Abstract

School nurses are a unique group. They may be responsible for hundreds of students; some may have over 1000 students in their charge. They must have a breadth of knowledge to assess, treat, or refer for common pediatric illness and injuries, as well as ability to manage health emergencies and disasters. In addition, they must navigate rules, policies, and regulations that apply to their educational setting, and adhere to their state Nurse Practice Act. Overall goals for school nurses address student health, safety, and learning. In this quest, they may encounter myriad ethical issues. Rarely does literature include specific ethical issues faced by school nurses. This article addresses this gap by offering a brief review of the literature, and discussion about ethical concepts in the context of school nursing, ethical decision-making, and other relevant concepts such as moral distress, moral courage. Also included are recommendations and resources for school nurses.

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