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School Nurses as Navigators, Translators, and Advocates.
Narrative Inquiry in Bioethics
|May 11, 2026
Summary
School nurses are vital for child health, facing unique ethical and legal challenges within education. Their advocacy bridges gaps for students, highlighting the need for increased support and clarity in school nursing.
Area of Science:
- Public Health
- Nursing Education
- Healthcare Policy
Background:
- School nurses are essential healthcare providers within educational settings.
- Their role extends beyond traditional healthcare, encompassing advocacy and addressing student inequities.
- The unique professional environment of education presents complex ethical and legal challenges for school nurses.
Purpose of the Study:
- To examine the multifaceted roles of school nurses as healthcare providers, advocates, and educational professionals.
- To explore the influence of structural inequities on school nursing practice.
- To analyze the moral, ethical, and legal challenges faced by school nurses and their strategies for navigating them.
Main Methods:
- This commentary is based on the lived experiences and narratives of school nurses.
- Analysis of the unique positionality of school nurses within both healthcare and education systems.
Main Results:
- School nursing work is diverse, influenced by student-centered structural inequities.
- Nurses often operate with limited resources and institutional support, facing complex ethical dilemmas.
- School nurses effectively bridge gaps between students, families, and broader systems through advocacy.
Conclusions:
- Advocacy is a core professional and ethical obligation for school nurses, extending to policy change.
- There is a critical need for enhanced professional support and legal clarity for school nurses.
- Understanding the ethical and legal landscape of school nursing is crucial for promoting student health.
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