NASN school nurse (Print)最新文献

Children who have a parent that serves or who has served in one of the uniformed services live in nearly every zip code across the United States. These children and youth experience unique stressors related to their parents' service that can impact their performance and behavior at school. School nurses in partnership with school staff can lead the provision of a holistic approach in helping these students cope with a parent's service, especially during times the parent is away from the home for a prolonged period of time, following injury or a more tragic event.

Clinical Practice Guidelines (CPGs) are evidence-based statements that provide recommendations for best practice and are intended to improve healthcare quality and outcomes. The NASN released the updated School Nursing Evidence-Based Clinical Practice Guideline for Students with Seizures and Epilepsy to provide evidence-based recommendations specific to school nursing practice and support the role of the school nurse in providing high quality care for school-age children with seizures and epilepsy. In early 2024, NASN released the School Nursing Evidence-Based Clinical Practice Guideline: Students with Seizures and Epilepsy CPG Implementation Toolkit. The implementation toolkit is designed to provide school nurses with tools and resources to implement evidence-based recommendations into their practice. This article will provide an overview of the clinical practice guideline and implementation toolkit.

Nurse rounds have long been an established practice in clinical settings, resulting in improved patient care through accurate assessment, evaluation, and communication. This practice has also been shown to create seamless patient-centered care among the medical team, the patient, and their family members. While nurse rounds are an important component of clinical care, school nurses have not adopted this practice. Rather, school nurses utilize the School Nurse Practice Framework. This Framework guides school nurses in promoting student health and academic success in a safe school environment. While the Framework provides guidance in how school nurses can achieve successful care coordination by prioritizing relationship building and professional practice, the incorporation of school nursing rounds complements the Framework principles and provides proactive student support and elevates school nursing practice and visibility. When school nurses approach nursing rounds intentionally, data showed that health office visits decreased, relationships improved among students and teachers, and the school nurse became a visible and important part of the school community. This article highlights how nurse rounds were integrated into one school setting and reports on the benefits associated with this practice.

Hypoglycemia will occur on school grounds in students with diabetes who are receiving glucose-lowering drugs. Hypoglycemia may be severe, in which a student is unconscious or comatose. Fast-acting carbohydrates remain the first line of treatment for nonsevere hypoglycemia but preparedness with emergency injectable or intranasal glucagon is ideal. Students may not have their own glucagon devices, so unassigned or undesignated glucagon for use with any student in which glucagon is part of their hypoglycemia treatment plan is critical. Several states have laws permitting undesignated glucagon in schools, and school nurses residing in states without such laws could strongly advocate their state legislators to enact similar laws to ensure students in the nurses' care have access to this lifesaving treatment.

The COVID-19 pandemic had a profound impact on all school staff. As a consequence of their role as frontline responders, school nurses experienced significant trauma and moral injury. The Washington State School Nurse Corps debriefed the pandemic response to plan for future disasters. In the process, they discovered that much of the literature reflects the school nurse's role in the early phase of disaster response. There is little attention given to recovery processes and few current sources could be found on the role of nursing in debriefing. School nurses could benefit from and play an important role in supporting recovery, particularly debriefing, for their school communities.

Undetected hearing loss in school-aged children can impact academic and social functioning and have a life-long impact on the student. The prevalence of hearing loss increases as children reach school age, which highlights the importance of regular, evidence-based hearing screening. This article identifies the barriers to screening that school nurses may face, reviews the two evidence-based methods for childhood hearing screening, and reinforces the need for school nurses to conduct and advocate for regular hearing screening for all students.

Lack of access to menstrual products, menstrual hygiene, and education, also known as period poverty, is a widespread issue and disproportionately impacts low-income, rural, Black, Latinx, Indigenous, and People of Color. Period poverty along with period symptoms, such as heavy and painful periods, contribute to school absenteeism impacting school connectedness and student success. The purpose of this article is to bring awareness to period poverty and encourage school nurses to intervene in individual schools, communities, and far-reaching policy spaces utilizing their expertise to secure resources. School nurses can assist in implementing interventions throughout the school year to increase student engagement, success, and overall menstrual health wellness. Through added engagement of stakeholders such as student groups, school staff and administrators, and community organizations, school nurses can help shift the narrative from a position of oppression around menstrual health to a position of empowerment.

Food allergy prevalence is rapidly growing among school-age children in the United States, posing a significant health concern in school settings. This article aims to provide an overview of the current state of food allergy treatment options, emergency food allergy care plans, and using epinephrine autoinjectors. In addition, it explores potential future treatment options, including immunotherapy and novel therapeutic approaches. This article emphasizes the crucial role of school nurses in recognizing the treatment options currently available to students and their families, as well as fostering a safe environment for students with food allergies.