Journal of Emergency Practice and Trauma

Letter to Editor: School Nurses and Medication Management: A Key to Safer Schools in Iran

Document Type : Letter to Editor

Authors

Zahra Saboohi 1
Mahnaz Solhi 2

1 Department of Health Services, School of Public Health, Iran University of Medical Sciences, Tehran, Iran

2 Health Promotion Research Center, Iran University of Medical Sciences, Tehran, Iran

https://doi.org/doi:10.34172/jept.2025.23
Abstract
With the increasing prevalence of chronic diseases such as asthma, epilepsy, diabetes, anaphylaxis, and cystic fibrosis
among students, the empowerment of school nurses has become more critical than ever . One of the main tasks of
school nurses is to support students with chronic diseases and help them effectively manage these conditions .
Medication management in schools, especially for chronic diseases, is vital because it allows students to participate
fully in educational and social activities. This directly impacts improving academic outcomes and students’ overall health.Empowering school nurses in Iran with greater authority, including the ability to prescribe essential medications
alongside proper training and resources, is crucial for strengthening school health services. Such measures will
enhance medication safety, foster a supportive learning environment, and safeguard student well-being. The
Iranian government and educational authorities should prioritize these reforms through comprehensive policies
and sustained investment to ensure healthier, safer schools for future generations.

Keywords

School nurses
Medication managemen
Training
Subjects
1. Butler SM, Boucher EA, Tobison J, Phan H. Medication Use in Schools: Current Trends, Challenges, and Best Practices. J Pediatr Pharmacol Ther 2020;25(1):7–24. doi:10.5863/1551-
6776-25.1.7
2. Charlucien-Koech R, Brady J, Fryer A, Diaz-Gonzalez de Ferris ME. School Nurses Practices Promoting SelfManagement and Healthcare Transition Skills for Adolescents with Chronic Conditions in Urban Public Schools: A
Mixed Methods Study. J Sch Nurs 2024;40(2):174–88. doi:10.1177/10598405211053266
3. Lowe AA, Gerald JK, Clemens C, Gaither C, Gerald LB. Medication Administration Practices in United States’
Schools: A Systematic Review and Meta-synthesis. J Sch Nurs 2022;38(1):21–34. doi:10.1177/10598405211026300
4. Miotto MB, Balchan B, Combe L. Safe Administration of Medication in School: Policy Statement. Pediatrics
2024;153(6):e2024066839. doi:10.1542/peds.2024-066839
5. Wilson NJ, Pracilio A, Morphet J, Kersten M, Buckley T, Trollor JN, et al. A scoping review of registered nurses’ delegating care and support to unlicenced care and support workers. J Clin Nurs 2023;32(17-18):6000–11. doi:10.1111/jocn.16724
6. Molavynejad S, Imani A, Gheibizadeh M. Nursing Prescribing Is not Implemented in Iran: Suggestions for Health Policymakers. Int J Community Based Nurs Midwifery 2024;12(1):73–4. doi:10.30476/ijcbnm.2023.100750.2381
7. McCabe EM, McDonald C, Connolly C, Lipman TH. A Review of School Nurses’ Self-Efficacy in Asthma Care. J Sch Nurs 2019;35(1):15–26. doi:10.1177/1059840518808886
8. Little MM, Eischens S, Martin MJ, Nokleby S, Palombi LC, Van Kirk C, et al. Medication management in Minnesota
schools: The need for school nurse-pharmacist partnerships. J Am Pharm Assoc (2003) 2018;58(1):67–72.e1. doi:10.1016/j.japh.2017.10.007
9. Yu HY, Huang CH, Liao LL, Lin HL, Chang LC. Competence and Stress of Medication Administration Practices for School Nurses in K-12 Taiwan Schools. J Sch Nurs 2025;41(4):418–25. doi:10.1177/10598405231184387
10. Ramezanzade Tabriz E, Sadeghi M, Tavana E, Heidarian Miri H, Heshmati Nabavi F. Approaches for boosting self-confidence of clinical nursing students: A systematic review and metaanalysis. Heliyon 2024;10(6):e27347. doi:10.1016/j.
heliyon.2024.e27347
11. McCaughey RA, McCarthy AM, Maughan E, Hein M, Perkhounkova Y, Kelly MW. Emergency Medication Access
and Administration in Schools: A Focus on Epinephrine, Albuterol Inhalers, and Glucagon. J Sch Nurs 2022;38(4):326–
35. doi:10.1177/1059840520934185
Journal of Emergency Practice and Trauma
Volume 10, Issue 2
July 2024
Pages 88-89

  • Receive Date 16 September 2025
  • Revise Date 09 October 2025
  • Accept Date 13 October 2025

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