{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,2]],"date-time":"2026-08-02T03:47:28Z","timestamp":1785642448033,"version":"3.56.0"},"reference-count":62,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T00:00:00Z","timestamp":1745884800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T00:00:00Z","timestamp":1745884800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Explore state school nurse consultants' pivotal position during the COVID\u201019 pandemic to shape school policy and support frontline school nurses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>An inductive qualitative study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Members of the National Association of State School Nurse Consultants in the United States participated in focus groups and a written survey from January to April 2023. Standard content analysis was used to identify patterns and themes. COREQ guidelines were followed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Data from 14 participants revealed 5 themes and 29 subthemes: State School Nurse Consultants walk in two worlds, bridging health and education. They built collaboration and trust and functioned as interpreters and gatekeepers. State consultants were resources, advocates and supports for school nurses. They witnessed and experienced trauma. State consultants defined lessons learned and described how their national organisation supported them. Few sources describe state consultants' role from 2000 to 2022; therefore, this study fills a gap.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>State consultants advocated for school nurses, students and school staff, whose needs were not well understood by public health or education leaders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Policy\/Practice<\/jats:title>\n                    <jats:p>School nurses' workload increases exponentially in the absence of state consultants who provide resources to deliver effective and efficient school health services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>Policy leaders should recognise state school nurse consultants' intersectionality which strengthens the public health infrastructure, critical to meeting current and emerging public health challenges.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Contribution to the Clinical Community<\/jats:title>\n                    <jats:p>System\u2010wide leadership at regional, state and national levels provides consistency in policy and programmes, reduces duplication of effort and potential error and ensures school nurses benefit from shared resources, problem\u2010solving and support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>National Association of State School Nurse Consultants leaders instigated the study and approved the design and open\u2010ended questions. Preliminary findings were shared with members at a national online meeting and feedback affirmed that the results resonated with their experiences.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.16990","type":"journal-article","created":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T03:16:50Z","timestamp":1745896610000},"page":"701-718","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Walking in Two Worlds: State School Nurse Consultants'\n                    <scp>COVID<\/scp>\n                    \u201019 Pandemic Roles and Experiences, Results of a Qualitative Study"],"prefix":"10.1111","volume":"82","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0500-2833","authenticated-orcid":false,"given":"Ruth Ellen","family":"Luehr","sequence":"first","affiliation":[{"name":"Minnesota Department of Education School Health Services Specialist Emeritus  Roseville Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0220-6390","authenticated-orcid":false,"given":"Kelly A.","family":"Krumwiede","sequence":"additional","affiliation":[{"name":"School of Nursing, College of Allied Health and Nursing Minnesota State University  Mankato Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9297-5937","authenticated-orcid":false,"given":"Tammy J.","family":"Neiman","sequence":"additional","affiliation":[{"name":"School of Nursing, College of Allied Health and Nursing Minnesota State University  Mankato Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-0424-6323","authenticated-orcid":false,"given":"Joseph D.","family":"Visker","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, College of Allied Health and Nursing Minnesota State University  Mankato Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,29]]},"reference":[{"key":"e_1_2_13_2_1","unstructured":"Adelphi University.2021.\u201cNews at Adelphi: How Are We Responding to Pandemic Stress?\u201dGraphic: COVID\u2010Dynamic schedule and major US events January 2020\u2014January 2021. 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