Journal of School Nursing最新文献

This quasi-experimental study evaluated the effectiveness of the Theory-Based Peer Bullying Counseling Program (TB-PBCP), grounded in Peplau's Interpersonal Relations Theory, in reducing cognitive distortions, enhancing empathy, and improving friendship relations and anger control among children who bully. The study was conducted with 61 students aged 11-12 years from two middle schools in western Türkiye who scored high on the Peer Bullying Determination Scale. The intervention group (n = 29) received seven structured TB-PBCP sessions over 26 days, while the control group (n = 32) received no intervention. Data were collected using the Cognitions Related to Bullying Scale for Children, the Empathy Scale for Children and Adolescents, and the Friendship Relations and Anger Control Evaluation Form, and were analyzed with nonparametric tests. Results demonstrated that the TB-PBCP significantly reduced bullying-related cognitions, increased empathy, and improved friendship relations and anger control (all p < .001). These findings emphasize the importance of individualized, theory-driven interventions targeting perpetrators of bullying.

Poor sleep significantly impacts elementary school-aged children's health and wellbeing. Few interventions have been developed to address sleep among this population, and none have included mind-body integrative health (MBIH). To address this, we developed Sleeping Healthy, Living Healthy for Children. This article describes our iterative development process, the final curriculum, and results of a proof-of-concept study evaluating the intervention's feasibility and acceptability, and if there was a signal for sleep improvement. The final manualized intervention consists of six group sessions which integrate healthy sleep behaviors with MBIH techniques. Doctor of Nursing Practice students successfully delivered the program to 14 children in an afterschool program in New York City, as evidenced by good intervention fidelity and high attendance rates. The children reported high program satisfaction and use of the healthy sleep behaviors and MBIH techniques taught. Preliminary findings indicate improvement in the children's sleep-related impairment and sleep disturbances.

This study aimed to analyze factors influencing school nurses' diabetes management competency using an ecological model encompassing individual, interpersonal, and organizational factors. Data were collected from 122 elementary school nurses through an online survey conducted from June 3 to 18, 2024. Diabetes management competency was measured using a self-report instrument assessing perceived competence. Analyses included descriptive statistics, one-way ANOVA, Pearson correlation, and hierarchical multiple regression. Results showed that competence was positively associated with experience in managing students with diabetes, participation in diabetes training, nurse-student interaction, and availability of school supplies. In the final model, nurse-student interaction (β = .33, p < .001), number of supplies (β = .31, p < .001), and participation in training (β = .18, p = .024) explained 37.8% of the variance. Given advances in diabetes care-including insulin delivery, glucose monitoring, and lifestyle-based management-school nurses must have access to up-to-date training to support students with diabetes effectively.

This methodological study aimed to describe the cross-cultural adaptation of the Global School Health Policy and Practices Survey (G-SHPPS) into Brazilian Portuguese. The adaptation process followed international guidelines and included translation by two independent translators, synthesis of the versions, back-translation, review by a committee of experts, and pretesting with principals or headteachers from public and private schools. Data from the expert review and pretest were analyzed using descriptive statistics and the Content Validity Index (CVI). The overall CVI obtained from the expert committee was 0.99, and in the pretest, the average agreement rate for item clarity, comprehension, and relevance was 97%. Minor adjustments were made to improve clarity and cultural adequacy while maintaining fidelity to the original instrument. The adapted version demonstrated strong content validity and suitability for assessing school health policies and practices in Brazil, providing school nurses and policymakers with a tool to support health promotion in educational settings.

School nursing in Oman lacks a formally defined scope of practice. This quantitative study, part of a larger mixed-methods project, surveyed 249 government school nurses in Muscat, Al Dakhiliyah, and Al Batinah (March-July 2025) to compare current practice with perceived importance across the five domains of the School Nursing Practice Framework. Mean practice scores (4.66/6) were consistently lower than importance scores (4.90/6; p < .001), with the largest gap in care coordination. Lower practice scores were associated with more than 15 years of experience, bachelor's degrees from coverage of two or three schools, and higher numbers of medically complex students. Male nurses reported higher scores for leadership and standards of practice. These findings point to role strain and systemic barriers, including split-site coverage and weak interprofessional integration. Clearer role definitions, targeted training, balanced workloads, and stronger coordination systems may enable nurses to practice at full scope.

California reports some of the highest rates of human trafficking in the U.S., including the Commercial Sexual Exploitation of Children (CSEC). Victims are often 11-14 years old and attend school, placing school nurses in a critical position to identify and respond. Yet, many school nurses face challenges due to limited training and the absence of standardized screening tools. This project aimed to (1) develop an evidence-based educational module on human trafficking, including CSEC, for California school nurses, and (2) gather feedback on a validated 6-item CSEC screening tool by Greenbaum et al. A total of 155 nurses completed the presurvey, and 50 completed the postsurvey. The overarching goal was to strengthen school nurses' capacity to recognize and respond to trafficking through targeted education and standardized screening. Ongoing, evidence-based, survivor-informed training is essential to prepare school nurses to respond effectively to trafficking.

The reduction and cessation of vaping for young people is a global health priority, however the operationalization of guidelines into school programs is challenging. The focus of this quality improvement project was to utilize the plan-do-study-act framework and Social Cognitive Theory to support vaping cessation in Australian secondary schools. Ten school nurses led a program across 12 schools and supported 86 young people to grow knowledge and skills to reduce vaping. At baseline, most young people had self-reported that they had vaped for over a year (n = 61; 70.9%) and were aware of associated harms. Immediately post-program, 34.1% (n = 29) intended to change behavior, and at 4-week follow-up, 61% (n = 22) reported behavior change. All school staff valued and supported the program, with key benefits of professional health education delivery by a known nurse and improved health literacy, and barriers of student absences and scheduling conflicts.

BackgroundBurnout among school nurses is a growing concern as it may influence mental health and job performance.PurposeThis qualitative study investigates burnout-related factors among school nurses in the United States.MethodsA 2022 large multi-state survey of school nurses was conducted with 1,259 responses to an open-ended question regarding burnout. These were analyzed using content analysis to identify themes. The difference between those with and without burnout was examined on the identified themes.ResultsSymptoms of burnout reported were anxiety, stress, irritability and anger, loss of personal and social connectedness, sleep disturbances, depressive symptoms, and physical symptoms. The nurses reporting burnout also reported high workloads, job dissatisfaction, and intention to leave their current position.ConclusionsFindings suggest the potential importance of workload in reducing burnout, which would require structural reform and sustained administrative support.