Page 9 - MMP-N-NJ CCN 21st Century School Nurse Leadership Book

Figure 1. Framework for 21st Century School Nursing Practice™.

Framework for 21 Century School Nursing Practice TM
st

Care Coordination

Community/Public Health Leadership

STANDARDS OF PRACTICE STANDARDS OF PRACTICE STANDARDS OF PRACTICE
Students
Family and School Community
Healthy, Safe,
Ready to Learn

Quality Improvement

© National Association of School Nurses, 2015 Better HealtH. Better learning. tM Rev. 10/6/16
Framework for 21 Century School Nursing Practice TM
st
NASN’s Framework for 21st Century School Nursing Practice (the Framework) provides structure and focus for the key principles and components
of current day, evidence-based school nursing practice. It is aligned with the Whole School, Whole Community, Whole Child model that calls for a
collaborative approach to learning and health (ASCD & CDC, 2014). Central to the Framework is student-centered nursing care that occurs within
the context of the students’ family and school community. Surrounding the students, family, and school community are the non-hierarchical,
overlapping key principles of Care Coordination, Leadership, Quality Improvement, and Community/Public Health. These principles are surrounded
by the fifth principle, Standards of Practice, which is foundational for evidence-based, clinically competent, quality care. School nurses daily use
the skills outlined in the practice components of each principle to help students be healthy, safe, and ready to learn.

Standards Care Leadership Quality Community/
of Practice Coordination Improvement Public Health
• Clinical Competence • Case Management • Advocacy • Continuous Quality • Access to Care
• Clinical Guidelines • Chronic Disease • Change Agents Improvement • Cultural Competency
• Code of Ethics Management • Education Reform • Documentation/Data • Disease Prevention
• Critical Thinking • Collaborative • Funding and Collection • Environmental Health
• Evidence-based Communication Reimbursement • Evaluation • Health Education
Practice • Direct Care • Healthcare Reform • Meaningful Health/ • Health Equity
• NASN Position • Education • Lifelong Learner Academic Outcomes • Healthy People 2020
Statements • Interdisciplinary • Models of Practice • Performance • Health Promotion
• Nurse Practice Acts Teams • Technology Appraisal • Outreach
• Scope and Standards • Motivational • Policy Development • Research • Population-based
of Practice Interviewing/ and Implementation • Uniform Data Set Care
Counseling • Professionalism • Risk Reduction
• Nursing Delegation • Systems-level • Screenings/Referral/
• Student Care Plans Leadership Follow-up
• Student-centered Care • Social Determinants
• Student Self- of Health
empowerment • Surveillance
• Transition Planning

ASCD & CDC. (2014). Whole school whole community whole child: A collaborative approach to learning and health. Retrieved from
http://www.ascd.org/ASCD/pdf/siteASCD/publications/wholechild/wscc-a-collaborative-approach.pdf

© National Association of School Nurses, 2015 Better HealtH. Better learning. tM Rev. 10/6/16

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