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Application of the Toxic Stress Schema: An Exemplar for School Nurses

Gwendolyn D Childs1, Janiece DeSocio2, Elizabeth Sloand3

  • 1Associate Professor and Associate Dean for Undergraduate and Prelicensure Education, University of Alabama at Birmingham, School of Nursing, Birmingham, AL, USA.

The Journal of School Nursing : the Official Publication of the National Association of School Nurses
|November 15, 2022
PubMed

Insights

Children of color face toxic stress from cumulative disparities and losses, impacting brain development and health. School nurses can use the Toxic Stress Schema (TSS) to identify risks and support children's well-being.

Area of Science:

  • Child Health
  • Neuroscience
  • Public Health

Background:

  • Children of color experience cumulative stressors, disparities, and pandemic-related losses, leading to toxic stress.
  • Toxic stress negatively impacts brain development, increasing vulnerability to physical and mental health issues.
  • School nurses are crucial in identifying social determinants of health contributing to toxic stress.

Purpose of the Study:

  • To introduce the Toxic Stress Schema (TSS) as a framework for school nurses.
  • To guide assessment and care planning for children experiencing toxic stress.
  • To demonstrate the TSS application in school nursing practice.

Main Methods:

  • Utilized a case study approach.
  • Applied the Toxic Stress Schema (TSS) for assessment and care planning.
  • Identified social determinants of health and buffering supports.

Main Results:

  • The TSS provides a structured method for school nurses to assess toxic stress.
  • The framework facilitates the development of targeted care plans.
  • Resource identification for supporting children's physical and mental health was demonstrated.

Conclusions:

  • The Toxic Stress Schema (TSS) is a valuable tool for school nurses.
  • Implementing the TSS can improve identification and management of toxic stress in children.
  • School nurses play a vital role in mitigating the effects of toxic stress through targeted interventions.

Keywords:
bullyingcovid-19mental healthschool nursesscreening/Risk identificationsocial determinants of healthtoxic stress

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