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学校护士领导力与针对 LGBTQ+ 学生的校本支持措施的实施

School Nurse Leadership and the Implementation of School-Based Support for LGBTQ+ Students.

作者信息

Shattuck Daniel, Ramos Mary M, Richard Bonnie O, Hall Janie Lee, Sparks Rhonda, Willging Cathleen E

机构信息

Southwest Center, Pacific Institute for Research and Evaluation, Albuquerque, NM, USA.

Department of Pediatrics, University of New Mexico, Albuquerque, NM, USA.

出版信息

J Sch Nurs. 2024 Jul 23:10598405241265706. doi: 10.1177/10598405241265706.

DOI:10.1177/10598405241265706
PMID:39042884
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11754527/
Abstract

In 2021, the National Association of School Nurses published an updated position statement affirming the unique position of school nurses to support the health and well-being of lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ+) students who are faced with a variety of health disparities rooted in experiences of stigma, discrimination, and bias. The 5-year cluster randomized controlled trial "Reducing LGBTQ+ Adolescent Suicide" leveraged school nurses as leaders to facilitate the uptake of six evidence-informed, LGBTQ-supportive practices in New Mexico high schools. We analyzed 5 years of interview data from 24 school nurses in 13 intervention schools to examine what factors impacted their ability to serve as an effective leader for this initiative. Several factors including job characteristics, leadership and organizational skills, relationships and reputation, and personal commitments emerged from analysis. Contextual factors, such as working in urban or rural school, and the size of the school also influenced nurses' leadership.

摘要

2021年,全国学校护士协会发布了一份更新的立场声明,肯定了学校护士在支持女同性恋、男同性恋、双性恋、跨性别者和酷儿/疑问者(LGBTQ+)学生的健康和福祉方面的独特地位,这些学生面临着源于耻辱感、歧视和偏见经历的各种健康差异。为期5年的整群随机对照试验“减少LGBTQ+青少年自杀”利用学校护士作为领导者,在新墨西哥州的高中推动采用六种基于证据的、支持LGBTQ的做法。我们分析了来自13所干预学校的24名学校护士的5年访谈数据,以研究哪些因素影响了她们作为该倡议有效领导者的能力。分析中出现了几个因素,包括工作特征、领导和组织技能、人际关系和声誉以及个人承诺。背景因素,如在城市或农村学校工作以及学校规模,也影响了护士的领导能力。

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本文引用的文献

1
Physical Dating Violence Victimization among LGBTQ Youth: Disclosure and Association with Mental Health.LGBTQ 青年中的身体约会暴力受害情况:披露及其与心理健康的关联。
J Interpers Violence. 2023 Aug;38(15-16):9059-9085. doi: 10.1177/08862605231162655. Epub 2023 Apr 9.
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Power and resistance in schools: Implementing institutional change to promote health equity for sexual and gender minority youth.学校中的权力与阻力:实施制度变革以促进性少数和性别少数青年的健康公平
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Amplification of school-based strategies resulting from the application of the dynamic adaptation process to reduce sexual and gender minority youth suicide.通过应用动态适应过程来减少性少数和性别少数青年自杀而产生的校本策略的强化
Implement Res Pract. 2021 Jan-Dec;2. doi: 10.1177/2633489520986214. Epub 2021 Feb 1.
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Production and maintenance of the institutional in/visibility of sexual and gender minority students in schools.学校中性少数和性别少数学生的机构性可见性和不可见性的产生与维持。
Am J Orthopsychiatry. 2021;91(4):558-568. doi: 10.1037/ort0000556.
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Actions Speak Louder Than Words: Social Justice Is Integral to School Nursing Practice.行动胜于言语:社会正义是学校护理实践不可或缺的一部分。
J Sch Nurs. 2021 Aug;37(4):226-227. doi: 10.1177/10598405211019228.
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The Frontline Health Care Workers in Schools: Health Equity, the Distribution of School Nurses, and Student Access.学校中的一线医护人员:健康公平、学校护士的分布与学生可及性。
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