ABSTRACT
The functioning of the U.S. social safety net as a support for low-income families depends on various means-tested programs and a system of both public agencies and nonprofit organizations. Using in-depth interviews (n = 5) and a survey of nonprofit employees (n = 73), we seek to understand the role of nonprofits in promoting equitable access to the Temporary Assistance for Needy Families (TANF) program. Our findings reveal that public assistance programs are a necessary support for families, but that access is not always easy or equitable, and nonprofits form a protective layer of support providing resources and guidance for those most in need. Implications for policy and partnerships between the various components of the social safety net are discussed.
ABSTRACT
School nurses have faced many professional challenges during the COVID-19 pandemic. Focus group interviews were employed as a data collection method in this qualitative study to describe the perspectives of school nurses during the pandemic. Themes relevant to school nurse experiences and suggestions for change were identified. School nurses have demonstrated their essential role in facilitating health for students, staff, and families. Policymakers and the public must recognize this value. School nurses are encouraged to leverage opportunities for visibility within and beyond their own communities to enhance recognition of their role. School nurses should also lead the development of additional resources such as web-based health content and practice guidelines. Providing school nurses with resources needed to support their practice is essential so that, in turn, students may be cared for.
ABSTRACT
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.