Hoskote Ashwini R, Croce Emily, Johnson Karen E
Robert Wood Johnson Foundation Future of Nursing Scholar, 12330University of Texas at Austin School of Nursing.
12330The University of Texas at Austin School of Nursing; Dell Children's Medical Group, Austin, TX.
J Sch Nurs. 2023 Feb;39(1):51-71. doi: 10.1177/10598405211068120. Epub 2022 Jan 12.
School nurses are crucial to addressing adolescent mental health, yet evidence concerning their evolving role has not been synthesized to understand interventions across levels of practice (i.e., individual, community, systems). We conducted an integrative review of school nurse roles in mental health in the U.S. related to depressive symptoms, anxiety, and stress. Only 18 articles were identified, published from 1970 to 2019, and primarily described school nurses practicing interventions at the individual level, yet it was unclear whether they were always evidence-based. Although mental health concerns have increased over the years, the dearth of rigorous studies made it difficult to determine the impact of school nurse interventions on student mental health outcomes and school nurses continue to feel unprepared and under supported in this area. More research is needed to establish best practices and systems to support school nursing practice in addressing mental health at all levels of practice.
学校护士对于解决青少年心理健康问题至关重要，但关于其角色演变的证据尚未进行综合分析，以了解不同实践层面（即个体、社区、系统）的干预措施。我们对美国学校护士在与抑郁症状、焦虑和压力相关的心理健康方面的角色进行了综合综述。仅识别出18篇文章，发表于1970年至2019年期间，主要描述了学校护士在个体层面实施干预措施，但尚不清楚这些措施是否始终基于证据。尽管多年来心理健康问题有所增加，但严格研究的匮乏使得难以确定学校护士干预措施对学生心理健康结果的影响，而且学校护士在这一领域仍感到准备不足且支持不够。需要更多研究来确立最佳实践和系统，以支持学校护士在各个实践层面解决心理健康问题的工作。
