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The combination of lack of parental interest with violent thoughts of students indicates a high risk for weapons violence. Metal detectors at school to deter weapons often give a false sense of security as weapons can be handed through unmonitored opened doors and windows National School Safety and Security Services, Bullying Bullying, especially electronic bullying Bullying in schools or by school children is another form of school violence. Bullying statistics from CDC, indicate that about one in seven students in grades kindergarten through Free casual dating in hartford ct 6104 is either a bully or has been a victim of bullying. Sometimes a child jn has been a hartfford of bullying becomes a bully in retaliation.
Sixty-one percent of children believe that school shooters are victims of bullying hartfore at school or at home. Many times children act out violently by bullying their peers because they are abused at home CDC, Bullying, especially electronic bullying, is another form Free casual dating in hartford ct 6104 violence that many times takes place outside of school, but harford affects school adting, behaviors, and learning. There is datung controversy regarding who has responsibility for identifying and intervening hwrtford bullying that occurs outside of school but carries over to the school day. The media has highlighted recent cases of suicide allegedly caused by bullying.
Parents, too, are coming forward in the media to call attention to perceived and real individual school and school district lack of attention to reported bullying. A review of the literature addressing bullying and suicide by Cooper, Clemens and Holt found a strong correlation between childhood bullying and suicidal behavior and possibly even bullying as an independent indicator of suicide. Witnessed Violence Annually, an estimated 10 million or more children are exposed to acts of domestic violence between adults in their homes American Academy of Child and Adolescent Psychiatry, These children are at risk for abuse themselves as well as other immediate and long-term problems, especially if exposed to repeated episodes of domestic violence.
Multiple behavioral manifestations, including anxiety, depression, and posttraumatic stress disorder, may be associated with violence exposure, and it is imperative that school nurses recognize these. Other researchers Ramirez et. Students who are absent from school on a frequent basis without an adequate explanation, such as a diagnosed illness, may be victims of domestic violence exposure. The differences between children witnessing and experiencing violence are not well defined, however, both can have effects of psychological distress, desensitization to aggression, and changes in behaviors Ramirez et al. The prevalent belief that only children who have the cognitive ability to understand violence is being challenged and preliminary research shows that infants who witness violence are effected as well with a possible increase in symptoms in later years McDonald et al.
Violence as a Cultural Norm of Problem Solving Anecdotally, school nurses are seeing more violence as a learned problem solving method or coping mechanism. Anecdotally, school nurses are seeing more violence as a learned problem solving method or coping mechanism. The increase in young children in primary grades who erupt in anger, shout expletives, and physically lash out in response to clear, calm directives is a demonstration of learned behavior. Parents, in front of their children, erupt in anger, using obscenities and threatening behavior towards school administrators and staff.
In children at age 10, favorable parental attitude toward violence was a good predictor of violent behavior in that child at age 18 Strawhacker, Gang violence falls into this category as well. The use of violence by gang members or students imitating gang behavior creates a culture of violence as a problem solving mechanism in the community and in schools. Too often, students perceive that violence and retaliatory violence is the only way to address conflicts and consider other conflict resolution methods as ineffective, weak, and, in fact, inflammatory. While the constant exposure of images of violent responses to seemingly slight infractions by media and social media may sensationalize this behavior, the increasing stories of these behaviors as an attempt at problem solving cannot be ignored.
First, school nurses act to create safe school environments by collaborating with school personnel, parents, healthcare providers, and community members. They promote evidenced-based education and programs related to violence prevention. School nurses also intervene to prevent violence and decrease the effects of violence for individual students. As with many physical illnesses that may present with subtle symptoms or symptoms that appear unrelated to the untrained eye, the effects of violence present as multi-variant patterns which can be difficult to diagnose.
Students often tell the school nurse things about themselves, or about their friends, that enables the nurse to intervene to address actual or potential school violence. The school nurse is a non-disciplinary, non-academic staff member who, in this position, engenders trust and accountability to both students and staff. As such, a school nurse has a unique rapport with students, unlike any other in the school setting, that allows students to confide in and build trust with him or her. As a member of school-based interdisciplinary teams, the school nurse also frequently sees students with health issues, special education diagnoses, attendance problems, and discipline or behavior issues Council on School Health, The school nurse office or clinic can serve as a safe haven for students with a variety of needs.
Utilizing expertise in assessment, school nurses can identify behaviors that could be seen as malicious, such as angry outbursts, running away, bullying, or sleeping in class, as possible effects of violence. The nurse also identifies physical symptoms that may be caused by effects of violence, such as headaches, stomach aches, and injuries. With this knowledge, the nurse can intervene and make appropriate referrals. While school nurses are in the best position to address the effects of violence at school for individuals and aggregates, many schools are without a school nurse, or have very limited access to school nurses.
Unfortunately, several variables related to school nursing impact the ability for school nurses to intervene to decrease violence. For example, the number of school nurses; educational requirements to serve as a school nurse; legislative support for the presence of school nurses; and ratio of school nurses to students vary from state to state and, in many states, from school district to school district Council on School Health, Stories from the Field Statistics and descriptions, such as those above, provide a numerical picture of the effects of violence in schools that school nurses must address in their professional role. However, it is the stories that can provide additional context to create a comprehensive picture of the challenges that both school nurses and our youth face in the current epidemic of violence.
Here are a few anecdotal examples of actual encounters between students and school nurses that demonstrate the range of societal violence typical for some students: A first grade student with a fever of degrees tells the school nurse that her daddy cannot pick her up from school. A high school student, and known gang member, approaches the school nurse before summer break so he can measure her hand. She expresses gratitude for his concern and politely declines. A star high school basketball player is shot and his friend is killed while they are stopped at streetlight in a car, asking for help with his gunshot wounds.
He is treated at the local emergency department and released without supplies or knowledge of how to re-dress his bandages. He is then immediately moved to the police station. The school nurse ultimately provides supplies and education about caring for the wound. She acknowledges his stoic silence about the event and the perpetrator as self-protection, and encourages counseling to address his feelings, rather than focusing on the incident itself. He does not report the incident until an observer tells the school nurse about it. These few anecdotes demonstrate the variety of incidents by age group e. The next section describes potential responses to violence by both school nurses and other healthcare providers.
Responses to Violence School Nurse Response to Violence Interventions should include crisis management and school violence prevention utilizing a primary, secondary and tertiary prevention approach.
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School nurses can and should take a leadership role to address the escalation of societal violence. Strawhacker recommends that school nurses daging traditional roles in school health programs and advocate for less traditional roles in the school setting. Interventions should include crisis management and school violence prevention utilizing a primary, secondary and tertiary prevention approach. School nursing involvement early in the planning process guarantees that important aspects of health and safety are included in the school violence plan. School nurses, who often have post-baccalaureate education in health counseling, are trained in crisis response and are appropriate persons to serve on or lead crisis intervention teams Tuck et al.
School nurse crisis management interventions should include: As mentioned above, school nurses have unique rapport with students. They can provide a safe area away from other students and classrooms, which can be instrumental in preventing fights.
Viewed as a safe and effective source for problem solving, the rating nurse is often one of czsual first school staff members to learn about a student who has a weapon at school and should activate the school crisis plan in that event. Ft violence prevention also requires school nurse interventions. Primary prevention efforts involve facilitating community and school partnerships; engaging parents in school activities ahrtford promote connections with their children; and supporting activities that create a climate that promote respect for others Tuck et al. Creating a safe, datig free environment takes a multi-disciplinary and whole school effort; school nurses can initiate and coordinate that effort.
Staff education and training is another intervention in primary prevention. School nurses must be involved in the creation of the violence prevention plan for the school or district in order to assure health concerns are addressed and to promote the school nurse leadership role. All children should be screened for domestic violence exposure at regular intervals Secondary prevention focuses on students at risk for behavior problems, such as students who have witnessed or experienced violence. All children should be screened for domestic violence exposure at regular intervals, and those who are at risk should have a more thorough health assessment.
The school nurse can be a part of that presence as well as a provider of that safe place to come to report bullying. Alerting other adults e. Tertiary prevention targets those students who already exhibit behavior problems and focuses on providing services to the student both within the school setting and in referrals to community services and agencies. These students, as well as those who exhibit violent behavior, may need more intervention than the school can provide. By assessing and referring students who require in-depth counseling services, the school nurse not only prevents violence but also provides advocacy and interventions for students.
As word gets out, students talk. Many referrals of children with concerns are referrals made by other students when they perceive that the school nurse can be trusted to intervene Strawhacker, Implications for Other Healthcare Professionals Promoting peace over violence in the school environment requires an intentional, detailed effort Many healthcare professionals do not know the full scope of the role of the school nurse. School nurses are often viewed as nice ladies who give first aid, band aids, and ice, rather than highly expert professionals in caring for the health of school children. Our singles at farmersonly. Married dating, but catholicmatch delivers what other dating site!
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