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NASN School Nurse

NASN School Nurse

Published in Association with National Association of School Nurses

eISSN: 19426038 | ISSN: 1942602X | Current volume: 36 | Current issue: 2 Frequency: Bi-monthly

The NASN School Nurse is a peer-reviewed clinical resource journal of the National Association of School Nurses and is published in January, March, May, July, September, and November.

The mission of the NASN School Nurse is to advance the practice of school nursing through the publishing of evidence-based, clinical resource articles and providing information on emerging issues, innovation in school health, and organizational resources of interest to our members.

This journal is a member of the Committee on Publication Ethics (COPE).

The NASN School Nurse is a peer-reviewed clinical resource journal of the National Association of School Nurses and is published in January, March, May, July, September, and November. The mission of the NASN School Nurse is to advance the practice of school nursing through the publishing of evidence-based, clinical resource articles and providing information on emerging issues, innovation in school health, and organizational resources of interest to our members.

Editorial Advisory Board
Elizabeth Clark, MSN, RN, NCSN, FNASN Nursing Education and Practice Specialist, NASN
Nina Fekaris, MS, BSN, RN, NCSN, FNASN Past President, NASN
Constance F. Griffin, BS, RN, AE-C, NCSN School Nurse Coordinator for the Valley Central School District, USA
Keisha E Simons Major MSN-Ed, RN, NCSN Nurse Manager, Prince George's County Public Schools, USA
Carmen Teskey, MA, BSN, RN School Nurse, West St. Paul-Mendota Heights-Eagan, USA
Catherine F. Yonkaitis, DNP, RN, NCSN, PHNA-BC Clinical Assistant Professor, University of Illinois at Chicago, USA
Editorial Panel
Cheryl Blake, MSN, RN, NCSN School Nurse, Trinity School of Durham and Chapel Hill, NASN Private, Independent, Parochial School Nurses Past Chair, USA
Jade Bland-Slaffey, MSHCA, BSN, RN Nurse Education and Practice Specialist, National Association of School Nurses, USA
Connie W. Board, BSN, RN, NCSN State School Nurse Consultant, Mississippi Department of Education, USA
Nichole Bobo, MSN, RN Director of Nursing Education, National Association of School Nurses, USA
Joan Cagginello, MS, BSN, RN Retired Nurse Administrator, Milford Health Department, USA
Linda J. Gibbons, MSN, RN, IL PEL-CSN, NCSN Director, School Nurse Certificate Program, Lewis University College of Nursing and Health Professions, USA
Beth E. Jameson, PhD, RN, CNL Assistant Professor, Program Director, CNL/MSN Program, Seton Hall University, College of Nursing, USA
Kathleen Johnson, DNP, RN, NCSN-E, APHN-BC, FNASN, FAAN Teaching Faculty at the University of Washington, USA
Denine Kohl, MSN, RN, NCSN School Nurse, Asthma Resource Nurse, Pasadena Unified School District, USA
Donna Kosiorowski, MS, RN, NCSN-E Supervisor School Health Services, 504 Coordinator, West Haven Board of Education, USA
Cynthia Less, MSN, RN, NCSN School Nurse, DoDEA, Spangdahlem Elementary School, Germany
Saria Lofton, PhD, RN, PEL-CSN Assistant Professor, University of Illinois - Chicago, College of Nursing, USA
Francis Luna, MSN, RN, NCSN School Nurse and Cluster Leader, Garland Independent School District; Past President, Texas School Nurses Organization, USA
Erin D. Maughan, PhD, MS, RN, PHNA-BC, FNASN, FAAN Director of Research, National Association of School Nurses, USA
Rachel McClanahan, DNP, RN, NCSN Assistant Professor, Lead Faculty School Nurse Credential & MSN Concentration, California State University, Fullerton, USA
Maureen C. McCoy, MSN, RN, FNP-C, NCSN Family Nurse Practitioner, iFM Community Medicine, St. Louis area, USA
Constance E. McIntosh, EdD, MBA, RN Associate Professor, Ball State University, USA
Lynne P. Meadows, MSN, BSN, RN Coordinator, Student Health Services, Fulton County Schools, USA
Lindsey Minchella, MSN, RN, NCSN, FNASN School Nurse Consultant, NASN Special Needs School Nurses Past Chair, USA
Susan Morgan, MEd, ADN, RN, NCSN School Nurse, Carberry Elementary, Emmett School District, USA
Debra Robarge, BSN, RN, NCSN Executive Director, Indiana Association of School Nurses, USA
Robin Adair Shannon, DNP, RN, NCSN, PHNA-BC Clinical Assistant Professor, University of Illinois at Chicago, USA
MaryAnn T. Strawhacker MPH, BSN, RN, SEN Special Education and Section 504 Consultant, Heartland Area Education Agency, USA
Susan Zacharski, MEd, BSN, RN, FNASN School Nurse Consultant, Michigan Association of School Nurses, USA
  • EMBASE/Excerpta Medica
  • SafetyLit
  • Scopus
  • Manuscripts should be submitted electronically at, where authors will be required to set up an online account in the SAGETrack system powered by ScholarOne. Follow the step-by-step instructions on the site for the uploading of all manuscript files. Average time from submission to first decision: 14 days.

    Statements and opinions expressed in the articles and communications appearing in the journal are those of the author(s) and not necessarily those of the editors and publisher. The editors and publisher disclaim any responsibility or liability for such material. Neither the editors nor the publisher guarantee, warrant, or endorse any product or service advertised in this publication, nor do they guarantee any claim made by the manufacturer of such product or service.

    Questions regarding manuscripts can be directed to the editor:
    Cynthia Galemore, Editor, NASN School Nurse
    phone: (913) 284-3460

    Peer Review Policy
    NASN School Nurse adheres to a rigorous double-blind reviewing policy in which the identity of both the reviewer and author are always concealed from both parties.

    Editors have very broad discretion in determining whether an article is an appropriate fit for their journal. Typically manuscripts are declined with a very general statement of the rejection decision. These decisions are not eligible for formal appeal unless the author believes the decision to reject the manuscript was based on an error in the review of the article, in which case the author is advised to appeal the decision by providing the Editor with a detailed description of the error they believe occurred.

    Manuscript Preparation
    As part of the submission process you will be required to warrant that you are submitting your original work, that you have the rights in the work, and that you have obtained and can supply all necessary permissions for the reproduction of any copyright works not owned by you, that you are submitting the work for first publication in the journal and that it is not being considered for publication elsewhere and has not already been published elsewhere. Please see SAGE’s guidelines on prior publication and note that the journal may accept submissions of papers that have been posted on pre-print servers; please alert the Editorial Office when submitting (contact details are at the top of these guidelines) and include the DOI for the preprint in the designated field in the manuscript submission system. Authors should not post an updated version of their paper on the preprint server while it is being peer reviewed for possible publication in the journal. If the article is accepted for publication, the author may re-use their work according to the journal's author archiving policy. If your paper is accepted, you must include a link on your preprint to the final version of your paper.

    Manuscripts submitted to NASN must be prepared as described in the guidelines of the Publication Manual of the American Psychological Association, 7th edition (APA style; APA, August 2020). For an online tutorial of APA style basics, go to the tutorial at: For a short summary of APA points with examples, download the NASN Style Guide for Authors and/or SAGE’s Reference Guide.

    All manuscripts must be submitted electronically in Microsoft Word file format (*.doc files). Please do not attempt to mimic the format of the typeset newsletter. Manuscript text should be in 12-point Times New Roman font, double spaced, with 1-inch margins on all sides. Each image should be numbered (Figure 1, Figure 2, etc.) in order as it appears in text, with instructions in the body of the manuscript on where it should be placed using brackets (e.g., [Insert Figure 1 about here.])

    Length. For a Featured Article, approximately 1,500 to 3,000 words (~4 pages) in the aforementioned format. Articles that are over the 3,000-word limit must be discussed with the editor before submission. Regular Article submissions should be approximately 750 to 1,500 words (~2 pages) in the aforementioned format.

    Order. Submissions should be arranged into the following sections: (1) title page, including author information and keywords; (2) main document, consisting of all text-based material, including abstract (if needed), article text, and any references, figure captions (submit any figures themselves separately; see the Graphics and Tables section below), tables, and sidebar text; and (3) artwork, images, and photographs.

    Title Page. On the title page include: (1) the full title of the article; (2) authors’ full names, arranged in the order they should appear in print; (3) academic degrees and institutional affiliation of all authors; (4) Include a one- to two-sentence biographical statement for each author and list any acknowledgments and funding information related to the article. (5) Provide any acknowledgements as they should appear at the end of your article. All contributors who do not meet the criteria for authorship should be listed in an ‘Acknowledgements’ section. See the Sample Title Page.

    Main document layout. The main document file should consist of text-based elements only: the body of your article as well as any references. Tables and table captions, and figure captions/descriptions should be submitted as separate documents. Be sure you refer to each table and figure you submit in the body of your manuscript (ex: "for more information ..., see Table 2"), and indicate placement with brackets as follows: [Insert Table 1 about here.] The bracketed text will not appear in the article, but will serve as a placeholder for formatting. When preparing your paper, the fewer layout specifications (such as multiple columns, font changes, type size, page parameters, etc.) the better. You should not mimic the pages of publication in which your paper will be published.

    References. All references should be formatted in APA style (APA, 2020). Refer to examples in the NASN Style Guide.

    Graphics and Tables
    Artwork includes charts and graphs, maps, photographs, figures, and line art. Images should be easily readable, clear, and neat; color images are preferred. Number artwork files consecutively in the order the images should appear within the article (Figure 1, Figure 2, etc.) and submit each image as a separate file.

    • Photos and illustrations. Acceptable file formats include TIFF, EPS, JPEG, and press-ready PDF. Submit images in roughly the same size they should appear in print, at high resolution (at least 300 dots per inch [dpi]).
    • Line art (charts, graphs, maps, and line graphics). Submit original line art in the same program it was created (such as MS Word or Excel for graphs). Scanned line-based artwork should be submitted at 900 dpi, in roughly the size they will appear in print.
    • Tables. Statistics, facts, and resource lists should be submitted in table format for easier reading. Submit tables in an editable format such as Microsoft Word or Excel-based tables. Tables should be submitted as separate document files; multiple tables should be numbered in order as they appear within the article. Include brief descriptive captions for each. All tables will be reformatted and typeset in the journal’s table style.

    Papers should only be submitted for consideration once consent is given by all contributing authors. Those submitting papers should carefully check that all those whose work contributed to the paper are acknowledged as contributing authors.

    The list of authors should include all those who can legitimately claim authorship. This is all those who:

    (i) made a substantial contribution to the concept and design, acquisition of data or analysis and interpretation of data,
    (ii) drafted the article or revised it critically for important intellectual content,
    (iii) approved the version to be published.
    (iv) have participated sufficiently in the work to take public responsibility for appropriate portions of the content

    Please refer to the ICMJE Authorship guidelines at

    As part of our commitment to ensuring an ethical, transparent and fair peer review process SAGE is a supporting member of ORCID, the Open Researcher and Contributor ID. ORCID provides a unique and persistent digital identifier that distinguishes researchers from every other researcher, even those who share the same name, and, through integration in key research workflows such as manuscript and grant submission, supports automated linkages between researchers and their professional activities, ensuring that their work is recognized.

    The collection of ORCID IDs from corresponding authors is now part of the submission process of this journal. If you already have an ORCID ID you will be asked to associate that to your submission during the online submission process. We also strongly encourage all co-authors to link their ORCID ID to their accounts in our online peer review platforms. It takes seconds to do: click the link when prompted, sign into your ORCID account and our systems are automatically updated. Your ORCID ID will become part of your accepted publication’s metadata, making your work attributable to you and only you. Your ORCID ID is published with your article so that fellow researchers reading your work can link to your ORCID profile and from there link to your other publications.

    If you do not already have an ORCID ID please follow this link to create one or visit our ORCID homepage to learn more.

    NASN School Nurse Manuscript Review Criteria:

    1. Article is relevant to the practice of school nursing; reflects NASN's core values of child well-being, diversity, excellence, innovation, integrity, leadership, and scholarship; and considers NASN Professional Practice Documents as related to the topic of the article.

    2. The title is descriptive of the article content and includes key words.

    3. The abstract includes key words and themes of the articles.

    4. The purpose of the article is clear and consistent throughout.

    5. Content is evidence-based.

    6. Grammar, sentence structure, punctuation, and sequencing are precise and accurate.

    7. Tables and figures enhance understanding of the content.

    8. Ethics are maintained: includes but not limited to maintain confidentiality and ethical principles, recognizes ethical dilemmas as applicable to topics, and credits other authors (e.g. quotes, tables).

    All projects that are research and involve human subjects should be reviewed by an Institutional Review Board (IRB). In addition, individuals who wish to publish their findings (data) from community assessments, quality improvement projects, chart reviews, and most needs assessment projects should seek IRB approval. Only an IRB can determine whether or not an inquiry is or is not Human Subjects Research; one cannot “self-exempt” (Rutgers, 2018). Academic institutions, health care agencies, hospitals, local and state level departments of health or education, and school districts have mechanisms (IRBs) to evaluate projects for human subjects protection. Authors should document that projects have been reviewed by the appropriate IRB(s).

    Rutgers Office of Research Regulatory Affairs. (2018). When does your study need IRB approval? Piscataway, NJ: Rutgers, The State University of New Jersey.

    9. References are current (preferably within past five years); from peer-reviewed journals and other professionally acceptable sources; and are multidisciplinary, when appropriate.

    10. In-text citations are included and follow APA, 7th edition.

      Permission to Reprint Copyrighted Material
      It is the author’s responsibility to submit written permission and releases for materials where needed. Because the process of obtaining permission can be time consuming, we highly recommended that authors submit any necessary documentation with their manuscript. No article will be published in NASN without all required permissions.

      • Written permission from the copyright holder to use non-original material (including any photographs, images, figures or tables, or quotations exceeding 100 words) must be submitted with the manuscript, and acknowledgment must be given to the original source of the copyrighted material in the manuscript. You may download and submit the NASN Permission to Reprint Form for this purpose.
      • Identifying information regarding a person featured in an article, including recognizable photos or voice recordings, should be removed from the manuscript or written informed consent from the person obtained. For images and recordings, submit a signed copy of the NASN Audio-Visual Likeness Release Form.

      Conflict of Interest
      It is the author’s responsibility to disclose any potential conflict of interest regarding the manuscript, as specified on the Contributor Publishing Agreement which authors sign upon manuscript acceptance (see below). Additionally, for any photographs of people, identifying features should be removed or informed consent from each recognizable individual will be required.

      To comply with the guidance for Research Funders, Authors and Publishers issued by the Research Information Network (RIN), NASN School Nurse additionally requires all Authors to acknowledge their funding in a consistent fashion under a separate heading. Please visit Funding Acknowledgements on the SAGE Journal Author Gateway to confirm the format of the acknowledgment text in the event of funding or state in your acknowledgments that: This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

      Copyright Agreement
      Authors of accepted manuscripts are required to sign an electronic Contributor Publishing Agreement. Upon acceptance, authors will be instructed on how to sign and submit an agreement online.

      Page Proofs
      After an article’s layout has been determined and it has been typeset, a set of page proofs in PDF format will be e-mailed to the corresponding author. If there are any outstanding queries found at copyediting, they will be included in a cover sheet at the beginning of the file. Authors should review the proofs and submit minor revisions by the due date given. Note: Major corrections and changes after an article has been typeset are time consuming and difficult, and they may affect the overall layout. To ensure timely publication, keep revisions to a minimum and do not introduce substantial new material at this stage.

      Disclosure Statement
      The editor will do what is necessary to prepare the article for publication—including changes in title, grammar, and format to conform to editorial usage and style. Changes may include such last-minute deletions as are necessary to meet space and format requirements.

      Open Data Sharing
      The journal is committed to facilitating openness, transparency and reproducibility of research, and has the following research data sharing policy. For more information, including FAQs please visit the SAGE Research Data policy pages.

      Subject to appropriate ethical and legal considerations and if applicable to your article, authors are encouraged to:

      • share your research data in a relevant public data repository
      • include a data availability statement linking to your data. If it is not possible to share your data, we encourage you to consider using the statement to explain why it cannot be shared.
      • cite this data in your research


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