Advertisement

The vital role of school nurses in ensuring the health of our nation's youth

Published:November 24, 2017DOI:https://doi.org/10.1016/j.outlook.2017.11.002
      The American Academy of Nursing believes all students must have daily access to a full-time, school nurse, who is part of a comprehensive health-care and education system, and is supported financially by health and education dollars. The health of our nation's youth affects the health of the nation now and in the future, and is a critical investment. Rates of chronic health conditions continue to increase and become more complex. The number of outbreaks of communicable diseases such as measles and pertussis has been increasing as a result of the increase in immunization exemptions that have caused decreased herd immunity for these and other conditions. Children with mental and behavioral health issues such as depression, school/personal violence, and bullying are also on the rise and being manifested at younger ages, with 13% to 20% of children in the United States experiencing a mental health issue each year. Many risk behaviors often develop during preadolescent and adolescent years. Researchers have found that having a school nurse present decreases absenteeism, increases immunization compliance, improves chronic condition management, promotes health, and assists with identification and management of mental health issues, allowing students to stay in school and improve academic achievement.
      To read this article in full you will need to make a payment

      Subscribe:

      Subscribe to Nursing Outlook
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • American Academy of Pediatrics
        • Council on School Health
        Role of the school nurse in providing school health services.
        Pediatrics. 2016; 137: e20160852
        • Baltag V.
        • Pachyna A.
        • Hall J.
        Global overview of school health services: Data from 102 countries.
        Health Behavior and Policy Review. 2015; 2: 268-283
        • Bohnenkemp J.H.
        • Stephan S.H.
        • Bobo N.
        Supporting student mental health: The role of the school nurse in coordinated school mental health care.
        Psychology in the Schools. 2015; 52: 714-727
        • Centers for Disease Control and Prevention (CDC)
        What would happen if we stopped vaccinations?.
        (Vaccines and Immunizations [website]; Retrieved from)
        • Cook C.
        • Cole G.
        • Asaria P.
        • Jabbour R.
        • Francis D.P.
        The annual global economic burden of heart failure.
        International Journal of Cardiology. 2014; 171: 368-376
        • Dall T.M.
        • Yang W.
        • Halder P.
        • Pang B.
        • Massoudi M.
        • Wintfeld N.
        • Hogan P.F.
        The economic burden of elevated blood glucose levels in 2012: Diagnosed and undiagnosed diabetes, gestational diabetes mellitus, and prediabetes.
        Diabetes Care. 2015; 37: 2172-2179
      1. Every Student Succeeds Act (ESSA) of 2015.
        (Public Law No: 114-95; Retrieved from)
        • Healthy People 2020
        Educational and community-based programs.
        US Department of Health and Human Services, Office of Disease Prevention and Health Promotion, Washington, DC2017 ([Internet]; Retrieved from)
        • Healthy People 2020
        Adolescent health.
        US Department of Health and Human Services, Office of Disease Prevention and Health Promotion, Washington, DC2017 ([Internet]; Retrieved from)
        • Miller G.F.
        • Coffield E.
        • Leroy Z.
        • Wallin R.
        Prevalence and costs of five chronic conditions in children.
        The Journal of School Nursing. 2016; 32: 357-364
        • Morrica M.L.
        • Grasska M.A.
        • BMarthaler M.
        • Morphew T.
        • Weismuller P.C.
        • Galant S.P.
        School asthma screening and case management: Attendance and learning outcomes.
        The Journal of School Nursing. 2013; 29: 104-112
        • National Association of School Nurses
        The role of the 21st century school nurse (position statement).
        Author, Silver Spring, MD2016
        • Perou R.
        • Bitsko R.H.
        • Blumberg S.J.
        • Pastor P.
        • Ghandour R.M.
        • Gfroerer J.C.
        • Huang L.N.
        Mental health surveillance among children—United States, 2005–2011.
        MMWR Supplements. 2013; 62 (Retrieved from): 1-35
        • Van Cleave J.
        • Gortmaker S.L.
        • Perrin J.M.
        Dynamics of obesity and chronic health conditions among children and youth.
        Journal of American Medical Association. 2010; 303: 623-630https://doi.org/10.1001/jama.2010.104
        • Salmon D.A.
        • Moulton L.H.
        • Omer S.B.
        • Chace L.M.
        • Klassen A.
        • Talebian P.
        • Halsey N.A.
        Knowledge attitudes and beliefs of school nurses and personnel and association with nonmedical immunization exemptions.
        Pediatrics. 2005; 113: e552-e559
        • Wang L.Y.
        • Vernon-Smiley M.
        • Gapinski M.A.
        • Desisto M.
        • Maughan E.
        • Sheetz A.
        Cost-benefit study of school nursing services.
        JAMA Pediatrics. 2014; 168: 642-648