Using Local School Wellness Policies to Build a Culture of Health for Students With Chronic Health Conditions: The School Nurse Role

Abstract

Local school wellness policies (LWP) guide school districts’ efforts to establish school environments that promote students’ health, well-being, and ability to learn that include school U.S. Department of Agriculture nutrition and physical activity requirements. Looking through the lens of the Whole School, Whole Community, Whole Child model and NASN’s Framework for 21st Century School Nursing Practice™, LWP can be expanded beyond the tradition focus of nutrition and physical activity to address the health and academic needs of students with chronic health conditions. School nurses need to be actively involved on district wellness councils as schools prepare to conduct their required triennial assessment of current LWP equipped with an understanding of the Alliance for a Healthier Generations’ updated model wellness policy and NASN’s supplemental wellness policy language to address management of students with chronic health conditions.

Keywords

school wellness policy chronic health conditions school nurse NASN’s Framework WSCC model

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References

Alliance for a Healthier Generation. (2018). Healthy schools programs framework for best practices. https://api.healthiergeneration.org/resource/11

Alliance for a Healthier Generation. (2020a). Model local school wellness policy: Policy guidance. https://api.healthiergeneration.org/resource/2

Alliance for a Healthier Generation. (2020b). Tobacco-free district model policy: Model policy, administrative rules and student code of conduct language: Policy guidance. https://api.healthiergeneration.org/resource/872

American Academy of Pediatrics, Council on School Health. (2016). Role of the school nurse in providing school health services. Pediatrics, 137(6), e20160852. https://doi.org/10.1542/peds.2016-0852

American Lung Association. (2020). Asthma policies for school. https://www.lung.org/policy-advocacy/healthcare-lung-disease/asthma-policy/national-asthma-public-policy-agenda/asthma-policy-for-schools

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/programs/learning-and-health/wscc-model.aspx

Centers for Disease Control and Prevention. (2017). Research brief: Chronic health conditions and academic achievement. https://www.cdc.gov/healthyschools/chronic_conditions/pdfs/2017_02_15-CHC-and-Academic-Achievement_Final_508.pdf

Centers for Disease Control and Prevention. (2020). Local school wellness policy. https://www.cdc.gov/healthyschools/npao/wellness.htm

Centers for Disease Control and Prevention. (2021). Health and academics. https://www.cdc.gov/healthyschools/health_and_academics/index.htm

10.

Cygan

Tribbia

Tully

(2020). School health policy implementation: Facilitators and challenges. The Journal of School Nursing, 36(5), 330-338. https://doi.org/10.1177/1059840519846089

11.

Food and Nutrition Service, U.S. Department of Agriculture. (2016). Final rule: Local school wellness policy implementation under the Healthy, Hunger-Free Kids Act of 2010. https://www.federalregister.gov/documents/2016/07/29/2016-17230/local-school-wellness-policy-implementation-under-the-healthy-hunger-free-kids-act-of-2010

12.

Jacobsen

Meeder

Voskuil

(2016). Chronic student absenteeism: The critical role of school nurses. NASN School Nurse, 31(3), 178-185. https://doi.org/10.1177/1942602X16638855

13.

Johnson

(2017). Healthy and ready to learn: School nurses improve equity and access. Online Journal of Issues in Nursing, 22(3). https://doi:10.3912/OJIN.Vol22No03Man01

14.

King

(2019). Creating voice in school nurses through increasing self-efficacy [Unpublished doctoral dissertation]. Otterbein University. https://digitalcommons.otterbein.edu/stu_doc/38

15.

Matingwina

(2018). Health, academic achievement and school-based interventions. In Bernal-Morales

(Ed.), Health and academic achievement. IntechOpen. https://www.intechopen.com/books/health-and-academic-achievement/health-academic-achievement-and-school-based-interventions

16.

McCabe

E. M.

Jameson

B. E.

Strauss

S. M.

(2020). School nurses matter: Relationship between school nurse employment policies and chronic health condition policies in U.S. school districts. The Journal of School Nursing. Advance online publication. https://doi.org/10.1177/1059840520973413

17.

National Association of School Nurses. (2016). Framework for 21st century school nursing practice: National Association of School Nurses. NASN School Nurse, 31(1), 45-53. https://doi.org/10.1177/1942602X15618644.

18.

National Association of School Nurses. (2018). The role of the 21st century school nurse (Position Statement). https://www.nasn.org/nasn/advocacy/professional-practice-documents/position-statements/ps-role

19.

National Association of School Nurses. (2020). Managing chronic health conditions in schools: Model school wellness policy supplement. https://cdn.fs.pathlms.com/GtkmrVvSy64YFX7jL4Yh?cache=true

20.

Perrin

Anderson

Van Cleave

(2014). The rise in chronic conditions among infants, children, and youth can be met with continued health system innovations. Health Affairs Children’s Health, 33(12), 2099-2105. https://doi.org/10.1377/hlthaff.2014.0832.

21.

Robert Wood Johnson Foundation. (2016). The relationship between school attendance and health. http://www.rwjf.org/en/library/research/2016/09/therelationshipbetween-school-attendance-and-health.html