Childhood homelessness is increasing and is associated with negative health and academic outcomes. The goal of this quality improvement project was to improve access to healthcare and health outcomes for students experiencing homelessness through a school nurse-led comprehensive health assessment. The multilevel intervention included identifying students experiencing homelessness, conducting a standardized health assessment, and making referrals to care. This 8-month project was conducted in an urban school district. Feasibility and acceptability data were collected to guide sustainability. Student health and referral data were analyzed using descriptive statistics. At the project start, 688 students were identified as experiencing homelessness. More than half (67%) had a partial or fully completed health assessment during the project. Of the students assessed, most had a primary care provider, some had a health condition, and half had a dental home. Students experiencing homelessness would benefit from systematic school-based health assessments to identify unmet health needs.

Overweight and obesity are common in school-age children. Policy, system, and environmental (PSE) approaches-which entail making upstream changes to a school's context-can be leveraged to reduce childhood obesity. Nurses can advance PSE approaches in schools to promote healthy living habits. This review examines the effect of nurse-involved PSE interventions globally to promote healthy nutrition and reduce obesity in schools. We conducted a literature search using multiple databases from 2010 to 2023 for nurse-involved studies that implemented interventions focused on PSE change related to promoting healthy nutrition or reducing obesity in school settings. Twenty interventions globally were included in the systematic review synthesis. Improvements in anthropometrics, health and nutrition knowledge, attitudes, and beliefs were observed. PSE interventions can be leveraged to promote healthy nutrition and reduce obesity in school settings. Nurses in varying roles are uniquely qualified to advocate for and implement school-based interventions focused on PSE change.

Since the inception of the National Education Goals in 1989, the United States has enacted policies focused on student readiness to learn, but there is no single or clear definition of . Education quality and access are social determinants of health. However, students do not learn well if they are not healthy. This concept analysis explores the connection between health and education across multiple domains. Utilizing the Walker-Avant method, CINAHL, SCOPUS, and the Journal of School Nursing were searched for literature related to . Definitions were synthesized from the literature, resulting in a concept of encompassing health and thriving at individual, family, school, and community levels. is the result of multiple domains working synergistically to support health and thriving across the lifespan. School health practice improves with a robust understanding of this model.

This study investigated the effects of school violence prevention education using a chatbot (SVPE-C) on sixth-grade students. By applying a pre and posttest design, the students' (a) degree of knowledge and (b) attitude toward school violence were examined. In addition, (c) satisfaction with the educational method and (d) awareness about SVPE-C were surveyed only in the experimental group. Of the 135 students, the experimental group (= 67) received six sessions of SVPE-C with class lectures, whereas the control group (= 68) received education only through class lectures. Between the two groups, there were significant differences in the degree of knowledge ( = 2.837, = .005) and attitudes toward school violence ( = 2.98, 003). Furthermore, satisfaction with the educational method was significantly higher in the experimental group than in the control group ( = 2.810, = .006). Therefore, SVPE-C may be effective for elementary school students.

The purpose of this study was to examine the relationship between rurality and challenges to school success: lack of school engagement, school absenteeism, and repeated grade. Cross-sectional data from the 2020 to 2021 National Survey of Children's Health, children ages 6 to 17 ( = 42,089), was used. Bivariate and multivariable logistic regression models were used to examine the associations between residence rurality and each outcome of interest. In bivariate analysis, rural children were more likely to have school absenteeism and repeat a school grade. In our adjusted models, there were no differences between rurality and the three measures of school success. Rural and urban children may be vulnerable to different risk factors for school failure. Findings from this study may be used by school nurses and policymakers as they design and implement programs in rural schools.

There is an urgent need for improved school-based mental health services to address students' increasing mental health needs. School nurses are often at the frontlines of youth mental health, but report feeling unprepared to manage student needs due to limited training. We conducted a rapid review to identify evidence-based mental health educational interventions for school nurses and evaluate program characteristics. Eleven studies met the inclusion criteria. While the literature evaluating mental health training programs for school nurses is limited, it suggests that training may improve school nurse knowledge, confidence, and preparedness to address student mental health needs and improve the management of student mental health. Additionally, it highlighted the importance of support, resources, and policies that foster mental health promotion. Future research should focus on obtaining a current assessment of school nurse mental health education needs, evaluating existing interventions, and developing more evidence-based mental health training programs for school nurses.

Utah implements an abstinence-based approach to sex education. However, research has found that abstinence-based sex education is associated with higher risk-taking behaviors, and youth would like more from their school-based sex education. This study examined what sex education information or programs young adults in Utah would have liked to receive during high school. Participants provided responses to a single open-ended question included in the Utah College Sexual Behavior Survey. The results of a thematic analysis show the emergence of four salient themes, including fundamental knowledge, contraception and sexually transmitted infection prevention, personal safety, consent, and abuse. Findings suggest that participants wanted sex education beyond just abstinence and stressed the importance of inclusive education. Recommendations for school nurses and the important role they play in delivering sex education include receiving education needed to teach sex education and working with school health educators to act as a resource.

School nurses play a significant role in the coordination of school-entry immunization requirements across the United States. The COVID-19 pandemic changed the school landscape and introduced additional responsibilities to a school nurse's workload. We conducted a cross-sectional survey with  = 110 Pennsylvania school nurses to explore the impact of the COVID-19 pandemic on school-entry immunization compliance management. Qualitative and quantitative data indicated increased difficulty obtaining school-entry immunization data ( = 52) and reduced school-level enforcement of immunization compliance ( = 30). We also observed increases in the percentage of students enrolled with an immunization exemption in Kindergarten, 7th, and 12th grades between the 2019-2020 and 2020-2021 school years. However, few respondents (15%) offered school-located immunization clinics (SLIC) for school-entry-required immunizations. While the benefits of SLICs are documented, the capacity required to execute recommended actions may be limited among school nurses-particularly post-COVID-19 pandemic. School nurses may need additional support to address these gaps.

School health services have been described as the "hidden healthcare" system because of their isolation within schools and from other healthcare providers. This isolation may inhibit innovations in school healthcare delivery. Hence, there is a need to identify and characterize various delivery models. This review examines models to identify innovative approaches and formulate suggestions for public health departments, local and state educational agencies, and policymakers. Toward this goal, published and gray literature were studied and synthesized, identifying three delivery models: the traditional model of school-based nursing and two alternative models: school-based health centers and community partnerships. Mechanisms of delivery included telehealth, mobile clinics, and system-level care. Although no innovative, comprehensive approaches to school health services models were found, innovation generally focused on improving equitable delivery to vulnerable populations. Policies must be formulated and funded to integrate such innovations into a comprehensive, preventative approach, including improved care coordination and data sharing.