Open research questions in School Health and Nursing Education
467 gap statements mined from School Health and Nursing Education papers in our 7.9M-paper local library, which holds 3,555 papers on the topic — drawn mostly from each paper's own stated research gap, future-work, challenge and limitation notes, and its abstract. The ones listed below are a selection still marked open; each names the study that raised it, with a DOI link where the paper has one.
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What the literature leaves open
The need to develop context-specific interventions that are effective and sustainable. The challenge of evaluating the impact of the intervention on health literacy and lifestyle habits.
Promoción de alimentación saludable y actividad física en escolares: protocolo de implementación del proyecto JACARDI en Escuelas Promotoras de Salud en Aragón · 2026 · DOIThe need for effective interventions to promote healthy eating and physical activity habits among schoolchildren. The lack of context-specific interventions that combine needs assessment, co-design of actions with stakeholders, and subsequent evaluation.
Promoción de alimentación saludable y actividad física en escolares: protocolo de implementación del proyecto JACARDI en Escuelas Promotoras de Salud en Aragón · 2026 · DOIFurther research is needed to consistently estimate the magnitude of change in GPA across the full study period. Studies should investigate the effects of SBHCs on academic outcomes using more robust longitudinal measures. Research should examine the specific mechanisms by which SBHCs influence academic outcomes.
Twenty Years in the Making: Government, University, and Community Partnership to Advance School Mental Health · 2026 · DOIThe gap is the limited understanding of the relationship between SBHC utilization and student educational outcomes. The study identifies a need for more research on the impact of SBHCs on student outcomes, particularly for students at greatest academic and behavioral risk. The paper highlights the importance of considering the social and cultural contexts of students' lives in the development of interventions.
Twenty Years in the Making: Government, University, and Community Partnership to Advance School Mental Health · 2026 · DOIHowever, little is known about how privacy and confidentiality concerns influence pupils' acceptability of assessments and willingness to engage authentically.
Identification Matters: How Data Sharing Affects Pupil Honesty and Engagement in Universal School Well-Being Assessments · 2026 · DOISchool-Based Health Centers (SBHCs) are an important setting for adolescents to seek care, yet little is known about their perceptions of and preference for SBHC services.
Predictors of Preference for School-Based Health Center Services Among Urban High School Youth · 2026 · DOIFurther research on quality indicators of school nurse services and approaches tailored to students' needs may be warranted.
Students' Perceptions of School Nurse Services and Their Self‐Reported Health Status in Hungary: A Cross‐Sectional Study · 2026 · DOIThe study concluded that the existing monitoring practices employed by school committees are insufficient to ensure the adequacy of sanitation facilities in public primary schools in Buchosa District Council.
Extent of Monitoring Role of School Committee Ensuring Adequacy of Sanitation Facilities in Public Primary Schools in Buchosa District Council, Tanzania · 2026 · DOIThe Health-Promoting Institute (HPI) model in India is relatively new, with limited research on its implementation and impact.
Institutionalizing wellness: the health-promoting university in India and its impact on public health · 2025 · DOIThe study identifies the need for community-driven models and local capacity-building in school health and nutrition programs. It emphasizes the importance of designing flexible systems that can adapt to on-the-ground challenges.
Role ambiguity and lack of consensus-based competencies hinder collaboration among school mental health professionals. Professional territoriality, confidentiality concerns, logistical constraints, and funding limitations can also challenge collaboration.
Framework of Core Competencies for Interdisciplinary School Mental Health Collaboration · 2026 · DOIThere is a lack of consensus on specific competencies required for collaboration among school mental health professionals. The study aims to address this gap by identifying core competencies for effective interdisciplinary collaboration.
Framework of Core Competencies for Interdisciplinary School Mental Health Collaboration · 2026 · DOIAsthma exacerbations are a complex issue, influenced by various social circumstances. School stakeholders may face challenges in addressing these circumstances due to limited resources or feasibility.
Social Circumstances Affecting Asthma: A Group Concept Mapping Study of School Stakeholders · 2026 · DOIFurther studies can investigate the effectiveness of interventions addressing exposure to smoking/vaping and caregiver/child lack of asthma education. Research can explore the development of collaborative school-based interventions to decrease asthma exacerbations.
Social Circumstances Affecting Asthma: A Group Concept Mapping Study of School Stakeholders · 2026 · DOIPrevious research on Swedish school nurses is in line with the school nurses in the precent study’s view, noting that school nurses refer students to other services with greater expertise when they feel their own competence is insufficient.
A qualitative content analysis study on Swedish school nurses’ experiences of meeting students with gender dysphoria · 2026 · DOILimited awareness among key stakeholders remains a significant barrier. Operational barriers, insufficient professional training, and fragmented communication between the health and education sectors limit the program's potential.
Potentialities and challenges of the Brazilian school health program for health promotion based on a systematic review · 2026 · DOIThe need for further nationwide evaluative studies in Brazilian schools. Limited understanding of the PSE among education professionals.
Potentialities and challenges of the Brazilian school health program for health promotion based on a systematic review · 2026 · DOIThe SJKF will need to continue collaborating with other providers, developing protocols and processes that help schools adhere to Mitey’s core elements while still allowing for contextual adaptations. More specifically, strategies could include: providing support materials that illustrate how Mitey can be integrated with other mental health education initiatives without compromising its integrity.
Anemia can impact various aspects of health, ranging from decreased immunity and cognitive impairment to serious complications for reproductive health in the future. Inadequate diets and insufficient intake of essential micronutrients, particularly iron, can exacerbate anemia.
From Small Talk to Health Awareness: Anemia Socialization for Adolescent Girls in North Bogor · 2026 · DOIFuture research efforts could examine the aspects that contribute to the sustained use of CBT, including ongoing training and support for SPs, organizational factors, and resource allocation. While this study focused on the perspectives of SPs, it is also critical to assess the effect of modified mental health service delivery on student outcomes, ideally on both academic and mental health outcomes.
Meeting Student Mental Health Needs in Survival Mode: A Qualitative Analysis of School Professional Mental Health Delivery at Michigan High Schools in Response to COVID-19 · 2026 · DOIGiven the non-probability sampling, the findings may not be generalizable to all student populations.
Students' Perceptions of School Nurse Services and Their Self‐Reported Health Status in Hungary: A Cross‐Sectional Study · 2026 · DOIImplementation support is provided at the state/territory level, but the availability and intensity of this support vary widely across jurisdictions, resulting in fragmented practices.
Enhancing healthy eating and active play in the Australian early childhood education and care system · 2025 · DOIMonitoring and evaluation: Robust M&E systems should be implemented to track and assess school health policies, enabling timely adjustments.
Strengthening school health in Namibia: A framework for policy development, implementation and evaluation · 2026 · DOISmall sample of 26 local school champions, - Limited to one municipality in Denmark, - No comparison to other…
Exploring the Role of Champions in the Facilitation and Implementation of a Whole-School Health Program · 2024 · DOIFurther study on the impact of champions on student health and well-being, - Investigation of the effectiveness of the SHP program in different…
Exploring the Role of Champions in the Facilitation and Implementation of a Whole-School Health Program · 2024 · DOI
Most-cited papers in School Health and Nursing Education
- Enhancing school-based prevention and youth development through coordinated social, emotional, and academic learning. · American Psychologist · 2003 · 1,287 citations
- Supporting children's mental health in schools: Teacher perceptions of needs, roles, and barriers. · School Psychology Quarterly · 2011 · 640 citations
- Empowerment Education: Freire's Ideas Adapted to Health Education · Health Education Quarterly · 1988 · 627 citations
- Focus Group Interview: An Underutilized Research Technique for Improving Theory and Practice in Health Education · Health Education Quarterly · 1987 · 558 citations
- School-Based Adolescent Drug Prevention Programs: 1998 Meta-Analysis · The Journal of Primary Prevention · 2000 · 556 citations
- Sustainability of Teacher Implementation of School-Based Mental Health Programs · Journal of Abnormal Child Psychology · 2005 · 464 citations
- The Whole School, Whole Community, Whole Child Model: A New Approach for Improving Educational Attainment and Healthy Development for Students · Journal of School Health · 2015 · 458 citations
- Caring school communities · Educational Psychologist · 1997 · 443 citations
- Effectiveness of School-Based Drug Prevention Programs: A Meta-Analysis of the Research · The Journal of Primary Prevention · 1997 · 405 citations
- Social and Emotional Learning: A Framework for Promoting Mental Health and Reducing Risk Behavior in Children and Youth · Journal of School Health · 2000 · 361 citations
Most recent work
- Head start staff well-being: early impact results from a cluster randomized controlled trial (RCT) of the Happy Teacher Wellness Intervention · Early Childhood Research Quarterly · 2026
- “The missing piece in the puzzle” - Success factors and barriers for scale-up and sustainment of the Healthy School Start program · Archives of Public Health · 2026
- The value of health literacy for Global Health and One Health: nurturing the socioecological environment of schools · Health Promotion International · 2026
- Interdisciplinary collaboration in school mental health: a scoping review · Journal of Interprofessional Care · 2026
- Critical Pedagogy in Health Education (2014–2025): A Scoping Review of Themes, Trends and Transformations · Education Sciences · 2026
- “It's a Real Sink or Swim Environment”: A Qualitative Study of School Nurses Experiences of Developing Delegation Competence · The Journal of School Nursing · 2026
- How can school-based programmes improve physical and mental health outcomes in low-and-middle-income countries? An umbrella review and logic model · Clinical Psychology Review · 2026
- The Safe Hearts Plan for Europe and beyond · European Heart Journal · 2026
- What young people want to improve their health and well-being: insights from over 1.5 million young people · Health Policy and Planning · 2026
- Visualizing contextual determinants in and across heterogeneous settings: a qualitative study on structured school health promotion implementation · Implementation Science Communications · 2026
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