NASN school nurse (Print)最新文献

Migraine is a common neurologic disorder associated with considerable pain and disruption of daily function among school children. Given the impact of migraine on academics and social engagement, ensuring robust support in the school setting is vital to the well-being and development of students affected by migraine. School nurses have an active role in providing and coordinating care, acting as the critical link between care providers, families, and educators to promote health among students with migraine. We aim to equip school nurses and educational staff with practical tools for helping students manage migraine pain in the school setting. We suggest a comprehensive approach, including the use of medications, psychological and complementary interventions, and school accommodation plans, with a focus on both prevention and management.

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.

The excitement is building as we approach the 2025 NASN Annual Conference-Stronger Together in Austin, Texas! Now imagine that excitement combined with the deep fulfillment of supporting a meaningful cause. The Endowment Fundraising Committee invites you to be part of something bigger by contributing to the NASN Endowment. This article will describe the ways in which you can participate. Your support helps fund scholarships and research-empowering school nurses and shaping the future of student health.

Developmental norms suggest that children are ready for toilet training between the ages of 18 and 24 months; however, many children now enter school without this self-care skill. Many factors can contribute to delayed toilet training including child readiness, developmental disabilities, poverty, lower parental education levels, and higher rates of single and teen-aged parents who may lack parenting skills including toilet training. Most children enroll in a kindergarten program at 5 years of age. Because children will be accepted to kindergarten regardless of toilet training status, schools need to be ready for children who lack this self-care skill. Although school staff are willing to support these children, the main purpose of school is education. The school nurse can take an active role in classroom toileting programs by collaborating with school administrators, teachers, staff, and parents to promote successful toilet training and fostering a healthy learning environment.

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.

School nurses support students living with asthma through care coordination activities that reflect current asthma guidelines. Staying abreast of new and beneficial approaches that may improve asthma management and decrease student absences can be challenging due to time constraints and ingrained treatment practices. As a tool for school nurses, this article reviews the results of the Patient-Centered Outcomes Research Institute study on the use of symptom-based corticosteroid therapy for students with mild, persistent asthma and includes the NASN Implementation Guidance for School Nurses. Families who experience barriers to daily use of asthma controller therapy may benefit when this change in care is appropriate for their student.

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.

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.