An action research investigation into how school nursing evolved to improve the sexual and mental health of school children between 1999 and 2018 to meet the challenges of the modern world

Introduction: School nursing has evolved over the last 120 years from ensuring children were healthy for potential military service, to a holistic approach for dealing with the psychological and sexual health issues facing the school age population growing up in the 21st century. This critical appraisal spans a twenty-seven-year professional career in school nursing and lecturing in public health nursing. This will demonstrate the significant impact of the presented ten publications on the school nursing profession and their influence on the design and delivery of the School Nursing Service.
Aims: The aim of this critical appraisal (CA) is to examine research from the perspective of a school nurse which addresses the needs of children and young people, particularly in relation to mental and sexual health. This will demonstrate how the findings from the cited research have positively impacted on the national health agenda and have been implemented as best practice in England.
Methodology: The CA develops across five interlocking areas of action research linked to the author’s professional practice. These areas are sexual health; improving decision making; targeted mental health interventions; support for the mental health of whole families; adaption of Motivational Interviewing principles for the practice of community practitioners. The core theme of the research is service improvement. N=10 publications are explored, which addresses these areas. Reflection on practice as a school nurse identified the designated research topics.
Findings: The author’s publications have led to the adoption of sexual health education and clinical practices in one third of English secondary schools. Additionally, it has led to an evaluation of the correlation between young people’s sexual health and mental health, as well as highlighting the impact school nurses have in tackling these issues.
Impact: The setting up of a sexual health clinic in an English secondary school was identified as an exemplar by government advisers, and the evidence from its provision was utilised to support the implementation of similar clinics around the country. In addition, a mental health intervention, devised by the author, was cited as an example of a successful strategy by various researchers. Furthermore, the author’s research into Cognitive Behavioural Therapy and Motivational Interviewing demonstrated that school nurses play a significant role in supporting young people at risk of mental health problems.