School Nurse Perspectives on COVID-19

Pennsylvania responded to the COVID-19 pandemic by closing schools and moving to online instruction in March 2020. We surveyed Pennsylvania school nurses (N = 350) in May 2020 to assess the impact of COVID-19 on nurses’ concerns about returning to school and impact on practice. Data were analyzed using χ2 tests and regression analyses. Urban school nurses were more concerned about returning to the school building without a COVID-19 vaccine than rural nurses (OR = 1.58, 95% CI [1.05, 2.38]). Nurses in urban locales were more likely to report being asked for guidance on COVID-19 (OR = 1.69, 95% CI [1.06, 2.68]), modify communication practices (OR = 2.33, 95% CI [1.42, 3.82]), and be “very/extremely concerned” about their safety (OR = 2.16, 95% CI [1.35, 3.44]). Locale and student density are important factors to consider when resuming in-person instruction; however, schools should recognize school nurses for their vital role in health communication to assist in pandemic preparedness and response.

Alicia M. Hoke et al, School Nurse Perspectives on COVID-19, The Journal of School Nursing (37, 4) pp. . Copyright © 2021. DOI: 10.1177/1059840521992054. Users who receive access to an article through a repository are reminded that the article is protected by copyright and reuse is restricted to non-commercial and no derivative uses. Users may also download and save a local copy of an article accessed in an institutional repository for the user's personal reference. For permission to reuse an article, please follow our Process for Requesting Permission.



Work Title School Nurse Perspectives on COVID-19
Open Access
  1. Alicia M. Hoke
  2. Chelsea M. Keller
  3. William A. Calo
  4. Deepa L. Sekhar
  5. Erik B. Lehman
  6. Jennifer L. Kraschnewski
License In Copyright (Rights Reserved)
Work Type Article
  1. Journal of School Nursing
Publication Date August 1, 2021
Publisher Identifier (DOI)
Deposited February 20, 2023




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Work History

Version 1

  • Created
  • Added Hoke_et_al_JOSN_2021_SN_perspectives_on_COVID19_ACCEPTED.pdf
  • Added Creator Alicia M. Hoke
  • Added Creator Chelsea M. Keller
  • Added Creator William A. Calo
  • Added Creator Deepa L. Sekhar
  • Added Creator Erik B. Lehman
  • Added Creator Jennifer L. Kraschnewski
  • Published