The Evolution of the Role of U.S. School Nurses in Adolescent Mental Health at the Individual, Community, and Systems Level: An Integrative Review

2022 ◽  
pp. 105984052110681
Author(s):  
Ashwini R. Hoskote ◽  
Emily Croce ◽  
Karen E. Johnson

School nurses are crucial to addressing adolescent mental health, yet evidence concerning their evolving role has not been synthesized to understand interventions across levels of practice (i.e., individual, community, systems). We conducted an integrative review of school nurse roles in mental health in the U.S. related to depressive symptoms, anxiety, and stress. Only 18 articles were identified, published from 1970 to 2019, and primarily described school nurses practicing interventions at the individual level, yet it was unclear whether they were always evidence-based. Although mental health concerns have increased over the years, the dearth of rigorous studies made it difficult to determine the impact of school nurse interventions on student mental health outcomes and school nurses continue to feel unprepared and under supported in this area. More research is needed to establish best practices and systems to support school nursing practice in addressing mental health at all levels of practice.

2019 ◽  
Vol 35 (2) ◽  
pp. 92-98 ◽  
Author(s):  
Elizabeth E. Lloyd-Richardson ◽  
Penelope Hasking ◽  
Stephen Lewis ◽  
Chloe Hamza ◽  
Margaret McAllister ◽  
...  

Nonsuicidal self-injury (NSSI) is defined as the deliberate, self-inflicted damage of body tissue without suicidal intent and for purposes not socially or culturally sanctioned. School nurses are often a first point of contact for young people experiencing mental health challenges, and yet they often report they lack knowledge and training to provide care for persons who engage in NSSI. In the first of two parts, this article provides school nurses with a better understanding of NSSI and the distinctions between NSSI and suicidal behaviors, discusses the role of nurses’ knowledge and attitudes on their ability to care for their patients’ mental health needs, and discusses approaches for developing a respectful, empathic manner for working with and supporting youth who engage in self-injury. Part 2 will offer a strategy for brief assessment of NSSI and reflect on two case studies and their implications for school nursing practice.


2002 ◽  
Vol 18 (4) ◽  
pp. 229-236
Author(s):  
Jane Tustin ◽  
Gloria Canham ◽  
Joanne Berridge ◽  
Deborah Braden ◽  
Thora Starke

Dissatisfied with current school nurse evaluation instruments, school nurse administrators sought to develop an appraisal system that would emphasize the professional role of the school nurse and provide a means to enhance individual practice. The newly revised Standards of Professional School Nursing Practice and the creation of a state teacher evaluation model presented the opportunity to produce an instrument that could be adapted within the educational setting for school nursing practice. The appraisal system included not only the methods to evaluate practice, but the means to involve the individual school nurse through goal setting. The process also included a structured intervention plan that facilitated remediation. This article describes the development of the appraisal system, the components, and the implementation of an evaluation system for school nurses.


2019 ◽  
Vol 35 (6) ◽  
pp. 395-400
Author(s):  
Eileen Moss ◽  
Martha Dewey Bergren ◽  
Erin D. Maughan

Problem: Stakeholders often misunderstand the role of the school nurse resulting in underutilization or elimination of school nurse positions. Social media and school nurse websites are recommended to increase school nurse visibility and change the public narrative of school nursing. Objective: The objective of this needs assessment is to determine whether school nurses are using web presence to increase their visibility to affect the narrative of school nursing. Method: An evaluation was conducted to determine the presence and content of school nurse websites in 50 schools and their school districts across the nation. Results: Fewer than one third of school nurses have websites, three fourths of districts have a school district health websites, and there was no evidence of a nurse in 10% of the school websites assessed. Anticipated Contribution to Practice: The needs assessment determined that nurses are not maximizing school websites to communicate their role to stakeholders.


2020 ◽  
Vol 36 (1) ◽  
pp. 52-57
Author(s):  
Eileen Moss

The public narrative of the role of the school nurse is about Band-Aids and management of acute illness and injury. The public does not understand that school nurses are responsible for so much more. Literature recommends that school nurses change the narrative of school nursing by the use of social media and websites, but school nurses are not using websites as evidenced by a national audit of websites and survey of school nurses. The school nurse website toolkit was developed to assist nurses in the development of their own professional practice websites, thereby enhancing their image to stakeholders and changing the public narrative of school nursing.


Psychology ◽  
2019 ◽  
Author(s):  
Nicoletta Cavazza ◽  
Vincent Pillaud ◽  
Fabrizio Butera

Research on attitudinal ambivalence started in the early 1970s, forty years after the first wave of research on attitudes. Ambivalent attitudes consist of both positive and negative evaluations of the same object. Early approaches proposed different measurement methods, and ambivalence can now be measured either directly (referred to as “felt ambivalence”) or indirectly (referred to as “potential ambivalence”). Because of its duality, ambivalence has been studied in comparison with univalent attitudes—which consist of either positive or negative evaluations of an object—to uncover their specific features, antecedents, and consequences. Relevant research has focused on identifying the prevalence of ambivalent attitudes, and on whether they could stem from particular personality traits or situations. Researchers have found that ambivalent attitudes seem to be widespread and can be held for a long period of time. Their relationship with behaviors has also been widely studied. At the individual level, ambivalence increases response latency when a choice has to be made, extends information processing, can affect attitude stability, and can even lead to discomfort. At the behavioral level, studies have highlighted the moderating role of attitudinal ambivalence on the relationship between attitudes and behavior. A different field of research focuses on its strength to question whether ambivalence leads to more resistance or susceptibility to persuasion and influence. It appears that ambivalent attitudes are pliable and, depending on the context, can either help individuals to be more adaptive or prevent them from arriving at a satisfying conclusion. The role of ambivalent attitudes in interpersonal relationships and self-presentation also highlight some benefits in holding an ambivalent attitude. This article opens by reviewing general overviews to provide a detailed picture of the current state of research. It then presents early approaches to attitudinal ambivalence, and reviews studies that highlight the moderating role of attitudinal ambivalence on the relationship between attitudes and behavior, as well as studies that question whether ambivalence might lead to more resistance or susceptibility to persuasion and influence. The article then focuses on the impact of ambivalence at the individual level. Antecedents of attitudinal ambivalence will be reviewed, as well as its consequences on the individual. The article concludes by presenting research questioning its functions as well as some applied work.


2021 ◽  
pp. 1942602X2110001
Author(s):  
Brittany A. Dale ◽  
Natalie A. Kruzliakova ◽  
Constance E. McIntosh ◽  
Jayanthi Kandiah

This article is the second in a series of three articles discussing the importance of interprofessional collaboration between the school nurse and other school-based and community professionals to create a healthcare team. Developing the healthcare team begins with identifying the individual medical, mental health, and educational needs of the student. Expertise in both education and healthcare systems makes school nurses ideal candidates for coordinating with the healthcare team to meet the needs of the student. This article builds on the first article by providing some examples of the collaboration that occurs between the school nurse and other team members, as well as identifying facilitators and barriers to this collaboration.


2017 ◽  
Vol 34 (1) ◽  
pp. 14-27 ◽  
Author(s):  
Nakia C. Best ◽  
Sonda Oppewal ◽  
Debbie Travers

School nurses intervene with students, parents, and school staff to advance the health and academic success of students. We conducted an integrative literature review of published research to describe the types of school nurse interventions and health and education outcome measures and to examine how school nurse interventions were linked to student outcomes. Sixty-five studies met the inclusion criteria. We used the National Association of School Nurses’ Framework for 21st Century School Nursing Practice to categorize school nurse interventions and health and education outcome measures. The majority of interventions were categorized under the care coordination principle, most commonly, motivational interviewing and counseling. In 17 studies, school nurse interventions were linked to improved student outcomes. Most studies (80%) were descriptive. To advance school nursing science, researchers can build on this foundation with more rigorous research methods to evaluate the impact of school nurse interventions and activities on student health and education outcomes.


2002 ◽  
Vol 18 (4) ◽  
pp. 229-236 ◽  
Author(s):  
Jane Tustin ◽  
Gloria Canham ◽  
Joanne Berridge ◽  
Deborah Braden ◽  
Thora Starke

Dissatisfied with current school nurse evaluation instruments, school nurse administrators sought to develop an appraisal system that would emphasize the professional role of the school nurse and provide a means to enhance individual practice. The newly revised Standards of Professional School Nursing Practice and the creation of a state teacher evaluation model presented the opportunity to produce an instrument that could be adapted within the educational setting for school nursing practice. The appraisal system included not only the methods to evaluate practice, but the means to involve the individual school nurse through goal setting. The process also included a structured intervention plan that facilitated remediation. This article describes the development of the appraisal system, the components, and the implementation of an evaluation system for school nurses.


2021 ◽  
Vol 257 ◽  
pp. 02088
Author(s):  
Yang Li ◽  
Han Ren

Different from the previous studies that mainly focused on the mindfulness at the individual level, this research explores the effect of team mindfulness on employee moral efficacy, and considers the influence of the interaction between team bottom-line mentality (BLM) and team mindfulness on employees’ moral efficacy. Results from three-wave surveys of 275 employees indicated that: the team BLM will weaken the positive relationship between team mindfulness and employees’ moral effectiveness. This research advances the current understandings of the influencing process between team mindfulness and employees’ moral efficacy by identifying the moderating role of team BLM, and casts the spotlight on the impact mechanism among team mindfulness, team BLM, and employees’ moral efficacy at the team level. Theoretical and practical implications are also discussed.


2015 ◽  
Vol 48 (2) ◽  
pp. 281-304 ◽  
Author(s):  
Stephen White ◽  
Michael M. Atkinson ◽  
Loleen Berdahl ◽  
David McGrane

AbstractThis paper examines public attitudes towards aboriginal policy in Canada, focusing on evidence from two surveys conducted in Saskatchewan, a province with a large and growing Aboriginal population. We show that although non-Aboriginals are collectively divided on Aboriginal public policies, expressing considerable support for some, but strong reservations when it comes to others; the individual-level evidence indicates that there is a single Aboriginal policy agenda in the minds of non-Aboriginal Canadians. Support for, and opposition to, the privileging of Aboriginal claims is structured in part by prejudice toward outgroups but also by non-Aboriginal people's more general position on the role of government in society. Moreover, the impact of positions about the role of government in society on attitudes toward Aboriginal policies is moderated by people's level of political sophistication: the more educated and politically interested they are, the greater the impact of those ideological views.


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