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Prioritization among School Nurses: An Integrative Review of the Literature

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Title: Prioritization among School Nurses: An Integrative Review of the Literature
Language: English
Authors: Melissa I. Calvillo (ORCID 0009-0002-7115-0084), Susana J. Calderon (ORCID 0000-0002-5823-8877), Maureen Rabbitte (ORCID 0000-0003-3964-9221), Cherrill Stockmann (ORCID 0000-0002-3891-1921), Sheryl Henry
Source: Journal of School Nursing. 2026 42(1):77-93.
Availability: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
Peer Reviewed: Y
Page Count: 17
Publication Date: 2026
Document Type: Journal Articles
Information Analyses
Reports - Research
Descriptors: School Nurses, School Health Services, Decision Making, Knowledge Level, Attitudes, Values, Self Efficacy, Intention, Evidence Based Practice, Responsibility, Performance Factors, Barriers
DOI: 10.1177/10598405251371765
ISSN: 1059-8405
1546-8364
Abstract: With a median caseload of 750-1,000 clients, school nurses face setting-specific challenges involving multiple, competing demands. This necessitates effective prioritization to prevent missed opportunities to provide appropriate care. This integrative review synthesizes the current state of the literature related to prioritization among school nurses in the United States. Three themes were identified relating to prioritization among school nursing: knowledge, attitudes and values; self-efficacy and intention to act; and the nursing process. The prioritization behavior of school nurses can be facilitated by organizational and community collaboration and strong evidence-based practice recommendations. High workloads and inadequate resources among school nurses are the most consistently cited barriers to effective prioritization. Additional research on how to improve effective prioritization among school nurses for the improvement of population health outcomes is needed.
Abstractor: As Provided
Entry Date: 2026
Accession Number: EJ1496647
Database: ERIC
FullText Text:
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  Data: Prioritization among School Nurses: An Integrative Review of the Literature
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  Data: <searchLink fieldCode="AR" term="%22Melissa+I%2E+Calvillo%22">Melissa I. Calvillo</searchLink> (ORCID <externalLink term="https://orcid.org/0009-0002-7115-0084">0009-0002-7115-0084</externalLink>)<br /><searchLink fieldCode="AR" term="%22Susana+J%2E+Calderon%22">Susana J. Calderon</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-5823-8877">0000-0002-5823-8877</externalLink>)<br /><searchLink fieldCode="AR" term="%22Maureen+Rabbitte%22">Maureen Rabbitte</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0003-3964-9221">0000-0003-3964-9221</externalLink>)<br /><searchLink fieldCode="AR" term="%22Cherrill+Stockmann%22">Cherrill Stockmann</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-3891-1921">0000-0002-3891-1921</externalLink>)<br /><searchLink fieldCode="AR" term="%22Sheryl+Henry%22">Sheryl Henry</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22Journal+of+School+Nursing%22"><i>Journal of School Nursing</i></searchLink>. 2026 42(1):77-93.
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  Data: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
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  Data: 17
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  Data: 2026
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  Data: Journal Articles<br />Information Analyses<br />Reports - Research
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  Data: <searchLink fieldCode="DE" term="%22School+Nurses%22">School Nurses</searchLink><br /><searchLink fieldCode="DE" term="%22School+Health+Services%22">School Health Services</searchLink><br /><searchLink fieldCode="DE" term="%22Decision+Making%22">Decision Making</searchLink><br /><searchLink fieldCode="DE" term="%22Knowledge+Level%22">Knowledge Level</searchLink><br /><searchLink fieldCode="DE" term="%22Attitudes%22">Attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Values%22">Values</searchLink><br /><searchLink fieldCode="DE" term="%22Self+Efficacy%22">Self Efficacy</searchLink><br /><searchLink fieldCode="DE" term="%22Intention%22">Intention</searchLink><br /><searchLink fieldCode="DE" term="%22Evidence+Based+Practice%22">Evidence Based Practice</searchLink><br /><searchLink fieldCode="DE" term="%22Responsibility%22">Responsibility</searchLink><br /><searchLink fieldCode="DE" term="%22Performance+Factors%22">Performance Factors</searchLink><br /><searchLink fieldCode="DE" term="%22Barriers%22">Barriers</searchLink>
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  Data: 10.1177/10598405251371765
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  Data: 1059-8405<br />1546-8364
– Name: Abstract
  Label: Abstract
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  Data: With a median caseload of 750-1,000 clients, school nurses face setting-specific challenges involving multiple, competing demands. This necessitates effective prioritization to prevent missed opportunities to provide appropriate care. This integrative review synthesizes the current state of the literature related to prioritization among school nurses in the United States. Three themes were identified relating to prioritization among school nursing: knowledge, attitudes and values; self-efficacy and intention to act; and the nursing process. The prioritization behavior of school nurses can be facilitated by organizational and community collaboration and strong evidence-based practice recommendations. High workloads and inadequate resources among school nurses are the most consistently cited barriers to effective prioritization. Additional research on how to improve effective prioritization among school nurses for the improvement of population health outcomes is needed.
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  Data: 2026
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  Data: EJ1496647
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      – SubjectFull: School Nurses
        Type: general
      – SubjectFull: School Health Services
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      – SubjectFull: Decision Making
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      – SubjectFull: Knowledge Level
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      – SubjectFull: Attitudes
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      – SubjectFull: Barriers
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