NASN Sch Nurse. 2016 Jan;31(1):45-53. doi: 10.1177/1942602X15618644.
The National Association of School Nurses (NASN) developed the Framework for 21st Century School Nursing Practice to reflect current school nurse practice. The Framework of practice was introduced in June 2015, and feedback was requested and obtained from practicing school nurses in a variety of ways. The final version of the Framework is introduced in this article. This article updates (and replaces) the articles in the July 2015 NASN School Nurse related to the Framework. Central to the Framework is student-centered nursing care that occurs within the context of the students' family and school community. Surrounding the student, family, and school community are the nonhierarchical, overlapping key principles of Care Coordination, Leadership, Quality Improvement, and Community/Public Health.These principles are surrounded by the fifth principle, Standards of Practice, which is foundational for evidence-based and clinically competent quality care. Each of these principles is further defined by practice components. Suggestions are provided regarding how the Framework can be used in a variety of settings to articulate and prioritize school nursing practice. The ultimate goal is to provide a resource to guide school nurses in their practice to help students be healthy, safe, and ready to learn.
美国学校护士协会（NASN）制定了《21世纪学校护理实践框架》，以反映当前学校护士的实践情况。该实践框架于2015年6月推出，并通过多种方式征求并获得了在职学校护士的反馈。本文介绍了该框架的最终版本。本文更新（并取代）了2015年7月NASN学校护士中与该框架相关的文章。该框架的核心是以学生为中心的护理服务，这种服务在学生的家庭和学校社区背景下开展。围绕着学生、家庭和学校社区的是护理协调、领导力、质量改进以及社区/公共卫生这些非等级制、相互重叠的关键原则。这些原则又被第五项原则——实践标准所围绕，实践标准是循证且具备临床能力的优质护理的基础。这些原则中的每一项都通过实践组成部分进行了进一步定义。文中就如何在各种环境中使用该框架来阐明学校护理实践并确定其优先顺序提供了建议。最终目标是提供一种资源，以指导学校护士的实践，帮助学生保持健康、安全并做好学习准备。
