Journal of School Health· 2026Q1
School Nurses' Perceptions of Mental Health Responsibilities Within School Nursing Practice: A Q Methodology Study
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- Q1SCImago
- 2026year
Short summary
A Q methodology study of 70 school nurses revealed three distinct viewpoints on prioritizing mental health duties: 1) safety/suicide-risk response, 2) medical expertise/crisis involvement, and 3) planning/care coordination with lower direct mental health focus.
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Key points
- Three distinct viewpoints emerged among 70 school nurses regarding mental health responsibilities.
- Viewpoint 1: Mental health work, particularly suicide-risk response, is a core safety responsibility.
- Viewpoint 2: Mental health involvement is prioritized through medical expertise and crisis response.
- Viewpoint 3: Planning and care coordination are prioritized over direct mental health duties.
- Nurses agreed on core safety duties but differed on the integration of mental health into routine practice.
AI-generated from the title and abstract; the full text is not read.
Abstract
BACKGROUND: School nurses frequently encounter student mental health concerns, but little is known about how they prioritize mental health responsibilities relative to other nursing duties and local team structures. METHODS: This Q methodology study examined shared viewpoints about school nurse duties that most support positive student and school outcomes. Seventy nurses from six rural, high-poverty US school districts ranked 25 duties aligned with the National Association of School Nurses framework. Q sorts were analyzed using centroid extraction and Varimax rotation; post-sort comments informed viewpoint interpretation. RESULTS: A three-viewpoint solution explained 71% of the variance, with 52 nurses loading significantly. Viewpoint 1 prioritized suicide-risk response and mental health work as safety responsibilities. Viewpoint 2 emphasized medical expertise and crisis-oriented mental health involvement. Viewpoint 3 prioritized planning and care coordination while ranking direct mental health duties lower. IMPLICATIONS FOR SCHOOL HEALTH POLICY, PRACTICE, AND EQUITY: Findings support clear role expectations, aligned referral and crisis protocols, appropriate staffing, and targeted professional learning for school nurse participation in mental health teams. CONCLUSIONS: Nurses agreed on core safety duties but differed in how mental health responsibilities fit within routine school nursing practice.
The authors' abstract, as published at the source. Journal of School Health, 2026 · DOI ↗
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Field: Speech and Hearing
Speech and HearingHealth Professions