466"},"PeriodicalIF":1.5,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142840021","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}
Leila Habib, Rachel Sadlon, Tiffany Wise, Kafui Doe, Lori Garibay, Olga Acosta Price
{"title":"School Nurses' Perspectives on the Implementation of a Behavioral Health Referral Process.","authors":"Leila Habib, Rachel Sadlon, Tiffany Wise, Kafui Doe, Lori Garibay, Olga Acosta Price","doi":"10.1177/10598405241298469","DOIUrl":"https://doi.org/10.1177/10598405241298469","url":null,"abstract":"<p><p>Increasing youth behavioral health needs in the United States have underscored the essential role school nurses can play in mitigating them. In response, the District of Columbia Department of Health developed the Behavioral Health Referral Process (BHRP) as a standardized guide, integrating school nurses into multidisciplinary teams and improving students' access to behavioral health services. To assess the BHRP's strengths and opportunities while understanding factors that could impact its implementation, key informant interviews were conducted using the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework with seven school nurses and school nurse managers working in DC schools. Participants anticipated challenges related to the BHRP, from managing competing priorities to overcoming stigmas. Still, nurses reported the BHRP will enable a more coordinated referral process that promotes student linkage to care. The findings can inform efforts to assess and optimize school behavioral health referral processes as part of larger, comprehensive care systems.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"10598405241298469"},"PeriodicalIF":1.5,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830502","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":"Returning to School After a Life-Altering Disruption: A Qualitative Study of Childhood Hematologic Malignancies Survivors and Parents.","authors":"Hsiu-Mei Huang, Ting-Chi Yeh","doi":"10.1177/10598405241298278","DOIUrl":"https://doi.org/10.1177/10598405241298278","url":null,"abstract":"<p><p>After completing treatment, hematologic malignancy survivors face a critical phase of reintegrating into society. This study explored how survivors and their parents gradually returned to daily life, using grounded theory and in-depth interviews with 13 survivors and 16 parents. Data were analyzed revealed that hematologic malignancy survivors and their parents needed time to gradually return to daily life after a life-altering disruption after completing treatment. This process includes three categories: (1) adjusting to achievable learning goals, (2) incrementally expanding social relationships, and (3) strengthening daily life skills. As they return to daily life, both hematologic malignancy survivors and their parents need to adjust their mindset and pace to gradually adapt to the challenges they encounter. In the future, school nurses and oncology nurses can collaborate to design appropriate return-to-school plans to assist these children in their adaptation.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"10598405241298278"},"PeriodicalIF":1.5,"publicationDate":"2024-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142795967","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}
Erin Broas, Ashley A Lowe, Kimberly Ivich, Melissa Garcia, Jackie Ward, James Hollister, Lynn B Gerald
{"title":"The Implementation and Evaluation of a Stock Epinephrine for Schools Program in Maricopa County, Arizona.","authors":"Erin Broas, Ashley A Lowe, Kimberly Ivich, Melissa Garcia, Jackie Ward, James Hollister, Lynn B Gerald","doi":"10.1177/10598405231172957","DOIUrl":"10.1177/10598405231172957","url":null,"abstract":"<p><p>The increasing rate of food allergies in children, combined with the role of food as an integral part of the school day has led to the emergence of anaphylaxis as a daily threat to students, regardless of prior allergy diagnosis. Stock epinephrine-non-patient specific epinephrine auto-injectors that may be used during emergencies-is a means for schools to prepare for anaphylactic events and protect children with allergies. The Maricopa County Department of Public Health initiated the School Surveillance and Medication Program (SSMP), a data capture program, to facilitate the process of stocking epinephrine in schools. Spearheaded by the implementation efforts of the Kyah Rayne Foundation, program enrollment increased 146% between the 2020-2021 and 2021-2022 school years. The increased proportion of schools enrolled in the SSMP and the number of school personnel trained to administer epinephrine demonstrates the feasibility of school-centered stock epinephrine programs and validates strategies for increasing program uptake.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"641-652"},"PeriodicalIF":1.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9487767","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}