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Abstract

The National Association of School Nurses developed the Framework for 21st Century School Nursing Practice™ (Framework) to guide school nursing practice and help school nurses articulate their role to educators. Since its introduction, the Framework has been accepted and adopted by many. At the same time, several misunderstandings and misinterpretations of the Framework have come to light. The purpose of this article is to clarify the terminology in order to create a common understanding among practicing school nurses to be able to implement the Framework more fully and with integrity.

Keywords

Framework school nursing practice leadership care coordination quality improvement

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References

Adams

McCarthy

A. M.

(2007). Evidence-based practice guidelines and school nursing. Journal of School Nursing, 23(3), 128-136. https://doi.org/10.1177/10598405070230030201

Agency for Healthcare Research and Quality. (n.d.). Plan-do-check-act cycle. https://digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/plan-do-check-act-cycle

American Academy of Pediatrics. (2014). Patient- and family-centered care coordination: A framework for integrating care for children and youth across multiple systems. Pediatrics, 133, e1451-e1460. https://doi.org/10.1542/peds.2014-0318

American Nurses Association. (2015a). Code of ethics for nurses. https://www.nursingworld.org/coe-view-only

American Nurses Association. (2015b). Nursing: Scope and standards of practice (3rd ed).

American Nurses Association & National Association of School Nurses. (2017). School nursing: Scope and standards of practice (3rd ed.).

ASCD & Centers for Disease Control and Prevention. (2014). Whole School Whole Community Whole Child: A collaborative approach to learning and health. http://www.ascd.org/ASCD/pdf/siteASCD/publications/wholechild/wscc-a-collaborative-approach.pdf

Baker

Anderson

Johnson

(2017). Building student and family-centered care coordination through ongoing delivery system design: How school nurses can implement care coordination. NASN School Nurse, 32(1), 43-49. https://doi.org/10.1177/1942602X16654171

Becker

S. I.

Maughan

E. D.

(2017). A descriptive study of differing school health delivery models. Journal of School Nursing, 33(6), 415-425. https://doi.org/10.1177/1059840517725788

10.

Bellack

J. P.

(2015). Unconscious bias. Journal of Nursing Education, 54(9), S63-S64. https://doi.org/10.3928/01484834-20150814-12

11.

Bergren

M. D.

Maughan

E. D.

(2019). The school nurse’s role in evidence-based practice, continuous quality improvement, and research. In Selekman

Shannon

R. A.

Yonkaitis

(Eds.) School nursing: A comprehensive text (3rd ed., pp. 96-115). F. A. Davis.

12.

Bobo

(2018). Principles for practice—Nursing delegation to unlicensed assistive personnel in the school setting (2nd ed.). National Association of School Nurses.

13.

Brooks

(2019). Why is professionalism important? Experts insight for recent graduates. Rasmussen College. https://www.rasmussen.edu/student-experience/college-life/four-reasons-why-you-need-to-be-professional/

14.

Bultas

M. W.

McLaughlin

(2013). Using evidence-based practice in the school health room. NASN School Nurse, 28(1), 34-40. https://doi.org/10.1177/1942602X12465964

15.

Case Management Society of America. (2010). Standards of practice for case management. http://solutions.cmsa.org/acton/attachment/10442/f-024e/1/-/-/-/-/SOP2016.pdf

16.

Castrucci

Auerbach

(2019). Meeting individual social needs falls short of addressing social determinants of health. Health Affairs Blog. https://www.healthaffairs.org/do/10.1377/hblog20190115.234942/full/

17.

Center for Community Health and Development. (2017). Chapter 19, Section 3: Identifying strategies and tactics for reducing risk. University of Kansas. https://ctb.ku.edu/en/table-of-contents/analyze/choose-and-adapt-community-interventions/reduce-risks/main

18.

Centers for Disease Control and Prevention. (2017a). Children’s environmental health. https://ephtracking.cdc.gov/showChildEHMain.action

19.

Centers for Disease Control and Prevention. (2017b). Managing chronic health conditions in schools: The role of the school nurse. https://www.cdc.gov/healthyschools/chronic_conditions/pdfs/2017_02_15-FactSheet-RoleOfSchoolNurses_FINAL_508.pdf

20.

Centers for Disease Control and Prevention. (2017c). Picture of America: Prevention. https://www.cdc.gov/pictureofamerica/pdfs/picture_of_america_prevention.pdf

21.

Centers for Disease Control and Prevention. (2018a). Division of environmental health science and practice. https://www.cdc.gov/nceh/ehsp/default.html

22.

Centers for Disease Control and Prevention. (2018b). Social determinants of health: Know what affects health. https://www.cdc.gov/socialdeterminants/

23.

Centers for Disease Control and Prevention. (2019a). Characteristics of an effective health education curriculum. https://www.cdc.gov/healthyschools/sher/characteristics/index.htm

24.

Centers for Disease Control and Prevention. (2019b). Program performance and evaluation office. https://www.cdc.gov/eval/index.htm

25.

Centers for Disease Control and Prevention. (2019c). Strategy and policy development. https://www.cdc.gov/policy/polaris/policyprocess/strategy_development.html

26.

Cusson

R. M.

Meehan

Bourgault

Kelley

(2020). Educating the next generation of nurses to be innovators and change agents. Journal of Professional Nursing, 36(2), 13-19. https://doi.org/10.1016/j.profnurs.2019.07.004

27.

Davis

(2017). Change agents wanted. Nursing Made Incredibly Easy, 15(1), 4. https://doi.org/10.1097/01.NME.0000508543.58154.dd

28.

Davis

Taylor

Reyes

(2014). Lifelong learning in nursing: A delphi study. Nurse Education Today, 34(3), 441-445. https://doi.org/10.1016/j.nedt.2013.04.014

29.

DeSalvo

K. B.

Wang

Harris

Auerbach

Koo

O’Carroll

(2017). Public Health 3.0: A call to action for public health to meet the challenges of the 21st century. Preventing Chronic Disease, 14. https://doi.org/10.5888/pcd14.170017external icon

30.

Duff

(2015). School nursing in the digital age. NASN School Nurse, 30(3), 144-145. https://doi.org/10.1177/1942602X15578659

31.

Engelke

Guttu

Warren

(2009). Defining, delivering, and documenting the outcomes of case management by school nurses. Journal of School Nursing, 25(6), 417-426. https://doi.org/10.1177/1059840509347377

32.

Fogarty International Center. (2019). Implementation science news, resources and funding for global health researchers. https://www.fic.nih.gov/ResearchTopics/Pages/ImplementationScience.aspx

33.

Frandsen

(2014). Nursing leadership management & leadership styles (White paper). American Association of Nurse Assessment Coordination. https://www.aanac.org/docs/white-papers/2013-nursing-leadership—management-leadership-styles.pdf?sfvrsn=2

34.

Gerber

(2018). Understanding the nurse’s role as a patient advocate. Nursing2020, 48(4), 55-58. https://doi.org/10.1097/01.NURSE.0000531007.02224.65

35.

Griffith

(2016). For the record: Keeping detailed notes. British Journal of Nursing, 25(7), 408-409. https://doi.org/10.12968/bjon.2016.25.7.408

36.

Institute for Healthcare Improvement. (2017). Science of improvement. http://www.ihi.org/about/Pages/ScienceofImprovement.aspx

37.

Institute for Work & Health. (2015). Primary, secondary, and tertiary prevention. https://www.iwh.on.ca/what-researchers-mean-by/primary-secondary-and-tertiary-prevention

38.

Johnson

K. H.

(2017). School health documentation and implications for data collection. In Resha

Talifero

V. L.

Galsbach

E. C.

(Eds.), Legal resource for school health services (pp. 87-100). School Health Alert.

39.

LoBiondo-Wood

Haber

(2017). Nursing research: Methods and critical appraisal for evidence-based practice. Mosby.

40.

Lepkowski

A. M.

(2017). Unlocking data collection: Practical tips for school nurses. NASN School Nurse, 33(1), 27-28. https://doi.org/10.1177/1942602X17744214

41.

Maughan

E. D.

Bergren

M. D.

(2014, June 27-July 1). School nurse indicators, identified and ready to collect: Results of national study [Paper presentation]. National Association of School Nurses Annual Conference, San Antonio, TX, United States.

42.

Maughan

E. D.

Johnson

K. H.

Bergren

M. D.

(2018). Introducing NASN’s new data initiative: National School Health Data Set: Every Student Counts! make this YOUR year of data. NASN School Nurse, 33(5), 291-294. https://doi.org/10.1177/1942602X18791572

43.

Maughan

E. D.

Yonkaitis

C. F.

(2017). What does evidence-based school nursing practice even mean? Get a CLUE. NASN School Nurse, 32(5), 287-289. https://doi.org/10.1177/1942602X17724420

44.

McClanahan

Weismuller

P. C.

(2015). School nurses and care coordination for children with complex needs: An integrative review. Journal of School Nursing, 31(1), 34-43. https://doi.org/10.1177/1059840514550484

45.

Melnyk

B. M.

Fineout-Overholt

(2015). Evidence-based practice in nursing and healthcare: A guide to best practice. Lippincott Williams & Wilkins

46.

Minnesota Department of Health. (2019). Public health interventions: Applications for public health nursing practice. https://www.health.state.mn.us/communities/practice/research/phncouncil/docs/PHInterventions.pdf

47.

National Academies of Sciences, Engineering, and Medicine. (2017). Communities in action: Pathways to health equity. National Academies Press.

48.

National Association of School Nurses. (2016). Framework for 21st century school nursing practice. NASN School Nurse, 30(4), 218-231. https://doi.org/10.1177/1942602X15618644

49.

National Association of School Nurses. (2017a). Position statements. https://www.nasn.org/advocacy/professional-practice-documents/position-statements

50.

National Association of School Nurses. (2017b). Principles for practice–The role of individualized healthcare plans (IHPs) in care coordination for students with chronic health conditions.

51.

National Association of School Nurses. (2017c). The role of school nursing in telehealth (Position Statement).

52.

National Association of School Nurses. (2017d). Students with chronic health conditions: The role of the school nurse (Position Statement).

53.

National Association of School Nurses. (2019). Transition planning for students with healthcare needs (Position Statement).

54.

National Association of School Nurses. (2020). Use of individualized healthcare plans to support school health services (Position Statement).

55.

National Coalition on Care Coordination. (n.d.). Policy brief-Implementing care coordination in the Patient Protection and Affordable Care Act. https://www.rush.edu/sites/default/files/Implementing%20Care%20Coordination%20in%20the%20Patient%20Protection%20and%20Affordable%20Care%20Act.pdf

56.

Nikolai. (2017). Healthcare reform: What it is and why we need it. National Institute of Health Policy. https://www.nihp.org/healthcare-reform-what-it-is-and-why-we-need-it/

57.

Office of Disease Prevention and Health Promotion. (2018a). About healthy people. https://www.healthypeople.gov/2020/About-Healthy-People

58.

Office of Disease Prevention and Health Promotion. (2018b). Access to health services. https://www.healthypeople.gov/2020/topics-objectives/topic/Access-to-Health-Services

59.

Office of Disease Prevention and Health Promotion. (2018c). Disparities. https://www.healthypeople.gov/2020/about/foundation-health-measures/Disparities

60.

Office of Disease Prevention and Health Promotion. (2018d). Social determinants of health. https://www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-of-health

61.

Plack

M. M.

Goldman

E. F.

Scott

A. R.

Brundage

S. B.

(2019). Systems thinking in the healthcare professions: A guide for educators and clinicians. The George Washington University.

62.

RAND Corporation. (n.d.). Education reform. https://www.rand.org/topics/education-reform.html

63.

Russell

K. A.

(2017). Nurse practice acts guide and govern: Updated 2017. National Council of State Boards of Nursing, 8(3), 18-25. https://www.ncsbn.org/2017_NPA_Guide_and_govern.pdf

64.

Selekman

Ness

(2019). Students with chronic conditions. In Selekman

Shannon

R. A.

Yonkaitis

(Eds.), School nursing: A comprehensive text (3rd ed., pp. 480-499). F. A. Davis.

65.

Senge

Hamilton

Kania

(2015). The dawn of system leadership. Stanford Social Innovation Review, Winter, 26-33.

66.

Shannon

R. A.

Maughan

E. D.

(2019). A model for developing evidence-based clinical practice guidelines for school nursing. Journal of School Nursing. Advanced online publication. https://doi.org/10.1177/1059840519880938

67.

Sypniewski

(2016). Motivational interviewing: A practical intervention for school nurses to engage in trauma informed care. NASN School Nurse, 31(1), 40-44. https://doi.org/10.1177/1942602X15576777

68.

Tengland

(2012). Behavior change or empowerment: On the ethics of health-promotion strategy. Public Health Ethics, 5(21), 140-153. https://doi.org/10.1007/s10728-013-0265-0

69.

Tomajan

(2012). Advocating for nurses and nursing. OJIN: The Online Journal of Issues in Nursing, 17(1), Manuscript 4. https://doi.org/10.3912/OJIN.Vol17No01Man04

70.

University of California Policy Press. (n.d.). Determining whether a statement is a policy or a procedure. https://www.ucop.edu/ethics-compliance-audit-services/_files/policy-toolkit/policy-or-procedure.pdf

71.

U.S. Department of Education. (2015). Every Student Succeeds Act. https://www.ed.gov/essa?src=rn

72.

U.S. Department of Health and Human Services. (2009). Code of federal regulations. http://www.hhs.gov/ohrp/humansubjects/guidance/45cfr46.html

73.

U.S. Department of Health and Human Services, Office of Minority Health. (2019). Cultural and linguistic competency. https://www.minorityhealth.hhs.gov/omh/browse.aspx?lvl=1&lvlid=6

74.

U.S. Department of Health and Human Services, Office of Population Affairs. (2018). Cultural competence. https://www.hhs.gov/ash/oah/resources-and-training/tpp-and-paf-resources/cultural-competence/index.html

75.

Weismuller

P. C.

Willgerodt

M. A.

McClanahan

Helm-Remund

(2015). Sailing the “Seven C’s” of leadership. NASN School Nurse, 31(1), 34-39. https://doi.org/10.1177/1942602X15577678

76.

Willgerodt

M. A.

Brock

D. M.

Maughan

E. D.

(2018). Public school nursing practice in the United States. Journal of School Nursing, 34(3), 232-244. https://doi.org/10.1177/1059840517752456

77.

World Health Organization. (n.d.). Education and training. https://www.who.int/hrh/education/en/

78.

World Health Organization. (2016). What is health promotion? https://www.who.int/features/qa/health-promotion/en/

79.

World Health Organization. (2018). Public health surveillance. https://www.who.int/immunization/monitoring_surveillance/burden/vpd/en/

80.

Wolfe

L. C.

Maughan

E. D.

Bergren

M. D.

(2019). Introducing the 3S (student-school nurse-school community) model. NASN School Nurse, 34(1), https://doi.org/10.1177/1942602X18814233

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