Contenuto dell'articolo principale
Abstract
Introduzione: l’infermiere scolastico è un professionista specializzato che protegge e promuove la salute e il rendimento complessivo degli studenti. La complessità e le esigenze di salute degli studenti nelle scuole sono in continua evoluzione e l’infermiere sembra essere il professionista in grado di rispondere a questi bisogni.
Obiettivo: dimostrare la validità di uno nuovo strumento di valutazione della percezione del ruolo dell’infermiere scolastico in Italia.
Metodi: questo studio ha coinvolto tre scuole medie superiori e un corso di studi in Infermieristica del nord Italia. Nell’anno scolastico 2019-20 sono stati intervistati con un questionario realizzato attraverso una review. Sono stati eseguiti calcoli di validazione dello strumento.
Risultati: il campione è composto da 218 studenti, il 40,4% delle scuole superiori e i restanti della scuola di infermieristica. Entrambi hanno evidenziato buoni livelli di accordo rispetto alle competenze dell’infermiere scolastico. I risultati hanno mostrato un’Alfa di Cronbach di 0,92 della scala e variabile da 0,85 a 0,91 fra i fattori con una buona ampiezza campionaria (KMO = 0,90). Gli item hanno verificato le correlazioni item-totale e i criteri di variabilità di risposta. L’analisi fattoriale ha evidenziato un modello a 2 fattori in grado di spiegare il 62,4% della varianza senza registrare significative differenze fra il fattore “competenze tecniche-cognitive” con il 32,8% e il fattore “competenze relazionali ed educative” con il 29,6%.
Conclusioni: i risultati di questo studio possono essere utili per descrivere le funzioni dell’infermiere scolastico, sostenere la qualità dei servizi offerti dalla scuola e supportare gli infermieri scolastici mentre si sforzano di migliorare la salute delle comunità scolastiche.
Parole Chiave: infermiere scolastico, conoscenza, percezione, formazione
Parole chiave
Dettagli dell'articolo
Riferimenti
- Adams, S., Barron, S. (2009). Use of Evidence-Based Practice in School Nursing: Prevalence, Associated Variables, and Perceived Needs. Worldviews Evid Based Nurs, 1(6), 16-26.
- Akpabio, I.I., Asuzu, M.C., Fajemilehin, B.R., Ofi, A.B. (2009). Effects of school health nursing education interventions on HIV/AIDS-related attitudes of students in Akwa Ibom State. J Adolesc Health, 44(2), 118–123.
- Austin, J.K., Carr, D., Kakacek, J.R. (2010). Impact of Training Program on School Nurses’ Confidence Levels in Managing and Supporting Students with Epilepsy and Seizures. J Sch Nur, 26(6), 420-429.
- Barbaranelli C. (2003) Analisi dei dati: tecniche multivariate per la ricerca psicologica e sociale. Milano: Edizioni Universitarie di Lettere, Economia, Diritto.
- Best, N.C., Oppewal, S., Travers, D. (2017). Exploring School Nurse Interventions and Health and Education Outcomes: An Integrative Review. J Schl Nurs, 34(1), 14-27.
- Best, N.C., Nichols, A.O., Oppewal, S., Pierre-Louis, B., Waller, A.E., Zomorodi, M., & Travers, D. (2020). An appraisal of school nurse health services and programs in North Carolina public schools, 2006–2016. J Sch Nurs, 37(3), 146-156.
- Borawski, E.A., Tufts, K.A.T., Trapl, E.S, Hayman, L.L., Yoder, L.D., Lovegreen, L.D. (2015). Effectiveness of health education teachers and school nurses teaching sexually transmitted infections/human immunodeficiency virus prevention knowledge and skills in high school. J Sch Health, 85(3), 189 – 196.
- Butler, S., & Diaz, C. (2016). Hospitals and schools as hubs for building healthy communities. Brookings Institution. Retrieved from: https:// www.brookings.edu/wpcontent/uploads/2016/12/hospitalsandschoolsashubs_butler_diaz_120516.pdf. August 29, 2022.
- Council on School Health (2016), Role of the School Nurse in providing School Health Service. Pediatrics, 137(6), e20160852.
- Davis, C.R., Lynch, E.J. (2018). Administrator Leadership Styles and Their Impact on School Nursing Part II. A High Performance School Nurse Building Administrator relationship Model. NASN Sch Nurse. 33 (5), 311-316.
- De Vellis, R.F. (2003). Scale Development. Thousand Oaks: Sage Publications.
- Engelke, M.K., Guttu, M., Warren, M.B., Swanson, M. (2008). School Nurse Case Management for Children With Chronic Illness: Health, Academic and Quality of Life Outcomes. J Sch Nurs, 24(4), 205-214.
- Ferketich, S. (1991). Focus on psychometrics. Aspects of item analysis. Res Nurs Health, 14, 165-8.
- Fleming, R. (2011). Use of school nurse services among poor ethnic minority students in the urban Pacific Northwest. Public Health Nurs, 28(4), 308–316.
- Hoekstra, B.A., Young, V.L., Eley, C.V., Hawking, M.K.D., McNulty, C.A.M. (2016). School Nurses’ perspectives on the role of the school nurse in health education and health promotion in England: a qualitative study. BMC Nurs, 15(73).
- Garson, D. (2010). Statnotes: Topics in multivariate analysis. Factor Analysis. Retrieved from: http://faculty.chass.ncsu.edu/gar son/pa765/statnote.htm. August 29, 2022.
- Gorsuch, R. (1983). Factor analysis (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates.
- Graham, J.W. (2009). Missing data analysis: making it work in the real world. Annu Rev Psychol, 60, 549-76.
- Ibeziako, P., Choi, C., Randall, E., Bojoreanu, S. (2016). Bullying victimization in medically hospitalized patients with somatic symptoms and related disorders: Prevalence and associated factors. Hosp Pediatr, 6(5), 290-296.
- Kline, P. (1994). An easy guide to factor analysis. London: Routledge
- Kline, R.B. (2010). Principles and practice of structural equation modeling. New York: The Guilford Press.
- Kubik, M.Y., Maughan, E.D. (2022). The Mental Health of School-Aged Youth: A Call to Action for School Nursing. J Sch Nurs, 25, 1-2.
- Leroy, Z.C., Wallin, R., Lee, S. (2017). The role of school health services in addressing the needs of students with chronic health conditions: A systematic review. J Sch Nurs, 33(1), 64–72.
- McClanahan, R., Weismuller, P.C. (2014). School Nurses and Care Coordination for Children With Complex Needs: An Integrative Review. J Sch Nurs, 31(1), 34-43.
- Morse, B.L., Anderson, L., Combe, L.G., Delack, S., Ondeck, L. , Homme, C. (2022). U.S. School Nursing Job Analysis. J Sch Nurs, 38(2), 126-137.
- Mosnaim, G.S., Pappalardo, A.A., Resnick, S.E., Codispoti, C.D., Bandi, S., Nackers, L., Malik, R.N., Vijayaraghavan, V., Lynch, E.B., Powell, L.H. (2016). Behavioral Interventions to Improve Asthma Outcomes for Adolescents: A Systematic Review. J Allergy Clin Immunol Pract, 4(1), 130-140.
- National Association of School Nurses (NASN) (2016). The role of the 21st. Century School Nurse. NASN Internet. Retrieved from: http://www.nasn.org/advocacy/professional-practice-documents/position-statements/ps-role. Consultato il 14/06/2022. August 29, 2022.
- Best, N.C., Nichols, A.O., Waller, A.E., Zomorodi, M., Pierre-Louis, B., Oppewal, S. Travers, D. (2021). Impact of School Nurse Ratios and Health Services on Selected Student Health and Education Outcomes: North Carolina, 2011-2016. J Sch Health, 91(6), 473-481.
- Pedhazur, E., Schmelkin, L. (1991). Measurement, design, and analysis: An integrated approach. Hillsdale, NJ: Lawrence Erlbaum Associates.
- Pett, M.A., Lackey, N.R., Sullivan, J.J. (2003). Making sense of factor analysis: the use of factor analysis for instrument development in health care research. Thousand Oaks: Sage.
- Pirskanen, H., Jokinen, K., Karhinen-Soppi, A, Notko, M., Lamsa, T., Otani, M., Meil, G., Romero-Balsas, P., Rogero-Garcia, J. (2019). Children’s emotions in educational settings: Teacher perceptions from Australia, China, Finland, Japan and Spain. Early Child Educ, 47, 417-426.
- Polit, D.F., Beck, C.T. (2008) Nursing Research: Generating and Assessing Evidence for Nursing Practice. Philadelphia: Lippincott Williams & Wilkins.
- Racine, N., McArthur, B.A., Cooke, J.E., Eirich, R., Zhu, J., Madigan, S. (2021). Global prevalence of depressive and anxiety symptoms in children and adolescents during COVID-19: A metaanalysis. JAMA Pediatr, 175(11), 1142–1150.
- Rebecca, C.K. (2020). How a School Nurse Can Reduce Student Stress Using Systems-Level Thinking. NASN Sch Nurse, 35(6), 332 – 336.
- Righi, L., Trapassi, S., Bragaglia A., Zuffi E. (2020). Educazione al Primo Soccorso in un Istituto Scolastico Grossetano: riflessioni sull'infermiere scolastico. L'Infermiere, 57 (3), 13-15.
- Robin, C. (2021). School Nurses: In the Eye of the Storm. J Psychosoc Nurs Ment Health Serv, 59(9), 2 – 3.
- Sartori, R. (2011). Metodi e tecniche di indagine e intervento in psicologia. Milano: Edizioni Universitarie di Lettere, Economia, Diritto.
- Searing, L.M., Guenette, M., (2016). Charateristics of Illinois School District that employ school Nurses. The J Sch Nurs, 32(4), 273-80.
- Singer, B. (2012). Perceptions of School Nurses in the Care of Students with Disabilities. J Sch Nurs, 29(5), 329-336.
- Tanner, A.E., Secor-Turner, M., Garwick, A., Sieving, R., Rush, K. (2012). Engaging Vulnerable Adolescents in a Pregnancy Prevention Program: Perspectives of Prime Time Staff. J Pediatr Health Care, 26(4), 254-265.
- Terzoni, S., Destrebecq, A., Di Prisco, L., Ferrara, P. (2021). L'Infermiere scolastico: ruoli e proposte per la realtà italiana, L’Infermiere, 5, .
- Tomietto, M., Saiani, L., Palese, A., Cunico, L., Cicolini, G., Watson, P., Saarikoski, M. (2012). Clinical Learning Environment and Supervision plus nurse Teacher (CLES+T) scale: testing the psychometric characteristics of the Italian version. G Ital Med Lav Erg, 34, 3, Suppl B, Psicol.
- Twenge, J.M., Joiner, T.E., Rogers, M.L., Martin, G.N. (2018). Increases in depressive symptoms, suicide-related outcomes, and suicide rates among U.S. adolescents after 2010 and links to increased new media screen time. Clin Psychol Sci, 6, 3-17.
- Velsor-Friedrich, B., Richards, M., Militello, L.K., Dean, K.C., Scott, D., Gross, I.M., Romeo, E. (2015). The Impact of Community Violence on School-Based Research. J Sch Nurs, 31(6), 397 – 401.
- Yard, E., Radhakrishnan, L., Ballesteros, M.F., Sheppard, M., Gates, A., Stein, Z., Hartnett, K., Kite-Powell, A., Rodgers, L., Adjemian, J., Ehlman, D.C., Holland, K., Idaikkadar, N., Ivey-Stephenson, A., Martinez, P., Law, R.l., Stone, D.M. (2021). Emergency department visits for suspected suicide attempts among persons aged 12–25 years before and during the COVID-19 pandemic—United States, January 2019–May 2021. MMWR Morb Mortal Wkly Pep, 70(24), 888–894.
- Adams, S., Barron, S. (2009). Use of Evidence-Based Practice in School Nursing: Prevalence, Associated Variables, and Perceived Needs. Worldviews Evid Based Nurs, 1(6), 16-26.
- Akpabio, I.I., Asuzu, M.C., Fajemilehin, B.R., Ofi, A.B. (2009). Effects of school health nursing education interventions on HIV/AIDS-related attitudes of students in Akwa Ibom State. J Adolesc Health, 44(2), 118–123.
- Austin, J.K., Carr, D., Kakacek, J.R. (2010). Impact of Training Program on School Nurses’ Confidence Levels in Managing and Supporting Students with Epilepsy and Seizures. J Sch Nur, 26(6), 420-429.
- Barbaranelli C. (2003) Analisi dei dati: tecniche multivariate per la ricerca psicologica e sociale. Milano: Edizioni Universitarie di Lettere, Economia, Diritto.
- Best, N.C., Oppewal, S., Travers, D. (2017). Exploring School Nurse Interventions and Health and Education Outcomes: An Integrative Review. J Schl Nurs, 34(1), 14-27.
- Best, N.C., Nichols, A.O., Oppewal, S., Pierre-Louis, B., Waller, A.E., Zomorodi, M., & Travers, D. (2020). An appraisal of school nurse health services and programs in North Carolina public schools, 2006–2016. J Sch Nurs, 37(3), 146-156.
- Borawski, E.A., Tufts, K.A.T., Trapl, E.S, Hayman, L.L., Yoder, L.D., Lovegreen, L.D. (2015). Effectiveness of health education teachers and school nurses teaching sexually transmitted infections/human immunodeficiency virus prevention knowledge and skills in high school. J Sch Health, 85(3), 189 – 196.
- Butler, S., & Diaz, C. (2016). Hospitals and schools as hubs for building healthy communities. Brookings Institution. Retrieved from: https:// www.brookings.edu/wpcontent/uploads/2016/12/hospitalsandschoolsashubs_butler_diaz_120516.pdf. August 29, 2022.
- Council on School Health (2016), Role of the School Nurse in providing School Health Service. Pediatrics, 137(6), e20160852.
- Davis, C.R., Lynch, E.J. (2018). Administrator Leadership Styles and Their Impact on School Nursing Part II. A High Performance School Nurse Building Administrator relationship Model. NASN Sch Nurse. 33 (5), 311-316.
- De Vellis, R.F. (2003). Scale Development. Thousand Oaks: Sage Publications.
- Engelke, M.K., Guttu, M., Warren, M.B., Swanson, M. (2008). School Nurse Case Management for Children With Chronic Illness: Health, Academic and Quality of Life Outcomes. J Sch Nurs, 24(4), 205-214.
- Ferketich, S. (1991). Focus on psychometrics. Aspects of item analysis. Res Nurs Health, 14, 165-8.
- Fleming, R. (2011). Use of school nurse services among poor ethnic minority students in the urban Pacific Northwest. Public Health Nurs, 28(4), 308–316.
- Hoekstra, B.A., Young, V.L., Eley, C.V., Hawking, M.K.D., McNulty, C.A.M. (2016). School Nurses’ perspectives on the role of the school nurse in health education and health promotion in England: a qualitative study. BMC Nurs, 15(73).
- Garson, D. (2010). Statnotes: Topics in multivariate analysis. Factor Analysis. Retrieved from: http://faculty.chass.ncsu.edu/gar son/pa765/statnote.htm. August 29, 2022.
- Gorsuch, R. (1983). Factor analysis (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates.
- Graham, J.W. (2009). Missing data analysis: making it work in the real world. Annu Rev Psychol, 60, 549-76.
- Ibeziako, P., Choi, C., Randall, E., Bojoreanu, S. (2016). Bullying victimization in medically hospitalized patients with somatic symptoms and related disorders: Prevalence and associated factors. Hosp Pediatr, 6(5), 290-296.
- Kline, P. (1994). An easy guide to factor analysis. London: Routledge
- Kline, R.B. (2010). Principles and practice of structural equation modeling. New York: The Guilford Press.
- Kubik, M.Y., Maughan, E.D. (2022). The Mental Health of School-Aged Youth: A Call to Action for School Nursing. J Sch Nurs, 25, 1-2.
- Leroy, Z.C., Wallin, R., Lee, S. (2017). The role of school health services in addressing the needs of students with chronic health conditions: A systematic review. J Sch Nurs, 33(1), 64–72.
- McClanahan, R., Weismuller, P.C. (2014). School Nurses and Care Coordination for Children With Complex Needs: An Integrative Review. J Sch Nurs, 31(1), 34-43.
- Morse, B.L., Anderson, L., Combe, L.G., Delack, S., Ondeck, L. , Homme, C. (2022). U.S. School Nursing Job Analysis. J Sch Nurs, 38(2), 126-137.
- Mosnaim, G.S., Pappalardo, A.A., Resnick, S.E., Codispoti, C.D., Bandi, S., Nackers, L., Malik, R.N., Vijayaraghavan, V., Lynch, E.B., Powell, L.H. (2016). Behavioral Interventions to Improve Asthma Outcomes for Adolescents: A Systematic Review. J Allergy Clin Immunol Pract, 4(1), 130-140.
- National Association of School Nurses (NASN) (2016). The role of the 21st. Century School Nurse. NASN Internet. Retrieved from: http://www.nasn.org/advocacy/professional-practice-documents/position-statements/ps-role. Consultato il 14/06/2022. August 29, 2022.
- Best, N.C., Nichols, A.O., Waller, A.E., Zomorodi, M., Pierre-Louis, B., Oppewal, S. Travers, D. (2021). Impact of School Nurse Ratios and Health Services on Selected Student Health and Education Outcomes: North Carolina, 2011-2016. J Sch Health, 91(6), 473-481.
- Pedhazur, E., Schmelkin, L. (1991). Measurement, design, and analysis: An integrated approach. Hillsdale, NJ: Lawrence Erlbaum Associates.
- Pett, M.A., Lackey, N.R., Sullivan, J.J. (2003). Making sense of factor analysis: the use of factor analysis for instrument development in health care research. Thousand Oaks: Sage.
- Pirskanen, H., Jokinen, K., Karhinen-Soppi, A, Notko, M., Lamsa, T., Otani, M., Meil, G., Romero-Balsas, P., Rogero-Garcia, J. (2019). Children’s emotions in educational settings: Teacher perceptions from Australia, China, Finland, Japan and Spain. Early Child Educ, 47, 417-426.
- Polit, D.F., Beck, C.T. (2008) Nursing Research: Generating and Assessing Evidence for Nursing Practice. Philadelphia: Lippincott Williams & Wilkins.
- Racine, N., McArthur, B.A., Cooke, J.E., Eirich, R., Zhu, J., Madigan, S. (2021). Global prevalence of depressive and anxiety symptoms in children and adolescents during COVID-19: A metaanalysis. JAMA Pediatr, 175(11), 1142–1150.
- Rebecca, C.K. (2020). How a School Nurse Can Reduce Student Stress Using Systems-Level Thinking. NASN Sch Nurse, 35(6), 332 – 336.
- Righi, L., Trapassi, S., Bragaglia A., Zuffi E. (2020). Educazione al Primo Soccorso in un Istituto Scolastico Grossetano: riflessioni sull'infermiere scolastico. L'Infermiere, 57 (3), 13-15.
- Robin, C. (2021). School Nurses: In the Eye of the Storm. J Psychosoc Nurs Ment Health Serv, 59(9), 2 – 3.
- Sartori, R. (2011). Metodi e tecniche di indagine e intervento in psicologia. Milano: Edizioni Universitarie di Lettere, Economia, Diritto.
- Searing, L.M., Guenette, M., (2016). Charateristics of Illinois School District that employ school Nurses. The J Sch Nurs, 32(4), 273-80.
- Singer, B. (2012). Perceptions of School Nurses in the Care of Students with Disabilities. J Sch Nurs, 29(5), 329-336.
- Tanner, A.E., Secor-Turner, M., Garwick, A., Sieving, R., Rush, K. (2012). Engaging Vulnerable Adolescents in a Pregnancy Prevention Program: Perspectives of Prime Time Staff. J Pediatr Health Care, 26(4), 254-265.
- Terzoni, S., Destrebecq, A., Di Prisco, L., Ferrara, P. (2021). L'Infermiere scolastico: ruoli e proposte per la realtà italiana, L’Infermiere, 5, .
- Tomietto, M., Saiani, L., Palese, A., Cunico, L., Cicolini, G., Watson, P., Saarikoski, M. (2012). Clinical Learning Environment and Supervision plus nurse Teacher (CLES+T) scale: testing the psychometric characteristics of the Italian version. G Ital Med Lav Erg, 34, 3, Suppl B, Psicol.
- Twenge, J.M., Joiner, T.E., Rogers, M.L., Martin, G.N. (2018). Increases in depressive symptoms, suicide-related outcomes, and suicide rates among U.S. adolescents after 2010 and links to increased new media screen time. Clin Psychol Sci, 6, 3-17.
- Velsor-Friedrich, B., Richards, M., Militello, L.K., Dean, K.C., Scott, D., Gross, I.M., Romeo, E. (2015). The Impact of Community Violence on School-Based Research. J Sch Nurs, 31(6), 397 – 401.
- Yard, E., Radhakrishnan, L., Ballesteros, M.F., Sheppard, M., Gates, A., Stein, Z., Hartnett, K., Kite-Powell, A., Rodgers, L., Adjemian, J., Ehlman, D.C., Holland, K., Idaikkadar, N., Ivey-Stephenson, A., Martinez, P., Law, R.l., Stone, D.M. (2021). Emergency department visits for suspected suicide attempts among persons aged 12–25 years before and during the COVID-19 pandemic—United States, January 2019–May 2021. MMWR Morb Mortal Wkly Pep, 70(24), 888–894.
Riferimenti
Adams, S., Barron, S. (2009). Use of Evidence-Based Practice in School Nursing: Prevalence, Associated Variables, and Perceived Needs. Worldviews Evid Based Nurs, 1(6), 16-26.
Akpabio, I.I., Asuzu, M.C., Fajemilehin, B.R., Ofi, A.B. (2009). Effects of school health nursing education interventions on HIV/AIDS-related attitudes of students in Akwa Ibom State. J Adolesc Health, 44(2), 118–123.
Austin, J.K., Carr, D., Kakacek, J.R. (2010). Impact of Training Program on School Nurses’ Confidence Levels in Managing and Supporting Students with Epilepsy and Seizures. J Sch Nur, 26(6), 420-429.
Barbaranelli C. (2003) Analisi dei dati: tecniche multivariate per la ricerca psicologica e sociale. Milano: Edizioni Universitarie di Lettere, Economia, Diritto.
Best, N.C., Oppewal, S., Travers, D. (2017). Exploring School Nurse Interventions and Health and Education Outcomes: An Integrative Review. J Schl Nurs, 34(1), 14-27.
Best, N.C., Nichols, A.O., Oppewal, S., Pierre-Louis, B., Waller, A.E., Zomorodi, M., & Travers, D. (2020). An appraisal of school nurse health services and programs in North Carolina public schools, 2006–2016. J Sch Nurs, 37(3), 146-156.
Borawski, E.A., Tufts, K.A.T., Trapl, E.S, Hayman, L.L., Yoder, L.D., Lovegreen, L.D. (2015). Effectiveness of health education teachers and school nurses teaching sexually transmitted infections/human immunodeficiency virus prevention knowledge and skills in high school. J Sch Health, 85(3), 189 – 196.
Butler, S., & Diaz, C. (2016). Hospitals and schools as hubs for building healthy communities. Brookings Institution. Retrieved from: https:// www.brookings.edu/wpcontent/uploads/2016/12/hospitalsandschoolsashubs_butler_diaz_120516.pdf. August 29, 2022.
Council on School Health (2016), Role of the School Nurse in providing School Health Service. Pediatrics, 137(6), e20160852.
Davis, C.R., Lynch, E.J. (2018). Administrator Leadership Styles and Their Impact on School Nursing Part II. A High Performance School Nurse Building Administrator relationship Model. NASN Sch Nurse. 33 (5), 311-316.
De Vellis, R.F. (2003). Scale Development. Thousand Oaks: Sage Publications.
Engelke, M.K., Guttu, M., Warren, M.B., Swanson, M. (2008). School Nurse Case Management for Children With Chronic Illness: Health, Academic and Quality of Life Outcomes. J Sch Nurs, 24(4), 205-214.
Ferketich, S. (1991). Focus on psychometrics. Aspects of item analysis. Res Nurs Health, 14, 165-8.
Fleming, R. (2011). Use of school nurse services among poor ethnic minority students in the urban Pacific Northwest. Public Health Nurs, 28(4), 308–316.
Hoekstra, B.A., Young, V.L., Eley, C.V., Hawking, M.K.D., McNulty, C.A.M. (2016). School Nurses’ perspectives on the role of the school nurse in health education and health promotion in England: a qualitative study. BMC Nurs, 15(73).
Garson, D. (2010). Statnotes: Topics in multivariate analysis. Factor Analysis. Retrieved from: http://faculty.chass.ncsu.edu/gar son/pa765/statnote.htm. August 29, 2022.
Gorsuch, R. (1983). Factor analysis (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates.
Graham, J.W. (2009). Missing data analysis: making it work in the real world. Annu Rev Psychol, 60, 549-76.
Ibeziako, P., Choi, C., Randall, E., Bojoreanu, S. (2016). Bullying victimization in medically hospitalized patients with somatic symptoms and related disorders: Prevalence and associated factors. Hosp Pediatr, 6(5), 290-296.
Kline, P. (1994). An easy guide to factor analysis. London: Routledge
Kline, R.B. (2010). Principles and practice of structural equation modeling. New York: The Guilford Press.
Kubik, M.Y., Maughan, E.D. (2022). The Mental Health of School-Aged Youth: A Call to Action for School Nursing. J Sch Nurs, 25, 1-2.
Leroy, Z.C., Wallin, R., Lee, S. (2017). The role of school health services in addressing the needs of students with chronic health conditions: A systematic review. J Sch Nurs, 33(1), 64–72.
McClanahan, R., Weismuller, P.C. (2014). School Nurses and Care Coordination for Children With Complex Needs: An Integrative Review. J Sch Nurs, 31(1), 34-43.
Morse, B.L., Anderson, L., Combe, L.G., Delack, S., Ondeck, L. , Homme, C. (2022). U.S. School Nursing Job Analysis. J Sch Nurs, 38(2), 126-137.
Mosnaim, G.S., Pappalardo, A.A., Resnick, S.E., Codispoti, C.D., Bandi, S., Nackers, L., Malik, R.N., Vijayaraghavan, V., Lynch, E.B., Powell, L.H. (2016). Behavioral Interventions to Improve Asthma Outcomes for Adolescents: A Systematic Review. J Allergy Clin Immunol Pract, 4(1), 130-140.
National Association of School Nurses (NASN) (2016). The role of the 21st. Century School Nurse. NASN Internet. Retrieved from: http://www.nasn.org/advocacy/professional-practice-documents/position-statements/ps-role. Consultato il 14/06/2022. August 29, 2022.
Best, N.C., Nichols, A.O., Waller, A.E., Zomorodi, M., Pierre-Louis, B., Oppewal, S. Travers, D. (2021). Impact of School Nurse Ratios and Health Services on Selected Student Health and Education Outcomes: North Carolina, 2011-2016. J Sch Health, 91(6), 473-481.
Pedhazur, E., Schmelkin, L. (1991). Measurement, design, and analysis: An integrated approach. Hillsdale, NJ: Lawrence Erlbaum Associates.
Pett, M.A., Lackey, N.R., Sullivan, J.J. (2003). Making sense of factor analysis: the use of factor analysis for instrument development in health care research. Thousand Oaks: Sage.
Pirskanen, H., Jokinen, K., Karhinen-Soppi, A, Notko, M., Lamsa, T., Otani, M., Meil, G., Romero-Balsas, P., Rogero-Garcia, J. (2019). Children’s emotions in educational settings: Teacher perceptions from Australia, China, Finland, Japan and Spain. Early Child Educ, 47, 417-426.
Polit, D.F., Beck, C.T. (2008) Nursing Research: Generating and Assessing Evidence for Nursing Practice. Philadelphia: Lippincott Williams & Wilkins.
Racine, N., McArthur, B.A., Cooke, J.E., Eirich, R., Zhu, J., Madigan, S. (2021). Global prevalence of depressive and anxiety symptoms in children and adolescents during COVID-19: A metaanalysis. JAMA Pediatr, 175(11), 1142–1150.
Rebecca, C.K. (2020). How a School Nurse Can Reduce Student Stress Using Systems-Level Thinking. NASN Sch Nurse, 35(6), 332 – 336.
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