Introduction
School nurses play a critical role in preventing, identifying, and managing child maltreatment. The National Association of School Nurses (NASN) emphasizes that school nurses are essential in bridging education and health to address child abuse.[1] In Iran, where 30% of the population is under 18,[2] school nurses are crucial for identifying and managing child abuse, improving children’s well-being and access to support.
Early Identification of Child Abuse
Child maltreatment, including emotional, physical, and sexual abuse, poses significant risks to children’s health and development globally. In Iran, rates of emotional (64.5%), physical (43.59%), and neglect (40.94%) abuse are alarmingly high.[2] Early identification and intervention can reduce long-term harm, and school nurses are in a unique position to detect signs of abuse through daily interactions with students.
The Role of School Nurses in Identification and Intervention
NASN stresses the importance of nurses in schools to identify abuse signs such as unexplained bruising and behavioral changes.[3] In Iran, where cultural sensitivities complicate abuse reporting, school nurses can be trusted professionals who identify and support vulnerable children through regular monitoring and communication.
Legal Challenges and Need for Specialized Training
Iran lacks mandatory protocols and laws for reporting abuse, leading to insufficient follow-up.[2] To enhance their role, school nurses need specialized training in recognizing abuse, legal reporting procedures, and navigating the legal system.[4] Proper training and clear policies can help school nurses more effectively manage child maltreatment cases.
The Need for Interprofessional Cooperation and National Policy Development
NASN highlights the importance of collaboration among nurses, teachers, and other professionals to address child abuse.[5] In Iran, strengthening cooperation between school staff and external support services is critical. Developing policies that integrate school health and social services can significantly enhance the role of school nurses.
Conclusion
School nurses in Iran can improve children’s health and well-being by identifying and intervening in child abuse cases early. To strengthen this role, it is essential to integrate nursing services in schools, provide training, and promote interprofessional cooperation.
Authors’ contribution
Zahra Saboohi Güven conceptualized, conducted the literature search, and wrote the manuscript.
Conflicts of interest
There are no conflicts of interest.
Funding Statement
Nil.
References
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