{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:20:17Z","timestamp":1791332417427,"version":"4.3.1"},"reference-count":27,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2022,10,31]],"date-time":"2022-10-31T00:00:00Z","timestamp":1667174400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Journal of School Nursing"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:p>School nurses are integral to creating safe environments in U.S. schools. Many experienced increased work burden and stress during the COVID-19 pandemic. CDC collaborated with the National Association of School Nurses and the National Association of State School Nurse Consultants to distribute a 121-item online, anonymous survey to school nurses nationwide during March 7-30, 2022. Among the 7,971 respondents, symptoms of depression, anxiety and PTSD, and suicidal ideation were measured, and prevalence ratios were used to identify associations with demographics, workplace characteristics, and support. Results found high levels of work-related stressors and indicated that employment characteristics, COVID-19-related job duties, and other workplace stressors and supports affected school nurse mental health. The survey findings underscore the mental health challenges many school nurses experienced during the 2021\/2022 school year. The findings can inform supportive policies and practices to reduce workplace stressors and increase workplace supports for school nurses.<\/jats:p>","DOI":"10.1177\/10598405221131048","type":"journal-article","created":{"date-parts":[[2022,10,31]],"date-time":"2022-10-31T15:00:21Z","timestamp":1667228421000},"page":"114-124","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":30,"title":["Symptoms of Depression, Anxiety, and Post-Traumatic Stress Disorder, and Suicidal Ideation Among School Nurses in Prekindergarten through Grade 12 Schools \u2014 United States, March 2022"],"prefix":"10.1177","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1755-8620","authenticated-orcid":false,"given":"Sarah L.","family":"Merkle","sequence":"first","affiliation":[{"name":"COVID-19 Response, CDC, Atlanta, GA, USA"},{"name":"National Center for Environmental Health, CDC, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Welton","sequence":"additional","affiliation":[{"name":"COVID-19 Response, CDC, Atlanta, GA, USA"},{"name":"G2S Corporation, San Antonio, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6872-5276","authenticated-orcid":false,"given":"Andr\u00e9","family":"van Zyl","sequence":"additional","affiliation":[{"name":"COVID-19 Response, CDC, Atlanta, GA, USA"},{"name":"4ES Corporation, San Antonio, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhling","family":"Chong","sequence":"additional","affiliation":[{"name":"COVID-19 Response, CDC, Atlanta, GA, USA"},{"name":"G2S Corporation, San Antonio, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Tanner","sequence":"additional","affiliation":[{"name":"National Association of School Nurses, Silver Spring, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles E.","family":"Rose","sequence":"additional","affiliation":[{"name":"COVID-19 Response, CDC, Atlanta, GA, USA"},{"name":"National Center for Birth Defects and Developmental Disabilities, CDC, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marci","family":"Hertz","sequence":"additional","affiliation":[{"name":"Division of Adolescent and School Health, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, CDC, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Hill","sequence":"additional","affiliation":[{"name":"COVID-19 Response, CDC, Atlanta, GA, USA"},{"name":"Division of Preparedness and Emerging Infections, National Center for Emerging and Zoonotic Infectious Diseases, CDC, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zanie C.","family":"Leroy","sequence":"additional","affiliation":[{"name":"Division of Population Health, National Center for Chronic Disease Prevention and Health Promotion, CDC, Atlanta, GA,USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katlynn","family":"Sifre","sequence":"additional","affiliation":[{"name":"COVID-19 Response, CDC, Atlanta, GA, USA"},{"name":"G2S Corporation, San Antonio, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ebony S.","family":"Thomas","sequence":"additional","affiliation":[{"name":"COVID-19 Response, CDC, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,10,31]]},"reference":[{"key":"bibr1-10598405221131048","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7048a6"},{"key":"bibr2-10598405221131048","unstructured":"Centers for Disease Control and Prevention. 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