The Roles and Challenges of School Nurses Caring for Children with Medical Complexity in Japan.

The number of children with medical complexity has been increasing annually, resulting in a growing demand for appropriate support from nurses in school settings. However, the lack of standardized criteria and clearly defined job descriptions presents a significant challenge in securing and retainin...

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Publicado en:Journal of School Nursing p. 1
Autores principales: Yamashita, Tomoyo, Inada, Hiroshi, Konda, Takako, Shintaku, Haruo, Tanaka, Katsuji, Hamazaki, Takashi
Formato: Journal Article
Publicado: Sage Publications Inc. Aug2026
Acceso en línea:Ver este registro en EBSCOhost
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        atl: The Roles and Challenges of School Nurses Caring for Children with Medical Complexity in Japan.
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          Yamashita, Tomoyo
          Inada, Hiroshi
          Konda, Takako
          Shintaku, Haruo
          Tanaka, Katsuji
          Hamazaki, Takashi
        affil: Department of Pediatrics, Nishinomiya-Sunago Medical and Welfare Center, Hyogo, Japan
      sug:
      ab: The number of children with medical complexity has been increasing annually, resulting in a growing demand for appropriate support from nurses in school settings. However, the lack of standardized criteria and clearly defined job descriptions presents a significant challenge in securing and retaining personnel. This study aimed to clarify the current status of school nurses, their perceptions of professional roles, and barriers to effective care. A paper-based questionnaire survey was conducted, followed by semistructured interviews with school nurses in City A, Japan. Responses were obtained from 34 participants (response rate: 71%). Witnessing students’ growth and ensuring their safety were identified as key sources of professional fulfillment and motivation. In contrast, many participants described themselves as “extra workers,” reflecting low self-esteem and role ambiguity. These findings indicate that school nurses experience considerable anxiety and role-related challenges, highlighting the need for guideline development, systematic support, and structured training programs.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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