{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T11:25:57Z","timestamp":1793705157548,"version":"4.5.1"},"reference-count":20,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Journal of School Nursing"],"published-print":{"date-parts":[[2026,12]]},"abstract":"<jats:p>\n                    In response to evolving school nurse roles, the National Association of School Nurses (NASN) evaluated and updated its\n                    <jats:italic toggle=\"yes\">Framework for 21st Century School Nursing Practice<\/jats:italic>\n                    \u2122 using a three-phase process that included surveys, qualitative feedback, and interest-holder engagement. Among 878 survey respondents, most (80%) were familiar with the\n                    <jats:italic toggle=\"yes\">Framework<\/jats:italic>\n                    and found it useful for guiding practice. Strong evidence of associations was observed between\n                    <jats:italic toggle=\"yes\">Framework<\/jats:italic>\n                    familiarity and school nurse demographics, including licensure (\u03c7\n                    <jats:sup>2<\/jats:sup>\n                    (3)\u2009=\u200921.51, p&lt; 0.001), years of experience (\u03c7\n                    <jats:sup>2<\/jats:sup>\n                    (4) =\u200958.03, p&lt;0.001), and certification (\u03c7\n                    <jats:sup>2<\/jats:sup>\n                    (1) =\u200935.22, p&lt;0.001). Qualitative responses (n =\u2009469) identified areas perceived as underemphasized (e.g., mental health) and sources of misconceptions or confusion. Iterative revisions informed by focus group input addressed these findings, resulting in an updated\n                    <jats:italic toggle=\"yes\">School Nursing Practice Framework<\/jats:italic>\n                    \u2122, which clarifies conceptual relationships and better reflects contemporary practice. This structured, participatory process provides a model for updating professional practice frameworks and highlights the importance of aligning conceptual tools with real-world practice.\n                  <\/jats:p>","DOI":"10.1177\/10598405261484956","type":"journal-article","created":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T04:23:14Z","timestamp":1788841394000},"page":"639-650","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["<i>School Nursing Practice Framework<\/i>\n                    \u2122: The Origin Story and the Data Behind It"],"prefix":"10.1177","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2965-7749","authenticated-orcid":false,"given":"Andrea L.","family":"Tanner","sequence":"first","affiliation":[{"name":"National Association of School Nurses"},{"name":"Indiana University School of Nursing, Bloomington, IN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0603-1628","authenticated-orcid":false,"given":"Alexandria","family":"Albers","sequence":"additional","affiliation":[{"name":"National Association of School Nurses"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2582-990X","authenticated-orcid":false,"given":"Kimberly","family":"Stanislo","sequence":"additional","affiliation":[{"name":"National Association of School Nurses"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4240-6194","authenticated-orcid":false,"given":"Deborah","family":"D'Souza-Vazirani","sequence":"additional","affiliation":[{"name":"National Association of School Nurses"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Terri","family":"Hinkley","sequence":"additional","affiliation":[{"name":"National Association of School Nurses"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,7]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/pits.23123"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/phn.13182"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1059840517745359"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/1942602X241304007"},{"issue":"75","key":"e_1_3_2_6_1","first-page":"1","article-title":"The updated consolidated framework for implementation research based on user feedback","volume":"17","author":"Damschroder L. J.","year":"2022","unstructured":"Damschroder L. J., Reardon C. M., Widerquist M. A. O., Lowery J. (2022). The updated consolidated framework for implementation research based on user feedback. Implementation Science, 17(75), 1\u201316. https:\/\/doi.org\/10.1186\/s13012-022-01245-0","journal-title":"Implementation Science"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/1059840519880605"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/10598405211068120"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/1059840520946833"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/1059840518785436"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/1942602X15618644"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/1942602X18778292"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/1942602X20928372"},{"key":"e_1_3_2_14_1","volume-title":"School Nursing: Scope and Standards of Practice (4th Ed.)","author":"National Association of School Nurses (NASN)","year":"2022","unstructured":"National Association of School Nurses (NASN). (2022). 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Sage Publications. https:\/\/doi.org\/https:\/\/dx.https:\/\/doi.org\/10.4135\/9781446282243"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/1942602X241271293"},{"key":"e_1_3_2_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/1942602X251347287"},{"key":"e_1_3_2_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/1942602X241259092"},{"key":"e_1_3_2_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/10598405241253565"}],"container-title":["The Journal of School Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10598405261484956","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10598405261484956","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10598405261484956","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T10:32:59Z","timestamp":1793701979000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10598405261484956"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,7]]},"references-count":20,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,12]]}},"alternative-id":["10.1177\/10598405261484956"],"URL":"https:\/\/doi.org\/10.1177\/10598405261484956","relation":{},"ISSN":["1059-8405","1546-8364"],"issn-type":[{"value":"1059-8405","type":"print"},{"value":"1546-8364","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,7]]}}}