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Assessing School Nurse Access and Satisfaction in Spain

November 5, 2025
in Medicine
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The United Nations (UN) has long recognized the critical role of health in the development of children and adolescents, particularly as it pertains to education. The presence of school nurses in educational settings serves as a crucial factor influencing the health and well-being of students. This support has become even more pertinent in the wake of recent public health crises, highlighting the intricate relationship between school health services and academic success. A new cross-sectional study conducted in Spain sheds light on the availability, perceived need, and satisfaction with school nurses, igniting discussions about their role in fostering healthier school environments and enhancing educational outcomes.

The authors of this study, Zafra-Agea, J.A., Pérez, T.D., Lima-Serrano, M., and colleagues, aimed to investigate how the presence of school nurses impacts the perceptions of students, parents, and school staff. Using a comprehensive survey methodology across various schools, data were collected to evaluate the participants’ views on the necessity of school nurses and their satisfaction regarding the services provided. Their work reflects an essential inquiry into how health services are integrated into the educational infrastructure.

In an era where mental health issues are on the rise among adolescents, the role of school nurses is more critical than it has ever been. These healthcare professionals not only address physical ailments but also contribute to the mental well-being of students. The findings from this research indicate that a significant portion of the school community believes that having dedicated nursing staff can alleviate anxiety and provide necessary health education, thereby creating a safer and more supportive learning environment.

Moreover, the study highlights disparities in the availability of nursing services across different regions in Spain. Schools in urban areas tend to have better access to qualified school nurses than their rural counterparts, which raises equity concerns. The contrast in service availability reinforces the need for policy discussions about resource allocation and the importance of making healthcare accessible to every student, irrespective of their geographic location. The implications of these findings extend beyond individual schools, calling for a national conversation on how best to support the health needs of all students.

Crucially, the perceived need for school nurses was found to correlate with various factors, including socio-economic status and prior experiences with health-related matters. Parents and educators expressed a heightened awareness of health issues in schools post-COVID-19. This awareness is indicative of a broader shift in societal attitudes towards health and education, emphasizing the need for established protocols and resources to manage health emergencies and regular care.

As part of the study’s findings, satisfaction levels regarding the school nursing services varied. Many respondents expressed contentment with the care received, particularly noting the attentiveness and professional expertise displayed by school nurses. However, others voiced concerns about the limited time and resources afforded to school nursing, which directly affects how effectively nurses can respond to student needs. These mixed sentiments underscore the necessity for continuous evaluation and improvement of school health services.

In addition to addressing health emergencies and chronic ailments, school nurses play a pivotal role in health education, teaching students about vital topics such as nutrition, sexual health, and mental wellness. The research indicates that these educational components are frequently underscored, with school communities recognizing that empowering students with knowledge can lead to healthier lifestyles and improved academic performance.

Through analyzing the data collected, the authors seek to provide recommendations for policymakers aimed at improving school health services throughout Spain. Their findings advocate for structured health policies that could facilitate the recruitment and retention of qualified school nurses, ensuring that every school has access to this invaluable resource. As public awareness grows regarding mental health and wellness, schools must evolve to meet these challenges head-on, equipping themselves with the necessary support systems.

Additionally, there are calls within the study for initiating programs that promote the collaboration between school nurses and other healthcare providers, creating a comprehensive network of care that extends beyond the classroom. Understanding that health is a multi-faceted issue, schools should not only rely on nurses but also involve mental health professionals, social workers, and community organizations to tackle the diverse needs of students.

While the study offers significant insights into the necessity of school nursing in Spain, it also lays the groundwork for future research examining the long-term impacts of such services on academic performance, absenteeism rates, and overall child development. Investigating the correlation between health services and educational outcomes can highlight the essential role that school health professionals play in shaping the future of the next generation.

In conclusion, Zafra-Agea and colleagues present compelling evidence that reinforces the importance of placing qualified school nurses within educational institutions. Their research emphasizes the interconnectedness of health and education, advocating for a holistic approach to student well-being. As we move forward, making a case for better investment in school health services not only benefits students in Spain but also serves as a model for global health and education initiatives.

By shifting the narrative to prioritize student health, there is the potential for a transformative impact on educational success. With comprehensive health support, students can thrive academically and socially, ultimately contributing to healthier communities and nations. This study, with its myriad implications, serves as a clarion call for advocates, educators, and policymakers to pursue necessary reforms in how student health is approached within educational settings.

Subject of Research: Availability and satisfaction for school nurses in Spain.

Article Title: Availability, perceived need and satisfaction for school nurses in Spain: a cross-sectional study involving the school community.

Article References:

Zafra-Agea, J.A., Pérez, T.D., Lima-Serrano, M. et al. Availability, perceived need and satisfaction for school nurses in Spain: a cross-sectional study involving the school community.
BMC Nurs 24, 1364 (2025). https://doi.org/10.1186/s12912-025-03970-5

Image Credits: AI Generated

DOI: https://doi.org/10.1186/s12912-025-03970-5

Keywords: School Nursing, Health Education, Student Well-being, Public Health, Equity in Health Services.

Tags: cross-sectional study on school nurseseducational outcomes and health servicesfostering healthier school environmentshealth services integration in educationimpact of school nurses on academic successmental health support in schoolsparental perceptions of school nursingpublic health crises and schoolsrole of healthcare professionals in educationsatisfaction with school health servicesschool nurse services in Spainstudent health and well-being
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