{"title":"Advancing School Nursing Science Through Larger, More Rigorous Research Designs and Meaningful Applicability to School Nursing Practice.","authors":"Mayumi A Willgerodt","doi":"10.1177/10598405261426813","DOIUrl":"10.1177/10598405261426813","url":null,"abstract":"","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"111-112"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147312116","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}
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":"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":"172-180"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12972087/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Removing Student Access Barriers: An Intervention to Reduce Medical Exclusion for Students Without Physical Examinations.","authors":"Dominic A Antonacci, Catherine F Yonkaitis","doi":"10.1177/10598405251333426","DOIUrl":"10.1177/10598405251333426","url":null,"abstract":"<p><p>High school freshman students without documentation of physical examinations and/or vaccination are excluded from school by state-mandated health requirements. With social determinants impacting student medical compliance, school nurses lack evidence-based interventions to reduce medical exclusion. This quality improvement project aims to reduce medical exclusion at the project site by 25% from the previous year by focusing on meeting the freshman physical examination requirement. A three-pronged PDSA cycle evaluates each program intervention [resource guides, phone calls, temporary health clinic] in reducing medical exclusion. After the distribution of two resource guides, 93 personalized phone calls were made to families with missing health documentation. On the first day of school, 28 freshmen remained out of medical compliance. The temporary on-site health clinic provided physical examinations to 13 of the 28 students. Through a systematic approach operationalizing community partnerships, school nurses can reduce barriers to achieving medical compliance and support student agencies in accessing healthcare.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"187-197"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062959","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":"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":"140-150"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","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}
{"title":"Young Carers and Unmet Support from School Health Nurses - A Population-Based Study in Finland.","authors":"Ella Eronen-Levonen, Riitta Suhonen, Hanne Kivimäki, Miko Pasanen, Agnes Leu, Katja Joronen","doi":"10.1177/10598405261436408","DOIUrl":"https://doi.org/10.1177/10598405261436408","url":null,"abstract":"<p><p>Children and adolescents in families experiencing illness or other health challenges often assume caregiving responsibilities. School health care professionals are well-positioned to identify and support these young carers, who are at risk of poorer well-being. The primary aim of this study is to examine the association between a caring relationship and receiving support from a school health nurse (SHN) among 16- to 18-year-olds in the general population. The second aim is to explore whether a caring relation, together with sociodemographic factors, explains unmet support needs from SHN. The original data source for this cross-sectional study is the School Health Promotion (SHP) study conducted in Finland in 2019. The target group for our study consisted of 1st- and 2nd-year students from vocational institutions and general upper secondary schools. The data contains 62,273 students, of whom almost 14% reported having a caring relationship on some scale.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"10598405261436408"},"PeriodicalIF":1.5,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147582594","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}
Jenny M Gormley, Kathleen Hassey, Jack Johnson, Darria Goodwin, Kristy Rogers, Julie Steele, Maria Van Pelt, Lichuan Ye
{"title":"Evaluating Outcomes of a School Nurse Leadership Program.","authors":"Jenny M Gormley, Kathleen Hassey, Jack Johnson, Darria Goodwin, Kristy Rogers, Julie Steele, Maria Van Pelt, Lichuan Ye","doi":"10.1177/10598405261427764","DOIUrl":"https://doi.org/10.1177/10598405261427764","url":null,"abstract":"<p><p>School nurses lead efforts to assess and respond to individual and community health needs by implementing and evaluating policies, procedures, and actions that impact student health, safety and achievement. Despite the importance of developing school nurse leadership, few reports are available to evaluate evidence-based programs designed to increase school nurse leadership practice. This report describes the development and evaluation of a school nurse leadership program implemented from 2016 to 2024 in the United States. Sixty-three school nurses and administrators who participated in the program evaluation demonstrated increased leadership knowledge, confidence, skills, and behaviors with evidence of positive impacts on school communities-outcomes that align with the Kirkpatrick Model for evaluating training programs. As the leadership program aligned with national standards and frameworks and was delivered in both virtual and in person formats, a future goal is to implement the program at the local, state, and national levels with adequate resources provided.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"10598405261427764"},"PeriodicalIF":1.5,"publicationDate":"2026-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147505081","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":"Operationalizing the WHO Six Building Blocks Framework for a School-Based Digital Mental Health Platform: A Pilot Implementation Study in Thailand.","authors":"Pimpisa Chomsri, Surinporn Likhitsathian, Mullika Matrakul, Wuthichai Chairinkam, Soontaree Suratana","doi":"10.1177/10598405261426313","DOIUrl":"https://doi.org/10.1177/10598405261426313","url":null,"abstract":"<p><p>Adolescent depression is a growing concern in Thailand, yet school-based services remain fragmented. This study developed and evaluated \"TeenTalk Mender,\" a digital platform guided by the WHO Six Building Blocks framework to support school health services. A 12-week quasi-experimental pilot was conducted with 55 secondary students, stratified into \"general\" and \"at-risk\" groups based on patient health questionnaire for adolescents scores. Feasibility, user satisfaction (technology acceptance model), and depression scores were assessed. The platform achieved a 100% engagement rate. Satisfaction scores were high across both groups with no significant difference (<i>p</i> > 0.05), indicating successful universal design. Although depression scores in the at-risk group decreased, the change was not statistically significant (<i>p</i> = 0.113). The platform demonstrates high feasibility and acceptability, serving as an effective digital tool to connect adolescents with school nurses. Future research should involve larger-scale trials to assess clinical efficacy.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"10598405261426313"},"PeriodicalIF":1.5,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147312137","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}
Sunny Chieh Cheng, Amanda Hapenny, Elaine Walsh, Mayumi Anne Willgerodt, Susan Ramos, Lucas McIntyre, Hongjie Qiu, Zaher Kmail, Jasmine Kaneshiro, Yifan Wang, Eric J Bruns
{"title":"Youth Experiences and Needs of a School-Based Mental Health Training: Implications for School Mental Health Services.","authors":"Sunny Chieh Cheng, Amanda Hapenny, Elaine Walsh, Mayumi Anne Willgerodt, Susan Ramos, Lucas McIntyre, Hongjie Qiu, Zaher Kmail, Jasmine Kaneshiro, Yifan Wang, Eric J Bruns","doi":"10.1177/10598405261422751","DOIUrl":"10.1177/10598405261422751","url":null,"abstract":"<p><p>School-based mental health training can improve students' help-seeking behaviors, yet young people's voices are often underrepresented in program design and evaluation of these programs. Meaningfully integrating student-identified needs and lived experiences enables school-based mental and behavioral health team members, especially nurses, who are often the first point of contact, to better support youth. This study used a pre-post descriptive design to assess the implementation of Teen Mental Health First Aid (tMHFA) in schools that had not previously adopted tMHFA. Post-training findings indicated significant positive changes in culturally and linguistically diverse students. Focus groups with students ages 15-18 years revealed four key themes. Students strongly advocated for the widespread incorporation of tMHFA into schools, emphasizing the need to make the training more accessible. Additionally, students' comfort in seeking help was greatly influenced by adults' attitudes toward mental health concerns, their cultural awareness, and broader systemic barriers. Findings underscore the potential for school nurses to expand their roles in alignment with the National Association of School Nurses School Nursing Practice Framework, advocating for tMHFA integration into health education curricula, promoting culturally responsive approaches, and strengthening equitable, sustainable pathways to mental health support.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"10598405261422751"},"PeriodicalIF":2.1,"publicationDate":"2026-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13218298/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146221805","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":"School Nurses' Experience of Health Promotion Practices in Swedish Schools: A Qualitative Study.","authors":"Malin Jakobsson, Elin Holmgren Celander, Susanne Andermo, Marianna Moberg","doi":"10.1177/10598405261421218","DOIUrl":"https://doi.org/10.1177/10598405261421218","url":null,"abstract":"<p><p>BackgroundThe importance of school nurses' active involvement in health promotion directed to school aged children is widely recognized. Research on school nurses' experiences of health promotion remains limited.AimThe aim of this study was to describe school nurses' health promotion practices and experiences within the Swedish educational context.MethodsNational cross-sectional data from school nurses (<i>n</i> = 596) were collected through a web-based survey. Narrative data from an open-ended question (<i>n</i> = 354) were analyzed using qualitative content analysis.ResultsFindings highlight how adoption of health promotion activities was shaped by variations in collaboration, resources, and organizational support. Many school nurses relied on their own initiative and creativity to work with health promotion, often with limited time and beyond the boundaries of the regular program.ConclusionThere is an urgent need for clearer national guidelines and methods for health promotion, collaborative approaches and organizational support with clear expectations and sufficient time allocation.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"10598405261421218"},"PeriodicalIF":1.5,"publicationDate":"2026-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146214774","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}
Anna Lekka, Victoria Telle Hjellset, Mette Sagbakken, Lisbeth Gravdal Kvarme, Brita Askeland Winje, Lisbeth Valla
{"title":"The Complexity of Translating National Guidelines into Real-World Practice: School Nurses' Health Dialogue with First Graders and Their Caregivers.","authors":"Anna Lekka, Victoria Telle Hjellset, Mette Sagbakken, Lisbeth Gravdal Kvarme, Brita Askeland Winje, Lisbeth Valla","doi":"10.1177/10598405261420205","DOIUrl":"https://doi.org/10.1177/10598405261420205","url":null,"abstract":"<p><p>This study explores how school nurses in Norway plan and conduct health dialogues with first graders and their caregivers. Using an exploratory qualitative design, data were generated through six focus group discussions and 10 individual interviews with school nurses from diverse contexts, including rural and urban areas, small and large communities, and varying socioeconomic and cultural backgrounds. Reflexive thematic analysis by Braun and Clarke constructed three intersecting themes<i>: strategies for trust-based relationships</i>, <i>conflict between quality and quantity</i>, and <i>striving for consistency and professional autonomy</i>. Results highlight the complexities of translating National Guidelines into real-world practice, emphasizing the demanding nature of school nurses' work. The study underscores the need for clearer guidelines to support school nurses in delivering meaningful, health-promoting dialogues tailored to the diverse needs of children and their caregivers.</p>","PeriodicalId":50058,"journal":{"name":"Journal of School Nursing","volume":" ","pages":"10598405261420205"},"PeriodicalIF":1.5,"publicationDate":"2026-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146167665","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}