“…workload only in terms of school nurse to student ratio, while easy to measure, ignores the contextual and organizational characteristics germane to the school nurse work environment (unsupportive administrators, limited resources, and vulnerable students; Daughtry & Engelke, 2018;Fleming & Willgerodt, 2017;Jameson, Engelke, Anderson, Endsley, & Maughan, 2018;Maughan et al, 2018). Therefore, research on workload instruments and staffing levels for school nurses must examine multiple dimensions of the work environment (Alghamdi, 2016;Bowling, Alarcon, Bragg, & Hartman, 2015;Carayon et al, 2014).…”