Award Date


Degree Type


Degree Name

Master of Science in Nursing (MSN)



First Committee Member

Nancy Menzel

Second Committee Member

Michelle Giddings

Third Committee Member

Cheryl Perna

Fourth Committee Member

Christopher Kearney

Number of Pages



School refusal behavior can prevent a child from attending school or staying in class for a full day of instruction. School nurses are often one of the first professionals in the school with the opportunity to interact with these children, recognize school refusal behavior and its debilitating impact, and positively intervene to assist these children to stay in school. Few studies have examined school nurse recognition and attitudes regarding school refusal behavior. The purpose of this study was to assess school nurses' recognition of school refusal behavior, their attitudes regarding the nursing care of children with school refusal behavior, and their educational needs regarding school refusal behavior. Using a comparative descriptive design, a convenience sample of 37 school nurses, employed by the Clark County School District, participated in an online survey regarding their recognition of and attitudes about school refusal behavior. Data analysis revealed the need for further education to meet the specific needs of school nurses and to improve the nursing care of children with school refusal behavior. Findings may also guide the development of future educational presentations.


Anxiety in children; Nursing care; School-aged child; School anxiety; School attendance; School nurses; School nursing; School refusal; School refusal behavior


Child Psychology | Education | Educational Psychology | Nursing