Exploration of California School Nurse perspectives on the impact of COVID‐19

Best, Nakia C.; Donahue, Eden; Agran, Phyllis F.; Munk, Kirsten; Rochelle, Na'imah F; Billimek, John

doi:10.1111/phn.13182

Cited by 5 publications

(19 citation statements)

References 37 publications

(49 reference statements)

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“…During the COVID-19 pandemic, many nurses experienced increased work burdens and stress; a survey highlights mental health challenges that many school nurses experienced during the school year 2021/2022, proving that nurses faced adverse working conditions (Merkle et al, 2023). A 2023 study (Best et al, 2023) highlights the mental health consequences of burnout, stress, and depression in front-line healthcare workers. The pandemic caused internal stress for school nurses as there was a conflict between their personal and professional expectations (Best et al, 2023).…”

Section: Discussionmentioning

confidence: 99%

The Role of the School Nurse in the United States, United Kingdom, and Italy During the COVID-19 Pandemic: A Scoping Review

Veronese,

Rossetto

2024

Clin Nurs Res

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The school nurse has a crucial role in the United States and the United Kingdom and has their own expertise dedicated to school assistance for children, families, school staff, and the community. This study aims to identify the role and skills of the school nurse and understand the effects of COVID-19 on nursing skills in the following countries: The United States, the United Kingdom, and Italy. A Scoping Review was conducted following the JBI methodology for scoping reviews, following the PRISMA-ScR guidelines. Three databases were consulted: PubMed, Cinahl, and Scopus. In all, 58 studies met the eligibility criteria and were included. 93.1% of the studies were carried out in the United States, 5.2% in the United Kingdom, and 1.7% in Italy. 34.5% of the articles were published in 2020, 15.5% in 2021, 31% in 2022, and 19% in 2023. 22.4% of the studies included in the review concerned health promotion and education. Regarding the methodology of the studies, 41.5% of the studies were commentary papers, 15.5% were observational studies, and 12% were cross-sectional studies. Considering the effects of the school nurse in the United States and the United Kingdom, it is possible to reflect on how the systematic presence of a nurse could also have benefits in Italy.

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Section: Discussionmentioning

confidence: 99%

The Role of the School Nurse in the United States, United Kingdom, and Italy During the COVID-19 Pandemic: A Scoping Review

Veronese,

Rossetto

2024

Clin Nurs Res

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“…A mixed-methods study utilized surveys and interviews with 19 California SNs (Best et al, 2023). This study used a qualitative…”

Section: School Nurse Case Management Moral Dilemmas and Moral Distressmentioning

confidence: 99%

“…Historically, SNs may experience moral dilemmas like the inability to care for students with chronic conditions due to a lack of time and workloads (Powell et al., 2018). The COVID‐19 pandemic created new case management duties, tasks, and increased workloads that overtook time usually spent on chronic disease care, fostering an environment for increased moral dilemmas and moral distress (Bergren, 2021; Best et al., 2023; Gormley et al., 2021; Nierenberg, 2021).…”

Section: Introductionmentioning

confidence: 99%

“…A mixed‐methods study utilized surveys and interviews with 19 California SNs (Best et al., 2023). This study used a qualitative descriptive design and content analysis to analyze California (CA) SNs’ experiences during the first year of the COVID‐19 pandemic.…”

Section: Introductionmentioning

confidence: 99%

“…Best et al. (2023) found five themes: (1) role of the SN during the COVID‐19 pandemic, (2) coordination with school administration, (3) COVID‐19‐related challenges and disruptions to care, (4) moral distress, and (5) coping during the pandemic (p. 3). This study's results provided an important glimpse into CA SN's perspectives on COVID‐19′s effects on school health services, their related moral distress, and case management of COVID‐19 in the schools.…”

Section: Introductionmentioning

confidence: 99%

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A qualitative study of school nurses’ moral distress related to COVID‐19

Baker

Jones

Weiss

et al. 2023

Public Health Nursing

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ObjectiveTo understand school nurses' perceptions and experiences of moral distress related to COVID‐19 case management in the school systems.DesignA descriptive qualitative study guided by Braun and Clarke's reflexive thematic analysis.SampleTwelve school nurses practicing in Colorado from December 2021 to January 2022.MeasurementsSemi‐structured interviews about school nurses’ experiences of COVID‐19. Investigators utilized an iterative reflexive thematic analysis process engaging the participants' and researchers' subjective experiences.ResultsFour themes were created: (1) keeping kids and the community safe, (2) caught in the middle of the “tug of war” between health and politics, (3) distress amid an ocean of COVID‐19 uncertainty, and (4) visibility as a bright spot shining through the COVID‐19 cloud.ConclusionsTwo research questions examined school nurses’ experiences of moral distress and their role and scope of practice that affected their relationships in the educational and public health systems. The results of this study confirm the important role of school nurses and interprofessional case management in school environments in the fight against infectious diseases and pandemics. Building stronger relationships between school nurses and public health is imperative for future collaborative and cohesive public health responses to pandemics.

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The impact of COVID‐19 on school nursing: A qualitative survey of stressors faced by school nurses

White,

Hetzel,

Willgerodt

et al. 2024

Public Health Nursing

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BackgroundAs students returned to school, school nurses were responsible for infection control, communication, and the preparation of supplies and facilities. School nurses in the Pacific Northwest US demonstrated a higher prevalence of mental health symptoms in the years since the pandemic began, suggesting that their experience may have been unique.ObjectiveThis study aimed to explore the stressors of school nurses in the Pacific Northwest at two time points.DesignThis study is a qualitative, descriptive analysis of anonymous survey responses collected in June of 2021 (n = 333) and between October and December 2021 (n = 284).SampleSelf‐identifying school nurses working in K‐12 schools in Washington State were invited to participate.MeasurementsParticipants completed open‐ended survey questions designed to elicit their experiences during the pandemic.ResultsFour themes emerged from the data: (1) isolation from administration and the school community, (2) COVID‐19‐related workload, (3) disorganized and inconsistent communication, and (4) concern for students, themselves, and others.ConclusionsSchool nurses played a vital public health role during the pandemic. However, their effectiveness may not have been fully utilized and sometimes undermined. Lastly, our findings highlight the difficulties encountered in implementing the changing scientific and public health guidance during the pandemic.

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Exploration of California School Nurse perspectives on the impact of COVID‐19

Cited by 5 publications

References 37 publications

The Role of the School Nurse in the United States, United Kingdom, and Italy During the COVID-19 Pandemic: A Scoping Review

The Role of the School Nurse in the United States, United Kingdom, and Italy During the COVID-19 Pandemic: A Scoping Review

A qualitative study of school nurses’ moral distress related to COVID‐19

The impact of COVID‐19 on school nursing: A qualitative survey of stressors faced by school nurses

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