Application of the Toxic Stress Schema: An Exemplar for School Nurses

Gwendolyn D. Childs, Janiece DeSocio, Elizabeth Sloand, Faye Gary, Pamela J. Burke, Freida H. Outlaw, Julie A. Snethen, Linda A. Lewandowski, Felesia R. Bowen

Research output: Contribution to journalArticlepeer-review

Abstract

For many children of color, the cumulative impact of pre-existing stressors, disparities, and pandemic-related losses has contributed to a toxic level of stress. Toxic stress can disrupt healthy brain development making children vulnerable to physical and mental health problems. School nurses are the primary health professionals who interact with children daily during the academic year, which positions them to identify risk factors within the social determinants of health that contribute to the development of toxic stress. The Toxic Stress Schema (TSS) provides a framework for assessment and care planning related to social determinants of health and potential sources of stress and/or buffering support for the physical and mental well-being of children. A case study approach is used to demonstrate the application of the TSS to school nursing and provide the basis for conceptualizing a plan of care and identifying resources to support the child's physical and mental health.

Original languageEnglish (US)
Pages (from-to)524-535
Number of pages12
JournalJournal of School Nursing
Volume39
Issue number6
DOIs
StatePublished - Dec 2023
Externally publishedYes

Keywords

  • bullying
  • covid-19
  • mental health
  • school nurses
  • screening/Risk identification
  • social determinants of health
  • toxic stress

ASJC Scopus subject areas

  • Nursing (miscellaneous)

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