Evidence map›Paper›PMID 36315836›Full record

ArticleThe Journal of school nursing : the official publication of the National Association of School Nurses2023

Symptoms of Depression, Anxiety, and Post-Traumatic Stress Disorder, and Suicidal Ideation Among School Nurses in Prekindergarten through Grade 12 Schools - United States, March 2022.

Sarah L Merkle, Michael Welton, André van Zyl, Muhling Chong, Andrea Tanner, Charles E Rose, Marci Hertz, Laura Hill, Zanie C Leroy, Katlynn Sifre and 1 more

Open access · hybridAbstract read
In one paragraph

Article in The Journal of school nursing : the official publication of the National Association of School Nurses, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
5.9field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Identifying Elements of a School Nurse's Work Environment That Are Salient to Their Job Outcomes: A Scoping Review.The Journal of school nursing : the official publication of the National Association of School Nurses · 2026
    Review
  4. School Nurse Perceptions of Their Role, Burnout, and Mentorship Programs: A Qualitative Analysis.The Journal of school nursing : the official publication of the National Association of School Nurses · 2026
    Article
  5. Article
  6. Review
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 7 institutions in 1 country.

Sarah L MerkleCOVID-19 Response, 1242CDC, Atlanta, GA, USA.ORCID 0000-0002-1755-8620
Michael WeltonCOVID-19 Response, 1242CDC, Atlanta, GA, USA.
André van ZylCOVID-19 Response, 1242CDC, Atlanta, GA, USA.ORCID 0000-0001-6872-5276
Muhling ChongCOVID-19 Response, 1242CDC, Atlanta, GA, USA.
Andrea Tanner233071National Association of School Nurses, Silver Spring, MA, USA.
Charles E RoseCOVID-19 Response, 1242CDC, Atlanta, GA, USA.
Marci HertzDivision of Adolescent and School Health, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, CDC, Atlanta, GA, USA.
Laura HillCOVID-19 Response, 1242CDC, Atlanta, GA, USA.
Zanie C LeroyDivision of Population Health, National Center for Chronic Disease Prevention and Health Promotion, CDC, Atlanta, GA,USA.
Katlynn SifreCOVID-19 Response, 1242CDC, Atlanta, GA, USA.
Ebony S ThomasCOVID-19 Response, 1242CDC, Atlanta, GA, USA.
CDC Foundation · USNational Association of School Nurses · USNational Center for Chronic Disease Prevention and Health Promotion · USNational Center for Emerging and Zoonotic Infectious Diseases · USNational Center for Environmental Health · USNational Center for HIV/AIDS Viral Hepatitis STD and TB Prevention · USNational Center on Birth Defects and Developmental Disabilities · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

School nurses are integral to creating safe environments in U.S. schools. Many experienced increased work burden and stress during the COVID-19 pandemic. CDC collaborated with the National Association of School Nurses and the National Association of State School Nurse Consultants to distribute a 121-item online, anonymous survey to school nurses nationwide during March 7-30, 2022. Among the 7,971 respondents, symptoms of depression, anxiety and PTSD, and suicidal ideation were measured, and prevalence ratios were used to identify associations with demographics, workplace characteristics, and support. Results found high levels of work-related stressors and indicated that employment characteristics, COVID-19-related job duties, and other workplace stressors and supports affected school nurse mental health. The survey findings underscore the mental health challenges many school nurses experienced during the 2021/2022 school year. The findings can inform supportive policies and practices to reduce workplace stressors and increase workplace supports for school nurses.

Indexed as

COVID-19NursesStress Disorders, Post-TraumaticAnxietyDepressionHumansPandemicsSuicidal IdeationUnited Statesadministration/managementcommunicable diseasesmental healthpolicies/proceduresschool nurse characteristics

Identifiers

PMID36315836
PMCPMC9988285
OpenAlexW4307744718

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.